FORMS
This application is used for SNAP, CASH, ERDC, TA-DVS, and/or REF-C.
415F
This is what SNAP stands for.
Supplemental Nutrition Assistance Program
The application number for OHP Medical benefits.
7210
These two required steps must be completed to approve TANF after eligibility has been run.
Employability Screening and JOBS Overview
This form is required if a client wants to waive their right to timely notice.
457D
BAM
Blood, Age, and/or Marriage
This is the main difference between MAGI and Non-MAGI medical cases.
Receiving SSA (SSB, SSDI, or SSI) income.
This TANF EDG includes people who live together with or without what is considered a traditional dwelling
Household Group
The entity that pays childcare providers on behalf of ERDC benefit recipients.
Direct Pay Unit (DPU)
On the MSC0437 form, this code is entered for a special cash payment.
96
This type of education assistance is excluded as countable income for SNAP.
Title IV aid
The amount owed by the Individual for the services provided, which is the difference between what the State pays and what a medical facility charges.
Patient Liability
The amount of monthly child support given to a TANF recipient after the program has recouped the payment.
$50 per child, not to exceed $200
MSC 2639
AVS Consent Form
This type of SNAP has a certification period of two years.
NED (No income/Elderly/Disabled)
CSRA
Cash payments made to families who’s TANF closed with unsubsidized paid employment are called this.
Employment Payments (EPCA)
Deducting business expenses reported from total gross self-employment income does this to the copay amount and number of authorized hours.
Reduces
This one requirement determines the difference between providing an ODHS 7494 and an ODHS 7494D
An RFI is needed to determine eligibility
This provision continues Medicaid coverage for most working SSI beneficiaries even after earnings become too high to allow a cash benefit.
1619(b)
This type of individual is eligible for TANF for six months if they do not have a SSN
A newborn born in an Oregon hospital.