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  • Dss 3174 Form

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How to fill out the Dss 3174 Form online

The Dss 3174 Form is an essential document used in the Medicaid application process. This guide provides clear, step-by-step instructions to help users complete the form online with ease and confidence.

Follow the steps to fill out the Dss 3174 Form online effectively.

  1. Click the ‘Get Form’ button to obtain the Dss 3174 Form and open it in the editor for online completion.
  2. Begin by entering your personal information in the designated fields. Ensure that all details are accurate and up-to-date to avoid processing delays.
  3. Proceed to fill out the sections regarding your income and assets. It is essential to provide precise figures as this information will be used to determine Medicaid eligibility.
  4. Complete any additional questions specified in subsections of the form. Take your time to answer each one carefully, as these responses can impact your application status.
  5. Once all required fields are filled, review your entries for accuracy and completeness. Make adjustments where necessary to ensure your application is error-free.
  6. When you are satisfied with the form's completion, save your changes. You will then have the option to download, print, or share the completed Dss 3174 Form electronically.

Start your online document filing today to ensure a smooth and efficient application process.

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BY PHONE: Call our Member Services line at 855-456-9126 and ask to be connected to our Medicaid Recertification Department. The Medicaid Recertification specialist will be able to help you to fill out your forms and submit them directly online through a secure Web Portal to NYC HRA.

For detailed information about your SNAP or Cash cases, or to schedule an appointment: Call the Human Resources Administration (HRA) information line at 718-557-1399.

Family Assistance (FA) Under FA, eligible adults are limited to receiving benefits for a total of 60 months in their lifetime, including months of TANF-funded assistance granted in other states. Once this limit is reached, that adult and all members of their FA household are ineligible to receive any more FA benefits.

Cash Assistance Benefits. FA and SNA provide a cash benefit twice per month that can be used for food, utilities and housing expenses. If you are eligible for FA, you can only receive benefits for a lifetime total of five years (60 months).

If you could not recertify on ACCESS HRA, you can recertify now using one of these ways: Mail/Fax: Request a recertification form by phone at 718-557-1399 or download it here: https://on.nyc.gov/ca-recert. Then, mail or fax your completed form to your Benefits Access Center.

How much cash assistance you'll get in NY largely depends upon your family's income and size. New York pays a maximum of $789 a month to a family of three — one of the most generous among the contiguous 48 states and the District of Columbia.

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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