Unsigned Applications

An application or renewal form is considered invalid when:

it is received without a signature below the penalty of perjury statement; or

the agency receives an application without a signature and does not accept the application by giving the application an established file date.

Staff must return the application with a letter and a self-addressed return envelope explaining that the application must be signed before the agency can establish a file date.

If the agency receives and accepts an application without a signature and the application is given an established file date in error, the date the application is received is considered a valid file date. Staff must send Form H1020, Request for Information or Action , along with the signature page requesting a signature. If the person applying for Medicaid fails to provide a signed application by the final due date, staff must deny the application for failure to provide information.

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Unsigned Applications

Official source

An application or renewal form is considered invalid when:

it is received without a signature below the penalty of perjury statement; or

the agency receives an application without a signature and does not accept the application by giving the application an established file date.

Staff must return the application with a letter and a self-addressed return envelope explaining that the application must be signed before the agency can establish a file date.

If the agency receives and accepts an application without a signature and the application is given an established file date in error, the date the application is received is considered a valid file date. Staff must send Form H1020, Request for Information or Action , along with the signature page requesting a signature. If the person applying for Medicaid fails to provide a signed application by the final due date, staff must deny the application for failure to provide information.