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Katie Beckett Medicaid: Forms and Publications

You can now manage your Katie Beckett Medicaid benefits online!

Katie Beckett Medicaid members can now use the ACCESS website to manage their benefits.
 

What you need to know

  • Easier access: Manage your benefits, check your information, upload documents, and find other helpful programs and supports online.
  • Get started: Create an ACCESS account on the ACCESS website.
  • Already have an account? Use your existing ACCESS account for Katie Beckett Medicaid.

Need help with your ACCESS account?

If you have questions, contact Member Services at 800-362-3002 or visit the ACCESS support page. Please note that Katie Beckett Medicaid staff are not able to answer questions about ACCESS.

Below is a list of all Katie Beckett Medicaid documents. 

When you are searching for a document, enter the number or a portion of the title in the search box below.

Assigned Number Title Release Date File Type Language Available to Order
F-03096BS Katie Beckett Release of Information: Clinic Specific, Spanish 05/2023 PDF Spanish No
F-03096KA Katie Beckett Release of Information, Karen 05/2023 Word Karen No
F-03096B Katie Beckett Release of Information: Clinic Specific 05/2023 Word English No
F-03096BH Katie Beckett Release of Information: Clinic Specific, Hmong 05/2023 Word Hmong No
F-03096H Katie Beckett Release of Information, Hmong 05/2023 PDF Hmong No
F-03096 Katie Beckett Release of Information 05/2023 PDF English No
F-20582BS Medicaid - Katie Beckett Program Recertification, Spanish 03/2023 Word Spanish No
F-20582 Medicaid - Katie Beckett Program Application 03/2023 Word English No
F-20582I Instructions for Completing the Application for Katie Beckett Medicaid 03/2023 PDF English No
F-20582IS Instructions for Completing the Application for Katie Beckett Medicaid, Spanish 03/2023 PDF Spanish No
F-20582B Medicaid - Katie Beckett Program Recertification 03/2023 Word English No
F-20582BH Medicaid - Katie Beckett Program Recertification, Hmong 03/2023 Word Hmong No
F-20582S Medicaid - Katie Beckett Program Application, Spanish 03/2023 Word Spanish No
F-20582IH Instructions for Completing the Application for Katie Beckett Medicaid, Hmong 03/2023 PDF Hmong No
F-20582H Medicaid - Katie Beckett Program Application, Hmong 03/2023 Word Hmong No
F-03096AS Katie Beckett Release of Information Instructions, Spanish 02/2023 PDF Spanish No
F-03096A Katie Beckett Release of Information, Instructions 02/2023 PDF English No
F-03096AH Katie Beckett Release of Information Instructions, Hmong 02/2023 PDF Hmong No
F-03102 Katie Beckett Disability Evaluation Form 11/2022 Word English No
F-03102 Katie Beckett Disability Evaluation Form 11/2022 PDF English No
P-02991 Children's Services Programs: Cross Comparison 02/2022 PDF English Yes
P-02991S Children's Services Programs: Cross Comparison, Spanish 02/2022 PDF Spanish Yes
P-02991H Children's Services Programs: Cross Comparison, Hmong 02/2022 PDF Hmong Yes
P-03061 Children's Programs Eligibility and Functional Screen 07/2021 PDF English Yes
P-03061S Children's Programs Eligibility and Functional Screen, Spanish 07/2021 PDF Spanish No

Glossary

 
Last revised January 25, 2023