Patients must provide the following documents for eligibility determination:

  • Photo ID
  • Address verification document (utility bill, telephone/cable bill, etc.)
  • Federal Income Tax Return from last year
  • Medicaid denial letter
  • Proof of Income for ALL Household Members. The following documents could qualify as proof:

     -Benefits Award Letter (Social Security, SSI, or SSDI)

     -Unemployment Notice of Determination

     -Payroll stubs for 4 weeks

     -Alimony, child support, pension, etc. 

We require our patients to RENEW their eligibility each year by submitting the above documents to us.