Documentation Requirements

Medicaid, Child Health Plus and Family Health Plus documentation requirements

  • Picture identification: (for anyone ages 16 and over)
  • Proof of residency/home address: (a recent utility bill or envelope mailed to you that does NOT have a see-through window or label)
  • Proof of birth: (Original Birth Certificate, U.S. Passport, Green Card, Work Permit)
  • Social Security card: (if applicable)
  • Proof of family income: (Must show proof of the last 4 weeks worth of income)
  • A blank personal check: (for Child Health Plus B only)


The Medicaid Perinatal Care Providers Program Documentation Requirements

  • Proof of residency/home address: (a recent utility bill or envelope mailed to you that does NOT have a see-through window or label)
  • Proof of birth: (Original Birth Certificate, U.S. Passport, Green Card, Work Permit) 
  • Social Security card: (if applicable)
  • Proof of family income: (Must show proof of the last 4 weeks worth of income)
  • Picture identification

Last Update

October 5, 2010
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