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  • Client Status Review Case Number - Alaska Department Of - Dhss Alaska

Get Client Status Review Case Number - Alaska Department Of - Dhss Alaska

CLIENT STATUS REVIEW Type of CSR: Initial 90135 Day FollowUp Discharge Date Completed: / / Case Number: Administered by: Name: Are you completing this survey for? (Please check one) I filled this.

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How to fill out the CLIENT STATUS REVIEW Case Number - Alaska Department Of - Dhss Alaska online

The CLIENT STATUS REVIEW (CSR) is an essential document used by the Alaska Department of Health and Social Services to assess individuals' health and well-being. This guide provides clear, step-by-step instructions on how to accurately complete this form online, ensuring you provide all necessary information.

Follow the steps to successfully complete the CLIENT STATUS REVIEW form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
  2. Indicate the type of CSR you are completing by selecting one of the options: Initial, 90-135 Day Follow-Up, or Discharge.
  3. Fill in the date the form is completed in the format of MM/DD/YYYY.
  4. Enter your Case Number in the designated field.
  5. Indicate your name in the provided space.
  6. Specify who is completing the survey by checking the appropriate box: for a child/youth, yourself, or with assistance.
  7. Select all applicable reasons for seeking services today from the provided options.
  8. Answer the health and quality of life questions, providing the number of days, or answering yes/no as required.
  9. Provide information related to substance use, legal involvement, and health behaviors as indicated in the form.
  10. Respond to the questions concerning feelings about housing, support, and the services received, using 'X' to mark your answers.
  11. Complete the additional questions regarding housing situation, educational level, employment status, and productive activities.
  12. Once all sections are complete, review the document for accuracy.
  13. Save your changes, then choose to download, print, or share the form as needed.

Take action today by completing the CLIENT STATUS REVIEW form online to ensure your needs are met.

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Questions & Answers

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Contact support

800-478-7778 or hss.dpa.offices@alaska.gov.

You can call the IVR line at 269-5777 or 1-888-804-6330 for information about your case status.

Medicaid's Look-Back Rule Alaska has a 60-month (5 year) Medicaid Look-Back Period that immediately precedes the date on one's Nursing Home Medicaid or Medicaid Waiver application. During the “look back”, Medicaid checks all past asset transfers to ensure no assets were gifted or sold under fair market value.

Please call HMS (Healthcare Management Solutions, LLC): 907-644-6800 or in-state toll-free number: 800-770-5650. Provider Inquiry/Provider Services: 907-644-6800 (option 1) or toll-free: 800-770-5650 (option 1, 1). For more information, visit Alaska Medicaid Health Enterprise.

Notice: Division of Public Assistance offices are available through the Virtual Contact Center at 800-478-7778 regardless of your location.

Questions about a benefit application, your eligibility, or Alaska Medicaid eligibility cards? Alaska Medicaid members may now contact the Division of Public Assistance (DPA) Virtual Contact Center at 800.478. 7778 for real-time assistance.

These are the main income rules for income-based Medicaid: If your family's income is at or under 138% of the Federal Poverty Guidelines (FPG) ($25,130 per year for an individual; $51,750 for a family of four), you may qualify.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232