Topic: FSS-1
Applications for recently released prisoners and DOC prisoners who are still in custody but placed in an acute hospital for treatment.
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
There are three forms required for all paper applications: 08MP001E PS-1 Request for Benefits This is the application that the client completes and signs to request benefits. 08MP003E FSS-1-B Responsibilities and Signature for Benefits This form advises clients of their rights and responsibilities for all programs, and it requires a client signature. O8MP002E FSS-1 Eligibility […]