115 JOINT APPLICATIONS (MAM)

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BFA Form 800, Application for Assistance

BFA Form 800, Application for Assistance, along with BFA Form 800 Insert, is used by financial assistance, medical assistance, child care, and Food SNAP applicants. However, if a current recipient applies for SNAP benefits or another program of assistance during the in-office redetermination interview for the other program, Form 800HR, HEIGHTS-generated Application for Assistance, may be used rather than a separate BFA Form 800/BFA Form Insert.

Determine the programs of assistance for which the individual wants to apply and conduct one interview for all programs; however,  MAGI-related medical assistance groups and non-MAGI assistance groups with no trust or annuity and when no medical determination is needed to determine eligibility, and for non-MAGI re-applications that  require a disability determination but a previous approval has a future review date or no review date , are not required to participate in an interview.

Exception: If necessary to meet the SNAP expedited processing time frames, finish the interview for the remaining programs at a later date.

When the same eligibility factors are involved in each program, verification provided to meet the verification requirements for one program of assistance is used to meet the verification requirements for all other programs of assistance requested. For example, if each program of assistance the individual has requested requires verification of citizenship and the individual provides a Birth Certificate, the Birth Certificate satisfies citizenship verification requirements for all the programs of assistance requested. However, each program has different eligibility policies which cannot be used for programs outside of the program for which the policy is written. For example, SNAP allows shelter deductions. The FANF program does not have these deductions. Therefore, shelter and utility costs may be subtracted from income that is considered available to the household only when determining SNAP eligibility and benefit allotment, and not when determining FANF eligibility and benefit allotment.

BFA Form 800MA, Application for Health Coverage & Help Paying Costs

BFA Form 800MA, Application for Health Coverage & Help Paying Costs, is used by Medical Assistance applicants only. BFA Form 800MA collects eligibility information specific to *Medical Assistance, Qualified Health Plans (QHPs), and Insurance Affordability Programs, including Advance Payments of the Premium Tax Credit (APTCs) and Cost-Sharing Reductions (CSRs).

BFA Form 800 *must be completed in addition to BFA Form 800MA when the individual would also like to apply for other forms of assistance, such as cash, SNAP benefits, and child care assistance. An interview is not required for  MAGI medical assistance groups or  for the non-MAGI  medical assistance groups and services that do not have a medical determination, and for non-MAGI re-applications that  require a disability determination but a previous approval has a future review date or no review date; interviews are required for, and requests for cash, SNAP, and child care assistance, and the non-MAGI medical assistance groups and services that require  a medical determination or that have a trust or annuity.

Do not delay the eligibility decision in one program when all the required verification is provided for that program but not for the other(s).

Application processing time frames must be met for each program of assistance for which the individual applied. If individuals are denied for one program while a decision is pending for other programs, they are not required to file a new application. Use the original application to determine eligibility for the remaining programs.

References: He-W 601.01(n) & (p), He-W 601.03(a), He-W 602.03, RSA 167:8,I, 7 CFR 273.2(b)(3), 42 CFR 435.907, 42 CFR 435.911, 42 CFR 435.1200(e), 45 CFR 206:10(a)(1) & (b)(1)-(3)