WAG 17-01-04-d: Form 360KC

Send a Notice of Decision on Application for Health Benefits (Form 360KC) when a person under age 19 is applying and either:

  • income is above 185% of the FPL, or
  • income is at or below 185% of the FPL and the person under age 19 is ineligible for All Kids Share, All Kids Premium, and All Kids Rebate for non-financial reasons.