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County Desk Aid - Ohio Department of Job and Family Services ...

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Appeal Summary<br />

MEDICAID INCREASE IN A MINIMUM<br />

MAINTENANCE NEEDS ALLOWANCE<br />

Examples <strong>of</strong> Appeal Summary attachments possibly needed for<br />

increase in the MMMNA issues:<br />

Documentation <strong>of</strong> income used in the determination<br />

Documentation <strong>of</strong> expenses used in the determination<br />

Verification <strong>of</strong> any existing MMMNA that was determined<br />

Documentation <strong>of</strong> alleged exceptional circumstances/extreme financial duress<br />

Notice <strong>of</strong> action by the Agency<br />

Reference <strong>of</strong> rules supporting the determination<br />

Relevant CRIS-E screens<br />

Other relevant documentation<br />

MEDICAID

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