Topic: PS-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
What forms are required for a TANF certification with parent included in benefit? Note: Drug Screen Requirement Acknowledgment Form must be signed by the client and uploaded to Onbase Request for Benefits, 08MP001E (PS-1), Paper applicants only. Responsibility and Signature for Benefits, 08MP003E (FSS-1-B), Paper applicants only. Note: With two-parent households each parent must sign […]
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 […]