ABCDM-83 (08MA083E)

Link to ABCDM-83

Application Process

Applying for Medical Benefits An individual may apply for medical benefits in the following ways: Complete a PS-1, FSS-1 and FSS-1-B form Receipt of Form 02HM001E, Uniform Comprehensive Assessment Intake and Referral (Formerly AG-2) Receipt of ABCDM-83 from a nursing facility Verbal request Request received through OKDHSLive! Website

Application Process

What constitutes an application? An individual may apply for medical benefits in the following ways: Complete a PS-1, FSS-1 and FSS-1-B form; Spanish Request: PS-1, FSS-1, FSS-1-B Online application through OKDHSLive! Website If an individual applies for Medical through the OKDHSLive! Website it is considered an application for all ABD related programs. Example: SSP, SLMB, […]