ONLINE INFORMATION ABOUT KEY LOW-INCOME BENEFIT PROGRAMS Links to

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ONLINE INFORMATION ABOUT KEY LOW-INCOME BENEFIT PROGRAMS Links to Powered By Docstoc
					                                                                                      820 First Street NE, Suite 510
                                                                                      Washington, DC 20002

                                                                                      Tel: 202-408-1080
                                                                                      Fax: 202-408-1056

                                                                                      center@cbpp.org
                                                                                      www.cbpp.org


    Revised April 27, 2009


 ONLINE INFORMATION ABOUT KEY LOW-INCOME BENEFIT PROGRAMS
         Links to Policy Manuals, Descriptive Information, and Applications
     for State Food Stamp, TANF, Child Care, Medicaid, and SCHIP Programs
   Virtually all states have made information regarding the five main state-administered low-income
benefit programs — food stamps, Medicaid, SCHIP, TANF and child care — available to the public
via the internet. There is significant variation between what online information is provided across
states. Some provide a simple description of each program on their agencies websites. Others offer
additional information, such as application forms, eligibility screening tools, and policy and
procedure manuals used by state agency caseworkers. A number of states allow individuals to apply
for certain types of benefits online. This report also provides links to online government benefit
screeners and calculators. We have not included benefit screeners or calculators that have been
developed and are maintained by non-governmental agencies.

  Below are links to online state information provided about these benefit programs. Individuals
seeking information about eligibility and benefits in a particular state will find these links a useful
place to start. Most state human service agencies also have information numbers where families can
seek additional information. In addition, individuals in most states (as well as the District of
Columbia and Puerto Rico) can call 2-1-1 on any type of telephone and get connected to someone
who can help them find out about many kinds of assistance, including emergency help with food,
housing or clothing, physical or mental health treatment, assistance for the aged, people with
disabilities, and families with children.

  The links below also may be useful to those researching variations in states’ policies or
applications may find this resource helpful. There are several important caveats to consider when
using these resources. First, information may be presented differently across states and states may
use different terminology to represent similar concepts or terms. Second, this list was not developed
via a comprehensive survey of states and may not be complete. Finally, in some cases it was unclear
whether an application for multiple programs, including Medicaid, also served as an application for
SCHIP. When it was unclear whether the application served as an SCHIP application, this
document does not show the application as including SCHIP.

  Please notify Tina Marshall at the Center to update or revise this listing.
Alabama                    Georgia                  Maryland        New Jersey       South Carolina
Alaska                     Hawaii                   Massachusetts   New Mexico       South Dakota
Arizona                    Idaho                    Michigan        New York         Tennessee
Arkansas                   Illinois                 Minnesota       North Carolina   Texas
California                 Indiana                  Mississippi     North Dakota     Utah
Colorado                   Iowa                     Missouri        Ohio             Vermont
Connecticut                Kansas                   Montana         Oklahoma         Virginia
Delaware                   Kentucky                 Nebraska        Oregon           Washington
District of Columbia       Louisiana                Nevada          Pennsylvania     West Virginia
Florida                    Maine                    New Hampshire   Rhode Island     Wisconsin
                                                                                     Wyoming



                                                     ALABAMA

  Policy Manuals/Materials

      Food Stamp, TANF, Medicaid/SCHIP
      http://www.alabamaadministrativecode.state.al.us/docs/hres/index.html

      Medicaid
      http://www.medicaid.alabama.gov/resources/admin_code.aspx?Tab=5

      SCHIP State Plan and Factsheet
      http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
      al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
      der=ascending&itemID=CMS019554&intNumPerPage=2000

  Descriptive Program and Eligibility Information

      Food Stamp
      http://www.dhr.state.al.us/page.asp?pageid=159

      TANF
      http://www.dhr.state.al.us/page.asp?pageid=351

      Child Care
      http://www.dhr.state.al.us/page.asp?pageid=255

      Medicaid
      http://www.medicaid.alabama.gov/

      SCHIP
      http://www.adph.org/allkids/default.asp?templatenbr=0&deptid=90&templateid=455

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  2
Applications for Assistance

  Food Stamps Application
  http://www.dhr.state.al.us/large_docs/Food%20Stamp%20Application.PDF

  Medicaid
  http://www.medicaid.alabama.gov/apply/apply_application.aspx?tab=3

  SCHIP/Medicaid (for families and children)
  http://www.adph.org/allkids/index.asp?ID=575
  https://insurealabama.adph.state.al.us/ Online Application

                                                  ALASKA
                                Alaska does not have a separate SCHIP program
Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://hss.state.ak.us/services.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS023527&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care
  http://www.hss.state.ak.us/dpa/

  Medicaid
  http://www.hss.state.ak.us/dpa/programs/medicaid/

  Children’s Medicaid
  http://www.hss.state.ak.us/dhcs/DenaliKidCare/default.htm

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://dpaweb.hss.state.ak.us/e-forms/pdf/gen50b-packet.pdf

  Children’s Medicaid
  http://www.hss.state.ak.us/dhcs/DenaliKidCare/application_dkc.htm

Online Benefit Screener/Calculator

  Food Stamp Only
  http://www.hss.state.ak.us/dpa/programs/fstamps/#

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                                                  ARIZONA

Policy Manuals/Materials

    Food Stamp, TANF, Medicaid
    http://www.azdes.gov/aspnew/default.asp

    Child Care State Plan
    http://www.de.state.az.us/childcare/pdf/StatePlan.pdf

    SCHIP State Plan and Factsheet
    http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
    al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
    der=ascending&itemID=CMS023534&intNumPerPage=2000

Descriptive Program and Eligibility Information

    Food Stamp, TANF, Medicaid
    http://www.azdes.gov/aspnew/default.asp

    Child Care
    http://egov.azdes.gov/cmsinternet/main.aspx?menu=128&id=2670

    SCHIP
    http://www.azkidscare.gov/

Applications for Assistance

    Food Stamp, TANF, Medicaid
    https://egov.azdes.gov/cmsinternet/common.aspx?menuc=162&id=2520

    SCHIP/Medicaid (families and children)
    http://www.ahcccs.state.az.us/Members/HowToApply.asp
    http://www.azahcccs.gov/Publications/Forms/Member/UniversalApp/ApplicationforAHCCCS
    HealthInsurance.pdf Printable Application

    Child Care Assistance
    http://egov.azdes.gov/cms400min/internetfiles/internetprogrammaticforms/pdf/cc-001-pd.pdf

Online Benefit Screener/Calculator

    Multi-Program
    http://www.arizonaselfhelp.org/


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                                                  ARKANSAS
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://www.accessarkansas.org/dhs/webpolicy/Index.htm

SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS023549&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid
  http://www.state.ar.us/dhs/dco/OPPD/index.html#

  Child Care
  http://www.state.ar.us/childcare/familysupport.html

Applications for Assistance

  Food Stamp
  http://www.state.ar.us/dhs/dco/OPPD/Food%20Stamp%20Application%202002.doc

  TANF
  http://www.state.ar.us/dhs/dco/OPPD/DCO-180-TEA%20Application.doc

  Child Care
  http://www.state.ar.us/childcare/familysupport/apply.html

  Medicaid (children) / SCHIP
  http://www.arkidsfirst.com/apply.htm
  http://www.arkidsfirst.com/ARKidsApplic_english.pdf Printable Application

  Medicaid (families)
  http://www.state.ar.us/dhs/dco/OPPD/DCO-95%20Family%20Medicaid%20Ap.pdf


                                                  CALIFORNIA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care
  http://www.dss.cahwnet.gov/ord/pg241.htm

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    Food Stamp - Chapter 63-100 through 63-1436
    http://www.dss.cahwnet.gov/ord/pg303.htm

    TANF - Chapter 42-700 through 42-800

    Child Care - Chapter 47-100 through 48-000

    Medicaid / SCHIP Regulations
    http://www.dhcs.ca.gov/formsandpubs/publications/Pages/Manuals.aspx

    SCHIP Handbook
    http://www.healthyfamilies.ca.gov/Downloads/HFP_Handbook.aspx

    SCHIP State Plan and Factsheet
    http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
    al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
    der=ascending&itemID=CMS053475&intNumPerPage=2000

Descriptive Program and Eligibility Information

    Food Stamp
    http://www.dss.cahwnet.gov/foodstamps/

    TANF
    http://www.dss.cahwnet.gov/cdssweb/pg54.htm

    Child Care
    http://www.dss.cahwnet.gov/cdssweb/pg78.htm

    Medicaid
    http://www.medi-cal.ca.gov/

    SCHIP
    http://www.healthyfamilies.ca.gov/

Applications for Assistance

    Food Stamp
    http://www.dss.cahwnet.gov/foodstamps/entres/forms/english/DFA285A1.PDF

    Medicaid
    http://www.dhcs.ca.gov/services/medi-cal/pages/medicalapplications.aspx (this is a link to
    applications in 12 languages)

    Children’s Medicaid/SCHIP
    http://www.healthyfamilies.ca.gov/downloads/applications.aspx Parents and adult caretakers may
    have to submit additional information to complete eligibility process.

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                                                  COLORADO

Policy Manuals/Materials

  Food Stamp, TANF, Child Care
  http://stateboard.cdhs.state.co.us:8008/CDHS/rule_volumes$.volumes

  Food Stamps
  http://stateboard.cdhs.state.co.us:8008/CDHS/rule_display$.DisplayVolume?p_vol_num=4

  TANF
  http://stateboard.cdhs.state.co.us:8008/CDHS/rule_display$.DisplayVolume?p_vol_num=3

  Employment First/Workfare State Regulations
  http://www.cdhs.state.co.us/employmentfirst/EFStateRegulations.htm

  Medicaid
  http://www.colorado.gov/cs/Satellite?c=Page&cid=1197969486289&pagename=HCPF%2FH
  CPFLayout

  SCHIP
  http://www.chcpf.state.co.us/HCPF/titlexxi/StatePlan/Reports/2000framework.asp

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS026857&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.cdhs.state.co.us/fap/

  TANF
  http://www.colorado.gov/coloradoworks

  Child Care
  http://www.cdhs.state.co.us/childcare/

  Medicaid
  http://www.cchp.org/index.cfm?action=medicaid&language=eng

  SCHIP
  http://www.cchp.org/chpweb/mainpage.cfm?pageToLoad=applicants.cfm#q3


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Applications for Assistance

    Food Stamp
    http://www.cdhs.state.co.us/fap/howdoiapplyforfoodassistance.htm


                                              CONNECTICUT

Policy Manuals/Materials

    TANF
    http://www.ct.gov/dss/LIB/dss/PDFs/TANFStPLAN2000-2002.PDF

    Child Care
    http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305180

    Jobs First Program Employment Services Policy and Procedures Manual
    http://www.ctdol.state.ct.us/weltowrk/allpdf/completeversion.pdf

    SCHIP State Plan and Factsheet
    http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
    al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
    der=ascending&itemID=CMS026880&intNumPerPage=2000

Descriptive Program and Eligibility Information

    Food Stamp
    http://www.ct.gov/dss/cwp/view.asp?a=2353&q=411676

    TANF
    http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305158

    Child Care
    http://www.ctcare4kids.com/
    http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305178

    Medicaid/SCHIP
    http://www.ct.gov/dss/cwp/view.asp?a=2353&q=305218

Applications for Assistance

    Food Stamp Application (English)
    http://www.ct.gov/dss/lib/dss/pdfs/w-1food.pdf


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8
  Child Care Application
  http://www.ctcare4kids.com/pdf/C4KfinalApplication2.pdf

  Medicaid (families and children)/SCHIP Application
  http://www.huskyhealth.com/application.htm


                                                  DELAWARE
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamps
  Delaware State Code
  http://www.delcode.delaware.gov/title31/c006/index.shtml

  TANF
  Delaware State Code
  http://www.delcode.delaware.gov/title31/c005/index.shtml

  Child Care State Plan
  http://www.state.de.us/dhss/dss/files/ccdfplan0405.pdf

  Medicaid State Plan
  http://delcode.delaware.gov/title18/c040/index.shtml

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS026898&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.dhss.delaware.gov/dhss/dss/index.html

  Food Stamps
  http://www.dhss.delaware.gov/dhss/dss/foodstamps.html

  TANF
  http://www.dhss.delaware.gov/dhss/dss/tanf.html

  Child Care
  http://www.dhss.delaware.gov/dhss/dss/childcr.html

  Medicaid
  http://www.dhss.delaware.gov/dhss/dmma/medicaid.html

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SCHIP
  http://www.dhss.delaware.gov/dhss/dmma/dhcp.html

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  https://assist.dhss.delaware.gov/PGM/ASP/SC001.asp Online Application
  http://www.dhss.delaware.gov/dhss/dss/files/dssapplicationenglish.pdf

  SCHIP
  http://www.state.de.us/dhss/dss/dhcpapply.html
  http://www.dhss.delaware.gov/dhss/dss/files/chip_appl_engl.pdf Printable Application


                                       DISTRICT OF COLUMBIA
                        The District of Columbia does not have a separate SCHIP program

Policy Manuals/Materials

  State Child Health Plan
  http://doh.dc.gov/doh/cwp/view,a,1370,q,573940,dohNav_GID,1807.asp

  Medicaid State Plan
  http://doh.dc.gov/doh/cwp/view,a,1371,q,602787,dohNav,%7C33345%7C.asp

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS026932&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid
  http://dhs.dc.gov/dhs/cwp/view%2Ca%2C3%2Cq%2C492411.asp

  Food Stamp Loan Office Information
  http://www.dhs.dc.gov/dhs/cwp/view,a,3,q,492404.asp

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://www.dhs.dc.gov/dhs/cwp/view.asp?a=3&Q=568277&dhsNAV=|30980|

  SCHIP
  http://doh.dc.gov/doh/cwp/view,a,1371,q,575816.asp

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                                                  FLORIDA
                                     Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dcf.state.fl.us/publications/policies.shtml

  Medicaid/SCHIP
  http://www.fdhc.state.fl.us/Medicaid/stateplan.shtml

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS026947&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid
  http://www.dcf.state.fl.us/ess/

  SCHIP
  http://www.floridakidcare.org/eligibility.html

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://www.dcf.state.fl.us/ess/agencyforms.shtml (ACCESS Florida Application).

  Medicaid (children only)/SCHIP
  http://www.healthykids.org/apply/ Ages 5-18
  http://www.floridakidcare.org/print-application.html

Online Benefit Screener/Calculator

  Multi-Program
  http://www.myflorida.com/accessflorida/


                                                  GEORGIA

Policy Manuals/Materials

  Child Care State Plan
  http://dfcs.dhr.georgia.gov/portal/site/DHR-
  DFCS/menuitem.83054cda1a084d2f7da1df8dda1010a0/?vgnextoid=b70b2b48d9a4ff00VgnVCM
  100000bf01010aRCRD

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  Medicaid State Plan
  http://dch.georgia.gov/00/channel_title/0,2094,31446711_80466652,00.html

  TANF State Plan
  http://dfcs.dhr.georgia.gov/DHR-DFCS/DHR-
  DFCS_CommonFiles/10893209Georgia_TANF_Plan.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS028627&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://dfcs.dhr.georgia.gov/portal/site/DHR-DFCS/

  Food Stamps
  georgia.gov -- Division of Children and Family Services (DFCS) (in English)
  georgia.gov - Division of Family and Children Services (DFCS) (in Spanish)

  TANF
  http://dfcs.dhr.georgia.gov/portal/site/DHR-
  DFCS/menuitem.5d32235bb09bde9a50c8798dd03036a0/?vgnextoid=d8ea2b48d9a4ff00VgnVC
  M100000bf01010aRCRD

  Child Care
  http://dfcs.dhr.georgia.gov/portal/site/DHR-
  DFCS/menuitem.5d32235bb09bde9a50c8798dd03036a0/?vgnextoid=16fa2b48d9a4ff00VgnVC
  M100000bf01010aRCRD

  Medicaid
  http://dfcs.dhr.georgia.gov/portal/site/DHR-
  DFCS/menuitem.83054cda1a084d2f7da1df8dda1010a0/?vgnextoid=36ca2b48d9a4ff00VgnVCM
  100000bf01010aRCRD

  Medicaid (for Children)/SCHIP
  http://www.peachcare.org/

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://compass.ga.gov/

  Online Application for Medicaid (for children)/SCHIP
  http://www.peachcare.org/Guidelines.aspx
  http://www.georgia-families.com/en_US/news.htm Health plan selection

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                                                  HAWAII
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://hawaii.gov/dhs/main/har/har_current/AdminRules/document_view

  TANF State Plan
  http://hawaii.gov/dhs/main/reports/TANF%205-Year%20Strategic%20Plan%20Final.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS028642&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://hawaii.gov/dhs/self-sufficiency/benefit/FNS

  Medicaid / SCHIP
  http://www.med-quest.us/eligibility/Eligibility.html

Applications for Assistance

  Food Stamp, TANF
  https://www.realchoices.org/RCA_Forms/web/scripts/mergedata.asp?formname=DHS1240_F
  F_v7.xft&aID=E3DD2D91-F538-4B2B-9EF5-
  5DC8A16C9063&fid=514&preference=AUTO&type=n

  Medicaid / SCHIP Application
  http://www.med-quest.us/forms/eligibility/index.html
  http://www.med-quest.us/forms/eligibility/forms/DHS%201100%20Rev.%200303-
  FinalFinal.pdf Printable Application

                                                  IDAHO
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://adm.idaho.gov/adminrules/rules/idapa16/16index.htm

  Food Stamp Policy Manual
  http://www.healthandwelfare.idaho.gov/Portals/_Rainbow/Manuals/FS/FS_Handbook.htm

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SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS028657&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamps
  http://www.healthandwelfare.idaho.gov/site/3413/default.aspx

  Child Care
  http://www.healthandwelfare.idaho.gov/DesktopModules/ArticlesSortable/ArticlesSrtView.as
  px?tabID=0&ItemID=87&mid=10274

  Medicaid
  http://www.healthandwelfare.idaho.gov/site/3629/default.aspx

  SCHIP / Children’s Medicaid
  http://www.healthandwelfare.idaho.gov/site/4299/default.aspx

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid / SCHIP
  http://www.healthandwelfare.idaho.gov/DesktopModules/ArticlesSortable/ArticlesSrtView.aspx
  ?tabID=0&ItemID=2219&mid=10569&wversion=Staging
  http://www.healthandwelfare.idaho.gov/DesktopModules/DocumentsSortable/DocumentsSrtVi
  ew.aspx?tabID=0&ItemID=185&MId=10385&wversion=Staging Printable Application


                                                  ILLINOIS
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dhs.state.il.us/page.aspx?item=4107

  Child Care
  http://www.dhs.state.il.us/page.aspx?item=9877

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS028669&intNumPerPage=2000

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Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dhs.state.il.us/page.aspx?item=30357

  TANF
  http://www.dhs.state.il.us/page.aspx?item=30358

  Child Care
  http://www.dhs.state.il.us/page.aspx?item=30355

  Medicaid
  http://www.familycareillinois.com/ For parents living with children
  http://www.hfs.illinois.gov/medical/apply.html

  SCHIP
  http://www.allkids.com/

Applications for Assistance

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dhs.state.il.us/page.aspx?item=33698

  Medicaid (children only)/SCHIP
  http://www.allkidscovered.com/application.html

Online Benefit Screener/Calculator

  Multi-Program
  City of Chicago
  http://www.ci.chi.il.us/WorkforceDevelopment/ssc/ss_calc.html

                                                  INDIANA
                                     Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.in.gov/legislative/iac/title470.html

  Child Care
  http://www.in.gov/legislative/iac/title407.html

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029684&intNumPerPage=2000

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                                                                                     15
Descriptive Program and Eligibility Information

  Food Stamp
  http://www.in.gov/fssa/dfr/2691.htm

  TANF
  http://www.in.gov/fssa/dfr/2684.htm

  Child Care
  http://www.in.gov/fssa/2552.htm

  Medicaid
  http://www.in.gov/fssa/ompp/2544.htm
  http://www.in.gov/fssa/2408.htm Office of Medicaid Policy and Planning

  SCHIP
  http://www.in.gov/fssa/ompp/2545.htm

Applications for Assistance

  Food Stamp, TANF, Medicaid
  Print: http://www.in.gov/icpr/webfile/formsdiv/30465.pdf
  Online Screener: http://www.in.gov/fssa/2954.htm

  Medicaid (for children)/SCHIP
  http://www.in.gov/fssa/ompp/2998.htm
  http://www.in.gov/icpr/webfile/formsdiv/43202.pdf Printable Application

                                                  IOWA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.dhs.state.ia.us/policyanalysis/PolicyManualPages/IncomeMaint.htm#Food%20Stam
  ps Child Care found under “Other IM Programs”

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029717&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dhs.state.ia.us/Consumers/Assistance_Programs/FoodAssistance/index.html

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16
  TANF
  http://www.dhs.state.ia.us/Consumers/Assistance_Programs/CashAssistance/FamilyInvestment
  Program.html

  Child Care
  http://www.dhs.state.ia.us/Consumers/Child_Care/CCAssistance/CCAforConsumers.html

  Medicaid
  http://www.dhs.state.ia.us/Consumers/Health/Medical_Insurance/WhatsAvailable.html

  SCHIP
  http://www.hawk-i.org/en_US/index.html

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://www.dhs.state.ia.us/PolicyAnalysis/PolicyManualPages/Manual_Documents/Forms/470-
  0462.pdf English
  http://www.dhs.state.ia.us/policyanalysis/PolicyManualPages/Manual_Documents/Forms/470-
  0466.pdf Spanish

  Food Stamp Application
  http://www.dhs.state.ia.us/PolicyAnalysis/PolicyManualPages/Manual_Documents/FORMS/47
  0-0306.PDF English
  http://www.dhs.state.ia.us/policyanalysis/PolicyManualPages/Manual_Documents/Forms/470-
  0307.pdf Spanish

  Food Stamp Benefit Calculator
  https://dhssecure.dhs.state.ia.us/yesfood/

  Child Care Application
  http://www.dhs.state.ia.us/PolicyAnalysis/PolicyManualPages/Manual_Documents/Forms/470-
  3624.pdf English
  http://www.dhs.state.ia.us/policyanalysis/PolicyManualPages/Manual_Documents/Forms/470-
  3624s.pdf Spanish

  Medicaid
  http://www.dhs.state.ia.us/PolicyAnalysis/PolicyManualPages/Manual_Documents/FORMS/47
  0-2927.PDF English
  http://www.dhs.state.ia.us/PolicyAnalysis/PolicyManualPages/Manual_Documents/FORMS/47
  0-2927S.pdf Spanish

  Medicaid (for children)/SCHIP
  http://www.hawk-i.org/English/Application_Forms/application_forms.html

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                                                                                        17
                                                  KANSAS

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.srskansas.org/KEESM/KEESM.htm

  Medicaid/SCHIP (for children and pregnant women)
  http://www.khpa.ks.gov/kfmam/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029779&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.srskansas.org/srseescomm.html

  Food Stamps
  http://srskansas.org/ISD/ees/food_stamps.htm

  Child Care
  http://www.srskansas.org/ISD/ees/childcare_main.htm

  TANF
  http://www.srskansas.org/ISD/ees/successful_families.htm

  Medicaid / SCHIP
  http://www.kansashealthwave.org/
  http://www.khpa.ks.gov/healthwave/about.html

Applications for Assistance

  Online Application for Food Stamps, TANF, Child Care, Medicaid/SCHIP
  http://www.srskansas.org/onlineapp/index.html

  Food Stamp, TANF, Child Care, Medicaid
  http://www.srskansas.org/KEESM/Forms/ES-3100_assist_for_families_02_07.pdf

  Food Stamp
  http://www.srskansas.org/KEESM/Forms/ES-3100.6_10-01.pdf

  SCHIP
  http://www.kansashealthwave.org/apps/english.pdf

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18
Online Benefit Screener/Calculator

  Multi-Program
  http://www.srskansas.org/onlineapp/index.html

  Print Application
  http://srskansas.org/ISD/ees/applications_main.html

  Medicaid
  http://www.khpa.ks.gov/medical_assistance/apply_for_assistance.html


                                                  KENTUCKY
                                     Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://manuals.chfs.ky.gov/dcbs_manuals/DFS/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=no
  ne&filterByDID=-
  99&sortByDID=2&sortOrder=ascending&itemID=CMS029799&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://chfs.ky.gov/dcbs/dfs/foodstampsebt.htm

  TANF
  http://chfs.ky.gov/dcbs/dfs/KTAP.htm

  Child Care
  http://chfs.ky.gov/dcbs/dcc/

  Medicaid
  http://chfs.ky.gov/dms/Eligibility.htm

  SCHIP
  http://kidshealth.ky.gov/en/kchip/

Applications for Assistance

  Food Stamp, TANF (Cash Assistance), Medicaid
  http://chfs.ky.gov/NR/rdonlyres/0A81E704-89FB-42BD-9EB4-
  8DEC8843D773/16100/KIM77.doc

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                                                                                    19
  SCHIP
  http://kidshealth.ky.gov/NR/rdonlyres/4DCB7825-6877-46B5-9CA3-
  5BF40196D680/0/KCHIP_v148_033109_printversion.pdf

  Child Care
  http://chfs.ky.gov/dcbs/dcc/apply.htm


                                                  LOUISIANA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://doa.louisiana.gov/osr/lac/67v01/67v01.pdf

  TANF State Plan
  http://www.dss.state.la.us/assets/docs/searchable/OFS/TANF/TANFStatePlanAmended10-
  08.pdf

  Child Care State Plan
  http://www.dss.state.la.us/assets/docs/searchable/OFS/ChildcareDevelopmentFund/CCDF_Pl
  an_Amended_06.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029820&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamps, TANF, Child Care
  http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=9

  Food Stamps
  http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=93

  Child Care
  http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=136

  TANF
  http://www.dss.state.la.us/index.cfm?md=pagebuilder&tmp=home&pid=139

  Medicaid
  http://www.dhh.louisiana.gov/offices/?ID=92

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20
  SCHIP
  http://www.dhh.state.la.us/offices/?ID=119

Applications for Assistance

  Food Stamp, TANF
  http://www.dss.state.la.us/assets/docs/searchable/OFS/Applications/OFS004APPApplication_
  rev0109.pdf

  Child Care Application
  http://www.dss.state.la.us/assets/docs/searchable/OFS/Applications/CCAP2Application.pdf

  Medicaid Application
  Paper: http://www.dhh.louisiana.gov/offices/publications/pubs-92/8715.pdf
  Online: https://bhsfweb.dhh.louisiana.gov/onlineapppublic/secure/

  SCHIP Application
  http://www.dhh.louisiana.gov/offices/publications.asp?ID=119&Detail=607


                                           MAINE
                              Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp
  http://www.maine.gov/sos/cec/rules/10/ch301.htm

  TANF
  http://www.maine.gov/sos/cec/rules/10/ch301.htm

        Aspire (TANF employment and training) Program Rules
        http://www.maine.gov/sos/cec/rules/10/144/144c607.doc

  Child Care
  http://www.maine.gov/sos/cec/rules/10/144/144c351.doc

  Medicaid/SCHIP
  http://www.maine.gov/bms/pdfs_doc/mainecare%20member%20handbook/mainecare_mbr_h
  andbook_05012008_12182008.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029838&intNumPerPage=2000


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                                                                                            21
Descriptive Program and Eligibility Information

  Food Stamp
  http://www.maine.gov/dhhs/OIAS/snap/index.html

  TANF
  http://www.maine.gov/dhhs/OIAS/services/home.html

  Child Care
  http://www.maine.gov/dhhs/ocfs/ec/occhs/payingchildcare.htm

  Medicaid/SCHIP
  http://www.maine.gov/dhhs/OIAS/services/cubcare/CubCare.htm

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://www.maine.gov/dhhs/OIAS/snap/APP-01-07.doc

  Child Care Application
  http://www.maine.gov/dhhs/voucherapp.doc

  Medicaid (for families and children) Application/SCHIP
  http://www.maine.gov/dhhs/OIAS/services/cubcare/Getting%20an%20Application.htm
  http://www.maine.gov/dhhs/OIAS/services/mainecare/mainecareapplication.pdf Printable
  Application

                                                  MARYLAND
                               Maryland does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp
  http://www.dhr.state.md.us/manuals/fstamp.php

  TANF
  http://www.dhr.state.md.us/manuals/tca.php

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029913&intNumPerPage=2000

Descriptive Program and Eligibility Information

  All Economic Assistance Programs
  http://www.dhr.state.md.us/economic.php

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22
  Food Stamp
  http://www.dhr.state.md.us/fiaprograms/fstamp/rules.php

  TANF
  http://www.dhr.state.md.us/fiaprograms/tca/index.php

  Child Care
  http://www.dhr.state.md.us/how/chldprnt/chldcare.htm

  Medicaid
  http://www.dhr.state.md.us/fiaprograms/medical.php

  SCHIP
  http://www.dhmh.state.md.us/mma/mchp/

Applications for Assistance

  Food Stamp, TANF, Medicaid, Child Care
  Online: https://www.marylandsail.org/WhatIsSail.aspx
  Print: http://www.dhr.state.md.us/fia/forms.htm Excludes Child Care

  Medicaid (children / families only) Application
  http://dhmh.state.md.us/mma/mchp/pdf/2008/Final-Application_MAEnglish8-01-08.pdf


                                     MASSACHUSETTS
                              Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamps
  http://www.mass.gov/?pageID=eohhs2terminal&L=4&L0=Home&L1=Government&L2=Law
  s%2c+Regulations+and+Policies&L3=Department+of+Transitional+Assistance+Regulations+a
  nd+Legal+Notices&sid=Eeohhs2&b=terminalcontent&f=dta_g_106cmr_309_367&csid=Eeohh
  s2 Scroll down to Food Stamp Program

  TANF
  http://www.mass.gov/?pageID=eohhs2terminal&L=4&L0=Home&L1=Government&L2=Law
  s%2c+Regulations+and+Policies&L3=Department+of+Transitional+Assistance+Regulations+a
  nd+Legal+Notices&sid=Eeohhs2&b=terminalcontent&f=dta_g_106cmr_203_208&csid=Eeohh
  s2
  State Plan: http://www.mass.gov/Eeohhs2/docs/dta/r_reform_stateplan.pdf

  Child Care
  http://www.eec.state.ma.us/kr_subsidy.aspx


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                                                                                     23
  Medicaid
  Regulations:
  http://www.mass.gov/?pageID=eohhs2subtopic&L=5&L0=Home&L1=Government&L2=Law
  s%2c+Regulations+and+Policies&L3=MassHealth+Regulations+and+Other+Publications&L4
  =MassHealth+Regulations&sid=Eeohhs2
  General Laws: http://www.mass.gov/legis/laws/mgl/gl-111m-toc.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029939&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF
  http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2
  =Departments+and+Divisions&L3=Department+of+Transitional+Assistance&sid=Eeohhs2&b
  =terminalcontent&f=dta_c_foodnut_foodstamps&csid=Eeohhs2

  TANF
  http://www.mass.gov/?pageID=eohhs2modulechunk&L=4&L0=Home&L1=Government&L2
  =Departments+and+Divisions&L3=Department+of+Transitional+Assistance&sid=Eeohhs2&b
  =terminalcontent&f=dta_c_finassist_cashassist&csid=Eeohhs2

  Child Care
  http://www.eec.state.ma.us/ Click on Find Early Education and Care Programs and Other Resources

  Medicaid/SCHIP
  http://www.mass.gov/portal/index.jsp?pageID=eohhs2terminal&L=4&L0=Home&L1=Govern
  ment&L2=Departments+and+Divisions&L3=MassHealth&sid=Eeohhs2&b=terminalcontent&f
  =masshealth_government_about_programs&csid=Eeohhs2

Applications for Assistance

  Food Stamp
  Online: https://service.hhs.state.ma.us/ier/jsp/screening/LoginServlet?Application=Screening
  Paper: http://www.mass.gov/Eeohhs2/docs/dta/c_foodstampapp_eng.pdf

  Medicaid
  http://www.mass.gov/?pageID=eohhs2subtopic&L=4&L0=Home&L1=Consumer&L2=Insura
  nce+(including+MassHealth)&L3=Apply+for+MassHealth+Coverage&sid=Eeohhs2

  Medicaid (families and children)/SCHIP
  http://www.mass.gov/portal/index.jsp?pageID=eohhs2terminal&L=5&L0=Home&L1=Consu
  mer&L2=Insurance+(including+MassHealth)&L3=Apply+for+MassHealth+Coverage&L4=Ap
  plicants+Under+Age+65+and+Families&sid=Eeohhs2&b=terminalcontent&f=masshealth_con
  sumer_applicant_under65_apply&csid=Eeohhs2

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24
                                                  MICHIGAN
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp
  http://www.michigan.gov/documents/dhs/Pub_0016_206544_7.pdf
  http://www.michigan.gov/documents/dhs/DHS-Pub-16-SP_216482_7.pdf Spanish

  TANF
  Work Requirements: http://www.michigan.gov/dhs/0,1607,7-124-5453_5526-13946--,00.html
  Policy manual: http://www.michigan.gov/dhs/0,1607,7-124-5452_45583_45584---,00.html

  Medicaid/SCHIP
  Fee for Service Handbook: http://www.michigan.gov/documents/mdch/MDCH-
  Pub_669_Medicaid_Fee_for_Svc_204662_7.pdf
  Child eligibility manual:
  http://www.michigan.gov/documents/MIChildfullmanual_13163_7.PDF

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS029967&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.michigan.gov/fia/0,1607,7-124-5453---,00.html

  Food Stamp
  http://www.michigan.gov/dhs/0,1607,7-124-5453_5527-13176--,00.html

  TANF
  http://www.michigan.gov/dhs/0,1607,7-124-5453_5526-21229--,00.html

  Child Care
  http://www.michigan.gov/dhs/0,1607,7-124-5453_5529_7143-15306--,00.html

  Medicaid
  http://www.michigan.gov/mdch/0,1607,7-132-2943_4860-35199--,00.html

  SCHIP
  http://www.michigan.gov/mdch/0,1607,7-132-2943_4845_4931---,00.html


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                                                                                          25
Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://www.michigan.gov/dhs/0,1607,7-124-5453_5529_9306-69226--,00.html

 Medicaid (for children)/SCHIP
 http://www.michigan.gov/mdch/0,1607,7-132-2943_4845_4931-20628--,00.html
 http://www.michigan.gov/mdch/0,1607,7-132-2943_4845_4931-37347--,00.html Online
Application
 http://www.michigan.gov/documents/MIChildApplication_11847_7.pdf Printable Application

  Online Application for Medicaid (children only)/SCHIP
  https://healthcare4mi.com/michild-web/

Online Benefit Screener/Calculator

  Multi-Program
  http://www.mfia.state.mi.us/mars/


                                              MINNESOTA
                               Minnesota does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp, TANF
  Combined Manual:
  http://www.dhs.state.mn.us/main/groups/county_access/documents/pub/dhs16_144568.pdf 
  Manual Archives:
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&Redirected=true&dDocName=id_016956 Combined

  TANF Employment Services Manual
  http://www.dhs.state.mn.us/main/groups/county_access/documents/pub/dhs16_144603.pdf

  Child Care
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&dDocName=dhs16_138068

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030023&intNumPerPage=2000


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26
Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&dDocName=id_002557

        Food Stamp Eligibility Screening Tools
        http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-3529-ENG
        http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-3530-ENG

  TANF
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&dDocName=id_004112

  Child Care
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&dDocName=id_008688

  Medicaid
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&dDocName=id_006972

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-5223-ENG

  Medicaid
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&Revi
  sionSelectionMethod=LatestReleased&Redirected=true&dDocName=id_006294
  http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-3417-eng Printable Application

  Child Care
  http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-3550-ENG


                                                  MISSISSIPPI

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid
  Mississippi Code [Title 43 – Public Welfare]
  http://www.mscode.com/free/statutes/43/

  Food Stamp State Plan
  http://www.mdhs.state.ms.us/ea_fssplan.html

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                                                                               27
  TANF State Plan
  http://www.mdhs.state.ms.us/eatanfstplan.pdf

  Child Care
  http://www.mdhs.state.ms.us/ocy_apply.html

  Medicaid
  Health Benefits Manual: http://www.medicaid.ms.gov/MhbPolicyManual/TOC.aspx
  Eligibility: http://www.medicaid.ms.gov/Eligibility%20Policy%20Volume%20III/TOC.aspx

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030064&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.mdhs.state.ms.us/ea.html

  Food Stamp
  http://www.mdhs.state.ms.us/ea_fs.html

  TANF
  http://www.mdhs.state.ms.us/ea_tanf.html

  Child Care
  http://www.mdhs.state.ms.us/ocy_apply.html

  Medicaid
  http://www.medicaid.ms.gov/

  SCHIP
  http://www.medicaid.ms.gov/CHIP.aspx

Applications for Assistance

  Food Stamp, TANF
  http://www.mdhs.state.ms.us/agencyapps.htm

  Medicaid (aged, blind, disabled)
  http://www.medicaid.ms.gov/ApplicationForms/dom300.pdf

  Medicaid (for children)/SCHIP
  http://www.medicaid.ms.gov/ApplicationForms/MHB-CHIPApp.pdf Parents and adult caretakers
  may have to submit additional information to complete eligibility process.

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28
                                                  MISSOURI
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://www.dss.mo.gov/fsd/iman/index.html

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030414&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Child Care, Medicaid
  http://www.dss.mo.gov/fsd/pap.htm

  SCHIP
  http://www.dss.mo.gov/mhk/index.htm

Applications for Assistance

  Food Stamps (includes prescreening tool)
  http://www.dss.mo.gov/fsd/fstamp/index.htm

  Medicaid (children and parents)
  http://www.dss.mo.gov/mhk/appl.htm


                                                  MONTANA
Policy Manuals/Materials

  Food Stamp
  http://www.dphhs.mt.gov/hcsd/fsmanual/index.shtml

  TANF
  http://www.dphhs.mt.gov/hcsd/tanfmanual/index.shtml

  Child Care
  http://www.dphhs.mt.gov/hcsd/ecsbmanual/index.shtml

  Medicaid
  http://www.dphhs.mt.gov/legalresources/administrativerules/title37/chapter82.pdf

  SCHIP
  http://www.dphhs.mt.gov/legalresources/administrativerules/title37/chapter79.pdf

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                                                                                     29
  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030523&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dphhs.mt.gov/hcsd/snap/index.shtml

  TANF
  http://www.dphhs.mt.gov/hcsd/tanf/tanfeligibility.shtml

  Child Care
  http://www.dphhs.mt.gov/hrd/childcare/bestbeginnings/index.shtml

  Medicaid
  http://www.dphhs.mt.gov/programsservices/medicaid.shtml

  SCHIP
  http://chip.mt.gov/index.shtml Will change name to “Healthy Montana Kids Plan” in October 2009

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://vhsp.dphhs.mt.gov/publicassistance/index.shtml

  Food Stamp
  http://www.dphhs.mt.gov/formsapplications/foodstamp.pdf

  Medicaid (for children)/SCHIP
  http://chip.mt.gov/howtoapply.shtml

                                                  NEBRASKA
                               Nebraska does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid
  http://www.hhs.state.ne.us/fia/fiarules.htm

  Food Stamp
  http://www.hhs.state.ne.us/reg/t475.htm

  Child Care
  http://www.hhs.state.ne.us/reg/t392.htm

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30
  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030534&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.hhs.state.ne.us/fia/fstamps.htm

  TANF
  http://www.hhs.state.ne.us/fia/adc.htm

  Child Care
  http://www.hhs.state.ne.us/chc/ccsubsypa.htm

  Medicaid
  http://www.hhs.state.ne.us/med/medindex.htm

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://www.hhs.state.ne.us/fia/EA-117.pdf

  Food Stamp Application
  http://www.hhs.state.ne.us/fia/fstamps.htm

  Medicaid (for children) Application
  http://www.hhs.state.ne.us/med/kidsconxapp.htm
  http://www.hhs.state.ne.us/med/kidsconx.pdf Printable Application


                                                  NEVADA

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://dwss.nv.gov/index.php?option=com_docman&task=cat_view&gid=63&Itemid=287

  TANF State Plan
  http://dwss.nv.gov/index.php?option=com_docman&task=doc_download&gid=549&Itemid=2
  87

  Child Care
  http://dwss.nv.gov/index.php?option=com_docman&task=cat_view&gid=42&Itemid=287

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                                                                                     31
  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030594&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid
  http://dwss.nv.gov/index.php?option=com_content&task=view&id=79&Itemid=189

  SCHIP
  http://nevadacheckup.state.nv.us/index.htm
  Child Care
  http://dwss.nv.gov/index.php?option=com_content&task=view&id=40&Itemid=71

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://dwss.nv.gov/dmdocuments/Forms_2905-EG.pdf

  Food Stamp
  http://dwss.nv.gov/index.php?option=com_content&task=view&id=86&Itemid=236

  Online Application for Medicaid (for children)/SCHIP

  Medicaid (for children)/SCHIP
  https://nevadacheckup.nv.gov/SecureOnlineAppEnglish.htm Online Application
  http://www.nevadacheckup.state.nv.us/Applications/NCU-
  0111%20Check%20Up%20App%203-26-08.pdf Printable Application


                                            NEW HAMPSHIRE
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dhhs.state.nh.us/FAM_htm/NEWFAM.HTM

  Food Stamp
  http://www.dhhs.state.nh.us/fsm_htm/whgdata/whlstt1.htm#1

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030807&intNumPerPage=2000

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32
Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dhhs.state.nh.us/DHHS/DFA/ELIGIBILITY/default.htm

  Food Stamp
  http://www.dhhs.state.nh.us/DHHS/FOODSTAMPS/default.htm

  Child Care
  http://www.dhhs.state.nh.us/DHHS/CDB/LIBRARY/Fact+Sheet/cc-payment-rate.htm

Applications for Assistance

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dhhs.state.nh.us/DHHS/DFA/LIBRARY/Form/dfa-application.htm

  Medicaid (for children)/SCHIP
  http://www.nhhealthykids.com/programs_apps.php


                                                  NEW JERSEY
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid
  New Jersey Permanent Statutes (Search under Title 44)
  http://lis.njleg.state.nj.us/cgi-
  bin/om_isapi.dll?clientID=23599627&Depth=4&TD=WRAP&advquery=%2244%3a10-
  43%22&headingswithhits=on&infobase=statutes.nfo&rank=&record={123CB}&softpage=Doc
  _Frame_Pg42&wordsaroundhits=2&x=41&y=15&zz=

  Human Services Rule Adoptions
  http://www.state.nj.us/humanservices/Rules/ruleadoptions.html

  TANF State Plan
  http://www.state.nj.us/humanservices/dfd/final_TANFStatePlan2006-2008.pdf

  Medicaid/SCHIP
  http://www.state.nj.us/humanservices/dmahs/manuals.html

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030903&intNumPerPage=2000

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                                                                                     33
Descriptive Program and Eligibility Information

  Food Stamp
  http://www.state.nj.us/humanservices/dfd/foodstamp.html

  TANF
  http://www.state.nj.us/humanservices/dfd/wfnjws.html

  Child Care
  http://www.state.nj.us/humanservices/dfd/statesubchildcare.html

  Medicaid/SCHIP
  http://www.state.nj.us/humanservices/dmahs/index.html

Applications for Assistance

  Food Stamps
  http://www.state.nj.us/humanservices/dfd/FSapply.html

  Medicaid (children and parents)/SCHIP
  http://www.njfamilycare.org/pages/apply_njfc.html
  https://fc.dhs.state.nj.us/forms/NJFC_0.aspx Online Application

Online Benefit Screeners/Calculators

  Food Stamp Only
  http://www.oel.state.nj.us/FoodStampTool/index.html

  Multi-Program
  http://www.newjerseyhelps.org


                                                  NEW MEXICO
                              New Mexico does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp
  http://www.hsd.state.nm.us/isd/policies/fs.html

  Food Stamp Regulations
  http://www.nmcpr.state.nm.us/nmac/_title08/T08C139.htm

  Medicaid
  http://www.hsd.state.nm.us/mad/policymanual.html

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34
  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS030975&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF
  http://www.hsd.state.nm.us/isd/

  Food Stamp
  http://www.hsd.state.nm.us/isd/fs.html

  Child Care
  http://www.newmexicokids.org/#.pages.childcare.assistance.

  Medicaid
  http://www.hsd.state.nm.us/mad/geninfo.html

  SCHIP
  http://www.hsd.state.nm.us/mad/newmexikids/

Applications for Assistance

  Food Stamp, TANF, Medicaid
  http://www.hsd.state.nm.us/isd/apply.html

  Child Care
  http://www.newmexicokids.org/pages/library/resources/Child_Care_Application_July_2007_fin
  al.pdf

  Medicaid
  http://www.hsd.state.nm.us/mad/applymedicaid.html

  SCHIP
  http://www.hsd.state.nm.us/mad/newmexikids/

                                                  NEW YORK

Policy Manuals/Materials

  Food Stamp
  http://www.otda.state.ny.us/main/foodstamps/FSSB.pdf

  TANF
  State Plan: http://www.otda.state.ny.us/main/tanf/default.asp
  Temporary Assistance Source Book: http://www.otda.state.ny.us/main/ta/TASB.pdf

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                                                                                        35
  Medicaid/SCHIP
  http://www.health.state.ny.us/health_care/medicaid/reference/mrg/index.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS031018&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.otda.state.ny.us/main/foodstamps/

  TANF
  http://www.otda.state.ny.us/main/ta/default.asp

  Child Care
  http://www.ocfs.state.ny.us/main/childcare/paying.asp

  Medicaid
  http://www.health.state.ny.us/health_care/medicaid/index.htm

  SCHIP
  http://www.health.state.ny.us/nysdoh/chplus/

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://www.otda.state.ny.us/main/apps/default.asp

  Food Stamps
  List of sites with online applications: http://www.otda.state.ny.us/main/foodstamps/map.asp

  TANF
  http://www.otda.state.ny.us/main/apps/2921.pdf

  Medicaid
  http://www.health.state.ny.us/health_care/medicaid/index.htm#apply

  Medicaid (children and parents)/SCHIP
  http://www.health.state.ny.us/nysdoh/chplus/application.htm

Online Benefit Screener/Calculator

  Multi-Program Screening Tool
  http://mybenefits.ny.gov/

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36
  Food Stamp Only
  Madison County Only
  https://www.madisoncountyfoodstamps.org/Prescreen.asp


                                           NORTH CAROLINA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp
  http://info.dhhs.state.nc.us/olm/manuals/dss/ei-30/man/index.htm

  TANF
  http://www.dhhs.state.nc.us/dss/workfirst/index.htm#plan

  Child Care
  http://info.dhhs.state.nc.us/olm/manuals/dcd/ccs/man/index.htm

  Medicaid
  http://info.dhhs.state.nc.us/olm/manuals/manuals.aspx?dc=dma

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS031448&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dhhs.state.nc.us/dss/foodstamp/index.htm

  TANF
  http://www.dhhs.state.nc.us/dss/workfirst/apply.htm

  Child Care
  http://ncchildcare.dhhs.state.nc.us/parents/pr_sn2_ov_fa.asp

  Medicaid
  http://www.ncdhhs.gov/dma/medicaid/index.htm

  SCHIP
  http://www.ncdhhs.gov/dma/healthchoice/who.htm



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                                                                                     37
Applications for Assistance

  Food Stamp
  http://info.dhhs.state.nc.us/olm/forms/dss/dss-8207.pdf

  Child Care
  http://info.dhhs.state.nc.us/olm/forms/dcd/dcd-0456.pdf

  Medicaid / SCHIP
  http://www.dhhs.state.nc.us/dma/medicaid/applications.htm


                                             NORTH DAKOTA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.legis.nd.gov/information/acdata/html/75-02.html

  Food Stamp
  http://www.state.nd.us/robo/projects/foodstamp/foodstamp.htm

  Child Care
  http://www.legis.nd.gov/information/acdata/pdf/75-04-04.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS032393&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.nd.gov/dhs/services/financialhelp/foodstamps.html

  TANF
  http://www.nd.gov/dhs/services/financialhelp/tanfjobs.html

  Child Care
  http://www.nd.gov/dhs/services/financialhelp/childcare.html

  Medicaid
  http://www.nd.gov/dhs/services/medicalserv/medicaid/

  SCHIP
  http://www.nd.gov/dhs/services/medicalserv/chip/

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38
Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.nd.gov/dhs/info/pubs/application.html
  http://www.nd.gov/dhs/info/pubs/docs/sfn-405-application-for-assistance.pdf

  Child Care
  http://www.nd.gov/eforms/Doc/sfn00598.pdf

  Medicaid / SCHIP
  http://www.nd.gov/dhs/services/medicalserv/chip/apply.html
  http://www.nd.gov/eforms/Doc/sfn00502.pdf Printable Application

Online Benefit Screener/Calculator

  Food Stamp Only
  http://www.ndhealth.gov/dhs/foodstampcalculator.asp


                                                    OHIO
                                  Ohio does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp State Plan
  http://jfs.ohio.gov/ofam/fsStateplan.stm

  TANF
  http://jfs.ohio.gov/owf/plan_new.stm

  Child Care
  http://www.odjfs.state.oh.us/lpc/mtl/#CCMTL

  Medicaid
  http://jfs.ohio.gov/OHP/infodata/publications.stm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS032410&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://jfs.ohio.gov/factsheets/foodstamps.pdf


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                                                                                     39
  TANF
  http://jfs.ohio.gov/factsheets/OWF.pdf

  Child Care
  http://jfs.ohio.gov/cdc/page4.stm

  Medicaid
  http://jfs.ohio.gov/OHP/consumer.stm

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://www.odjfs.state.oh.us/forms/file.asp?id=53924

  Child Care Application
  http://jfs.ohio.gov/cdc/docs/JFS%2001138%201-2008.pdf

  Medicaid / SCHIP
  http://jfs.ohio.gov/OHP/consumers/Application.stm


                                                  OKLAHOMA
                               Oklahoma does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp
  http://www.okdhs.org/library/policy/oac340/050/

  TANF
  http://www.okdhs.org/library/policy/oac340/010/

  Child Care
  http://www.okdhs.org/library/policy/oac340/040/

  Medicaid
  http://www.okdhs.org/library/policy/oac317/035/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS039220&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.okdhs.org/programsandservices/food/snap/docs/fsreqs.htm

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40
  TANF
  http://www.okdhs.org/programsandservices/tanf/

  Child Care
  http://www.okdhs.org/programsandservices/cc/asst/docs/faq.htm#4

  Medicaid
  http://www.okdhs.org/programsandservices/health/med/docs/elig.htm#eligibility

  SCHIP
  http://www.okhca.org/individuals.aspx?id=52&column=true&part1=152&part2=154

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://www.okdhs.org/library/forms/fssd/default.htm
  http://www.okdhs.org/NR/rdonlyres/EA913428-A7D2-4FE8-8CD9-
  1628C5B5CFF8/0/08MP001E.pdf

  Medicaid (for children) / SCHIP
  http://www.okhca.org/publications/pdflib/SCapplication_english.pdf

                                                  OREGON

Policy Manuals/Materials

  Medicaid State Plan
  http://www.oregon.gov/DHS/healthplan/tools_policy/stateplan.shtml

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.dhs.state.or.us/policy/selfsufficiency/em_firstpage.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS039429&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp (including eligibility calculator)
  http://www.oregon.gov/DHS/assistance/foodstamps/foodstamps.shtml#eligible

  TANF
  http://www.oregon.gov/DHS/assistance/cash/tanf.shtml

  Child Care
  http://www.oregon.gov/DHS/children/childcare/main.shtml

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                                                                                     41
  Medicaid/SCHIP
  http://www.oregon.gov/DHS/healthplan/app_benefits/main.shtml

  Family Health Insurance Assistance Program
  http://www.oregon.gov/OPHP/FHIAP/member.shtml

Applications for Assistance

  Food Stamps, TANF, Child Care, Medicaid
  http://dhsforms.hr.state.or.us/Forms/Served/DE0415FS.pdf

  Medicaid / SCHIP
  http://dhsforms.hr.state.or.us/Forms/Served/HE7210pkt.pdf

Online Benefit Screeners/Calculators

  Food Stamp Only
  http://fsestimate.hr.state.or.us/

  Multi-Program
  http://www.oregonhelps.org/

                                             PENNSYLVANIA

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.dpw.state.pa.us/oimpolicymanuals/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS039899&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dpw.state.pa.us/ServicesPrograms/FoodStamps/

  TANF
  http://www.dpw.state.pa.us/ServicesPrograms/CashAsstEmployment/003676612.htm

  Child Care
  http://www.dpw.state.pa.us/ServicesPrograms/ChildCareEarlyEd/

  Medicaid
  http://www.dpw.state.pa.us/ServicesPrograms/MedicalAssistance/

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42
  SCHIP
  http://chipcoverspakids.com/

Applications for Assistance

  Food Stamp, TANF, Medicaid, SCHIP
  http://www.dpw.state.pa.us/Resources/Documents/Pdf/FillInForms/APPL-FOR-
  BENEFITS.pdf

  Online Cross-Program Application
  https://www.humanservices.state.pa.us/COMPASS/PGM/ASP/SC001.asp

  Food Stamp
  http://www.dpw.state.pa.us/Resources/Documents/Pdf/FillInForms/oimPA600FSO.pdf

Online Benefit Screener/Calculator

  Multi-Program
  https://www.humanservices.state.pa.us/COMPASS/PGM/ASP/SC001.asp


                                              RHODE ISLAND
         SCHIP program for unborn children only; otherwise, SCHIP implemented as Medicaid expansion

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://www.ridhscode.org/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS039918&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Child Care, Food Stamp, Medicaid, and TANF
  http://www.dhs.ri.gov/dhs/dserfch.htm

Applications for Assistance

  Medicaid (Managed Care Program)
  http://www.dhs.state.ri.us/dhs/famchild/shcare.htm 
  http://www.ridhseligscreening.org/English/Engl_App2-07.pdf Printable Application


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                                                                                                      43
                                            SOUTH CAROLINA
                              South Carolina does not have a separate SCHIP program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  Search South Carolina Code of Regulations: http://www.scstatehouse.gov/coderegs/statmast.htm
  Search South Carolina Code of Laws: http://www.scstatehouse.gov/code/statmast.htm

  TANF State Code
  http://www.scstatehouse.net/code/t43c005.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040094&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamps, TANF
  http://www.state.sc.us/dss/services/index.html

  Food Stamp
  http://dss.sc.gov/content/customers/food/foodstamp/index.aspx

  TANF
  http://dss.sc.gov/content/customers/finance/index.aspx

  Child Care
  http://dss.sc.gov/content/customers/childcare/index.aspx
  http://childcare.sc.gov/main/general/programs/abc/index.aspx

  Medicaid
  http://www.dhhs.state.sc.us/medicaid.asp

  SCHIP
  http://www.scdhhs.gov/insidedhhs/bureaus/bureauofeligibilityprocessing/phc.asp

Applications for Assistance

  Food Stamps, TANF
  http://dss.sc.gov/content/library/forms/files/3800.pdf

  Medicaid / SCHIP
  http://www.scdhhs.gov/Q&As.asp Tool to select application document
  http://www.dhhs.state.sc.us/internet/pdf/FM%20505.pdf General form

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Online Benefit Screeners/Calculators

  Food Stamp Only
  http://www.healthyhelpings.org/benefitcalc.htm

  Child Support Obligation Only
  http://www.state.sc.us/dss/csed/calculator.htm


                                               SOUTH DAKOTA
                                       Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamps
  http://dss.sd.gov/foodstamps/FSManual/index.htm
  http://legis.state.sd.us/rules/DisplayRule.aspx?Rule=67:13

  TANF
  http://legis.state.sd.us/rules/DisplayRule.aspx?Rule=67:10

  Medicaid
  http://legis.state.sd.us/rules/DisplayRule.aspx?Rule=67:46

  Child Care
  http://dss.sd.gov/childcare/docs/CCSStatePlan.pdf
  (new state plan will be posted by May 15, 2009 at http://dss.sd.gov/childcare/stateplan.asp)

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040229&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://dss.sd.gov/foodstamps/

  TANF
  http://dss.sd.gov/tanf/

  Medicaid
  http://dss.sd.gov/medicaleligibility/familieschildren/medicalassistance.asp

  SCHIP
  http://dss.sd.gov/medicalservices/chip/index.asp

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  Child Care
  http://dss.sd.gov/childcare/

Applications for Assistance

  Food Stamps, TANF, Medical Assistance
  http://dss.sd.gov/formspubs/docs/FOODSTAMP/EAApplication.pdf

  Child Care
  http://dss.sd.gov/formspubs/docs/CCS/CCSApplication.pdf

  Online Child Care
  https://www.state.sd.us/applications/ss45/ChildCareAssistance.asp

  Medicaid (parents and children)/SCHIP
  http://dss.sd.gov/formspubs/docs/MEDELGBLTY/DSS-EA-301MCHIP.pdf


                                                  TENNESSEE
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid
  http://www.state.tn.us/sos/rules/1240/1240-01/1240-01.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040265&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://tennessee.gov/humanserv/adfam/afs_fsp.html

  TANF
  http://tennessee.gov/humanserv/adfam/afs_tanf.html

  Child Care
  http://tennessee.gov/humanserv/adfam/cc_main.html

  Medicaid
  http://tennessee.gov/humanserv/adfam/afs_med.html


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46
  SCHIP
  http://www.covertn.gov/web/cover_kids.html

Applications for Assistance

  Food Stamp, TANF, Medicaid
  https://fabenefits.dhs.tn.gov/vip/website/signupservlet?pagename=homepage

  Medicaid
  http://state.tn.us/humanserv/forms/hs-0169.pdf

  SCHIP
  http://www.coverkids.com/


                                                  TEXAS

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.dads.state.tx.us/handbooks/TexasWorks/

  Child Care
  http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=4&ti=40&pt=20&ch=809

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040290&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.hhsc.state.tx.us/Help/index.html

  Medicaid/SCHIP
  http://www.hhsc.state.tx.us/Help/index.html

Applications for Assistance

  Food Stamp, TANF, Medicaid/SCHIP
  https://www.yourtexasbenefits.com/wps/themes/html/SSPortal/downloads/H1010_April2008E
  nglish.pdf

  Medicaid (for children)/SCHIP
  http://www.chipmedicaid.com/english/apply.htm

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Online Benefit Screeners/Calculators

  Food Stamp Only
  http://www.hhsc.state.tx.us/programs/FoodStamps/estimator/index.html

  Multi-Program
  https://www.yourtexasbenefits.com/


                                                  UTAH

Policy Manuals/Materials

  Food Stamp, TANF, Child Care
  http://www.rules.utah.gov/publicat/code/r986/r986.htm

  TANF State Plan
  http://jobs.utah.gov/edo/stateplans/

  Medicaid
  http://utahcares.utah.gov/infosourcemedicaid/

  SCHIP
  http://utahcares.utah.gov/infosourcechip/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040463&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://jobs.utah.gov/opencms/customereducation/services/foodstamps/index.html

  TANF
  http://jobs.utah.gov/services/financial/fep.asp

  Child Care
  http://jobs.utah.gov/opencms/occ

  Medicaid
  http://health.utah.gov/medicaid/ 
  http://jobs.utah.gov/opencms/customereducation/services/medicaid/fmo.html

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48
  SCHIP
  http://health.utah.gov/chip/
  http://jobs.utah.gov/opencms/customereducation/services/medicaid/chip.html

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid
  http://jobs.utah.gov/opencms/forms/61APP.pdf

  Online Application for Food Stamp, TANF, Child Care, Medicaid
  http://www.utahhelps.utah.gov/

  Medicaid (all categories)/SCHIP
  http://jobs.utah.gov/opencms/forms/61MED.pdf

  Online Application for SCHIP
  https://utahclicks.org/uas/


                                                  VERMONT

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.leg.state.vt.us/statutes/chapters.cfm?Title=33

  TANF State Plan (Renewal)
  http://dcf.vermont.gov/sites/dcf/files/pdf/esd/TANF-state-plan-2006-2009.pdf

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040486&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://dcf.vermont.gov/esd/3SquaresVT

  TANF
  http://dcf.vermont.gov/esd/reach_up

  Child Care
  http://dcf.vermont.gov/cdd/pay_child_care/subsidy


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  Medicaid/SCHIP
  http://dcf.vermont.gov/esd/health_insurance
  http://www.greenmountaincare.org/about/green_mountain_care_programs.html

Applications for Assistance

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://dcf.vermont.gov/sites/dcf/files/pdf/esd/Form202.pdf


                                                  VIRGINIA
                                    Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp
  http://www.dss.virginia.gov/benefit/foodstamp.html

  TANF
  http://www.dss.virginia.gov/benefit/tanf/manual.cgi

  Child Care
  http://www.dss.virginia.gov/family/cfs_plan.html

  Medicaid/SCHIP
  http://www.dss.virginia.gov/benefit/me_famis/manual.cgi

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040543&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.dss.virginia.gov/benefit/foodstamp.html

  TANF
  http://www.dss.virginia.gov/benefit/tanf/

  Child Care
  http://www.dss.virginia.gov/family/cc/

  Medicaid
  http://www.dss.virginia.gov/benefit/me_famis/

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50
  SCHIP
  http://www.famis.org/welcome.cfm?lang=English

Applications for Assistance

  Food Stamp, TANF, Medicaid/SCHIP
  Part I: http://www.dss.state.va.us/form/pdf/032-03-875.pdf
  Part II: http://www.dss.state.va.us/form/pdf/application_for_benefits.pdf

  Child Care
  http://www.dss.virginia.gov/form/pdf/032-02-109_3.pdf

  Medicaid (children only)/SCHIP
  http://www.famis.org/apply.cfm?lang=English
  http://www.famis.org/materials/HealthInsuranceApplicationForChildrenAndPregnantWomen.p
  df Printable Application

Online Benefit Screener/Calculator

  Multi-Program
  http://dssiad.dss.state.va.us/EligibilityScreening/


                                              WASHINGTON

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www1.dshs.wa.gov/esa/eazmanual/

  TANF/WorkFirst Handbook
  http://www1.dshs.wa.gov/ESA/wfhand/

  Child Care
  http://www1.dshs.wa.gov/esa/wccc/

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040815&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp, Child Care, Medicaid/SCHIP
  https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/services.asp


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  Food Stamp
  https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/food_assistance_program.asp

  TANF
  https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/tanf_support_services.asp

  Child Care
  https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/wccc.asp

  Medicaid / SCHIP
  https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/medical.asp

Applications for Assistance

  Online Application for Food Stamps, TANF, Child Care, Medicaid/SCHIP
  https://fortress.wa.gov/dshs/f2esaapps/esaosa/

  SCHIP
  https://fortress.wa.gov/dshs/maa/CHIP/Howtoapply.html

  Food Stamp Printable Application
  http://www1.dshs.wa.gov/pdf/ms/forms/14_001.pdf

Online Benefit Screener/Calculator

  Multi-Program
  http://www1.dshs.wa.gov/esa/TEC/

                                              WEST VIRGINIA

Policy Manuals/Materials

  Food Stamp, TANF, Medicaid/SCHIP
  http://www.wvdhhr.org/bcf/family_assistance/policy.asp

  Child Care
  http://www.wvdhhr.org/bcf/ece/earlycare/policy.asp

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS040836&intNumPerPage=2000

Descriptive Program and Eligibility Information

  Food Stamp
  http://www.wvdhhr.org/bcf/family_assistance/fs.asp

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  TANF
  http://www.wvdhhr.org/bcf/family_assistance/wvworks.asp

  Medicaid
  http://www.wvdhhr.org/bcf/family_assistance/medicaid.asp

  SCHIP
  http://www.wvchip.org/

Applications for Assistance

  Online Application for Food Stamps, Medicaid (children and pregnant women only),
  SCHIP
  https://www.wvinroads.org/

  Medicaid (for children)/SCHIP
  http://www.wvchip.org/apply_help.shtml
  http://www.wvchip.org/2007%20documents/2007%20CHIP%20Application.pdf

Online Benefit Screener/Calculator

  Food Stamp Only
  Screener is component of online application
  https://www.wvinroads.org/

                                                WISCONSIN
                                     Combination SCHIP / Medicaid program

Policy Manuals/Materials

  Food Stamp
  http://www.emhandbooks.wi.gov/fsh/

  TANF
  http://dcf.wisconsin.gov/tanf/tanfstateplans.htm

  Child Care
  http://dcf.wisconsin.gov/childcare/WISHARES/default.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS041128&intNumPerPage=2000


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                                                                                     53
Descriptive Program and Eligibility Information

  Food Stamp
  http://dhs.wisconsin.gov/foodshare/index.htm

  TANF
  http://dcf.wisconsin.gov/tanf/

  Child Care
  http://dcf.wisconsin.gov/childcare/WISHARES/default.htm

  Medicaid
  http://www.dhfs.state.wi.us/medicaid/index.htm

  SCHIP
  http://www.badgercareplus.org/

Applications for Assistance

  Food Stamp, Medicaid, SCHIP
  http://access.wisconsin.gov/access/

  TANF
  http://dcf.wisconsin.gov/w2/apply_for_services.htm Not an application, just agency listing.

  Medicaid (families and children)
  http://dhs.wisconsin.gov/medicaid/applications.htm

Online Benefit Screener/Calculator

  Multi-Program
  http://access.wisconsin.gov/access/

                                                  WYOMING

Policy Manuals/Materials

  Food Stamp, TANF, Child Care, Medicaid/SCHIP
  http://www.thresholdcomputer.net/dfs/training.htm

  SCHIP State Plan and Factsheet
  http://www.cms.hhs.gov/LowCostHealthInsFamChild/CHIPASPI/itemdetail.asp?filterType=du
  al,%20keyword&filterValue=Current%20State%20Plan&filterByDID=0&sortByDID=2&sortOr
  der=ascending&itemID=CMS041160&intNumPerPage=2000

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Descriptive Program and Eligibility Information

  Food Stamp
  http://dfsweb.state.wy.us/foodstampinfo.html

  TANF
  http://dfsweb.state.wy.us/POWER.HTML

  Child Care
  http://dfswapps.state.wy.us/

  Medicaid
  http://wdh.state.wy.us/healthcarefin/equalitycare/index.html

  SCHIP
  http://www.health.wyo.gov/healthcarefin/chip/about.html

Applications for Assistance

  Food Stamp
  http://dfsweb.state.wy.us/pdf/FoodStampDFS100.pdf

  Medicaid (children and parents)/SCHIP
  http://www.health.wyo.gov/healthcarefin/chip/apply.html

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