NOTE: For SNAP Only (Category 08) cases, leave blank.

Item 42 shows the date of admission or readmission to an institution. This is the date medical eligibility stops.

Enter the date (month, day, and year) as 2-digit numbers showing when the client entered a DHS noncovered facility or State Hospital/Institution. For example, enter January 1, 2000, as:

01 01 00