Publications
Page 16 of 27
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Help For People In Need Brochure
2-1-1 provides information and referral services about basic needs (food, clothing and shelter), child care, energy assistance, disability services, suicide prevention, senior services, veteran's services, health services and much more.
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Help For People In Need Brochure SP
2-1-1 proporciona información y servicios de referencia para las necesidades básicas (comida, ropa y vivienda), cuidado de niños, asistencia de energía, servicios de discapacidad, prevención de suicidio, servicios para ancianos, servicios para los veteranos, servicios de salud y mucho más.
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HIPAA Authorization for Disclosure of Information W-298
HIPAA Authorization for Disclosure of Information W-298
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HIPAA Authorization for Disclosure of Information W-298S
HIPAA Authorization for Disclosure of Information W-298S
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How to get Durable Medical Equipment Through the Medicaid Program (81KB)
Examples of DME include equipment to help you move around: canes, crutches, walkers and wheelchairs. DME also includes equipment needed to care for you at home: bed pans, heat lamps or pads, hospital beds, special toilet seats and machines that help make breathing easier.
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How to get Durable Medical Equipment Through the Medicaid Program (81KB) (Spanish)
El Departamento de Servicios Sociales (DSS) es una agencia pública que provee una amplia gama de servicios para familias e individuos que necesitan ayuda. DSS es la agencia estatal responsable de administrar el Programa de Medicaid que provee los pagos para servicios del cuidado de salud.
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Benefits will be available on the same day every month, depending on the first letter of your last name:
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How to use your EBT card (723KB)
Supplemental Nutrition Assistance Program benefits (SNAP) can be used at most grocery stores and many farmers’ markets. Look for the Quest Logo or another sign that states EBT or SNAP is accepted.
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Inter-Agency Patient Referral Form W-10
Inter-Agency Patient Referral Form Rev 02/23
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To be eligible for Medicaid in Connecticut, an institutionalized individual's countable assets cannot exceed $1,600.00.* An individual who entered an institution on or after September 30, 1989, and has a spouse who lives in the community, is also able to have a portion of the couple's combined assets protected for the use of the community spouse.