Need assistance filling out this application? 0000016824 00000 n ?R#1~L D`?UMO;a]=fwB6cgd!dC7|-pqtx=mdY-pqOvgfWvNj._^}:K1+tco,bYSgl2~)\xM^_y76kVY+pI.{,d+YYAg%o{Yg}5ks\A,8s3\8s::::::::::::/R$Zs{ik.vyqr) ~ %PDF-1.3 Please do not use the Forward, Back or Stop buttons on your browser. 0000070546 00000 n 215 64 To check your status, you can log in to your account at commonhelp.virginia.gov by clicking the Check My Benefits button or call 1-855-242-8282 (TDD: 1-888-221-1590). Return it to your local DSS. Learn how assistance benefits can work for individuals and families through the below programs: Financial assistance is provided to eligible families to help with the cost of child care so they can work or attend education programs, Low-income households may receive assistance with their energy bills, SNAP can be used like cash to buy eligible food items with an EBT card from authorized retailers, Provides financial assistance to eligible individuals with Supplemental Security Income (SSI) and other low-income individuals interested in residing in a Department of Social Services licensed assisted living facility or a local department of social services approved adult foster care home, TANF is designed to help needy families achieve self-sufficiency and Virginia receives block grants that fund these support programs. CommonHelp is provided by the Virginia Department of Social Services. Create Your Account In CommonHelp 1. endstream endobj 277 0 obj <>/Filter/FlateDecode/Index[33 182]/Length 29/Size 215/Type/XRef/W[1 1 1]>>stream Apply for SNAP, Medicaid, TANF and More Apply online any time, any day at CommonHelp. The .gov means it's official. O4#0 -R Forms Virginia Department of Social Services May 8th, 2018 - Application Forms by Category Children Under Age 19 Apply Online Through CommonHelp Other Ways to Apply for Medical Assistance PDF Parents amp Caretakers of Dependent Children baato.esewa.com.np 3 / 6 3 0 obj 215 0 obj <> endobj A Quick Guide to Using CommonHelp provides information on Virginia's fast and easy way to apply online for many social services assistance programs. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you are unable to apply for benefits, you can assign someone to do so on your behalf. pin, to any unsolicited source. You will have to create a CommonHelp account and apply for these programs to get a final decision about assistance, but we will help guide you through that process. CommonHelp is the Commonwealth of Virginia's fast and easy way to apply online for many Virginia social services assistance programs. considered an application for SNAP, unless you request otherwise. <> In March 2023, all SNAP households' benefits A SNAP account is established for eligible households and automatic deposits are made into the account each month. 11 0 obj Federal Legal Base - Food and Nutrition Act of 2008, Federal Regulation Base - 7 CFR, 271 through 283. Web Upload is a quick and easy way to file and pay employer withholding, income tax statements (W-2/1099s), sales tax, and partnership VK-1 schedules. Instead, use the CommonHelp buttons at the bottom of each page. An interview will be required unless you meet the conditions for a. xs^n6/N({Y17Wedg!j&l;t8=[mPMmJ$b=8 4r&FG~Vv Allows customer the ability to upload documents to submit with application, appoint an authorized representative, authorize a Certified Application Counselor or Navigator or Broker. hU]k0+,C 8]JD$u~JcIuk]~\"I"j"|f`5Ds kB+gZ #W&&4hI8M@No$\H\Yn5E3OW Richmond, Virginia 23219. notary@governor.virginia.gov. to meet immigration status rules, provide immigration documents, or have a Social Security number to be eligible for FAMIS Prenatal Coverage. 0000015460 00000 n To access the account, they will also receive an EBT Card, which will debit 0000008961 00000 n waiver CommonHelp lets you see if you are able to get help with: Cash Assistance (TANF) Child Care Assistance Energy Assistance Food Assistance (SNAP) Health Care Coverage You can choose to apply only for health care coverage or multiple benefit programs. An Agency of the Commonwealth of Virginia, Supplemental Nutrition Assistance Program (SNAP), Mandated Reporters - Training & Resources, Cash from Tax Refunds and Help for Filing Tax Returns, SNAP Employment & Training Program (SNAP E&T), WIC, Food Bank & Other Nutritional Assistance, Temporary Assistance for Needy Families (TANF), Substance Use Disorder Prevention and Recovery, Interstate Compact on Adoption & Medical Assistance (ICAMA), Interstate/Intercountry Placement of Children (ICPC), Education and Training Voucher (ETV) Program, Background Investigations - Adult Facilities, Background Investigations - Child Welfare Programs, Search for a Children's Residential Facility, Screen for eligibility and/or apply online through If you also want to apply for other benefits, you can apply online at commonhelp.virginia.gov. Learn more. endobj endstream endobj startxref But, if you don't provide any evidence or give us the information we need to . ",#(7),01444'9=82. Why has my coverage changed? $.' ), residence, income, resource and If this is your first time applying for assistance, you can visit Get an application mailed to you. 485 0 obj <> endobj to use the card. <]/Prev 978095/XRefStm 1980>> 0000002307 00000 n Apply by phone for Medicaid, SNAP, TANF, and more. Please select the type of programs that you would like to see if you may be eligible to receive. First-time users will be required to create an account to begin using CommonHelp. You can choose from three different ways to apply: Visit CoverVa.org (or CubreVirginia.org) for more information: Detailed information about Virginias Medicaid and FAMIS programs for children, pregnant women and adults as well as information about health insurance options available through the Federal Marketplace. You should have the following information ready when you apply: % You can also use this page to find information about the benefit programs, partner agencies, and navigating CommonHelp. ~&?dW+xCZ={)t8Bg0 Y,rw`k-V/eK^~6\Tx*=JOSTx*=JOSF2/K+*~i{1r-DUC98` s Click here to create an account. retailers. H\@z9`]! <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI ]/XObject <>>>/Type /Page >> 0000018139 00000 n {1lE5k:GypyMuEhOK^Ij>M"r]R-OS=*OS''B!8, _LzB\o>(``bKV`4Y; e:esu|]]:&')ok HWt x}Rn0A()5tNA$-H]Tb%(5?GIp-Z P2h 804-692-0114. CommonHelp Help for Families Check eligibility, apply and see status of benefits, online. 0000002979 00000 n 0000007684 00000 n JFIF ` ` C part-time in a higher education institution. The call is free. 1 0 obj endstream endobj 230 0 obj <>stream 0000021983 00000 n A manual application cannot be processed and is not considered complete until it is Federal government websites often end in .gov or .mil. xref www.commonhelp.virginia.gov. DHRM Job Opportunities in State Government Agencies are hiring now. !EVqJ5M>p_HM63#YS=*:X`22HmFuC:;-n apply for SNAP at the local Social Security office. 0000001980 00000 n 6 0 obj \eiClS0UVMg~4T{"]* ^NMbT\W=X 503 0 obj <>stream 0 the account each time eligible food items are purchased. 12 0 obj 0000209989 00000 n 0000003539 00000 n 0000004838 00000 n 3( UN"](&21"kH#5cHjJAr0LV(M1a[f"Y pU)dpY0?xLQzaq2PVj@qh 6+ApAZ08ASc6Bb24>f'N P8 <> Office of the Secretary of the Commonwealth. Beginning on April 1st, VA Medicaid will be returning to normal enrollment processes. Department of Medical Assistance Services, (TDD: 1-888-221-1590) to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm, to your local Department of Social Services (, Find your nearest local Department of Social Services, Check out our easy eligibility screening tool, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb. To learn more about other energy assistance resources in your area, please contact Virginia 2-1-1 online or by phone by dialing 2-1-1. %PDF-1.5 % 9 0 obj {` 6s_C`>Yl~80c?t1\kl=S?]md]p T~od?bb?f4}sf]8D{s6[v]S7m CommonHelp, Federal Marketplace, Medicaid What if I can't pay my bills? To submit renewal paperwork, interim reports, or other requested documents, email us at [email protected]. 0000000016 00000 n When you apply, you will need this information: Full legal name; Date of birth ; Social Security numbers (or document numbers for any legal immigrants who . endstream endobj 486 0 obj <>/Metadata 51 0 R/Pages 483 0 R/StructTreeRoot 89 0 R/Type/Catalog>> endobj 487 0 obj <>/MediaBox[0 0 612 792]/Parent 483 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 488 0 obj <>stream JFIF C Asks to review all the information entered in CommonHelp up to this point; provides a Summary chance to make additions or corrections. Authorized retailers will display either the Quest logo or a picture of a Virginia EBT card. Information on how to make an application for Medicaid. CommonHelp is a quick and easy resource for people who live in Virginia to check the status of their benefits, report changes to their status, and find out if they may be eligible to receive the following: Through CommonHelp, new users can access an online tool to see what help or benefits they may qualify for before applying. Applications for Temporary Assistance for Needy Families (TANF) or General Relief, are Contact the Enterprise Call Center at 855-635-4370. 0000020822 00000 n 600 East Broad StreetRichmondVirginia. 0000070816 00000 n the February 2023 issuance. For further information/mailing address: Authentications Director. 0000073519 00000 n <> stream CommonHelp lets you see if you are able to get help with: Children's Health Insurance (FAMIS/FAMIS Plus)), Medicare Part D Costs Savings Program (Medicaid for Medicare Beneficiaries. <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI ]/XObject <>>>/Type /Page >> 0000017761 00000 n at. 1 0 obj % Apply online at commonhelp.virginia.gov; Apply by calling the Cover Virginia Call Center at 1-833-5CALLVA (1-833-522-5582) (TDD: 1-888-221-1590), Monday - Friday, 8 a.m. to 7 p.m., and Saturday, 9 a.m. to noon. Proof of identity (driver's license or picture I.D. 0000003133 00000 n Use the CommonHelp website: CommonHelp.virginia.gov/access Call the Enterprise Customer Service Center (ECSC) at 1-855-635-4370, Monday - Friday 8am - 7pm, Sat 9am-Noon Call the Cover Virginia Call Center at 1-855-242-8282, Monday - Friday 8am - 7pm, Sat 9am-Noon You . endobj Or call the Virginia Department of Social Services Enterprise Call Center at 1-855-635-4370. endobj %%EOF endobj Call the Cover Virginia Call Center . xKkPYB4@.Y.J+#BR*6;gffpv6_/b& pxuH0mY8XWx?X-KVF$]Q(\Zf1 ? You can choose to apply only for health care coverage or multiple benefit programs. endobj You may need to set up an account before uploading your documents. Use the mouse to select the type of programs that you would like to see if you may be eligible to receive. . endobj You can also use this page to find information about the benefit programs, partner agencies, and navigating CommonHelp. Finish Summary CommonHelp is a quick and easy resource for people who live in Virginia to check the status of their benefits, report changes to their status, and find out if they may be eligible to receive the following: Low or no-cost health care Help with buying prescription drugs Help with paying for child care Home energy assistance Help with buying food Unclaimed property. 0000015861 00000 n hbbd``b`$k@D`^ 0000016986 00000 n endstream endobj 227 0 obj <>stream endobj By linking your case to your CommonHelp account: you can see your case information, check your benefits, renew your benefits, and report changes. The application window for the Virginia COVID-19 EAP has closed, effective November 20. $.' 14 0 obj 0000010244 00000 n Energy disconnection support, financial resources for youth previously in foster care, rent relief, child support, housing crisis resources, tax credits Beginning on April 1st, VA Medicaid will be returning to normal enrollment processes. endstream endobj 490 0 obj <>stream Answer short questions and receive information on eligibility for benefits, Submit a request to continue/renew benefits, Check the status of an application or get information about a case, Update or report information about a household, Provide an address to find the nearest local office, Receive job referrals and placements, referrals to trainings, and job search skill-building support. 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