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 an application that meets the identifiable application requirements in on of the following ways:

1)  by mail;

2)  in person;

3)  online;

4)  by fax;

5)  by phone; or

6)  by e-mail.

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

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. 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.

• 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.

Note:

Online applications include an electronic signature.

Paper applications can be signed by e-signature, digital signature, or a handwritten signature created on an electronic device (finger/stylus to screen) starting October 1, 2024. 

Telephonic signatures must be recorded by a caseworker through the VCCVirtual Contact Center.

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.