1. (FCRC) Complete HFS 3459A, HIPP Inquiry, and explain the HIPP Program when a client, including a client with a medical extension, reports new employment or loss of employment.

2. (FCRC) Issue HFS 3459 by mail or in the Family Community Resource Center.

3. (FCRC) Follow WAG 23-08-01-a if the applicant has health insurance available and has a high cost medical condition.

  1. Give the applicant HFS 1721, Instructions to Recipient.
  2. Allow 10 days to return the information.