Income Maintenance Manual

Chapter 19
Emergency and Special Assistance Programs

 
C19 -TOC Table of Contents
 
19.1 Definitions
 
19.2 Emergency  Assistance
 
19.3 Non-Emergency Medical Transportation
 
19.4 Reserved for Future Use
 
19.5 Indigent Burial Program
 
19.6 Reserved for Future Use
 
19.7 Public Utility Program
19.8 Tel-Assistance, Lifeline, and Link Up
 
Appendix A Emergency Assistance Income Limits
 
Appendix B Counties Served - Utility Program
 
Appendix C

Hospitals with Border Status for Medicaid  


Appendix D

Public Forms
DFA-67-A - Burial Billing
DFA-BU-1 - Application for Burial Benefits
DFA-BU-2 - Affidavit of Responsible Relative
OFA-NEMT-1 - NEMT Application
OFA-NEMT-1A - Supplement to NEMT Application

 

Appendix E Tel-Assistance/Lifeline and Link Up Participating Telephone Companies
 

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This page was last updated on February 13, 2009 .