State of Alaska Department of Health and Social Services Division of Public Assistance http://dhss.alaska.gov/dpa/Application for Services If you need help filling out this form or have questions,.

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How to fill out the AK DHSS GEN 50C (06-3860) online

Filling out the AK DHSS GEN 50C (06-3860) form online can seem overwhelming, but this step-by-step guide will simplify the process. We will walk you through each section of the form to ensure your application for public assistance is filled out correctly.

Follow the steps to complete your application with ease.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Fill out your personal details, including your legal name, address, and contact information, ensuring it's accurate and current.
  3. Indicate the public assistance programs for which you are applying. Check all that apply, including Medicaid, SNAP, or Temporary Assistance.
  4. Identify the members of your household by providing their personal information, including relationship to you, date of birth, and social security numbers where applicable.
  5. Detail your household income by listing all sources of income received by each member of your household. Include recent pay stubs, benefits, or any other relevant financial information.
  6. Provide information regarding any assets or property owned by your household, including estimated values and amounts owed.
  7. Review your completed form to ensure all information is accurate and complete before finalizing.
  8. Save your changes to the form, and then download, print, or share your application as needed.

Start completing your application for public assistance online today!

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What is the 800 number for Public Assistance Alaska?

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

Frequently Asked Questions Household SizeRural I3​$7714​$9795​$11626​$13955 more rows

In 2023, the MMNA in AK is $3,715.50 / month. If a non-applicant spouse has monthly income under this amount, income can be transferred to them from their applicant spouse to bring their monthly income up to this level.

To receive Temporary Assistance, the family must have less than $2,000 in countable resources, or $3,000 if the family includes an individual who is 60 or older. Resources that do not count include the family's home, household goods and personal property, and most vehicles.

Eligible Families: To receive Temporary Assistance, the family must have less than $2,000 in countable resources, or $3,000 if the family includes an individual who is 60 or older. Resources that do not count include the family's home, household goods and personal property, and most vehicles.

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

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.

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

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