PM 06-10-04
(FCRC/All Kids Unit) Register the application through mail-in subsystem.
| Item 1 |
- Enter the complete ID number. The case category is always 94. |
| Item 2 |
- Enter the date (MMDDYY) from the Application Date in Section III of Healthy Start Application (Medicaid Presumptive Eligibility) (Form 3089). |
| Item 3 |
- Enter the TA:
- 01 - New Application
- 02 - Reapplication
|
| Items 5 & 6 |
- Complete. |
| Items 8 - 10 |
- Complete. |
| Item 33 |
- Enter TAR 44. |
NOTE: Use TAR 46 to reopen an MPE application.
