MR #10.05: Form HFS 2378H Mail-In Application for Medical Benefits

MR #10.05: Form HFS 2378H Mail-In Application for Medical Benefits

Summary:

• Places policy into the manual regarding the use of Form G, attachment to HFS 2378H Mail-In Application for Medical Benefits.
• A completed Form G may be submitted to the Client Assessment Unit (CAU) in place of the 183B for applicants who have a disability, but have not been determined disabled by the Social Security Administration.
• Forms A through H are required if they pertain to the applicant.