PERSONAL INFORMATION You may have someone help you complete this application. Applicant s Name Last First Middle Initial Mailing Address If you wish to name a person to act on your behalf complete the information below Name Last First Middle Initial Street Address City State Zip Do you own/are you purchasing home Phone County Nursing Facility if applicable Y N Relationship to Individual COMPLETE THIS INFORMATION FOR YOU AND YOUR SPOUSE. Name Self Birthdate Sex Race U.S. Citizen Yes or No...
dhr 700

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Video instructions and help with filling out and completing dhr 700

Good morning all I'm here to help you find ways to apply for Medicaid either online via the mail telephone email whatever method in the state of Georgia I'm gonna go through all the states in the country and show each individual how to apply in their particular state but we're going to start in the state of Georgia and explain the process of applying for Medicaid in 2012 and 2013 and beyond George is very interesting because it's one of the few states that you cannot submit an application solely online and hit submit a lot of the states will allow you to fill out the application online by simply clicking the mouse filling out your information and then hitting the submit button George is a little different you have to apply by a DC DFCS office by mail telephone fax or email so basically you need to fill out the application by hand or on a computer and email it mail it or call it in so the application is available here I will put this link in the information of this YouTube video so you can click it below but the application is available in English or Spanish right here and you basically need to print this thing out fill it out and then get ready to do the necessary steps of taking it to your office or calling in or sending it via the mail and all that information is available on this website and it'll have a listing of the offices for your County or for your town or for your city a lot of people will ask what healthcare plans are available in my area for Georgia Medicaid well there's another great website called the Georgia Department of Community Health that points out the three major CMOS that are available and their phone numbers and those are Amerigroup Community Care Peach State health plan and well care and note that many states have specific health care plans for specific counties so that's the reason this phone number is here you may want to call make certain that your county is covered by the specific health care plan before just accepting that you know you can get an American health plan or a Peach State healthcare plan but this is a useful website once again I will post the link in the bottom so you can find out what health plans are available in your specific County or at least get the phone number and another great website is Georgia gov this is also the Department of Community Health subsection and they have a Medicaid frequently asked questions page and often they call it the FAQ page so any questions you may have on your eligibility or how to apply or who do you contact for information the plans this will all be available on this link it's extremely long I'll scroll through some of this stuff and you'll see that it's very in-depth very good information it will explain pretty much everything involving Georgia Medicaid and this is very useful for anybody who may qualify before going through the entire process and just going in blind you may want to look at some of this stuff once again it has the applications available for download...