PM 06-08-03.

All applications for medical benefits are also applications for All Kids Share, All Kids Premium, and All Kids Rebate. Persons can apply for the All Kids Share, All Kids Premium, and All Kids Rebate programs with all application forms except the Application for SNAP (Form 683) and the Application for Payment of Medicare Premiums, Deductibles and Coinsurances (Form 2378M).

Notice of Decision on Application (Form 360KC) is sent to notify a All Kids Share, All Kids Premium, or All Kids Rebate applicant of the disposition of their application. All Kids Share/Premium/Rebate Change Report Form (Form 3722) is sent with each Form 360KC.

All Kids Rebate

MMIS sends All Kids Rebate - Notice of Approval (Form 3719) to the policyholder to notify them of the approval of All Kids Rebate. MMIS sends All Kids Rebate - Notice of Change (Form 3719A) to the policyholder any time there is a change in the rebate amount.

A Rebate payment cannot be issued for less than $1.00. If the cost of a family's insurance is less than $1.00, put the child on All Kids Share or All Kids Premium depending on family income.