Fsd documents dss mo gov

We may be able to help you with certain medical costs. If you are approved for help, you will have healthcare coverage through Missouri Medicaid (MO HealthNet). This healthcare coverage is different than Medicare and it can help with benefits not normally covered through that program, like nursing home care and personal care services. NOTE: If you used to have healthcare coverage through MO ...Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division PO Box 6790 Jefferson City, MO 65102; Learn how you can make a child support payment. Find an Office.Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711.If you have questions or comments regarding these forms or web page, please e-mail [email protected] Show. 10 25 50 100. entries. Form #. Form. Name. Instructions. Category.Learn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... Kenneth J. Zellers, Commissioner. Kenneth (Ken) J. Zellers was confirmed by the Missouri Senate on March 10, 2022 as the Commissioner of the Missouri Office of Administration.Family MO HealthNet (MAGI) (1800.000.00) MO HealthNet for the Aged, Blind and Disabled (MHABD) MO HealthNet for the Aged, Blind and Disabled (MHABD) Programs; Blind Pension (0500.000.00) December 1973 Eligibility Requirements (1000.000.00) MO HealthNet for the Aged, Blind, and Disabled (MHABD) (0800.000.00) Supplemental Aid to the Blind (0400. ... There are things that you, the parent, and DSS. must. do: The Parent. must. be eligible for child care subsidy, and The Parent. must . choose you as a provider, and The Provider . must. sign a Payment Agreement with the State of Missouri/DSS, and The child. must. be authorized for child care by the parent's DSS, case worker, and The Provider ...The SNAP Periodic Report Form, or "PRF," helps DSS to gather information about any changes you may have had since the last time you completed a renewal. Generally, it is done half-way through your certification period. The PRF will be pre-populated with the information about your household that DSS has in our records. You will receive your PRF from the department in the mail.warning - this system may contain u.s. government informaton. >> this is a private network for the use of authorized users only. by accessing and using this computer / system, you are consenting to having your activities monitored and recorded. For an employee under wage withholding issued by the Family Support Division, Child Support Enforcement, an employer is required to notify the division when the employee/obligor terminates employment. Pursuant to the Revised Statutes of Missouri, Subsection 454.505.11, an employer must complete the notification within ten days of the termination.Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:Missouri Department of Social Services The food stamp program is designed to promote the general welfare and safeguard the health and well-being of the nation's population by raising the levels of nutrition among low-income households by providing an allotment of food benefits DSS Food Stamps Program 855-FSD-INFO or 855-373-4636 Free Health Clinics Missouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711 The Missouri Division of Employment Security is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966 Relay Missouri: 711 Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program. TDD/TTY: 800-735-2966 Relay Missouri: 711800-735-2966 Relay Missouri: 711Our mission is to empower Missourians to live safe, healthy, and productive lives.The Missouri Division of Employment Security is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966 Relay Missouri: 711 Search Virginia.Gov. Sign In. Username Password Sign In for Case Information or to Make Payment ... Upload case specific documents. Request Case Documents. Request copies of case documents. ... Virginia Department of Social Services 801 E.Main Street Richmond VA 23219-2901 Customer Service Center (800) 468-8894.Missouri Courts Home There are things that you, the parent, and DSS. must. do: The Parent. must. be eligible for child care subsidy, and The Parent. must . choose you as a provider, and The Provider . must. sign a Payment Agreement with the State of Missouri/DSS, and The child. must. be authorized for child care by the parent's DSS, case worker, and The Provider ...For an employee under wage withholding issued by the Family Support Division, Child Support Enforcement, an employer is required to notify the division when the employee/obligor terminates employment. Pursuant to the Revised Statutes of Missouri, Subsection 454.505.11, an employer must complete the notification within ten days of the termination. We are not the Department of Social Services / Family Support Division. If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit. Individuals can use mydssupload.mo.gov to submit a variety of documents to FSD including, but not limited to, applications, reviews, changes, or supporting documents This portal replaces the email address, [email protected] Adding the FSD Nondiscrimination statementSNAP, TA, MO HealthNet, or Child Care. Submit documents or applications along with your date of birth and SSN or DCN by: Online: mydssupload.mo.gov; Fax: 573-526-9400; Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 SpringfieldMissouri May 27, 2022 · Department of Social Services Family Support Division PO Box 2320 Jefferson City, Missouri. TO: ALL FAMILY SUPPORT OFFICES. FROM: KIM EVANS, DIRECTOR. SUBJECT: FAMILY MO HEALTHNET (MAGI) APPLICATIONS, FORMS AND NOTICES UPDATED TO REPLACE FSD.DOCUMENTS WITH MYDSSUPLOAD.MO.GOV . FORM REVISION # IM-1REQ IM-1SSL IM-1SSL Ongoing IM-1U IM-5 IM-7 IM ... The Family Support Division is a state-administered agency responsible by law for administration of the programs and services. Any person who wishes to apply for a program or service may start on the FSD Home page for an overview of programs and services. If you have questions, call 1-855-373-4636 or visit an FSD Resource Center near you. Effective June 27, 2022 , the following system generated documents, and SNAP forms and notices have been updated to replace references to the email address [email protected] with mydssupload.mo.gov (FSD Upload Portal). FA-520 Notice of Expiration of SNAP Benefits. FA-544 Change Report Form.Missouri Department of Social Services PO Box 1527; 221 W High Street Jefferson City, MO 65102-0176 Telephone: 573-526-0414 E-mail: [email protected]@dss.mo.govNOTE: If you wish to apply for Family Medical and an additional program (Child Care, Food Stamps, Temporary Assistance, and/or Adult Medical), you must complete the applications under both the orange and blue buttons below. To apply for Family Medical, click the button below: Children under age 19. Families. Uninsured Women.If you cannot apply online the next best option is to scan and email the application to [email protected] How can we submit verification without going to a resource center? Submit documents or applications along with the client's date of birth and SSN or DCN by: Email: [email protected] Fax: 573-526-9400 Download the Grants.gov Mobile App to search and submit on the go. Reminder: Federal agencies do not publish personal financial assistance opportunities on Grants.gov. Federal funding opportunities published on Grants.gov are for organizations and entities supporting the development and management of government-funded programs and projects. Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program. TDD/TTY: 800-735-2966 Relay Missouri: 711800-735-2966 Relay Missouri FSD IRS Safeguarding Forms Web Application. Acknowledgment of IRS/SSA Restrictions/Penalties - ... Office Allows for different offices dealing with DSS - child support, to fill out Internal Inspection Report IM-IRS Safeguards Internal Inspections Report - Office ... Mo.gov State of Missouri. Robert J. Knodell, Acting Director ...Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...Missouri now uses a single application form to apply for Medicaid. Apply using the DSS online portal for all applications. If you cannot apply online the next best option is to scan and email the application to [email protected] DSS Online Application FAQ. Q: Is there one login that I can use for multiple consumers? A: No. You will need ... We are not the Department of Social Services / Family Support Division. If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit. Individuals can use mydssupload.mo.gov to submit a variety of documents to FSD including, but not limited to, applications, reviews, changes, or supporting documents This portal replaces the email address, [email protected] Adding the FSD Nondiscrimination statementMissouri Our mission is to empower Missourians to live safe, healthy, and productive lives. There are things that you, the parent, and DSS. must. do: The Parent. must. be eligible for child care subsidy, and The Parent. must . choose you as a provider, and The Provider . must. sign a Payment Agreement with the State of Missouri/DSS, and The child. must. be authorized for child care by the parent's DSS, case worker, and The Provider ...If you have questions or comments regarding these forms or web page, please e-mail [email protected] Show. 10 25 50 100. entries. Form #. Form. Name. Instructions. Category.The Family Support Division is a state-administered agency responsible by law for administration of the programs and services. Any person who wishes to apply for a program or service may start on the FSD Home page for an overview of programs and services. If you have questions, call 1-855-373-4636 or visit an FSD Resource Center near you. Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online. The Temporary Assistance Program provides assistance to needy families with children so they can be cared for in their own home by promoting job preparation, work and marriage. Funds may also be used to prevent non-marital pregnancies and encourage the formation and maintenance of two-parent families. To learn more about temporary assistance ...Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division PO Box 6790 Jefferson City, MO 65102; Learn how you can make a child support payment. Find an Office.Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online. May 27, 2022 · Department of Social Services Family Support Division PO Box 2320 Jefferson City, Missouri. TO: ALL FAMILY SUPPORT OFFICES. FROM: KIM EVANS, DIRECTOR. SUBJECT: FAMILY MO HEALTHNET (MAGI) APPLICATIONS, FORMS AND NOTICES UPDATED TO REPLACE FSD.DOCUMENTS WITH MYDSSUPLOAD.MO.GOV . FORM REVISION # IM-1REQ IM-1SSL IM-1SSL Ongoing IM-1U IM-5 IM-7 IM ... Family Support Division (FSD) Child Support Enforcement. Missouri Automated Child Support System ... Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711 ... Mo.gov State of Missouri. Acting DirectorIndividuals can use mydssupload.mo.gov to submit a variety of documents to FSD including, but not limited to, applications, reviews, changes, or supporting documents This portal replaces the email address, [email protected] Adding the FSD Nondiscrimination statementMarch 30th, 2022. According to state regulation 13 CSR 65-2.020 (1) (A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide …. Continued. References to the Department of Social Services, Missouri ... Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711. See full list on dss.mo.gov New Hire. Employers are required to report newly hired employees within 20 calendar days of the hire date. If an employee is required to fill out a W-4 form, that employee must be reported. New hire reporting is mandated by federal law under Title 42 of U.S. Code, Section 653a of the Personal Responsibility and Work Opportunity Reconciliation ... FSD IRS Safeguarding Forms Web Application. Acknowledgment of IRS/SSA Restrictions/Penalties - ... Office Allows for different offices dealing with DSS - child support, to fill out Internal Inspection Report IM-IRS Safeguards Internal Inspections Report - Office ... Mo.gov State of Missouri. Robert J. Knodell, Acting Director ...Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 Springfield Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program. TDD/TTY: 800-735-2966 Relay Missouri: 711800-735-2966 Relay Missouri: 711We are not the Department of Social Services / Family Support Division. If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit. Missouri Courts Home See full list on dss.mo.gov Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division PO Box 6790 Jefferson City, MO 65102; Learn how you can make a child support payment. Find an Office.Easy ways to reach the Family Support Division You can contact the FSD from home ... sent to [email protected] or fax to : 573-526-9400. Both email and fax The Division of Child Support helps parents establish a financial partnership to support their children when they do not live together. Services through the Division of Child Support are available to any adult who has legal custody and/or guardianship of a minor child. Services are also available to fathers who need help establishing paternity ...Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support. For assistance call 1-855-373-4636 Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/ Accept Decline About Divisions Services Family Support ServicesEasy ways to reach the Family Support Division You can contact the FSD from home ... sent to [email protected] or fax to : 573-526-9400. Both email and fax Missouri Courts Home March 30th, 2022. According to state regulation 13 CSR 65-2.020 (1) (A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide …. Continued. References to the Department of Social Services, Missouri ... We may be able to help you with certain medical costs. If you are approved for help, you will have healthcare coverage through Missouri Medicaid (MO HealthNet). This healthcare coverage is different than Medicare and it can help with benefits not normally covered through that program, like nursing home care and personal care services. NOTE: If you used to have healthcare coverage through MO ...Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:The Missouri Division of Employment Security is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966 Relay Missouri: 711 Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711. Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...Get details to help you with MBIs. For health care providers & office managers. For health & drug plans. For partners & employers. For states. 2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. If you have questions or comments regarding these forms or web page, please e-mail [email protected] Show. 10 25 50 100. entries. Form #. Form. Name. Instructions. Category.Effective June 27, 2022 , the following system generated documents, and SNAP forms and notices have been updated to replace references to the email address [email protected] with mydssupload.mo.gov (FSD Upload Portal). FA-520 Notice of Expiration of SNAP Benefits. FA-544 Change Report Form.2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. 2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:Family Support Division (FSD) Child Support Enforcement. Missouri Automated Child Support System ... Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711 ... Mo.gov State of Missouri. Acting DirectorApplication for Health Insurance Premium Payment (HIPP) Program - Care Coordinator Version. PDF. Spanish. MO 650-2616. Authorization for Disclosure of Consumer Medical/Health Information (HIPAA) Instructions. PDF. Apply for help online, manage your benefits, or start a chat by visiting myDSS.mo.gov Schedule an appointment to visit an officenearest you (offices are located in each of the 114 counties of the state and in the city of St. Louis) Call 855-FSD-INFO(855-373-4636) to speak with a team member Grievances & AppealsMissouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711 Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:NOTE: If you wish to apply for Family Medical and an additional program (Child Care, Food Stamps, Temporary Assistance, and/or Adult Medical), you must complete the applications under both the orange and blue buttons below. To apply for Family Medical, click the button below: Children under age 19. Families. Uninsured Women.Renew your Missouri license plates, register your vehicle and reserve your personalized license plate.. File Taxes Electronically. E-filing is convenient, accurate and allows you to direct deposit your tax return.Family Support Division (FSD) Child Support Enforcement. Missouri Automated Child Support System ... Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711 ... Mo.gov State of Missouri. Acting DirectorFor an employee under wage withholding issued by the Family Support Division, Child Support Enforcement, an employer is required to notify the division when the employee/obligor terminates employment. Pursuant to the Revised Statutes of Missouri, Subsection 454.505.11, an employer must complete the notification within ten days of the termination.The Missouri Division of Employment Security is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966 Relay Missouri: 711 March 30th, 2022. According to state regulation 13 CSR 65-2.020 (1) (A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide …. Continued. References to the Department of Social Services, Missouri ...Contact Us. Robeson County Dept. Social Services. 120 Glen Cowan Road. Lumberton, NC 28360. Local: (910) 671-3500. Fax: (910) 671-3092. Email: [email protected][email 2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. 2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program. TDD/TTY: 800-735-2966 Relay Missouri: 711800-735-2966 Relay Missouri: 711The SNAP Periodic Report Form, or “PRF,” helps DSS to gather information about any changes you may have had since the last time you completed a renewal. Generally, it is done half-way through your certification period. The PRF will be pre-populated with the information about your household that DSS has in our records. You will receive your PRF from the department in the mail. WARNING: This site does not support Internet Explorer 11. We recommend using an updated modern browser such as Chrome, Edge, or Safari.MO 886-4573 (8-15) pAgE 1 IM-1TA MISSOuRI DEpARTMENT OF SOCIAL SERVICES FAMILY SuppORT DIVISION APPLiCATion for TemPorAry AssisTAnCe CAsh BenefiTs Temporary Assistance (TA) provides cash benefits to eligible families with children to help pay for basic needs. By completing this application, you are applying for TA as a caretaker of a child.2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. Learn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... If you have any questions or want to check on the status of your application, you may call FSD Information Center at 855-FSD-INFO (855-373-4636). Your application number is {formuniqueid} . Please save a copy of this confirmation page for your records by clicking the “Print” button below. Using the FSD website to find support services in Missouri ( English) ( Español) Help for Crime Victims Know Your Rights Missouri Resource Guide Missouri Services Navigator Resources for Providers Supporting Children & Families Through Change Tell us how we're doing Report a Concern Public Assistance Fraud Child Abuse or Neglect 800-392-3738data.mo.gov | State of Missouri Data Portal. #000000. Open Meetings Calendar. Subscribe to our Open Meetings from any State Agency. County Sheriff's Office. Browse list of active law enforcement agencies, including Sheriff, Municipal, University, Court and other agencies. Skip to the results. Effective June 27, 2022, the following system generated documents, and SNAP forms and notices have been updated to replace references to the email address [email protected] mydssupload.mo.gov(FSD Upload Portal). FA-520 Notice of Expiration of SNAP Benefits FA-544 Change Report Form FA-546 SNAP Mid-Certification ReviewYou may submit any supporting documents by: Email: [email protected]; Mail: Family Support Division 615 E 13th St Kansas City, MO 64106; Fax: 573-526-9400 If you have questions about your pending application, or the information you submitted, call the Family Support Division Customer Service Center at 855-373-4636. Apply for help online, manage your benefits, or start a chat by visiting myDSS.mo.gov Schedule an appointment to visit an officenearest you (offices are located in each of the 114 counties of the state and in the city of St. Louis) Call 855-FSD-INFO(855-373-4636) to speak with a team member Grievances & AppealsDownload the Grants.gov Mobile App to search and submit on the go. Reminder: Federal agencies do not publish personal financial assistance opportunities on Grants.gov. Federal funding opportunities published on Grants.gov are for organizations and entities supporting the development and management of government-funded programs and projects. Missouri For an employee under wage withholding issued by the Family Support Division, Child Support Enforcement, an employer is required to notify the division when the employee/obligor terminates employment. Pursuant to the Revised Statutes of Missouri, Subsection 454.505.11, an employer must complete the notification within ten days of the termination. Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...The Family Support Division is a state-administered agency responsible by law for administration of the programs and services. Any person who wishes to apply for a program or service may start on the FSD Home page for an overview of programs and services. If you have questions, call 1-855-373-4636 or visit an FSD Resource Center near you.If the information you seek is unavailable, please contact the system coordinator at [email protected] or at (573) 526-0414. Administrative Rules. This site contains rules that have been promulgated by the Missouri Department of Social Services. To find a rule, you need to use the filters below. The easiest way is to filter is by division. FSD IRS Safeguarding Forms Web Application. Acknowledgment of IRS/SSA Restrictions/Penalties - ... Office Allows for different offices dealing with DSS - child support, to fill out Internal Inspection Report IM-IRS Safeguards Internal Inspections Report - Office ... Mo.gov State of Missouri. Robert J. Knodell, Acting Director ...MISCELLANEOUS FORMS – UNIVERSAL. 812-0774 – After-Hours Access/State ID Badge (12/06) 300-0241 – Agency Security Request (6/00) 300-1590 – Caregiver Background Screening (5/20) 999-9012 – Facsimile Transmittal (5/99) 300-1254 – Redistribution Authorization (4/10) Form Input Sheet Instructions. 300-1249 – Report of State Owned ... Benefits are provided from the date Family Support Division (FSD) receives your application which must contain your name, address and signature. Please complete sections 2 through 6 to help FSD process your application faster. If an interview is required, it can be completed by phone.Learn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online.Missouri Department of Social Services The food stamp program is designed to promote the general welfare and safeguard the health and well-being of the nation's population by raising the levels of nutrition among low-income households by providing an allotment of food benefits DSS Food Stamps Program 855-FSD-INFO or 855-373-4636 Free Health Clinics Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online.If you cannot apply online the next best option is to scan and email the application to [email protected] How can we submit verification without going to a resource center? Submit documents or applications along with the client's date of birth and SSN or DCN by: Email: [email protected] Fax: 573-526-9400 Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support. For assistance call 1-855-373-4636 Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/ Accept Decline About Divisions Services Family Support ServicesIf you cannot apply online the next best option is to scan and email the application to [email protected] How can we submit verification without going to a resource center? Submit documents or applications along with the client's date of birth and SSN or DCN by: Email: [email protected] Fax: 573-526-9400 Including the following documents when mailing or dropping off a child care application, can assist in processing the application in a timely manner: ... Family Support Division Form ID. Print. Missouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals ...Missouri Courts HomeNOTE: If you wish to apply for Family Medical and an additional program (Child Care, Food Stamps, Temporary Assistance, and/or Adult Medical), you must complete the applications under both the orange and blue buttons below. To apply for Family Medical, click the button below: Children under age 19. Families. Uninsured Women.Renew your Missouri license plates, register your vehicle and reserve your personalized license plate.. File Taxes Electronically. E-filing is convenient, accurate and allows you to direct deposit your tax return.MISCELLANEOUS FORMS - UNIVERSAL. 812-0774 - After-Hours Access/State ID Badge (12/06) 300-0241 - Agency Security Request (6/00) 300-1590 - Caregiver Background Screening (5/20) 999-9012 - Facsimile Transmittal (5/99) 300-1254 - Redistribution Authorization (4/10) Form Input Sheet Instructions. 300-1249 - Report of State Owned ...Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online.Reminder: Federal agencies do not publish personal financial assistance opportunities on Grants.gov. Federal funding opportunities published on Grants.gov are for organizations and entities supporting the development and management of government-funded programs and projects. For more information about personal financial assistance benefits, please visit Benefits.gov.Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...Family MO HealthNet (MAGI) (1800.000.00) MO HealthNet for the Aged, Blind and Disabled (MHABD) MO HealthNet for the Aged, Blind and Disabled (MHABD) Programs; Blind Pension (0500.000.00) December 1973 Eligibility Requirements (1000.000.00) MO HealthNet for the Aged, Blind, and Disabled (MHABD) (0800.000.00) Supplemental Aid to the Blind (0400. ... data.mo.gov | State of Missouri Data Portal. #000000. Open Meetings Calendar. Subscribe to our Open Meetings from any State Agency. County Sheriff's Office. Browse list of active law enforcement agencies, including Sheriff, Municipal, University, Court and other agencies. Skip to the results.Welcome to the Missouri Child Support Services - Information Update. If you have an open child support case with the Family Support Division (FSD) and need to report a change in one of the following, log in below. 1. Mailing Address 2. Employer 3. Phone or Email Address 4. Case Closure 5. Missouri Courts Home New Hire. Employers are required to report newly hired employees within 20 calendar days of the hire date. If an employee is required to fill out a W-4 form, that employee must be reported. New hire reporting is mandated by federal law under Title 42 of U.S. Code, Section 653a of the Personal Responsibility and Work Opportunity Reconciliation ... The Family Support Division, Child Support Enforcement may request and obtain information relating to the identity, location, employment, compensation, benefits, and income of an employee or former employee. Pursuant to the Revised Statutes of Missouri, Section 454.440, the division may issue the Employer Information Request form. The ... Kenneth J. Zellers, Commissioner. Kenneth (Ken) J. Zellers was confirmed by the Missouri Senate on March 10, 2022 as the Commissioner of the Missouri Office of Administration.Learn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... The Temporary Assistance Program provides assistance to needy families with children so they can be cared for in their own home by promoting job preparation, work and marriage. Funds may also be used to prevent non-marital pregnancies and encourage the formation and maintenance of two-parent families. To learn more about temporary assistance ... Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support. For assistance call 1-855-373-4636 Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/ Accept Decline About Divisions Services Family Support ServicesEffective June 27, 2022 , the following system generated documents, and SNAP forms and notices have been updated to replace references to the email address [email protected] with mydssupload.mo.gov (FSD Upload Portal). FA-520 Notice of Expiration of SNAP Benefits. FA-544 Change Report Form.Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 Springfield FSD IRS Safeguarding Forms Web Application. Acknowledgment of IRS/SSA Restrictions/Penalties - ... Office Allows for different offices dealing with DSS - child support, to fill out Internal Inspection Report IM-IRS Safeguards Internal Inspections Report - Office ... Mo.gov State of Missouri. Robert J. Knodell, Acting Director ...Missouri Courts Home Missouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711 For an employee under wage withholding issued by the Family Support Division, Child Support Enforcement, an employer is required to notify the division when the employee/obligor terminates employment. Pursuant to the Revised Statutes of Missouri, Subsection 454.505.11, an employer must complete the notification within ten days of the termination. See full list on dss.mo.gov SNAP, TA, MO HealthNet, or Child Care. Submit documents or applications along with your date of birth and SSN or DCN by: Online: mydssupload.mo.gov; Fax: 573-526-9400; Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division You can now apply for child support services online! To start process, click here or select "Online Application" button above. You will be taken to a secure website where you can enter information necessary to complete an application. Please plan to take 15-20 minutes to complete all of the required fields of the online application, as this ... Kenneth J. Zellers, Commissioner. Kenneth (Ken) J. Zellers was confirmed by the Missouri Senate on March 10, 2022 as the Commissioner of the Missouri Office of Administration.Missouri Courts HomeForms Manual Forms Manual. Form Number Title Instructions Word PDF Spanish Large Print; ... MO 886-4461: DSS Confidentiality: PDF: MO 886-4697: LIHEAP Online Access Request: PDF: LIHEAP-1B: Information Request: PDF: LIHEAP-1C: Low Income Interview Guide: PDF: ... FSD-4: Customer Service Form:Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program. TDD/TTY: 800-735-2966 Relay Missouri: 711800-735-2966 Relay Missouri You may also call FSD at 855-373-4636 or visit an FSD office. You must complete "Report Changes for Your Household" and "Sign & Submit". You can navigate to each of the sections to provide information that has changed. You do not have to complete every section if there were no changes. Name DCN or SSN Date of BirthIndividuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:Department of Social Services. Broadway State Office Building, Room 240. P.O. Box 1527. Jefferson City, Missouri 65102. 573/751-4815. dss.mo.gov. The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self sufficiency so that Missourians can lead safe, healthy and ... We are not the Department of Social Services / Family Support Division. If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit. Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents. Additional form and notice updates to replace the email address with the upload portal information are forthcoming. NECESSARY ACTION:If a customer loses food purchased with Food Stamp benefits due to the weather, ice storm, fire, flood, tornado or other household misfortune outside their control, a Statement of Loss/Replacement Request form must be completed to replace the lost food. This form can be returned in person, by mail or by fax to your local FSD office.Application for Health Insurance Premium Payment (HIPP) Program - Care Coordinator Version. PDF. Spanish. MO 650-2616. Authorization for Disclosure of Consumer Medical/Health Information (HIPAA) Instructions. PDF. SNAP, TA, MO HealthNet, or Child Care. Submit documents or applications along with your date of birth and SSN or DCN by: Online: mydssupload.mo.gov; Fax: 573-526-9400; Mail: Family Support Division PO Box 2700 Jefferson City, MO 65102; Child Support. You can submit documents by: Email: [email protected]; Fax: 573-635-7545; Mail: Family Support Division Effective June 27, 2022 , the following system generated documents, and SNAP forms and notices have been updated to replace references to the email address [email protected] with mydssupload.mo.gov (FSD Upload Portal). FA-520 Notice of Expiration of SNAP Benefits. FA-544 Change Report Form. Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 Springfield Reorganization Plan establishing the Family Support Division within the Department of Social Services. (Executive Order 03-02) Sponsor: The Governor: Proposed Effective Date: 8/28/2003: LR Number: ... Archived Documents ...If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit.The Medical Review Team uses the forms included in the MRT Packet to establish disability. It is important to fill these out as completely as possible. MRT Packet should be sent with the application when possible. FSD Greene County Office 101 Park Central Square Springfield MO 65806 [email protected] Fax: 417-895-6080. MRT Packet Forms Report Changes for Your Household. If your household circumstances change, Federal law requires you report the changes to Family Support Division with ten (10) days. You may report your changes on this form. You may also call FSD at 855-373-4636 or visit an FSD office. You must complete “Report Changes for Your Household” and “Sign & Submit". Individuals can use mydssupload.mo.gov to submit a variety of documents to FSD including, but not limited to, applications, reviews, changes, or supporting documents This portal replaces the email address, [email protected] Adding the FSD Nondiscrimination statementMissouri now uses a single application form to apply for Medicaid. Apply using the DSS online portal for all applications. If you cannot apply online the next best option is to scan and email the application to [email protected] DSS Online Application FAQ. Q: Is there one login that I can use for multiple consumers? A: No. You will need ... 2018 Missouri Prevailing Wage Law Changes Summary. Legislation (HB 1729) passed by the Missouri General Assembly and signed by the governor becomes effective August 28, 2018. This law makes several changes to Missouri's prevailing wage system. 1. 2. The Family Support Division is a state-administered agency responsible by law for administration of the programs and services. Any person who wishes to apply for a program or service may start on the FSD Home page for an overview of programs and services. If you have questions, call 1-855-373-4636 or visit an FSD Resource Center near you. There are things that you, the parent, and DSS. must. do: The Parent. must. be eligible for child care subsidy, and The Parent. must . choose you as a provider, and The Provider . must. sign a Payment Agreement with the State of Missouri/DSS, and The child. must. be authorized for child care by the parent's DSS, case worker, and The Provider ...Individuals can use mydssupload.mo.gov to submit a variety of documents to FSD including, but not limited to, applications, reviews, changes, or supporting documents This portal replaces the email address, [email protected] Adding the FSD Nondiscrimination statementWe may be able to help you with certain medical costs. If you are approved for help, you will have healthcare coverage through Missouri Medicaid (MO HealthNet). This healthcare coverage is different than Medicare and it can help with benefits not normally covered through that program, like nursing home care and personal care services. NOTE: If you used to have healthcare coverage through MO ...You may also call FSD at 855-373-4636 or visit an FSD office. You must complete "Report Changes for Your Household" and "Sign & Submit". You can navigate to each of the sections to provide information that has changed. You do not have to complete every section if there were no changes. Name DCN or SSN Date of BirthLearn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support. For assistance call 1-855-373-4636 Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/ Accept Decline About Divisions Services Family Support ServicesEasy ways to reach the Family Support Division You can contact the FSD from home ... sent to [email protected] or fax to : 573-526-9400. Both email and fax Our mission is to empower Missourians to live safe, healthy, and productive lives.Welcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online. Missouri Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 Springfield Benefits are provided from the date Family Support Division (FSD) receives your application which must contain your name, address and signature. Please complete sections 2 through 6 to help FSD process your application faster. If an interview is required, it can be completed by phone.MO 886-4573 (8-15) pAgE 1 IM-1TA MISSOuRI DEpARTMENT OF SOCIAL SERVICES FAMILY SuppORT DIVISION APPLiCATion for TemPorAry AssisTAnCe CAsh BenefiTs Temporary Assistance (TA) provides cash benefits to eligible families with children to help pay for basic needs. By completing this application, you are applying for TA as a caretaker of a child.Contact Us. Robeson County Dept. Social Services. 120 Glen Cowan Road. Lumberton, NC 28360. Local: (910) 671-3500. Fax: (910) 671-3092. Email: [email protected][email protected]Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711. If you have any questions or want to check on the status of your application, you may call FSD Information Center at 855-FSD-INFO (855-373-4636). Your application number is {formuniqueid} . Please save a copy of this confirmation page for your records by clicking the “Print” button below. We are not the Department of Social Services / Family Support Division. If you are a DMH consumer with questions about MO HealthNet please contact your Department of Mental Health agency or provider. If you want to speak with Family Support Division they can be contacted at 1-855-373-4636. Contact the Department of Mental Health Medicaid Unit. March 30th, 2022. According to state regulation 13 CSR 65-2.020 (1) (A), all persons are required to enroll with the Missouri Medicaid Audit and Compliance unit (MMAC) as a billing or performing provider in the MO HealthNet Program if the services or items they provide …. Continued. References to the Department of Social Services, Missouri ... Application for Health Insurance Premium Payment (HIPP) Program - Care Coordinator Version. PDF. Spanish. MO 650-2616. Authorization for Disclosure of Consumer Medical/Health Information (HIPAA) Instructions. PDF. Missouri Courts Home Federal Register Documents; ... Family Support Division. PO Box 310 Jefferson City, MO 65102 ... [email protected] Organization type. New Hire. Employers are required to report newly hired employees within 20 calendar days of the hire date. If an employee is required to fill out a W-4 form, that employee must be reported. New hire reporting is mandated by federal law under Title 42 of U.S. Code, Section 653a of the Personal Responsibility and Work Opportunity Reconciliation ...Missouri Courts Home MISCELLANEOUS FORMS – UNIVERSAL. 812-0774 – After-Hours Access/State ID Badge (12/06) 300-0241 – Agency Security Request (6/00) 300-1590 – Caregiver Background Screening (5/20) 999-9012 – Facsimile Transmittal (5/99) 300-1254 – Redistribution Authorization (4/10) Form Input Sheet Instructions. 300-1249 – Report of State Owned ... Missouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711 Missouri Department of Social Services is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. TDD/TTY: 800-735-2966, Relay Missouri: 711 Missouri Regional Claims Center Claimants Contact: Click here to submit a request.. Jefferson City 573-751-9040 Kansas City 816-889-3101 St. Louis 314-340-4950 SpringfieldMissouri now uses a single application form to apply for Medicaid. Apply using the DSS online portal for all applications. If you cannot apply online the next best option is to scan and email the application to [email protected] DSS Online Application FAQ. Q: Is there one login that I can use for multiple consumers? A: No. You will need ... Missouri Courts Home Contact Us. Robeson County Dept. Social Services. 120 Glen Cowan Road. Lumberton, NC 28360. Local: (910) 671-3500. Fax: (910) 671-3092. Email: [email protected][email data.mo.gov | State of Missouri Data Portal. #000000. Open Meetings Calendar. Subscribe to our Open Meetings from any State Agency. County Sheriff's Office. Browse list of active law enforcement agencies, including Sheriff, Municipal, University, Court and other agencies. Skip to the results. The Division of Child Support helps parents establish a financial partnership to support their children when they do not live together. Services through the Division of Child Support are available to any adult who has legal custody and/or guardianship of a minor child. Services are also available to fathers who need help establishing paternity ...May 27, 2022 · Department of Social Services Family Support Division PO Box 2320 Jefferson City, Missouri. TO: ALL FAMILY SUPPORT OFFICES. FROM: KIM EVANS, DIRECTOR. SUBJECT: FAMILY MO HEALTHNET (MAGI) APPLICATIONS, FORMS AND NOTICES UPDATED TO REPLACE FSD.DOCUMENTS WITH MYDSSUPLOAD.MO.GOV . FORM REVISION # IM-1REQ IM-1SSL IM-1SSL Ongoing IM-1U IM-5 IM-7 IM ... Family Support Division (FSD) Child Support Enforcement. Missouri Automated Child Support System ... Missouri Department of Social Services is an equal opportunity employer/program. TDD/TTY: 800-735-2966, Relay Missouri: 711 ... Mo.gov State of Missouri. Acting DirectorThe necessary documents are available on the DSS Website to download, and can be found at: https://dss.mo.gov/bids/. Once the documents are completed and signed, ... FSD enters the PE eligibility in the system on the day of receipt or the next working day. The eligibility will be in eMOMed and CIMOR the day after entered by FSD.The SNAP Periodic Report Form, or "PRF," helps DSS to gather information about any changes you may have had since the last time you completed a renewal. Generally, it is done half-way through your certification period. The PRF will be pre-populated with the information about your household that DSS has in our records. You will receive your PRF from the department in the mail.NOTE: If you wish to apply for Family Medical and an additional program (Child Care, Food Stamps, Temporary Assistance, and/or Adult Medical), you must complete the applications under both the orange and blue buttons below. To apply for Family Medical, click the button below: Children under age 19. Families. Uninsured Women.Contact Us. Robeson County Dept. Social Services. 120 Glen Cowan Road. Lumberton, NC 28360. Local: (910) 671-3500. Fax: (910) 671-3092. Email: [email protected][email The Medical Review Team uses the forms included in the MRT Packet to establish disability. It is important to fill these out as completely as possible. MRT Packet should be sent with the application when possible. FSD Greene County Office 101 Park Central Square Springfield MO 65806 [email protected] Fax: 417-895-6080. MRT Packet FormsYou may also call FSD at 855-373-4636 or visit an FSD office. You must complete "Report Changes for Your Household" and "Sign & Submit". You can navigate to each of the sections to provide information that has changed. You do not have to complete every section if there were no changes. Name DCN or SSN Date of BirthWelcome Employers. Missouri is pleased to provide employers with an easy, fast, cost effective way to meet reporting requirements. This website provides information and online reporting options for: Reporting when employees under wage assignment are no longer employed. If you have already registered, please login to begin reporting online. If you have questions or want to check on the status of your application, you may call the FSD Information Center at 855-FSD-INFO (855-373-4636). Your application number is {formuniqueid} . If you would like to print or save a copy of your application for your files, click the Print button below.If the information you seek is unavailable, please contact the system coordinator at [email protected] or at (573) 526-0414. Administrative Rules. This site contains rules that have been promulgated by the Missouri Department of Social Services. To find a rule, you need to use the filters below. The easiest way is to filter is by division. Google Translate will not translate applications for programs such as Food Stamps, Medicaid, Temporary Assistance, Child Care and Child Support. For assistance call 1-855-373-4636 Or, visit your local Resource Center. To find a location near you, go to dss.mo.gov/dss_map/ Accept Decline About Divisions Services Family Support ServicesLearn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... Learn who to include in your household, how to calculate your household income and what documents you’ll need. 2. Check for available help. the number of participants that the state expects to serve during each year that the waiver is in effect, applicable Medicaid B. Application for 1915(c) HCBS Waiver : Draft CO.011.08.05 - Jul 01, 2021 ... WARNING: This site does not support Internet Explorer 11. We recommend using an updated modern browser such as Chrome, Edge, or Safari. --L1