State Interstate Match Contact
State Interstate Match Contact
The State Interstate Match Contact is for states, Puerto Rico and the District of Columbia, to post contact information for interstate communication to assist in resolving matches. This is to augment the contact information already provided within each interstate match, and to reduce contact to PARIS State Administrative Representatives.
States looking to update their interstate match contact information should email requests to PARIS@acf.hhs.gov. All requests for updates should either come from or cc the applicable State Administrative Representative(s).
State Data
Alabama
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: April 12, 2021 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Alaska
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 |
Arizona
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: January 17, 2025 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: January 17, 2025 |
Arkansas
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: None Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
California
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) ii. Phone: ______ B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Colorado
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) # 1 Email, # 2 Phone, # 3 FAX Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: October 11, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: October 11, 2023 |
Connecticut
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) ii. Phone:
iii. FAX: 860-424-5333 B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 19, 2021 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 19, 2021 |
Delaware
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) ii. Phone: ______ B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: "Out-of-State Inquiry" in subject line, include your contact information. Include the names and date of birth for household members and their last 4 digits of SSN. List current address for household and date it was reported to your state. Expect an email response within 5 business days. Last Updated: August 30, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions:
Last Updated: August 30, 2024
|
District of Columbia
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions:
Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 |
Florida
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: More information is available at https://www.myflfamilies.com/service-programs/access/out-of-state-inq... Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Georgia
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 |
Hawaii
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: To determine if individual is still on Hawaii Medicaid, use the contact information on the PARIS file. If no response contact Kimberly Lutao at klutao@dhs.hawaii.gov or (808) 587-7291 Last Updated: August 16, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: For SNAP fraud investigations contact W. Nicola at wnicola@dhs.hawaii.gov or (808) 587-7291 Last Updated: August 16, 2024 |
Idaho
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: February 3, 2020 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Illinois
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: May 20 2019 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Indiana
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 |
Iowa
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Kansas
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: For PARIS inquiries sent via Fax, please specify "ATTN: PARIS TEAM" on the cover sheet. Out of State inquiries not related to a PARIS match should be sent to: DCF.EBTMAIL@ks.gov Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions:
Last Updated: February 16, 2021 |
Kentucky
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Louisiana
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: When users contact DCFS for Medicaid eligibility, they are instructed to call LDH directly. Last Updated: July 29, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: When users contact DCFS for Medicaid eligibility, they are instructed to call LDH directly. Last Updated: July 29, 2024 |
Maine
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: November 19, 2019 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Maryland
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: If you do not receive a response from the contact listed in the data match within 5 business days, contact Chima Nathan (410) 767-7669 or Chima.Nathan@maryland.gov Please provide how you want information received back, either email or fax. Last Updated: April 26, 2024
| Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: April 26, 2024 |
Massachusetts
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 16, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 16, 2024 |
Michigan
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: June 1, 2022 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Minnesota
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: When contacting Minnesota, please put "PARIS Inquiry" in the subject line and provide the clients name, DOB and SSN. Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Mississippi
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: First attempt contact to phone number or fax number in file Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 |
Missouri
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 |
Montana
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Nebraska
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Nevada
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Faxed requests for coverage verification should be submitted on letterhead to include the following: Customer/Head of Household Name: Date of Birth: Last four of SSN: Address: Application Date: Interview Date: Benefits Applying for: Last Updated: January 17, 2025 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: FRAUD Inquiries only Email: IRReferral@dwss.nv.gov Last Updated: January 17, 2025 |
New Hampshire
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) ii. Phone: ______ B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: May 24, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
New Jersey
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Request must be from official government email address. No faxed request accepted. Include full name, DOB and the last 4 of SSN in your request. Last Updated: July 8, 2022 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Request must be from official government email address. No faxed request accepted. Include full name, DOB and the last 4 of SSN in your request. Last Updated: June 16, 2023 |
New Mexico
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: PARIS email inquiries must include the requestor’s signature lines with titles, and NM case numbers or SSN's. Last Updated: June 26, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Please provide the client SSN, and DOB along with their name when inquiring about MA information. Last Updated: June 26, 2024 |
New York
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 8, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 8, 2024 |
North Carolina
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Contact is county switchboard — ask to speak to interstate match worker. Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
North Dakota
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 29, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: January 26, 2024 |
Ohio
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Oklahoma
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Oklahoma Health Care Authority is secondary contact for on-line enrollment medical Last Updated: April 2, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Cover PARIS matches for Oklahoma Medicaid Online enrollment only Last Updated: April 2, 2024 |
Oregon
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Pennsylvania
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) A. Single Point of Contact: B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Match first two digits of record # with county on list. Last Updated: August 7, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) A. Single Point of Contact: B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 7, 2024 |
Rhode Island
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
South Carolina
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Fraud and PARIS matches handled by Keshawn Jacobs at Keshawn.Jacobs@dss.sc.gov Last Updated: July 19, 2023 |
South Dakota
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 |
Tennessee
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Place Paris Match in subject line. Include the begin date of eligibility and current mailing address. Last Updated: August 18, 2020 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: This contact is for verification ONLY if a termination is needed fax that request to 615-532-5236. Last Updated: March 14, 2018 |
Texas
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Fax must be on your agency letterhead. Please submit one inquiry per page. Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Utah
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Vermont
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Medical Assistance: #1 Email, #2 FAX, #3 Phone Contact Format used by State: (Answer for either A or B, but not both.) TANF and SNAP B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: December 11, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: December 11, 2023 |
Virginia
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 |
Washington
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: PARIS inquiries need to include a current mailing address and application date. Last Updated: April 26, 2024 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: April 26, 2024 |
West Virginia
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 23, 2023 |
Wisconsin
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 24, 2021 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: September 27, 2023 |
Wyoming
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: July 19, 2023 |
Puerto Rico
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: August 3, 2023 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: All inquiries should be sent with Complete SS#. Last Updated: August 3, 2023 |
Virgin Islands
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
American Samoa
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Commonwealth of the Northern Mariana Islands
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |
Guam
Primary Contact Resource | Secondary Contact Resource |
Note: The State Interstate Match Contact web page can list up to two separate contact groups per state, e.g., one for TANF/FS and secondary for MA. Submit a separate page for each contact. | |
Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 | Program Support via Contact Point (check all that apply): Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.) Contact Format used by State: (Answer for either A or B, but not both.) B. Multiple contact points: C. Contact for benefit redemption history/medical claims history if different from above: Special Instructions: Last Updated: March 14, 2018 |