806        APPLICATION PROCESS

In order for DPADivision of Public Assistance to determine a household’s MAGIModified Adjusted Gross Income Medicaid eligibility, the household must submit a completed, signed application. The application may be submitted through DPADivision of Public Assistance or the FFMFederally Facilitated Marketplace (see section 825). The agency that receives the application will take action. Applications can be submitted in the following ways:

1)  on-line;

2)  by mail;

3)  in person;

4)  by fax;

5)  by phone; or

6)  by e-mail.

For applications provided over the telephone, the caseworker must obtain a telephonically recorded application signature. If the caseworker is unable to obtain a telephonically recorded application signature, the application must be pended for a signed Statement of Truth, which will be sent to the applicant for signature. See MS 806-1 (E). The caseworker will advise the household that in order to determine eligibility, the form must be completed and returned to the DPADivision of Public Assistance office via email, mail, fax, or in person. Once received, a determination for eligibility will be made.

All households may file an application the same day they contact DPADivision of Public Assistance to establish a protected filing date. DPADivision of Public Assistance will help all households with the application and renewal process.

Fee agents help households who live in communities that do not have a local DPADivision of Public Assistance office apply for public assistance. The fee agent can help the household apply online or use DPADivision of Public Assistance applications and other forms provided by DPADivision of Public Assistance. Households are not required to go to a fee agent and may apply directly through DPADivision of Public Assistance or the FFMFederally Facilitated Marketplace.

The receipt of an identifiable application in a DPADivision of Public Assistance district office or the FFMFederally Facilitated Marketplace establishes the application filing date. An identifiable application must contain the applicant’s name, address, and signature.

Note:

Electronic signatures are only allowed on Medicaid applications submitted through the Federally Facilitated Marketplace (FFM) and the ARIES Self-Service Portal (SSP).

For paper applications, the signature must either be telephonically recorded by a caseworker through the Virtual Call Center (VCC) or a "wet signature". The term ' wet signature' refers to someone placing a physical or distinct mark on a hardcopy of a document with a pen to make it legally binding. Typed, digital, and handwritten signatures created on an electronic device (finger/stylus to screen) are not acceptable.

Note:

If the individual already has a disability determination from Social Security or the State of Alaska Disability Determination Services (DDS), they may be eligible for ADLTCAdult Disabled and Long Term Care Medicaid.

If the individual has not yet received a favorable disability determination but states they are seeking a determination, process under MAGIModified Adjusted Gross Income Medicaid rules. If the individual is not eligible under MAGIModified Adjusted Gross Income Medicaid rules, refer the application to the FFMFederally Facilitated Marketplace.

When households apply for multiple programs, DPADivision of Public Assistance must make a Medicaid determination based on the information in the application. DPADivision of Public Assistance must not delay the Medicaid determination if more information is needed for other programs.

An interview is not required for MAGIModified Adjusted Gross Income Medicaid.