WAG 02-05-03: Screening and Registration for Mail-in or Faxed Applications

PM 02-05-03.

(FCRC) Review an application form received via mail or fax from an applicant (or a 3rd party representing an applicant), hospital, or long term care facility for completeness and required signatures. If application forms from these sources are incomplete, do not register them. Return them to the sending source for completion.

If the Application for Payment of Medicare Premiums, Deductibles and Coinsurance (Form 2378M) is received without the required signature, do not register it. Return it to the applicant for completion.

If only the first page of Request for Cash Assistance - Medical Assistance - SNAP benefits (Form 2378B) is received with a name, address, and signature, register as a cash and SNAP application.

Date stamp an accepted application.

Within 3 workdays of the day of receipt, register a completed application through AIS. Day one is the first workday the application is received in the Family Community Resource Center.

Registration within 3 workdays is only required for an initial application and not a SNAP REDE application.