Forms and applications listed here are only a portion of those available. Visit your local MDHHS Office for forms or applications not available online. To view or print PDF files, you will need …

MDHHS-Pub-1010 (Rev. 10-24) Previous edition obsolete. Afordable private health insurance plans that ofer comprehensive coverage. A new tax credit that can immediately help pay premiums for health coverage. Free or low-cost insurance from Medicaid, Healthy Michigan Plan, or MIChild (Children’s Health Insurance Program).

The DHS-1010, Redetermination, DHS-1046, Semi-Annual Contact Report and DHS-2204-A, Mid-Certification Contact Notice, have new form numbers which are the MDHHS-1010, MDHHS-1046 and MDHHS-2240-A.

There is no online version of the MDHHS-1010 or DHS-1004 available. Beneficiaries will need to complete their eligibility renewal packet by mail or electronically in MI Bridges.

Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Information on the Food Assistance Program, eligibility requirements, and other food resources. Information about the health care programs available through Medicaid and how to qualify.

Information provided with MDHHS applications (MDHHS-1010, -DHS-4574, DHS- 4574B, DCH-1426 and MDHHS-1171 inform clients of the data exchange process. MDHHS conducts two data exchange processes with IRS.

It details eligibility criteria, application processes, responsibilities of applicants, rights of participants, and penalties for violations. The booklet emphasizes non-discrimination in program participation and provides resources for further assistance. 02. Sign it in a few clicks.

The document is an information booklet from the Michigan Department of Human Services (DHS) detailing assistance programs available for food, medical care, child care, cash, and emergencies. It outlines the application process, eligibility requirements, necessary documentation, and rights of …

For the DHHS Music 1010 class. These vocab words come from chapters 1 & 2 of the textbook. Learn with flashcards, games, and more — for free.

The MDHHS-1010, Redetermination is a Bridges generated form that is sent at the time of an annual renewal. The DHS-1004, Health Care Coverage Supplemental Questionnaire, is used to gather additional information when an applicant is not found eligible for any MAGI-related eligibility group or indicates a disability on the DCH-1426.