Income Maintenance Manual

Chapter 19
Emergency and Special Assistance Programs

 
C19 -TOC Table of Contents
 
19.1 Definitions
 
19.2 Emergency  Assistance
 
19.3 Reserved for Future Use
 
19.4 Reserved for Future Use
 
19.5 Indigent Burial Program
 
19.6 Reserved for Future Use
 
19.7 Special Reduced Residential Service Rate (20% Utility Discount Program)
19.8 Tel-Assistance/Lifeline
 
Appendix A Emergency Assistance Income Limits
 
Appendix B Reserved for Future Use
 
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
DFA-EA-1- Application for Emergency Assistance
DFA-TA-2 - Tel-Assistance/Lifeline Application
DFA-TA-3 - Tel-Assistance/Lifeline Fact Sheet

 

Appendix E

Reserved for Future Use

 

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This page was last updated on September 8, 2014 .