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109.09 Application for Retroactive Medical Assistance …

    https://www.dhhs.nh.gov/mam_htm/html/109_09_application_for_retroactive_medical_assistance_mam.htm
    For each retroactive month, determine if all the following criteria apply:- the individual received medical services which would have been covered by medical assistance; and- the individual would have been eligible for medical assistance in the period …

Retroactive Medicaid Eligibility: How It Works

    https://www.medicaidplanningassistance.org/retroactive-medicaid/
    Definition. Retroactive Medicaid allows Medicaid applicants to receive nursing home coverage for up to 3 months prior to the date of one’s application. …

Retroactive Medicaid Eligibility & Coverage

    https://www.payingforseniorcare.com/medicaid/retroactive-eligibility
    On Sept. 12, an application for Medicaid is filed. The retroactive period would be from June 1 through Aug. 31, since the application was filed on September 12th. Therefore, if found …

Application For Retroactive Medical Assistance

    https://nheasy.nh.gov/forms/E/779.pdf
    You may apply for retroactive medical assistance for the three month periods immediately prior to the date in which the completed and signed DFA Form 800, Application for …

Supplement to Statement of Facts for Retroactive …

    https://www.dhcs.ca.gov/formsandpubs/forms/forms/mc210a0907.pdf
    As the result of two court decisions, you may be able to be repaid for some medical expenses you paid. The Department of Health Care Services (DHCS) will assist you in …

Medical Assistance - Department of Human Services

    https://www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx
    Online: Using the COMPASS website, you can apply for MA and many other services that can help you make ends meet. Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. In-Person: …

1.2.5 MHCP Retroactive Eligibility

    http://hcopub.dhs.state.mn.us/epm/1_2_5.htm
    1.2.5 Retroactive Eligibility People may request retroactive eligibility for Medical Assistance (MA), Minnesota Family Planning Program (MFPP), and the Service …

316.7 Retroactive Eligibility

    http://services.dpw.state.pa.us/oimpolicymanuals/ma/316_MAWD/316_07_Retroactive_Eligibility.htm
    The premium amount for the retroactive coverage is set by using the actual income for the months in which the coverage is asked for. (Section 316.61, Premium …

MEDICAID REQUEST FOR RETROACTIVE …

    https://dvha.vermont.gov/sites/dvha/files/doc_library/202A_0.pdf
    5. During any of the months for which you are requesting retroactive medical coverage: a. Did you have health insurance other than Medicare? No. Yes - which months? Insurance …

Medical Services Plan - Retroactive Premium Assistance

    https://my.gov.bc.ca/msp/assistance/home
    To be assessed for Retroactive Premium Assistance, complete this form and upload a copy of the Notice of Assessment or Notice of Reassessment from Canada Revenue …



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