Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? Make sure your address and phone number are up to date so you can stay enrolled. Report a change.
Income Best Estimate guide
July 25, 2014
|Obtain proof of income (e.g., pay stub, employer statement, tax return) from the individual to answer the following:|
|Rate of pay:||
|Changes expected during the certification period:||