State Interstate Match Contact

Federated States of Micronesia Federated States of Micronesia

Republic of the Marshall Islands Republic of the Marshall Islands

Republic of Palau Republic of Palau

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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[ X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, # 3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: PIDPARIS@medicaid.alabama.gov
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[ X ]  TANF (Temporary Assistance to Needy Families)
[ X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, # 3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[ X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[ X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[ X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[ X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: sally.dial@alaska.gov
ii. Phone: 907-269-7664
iii. FAX: 907-269-0987

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[ X ]  TANF (Temporary Assistance to Needy Families)
[ X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[ X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: sally.dial@alaska.gov
ii. Phone: 907-269-7664
iii. FAX: 907-269-0987

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: FAAPARISRequest@azdes.gov
ii. Phone: 602-542-8201
iii. FAX: 602-542-3585

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[ X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  First attempt contact to phone number or fax number in file

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: PARIS@DHCS.CA.GOV

ii. Phone: ______
iii. FAX:  (916) 440-5233

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, # 3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[ X ]  Use contact data in match
[ ] Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1  Email, #   Phone, # 2  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: Contact.Paris@ct.gov

ii. Phone: 

 

iii. FAX: 860-424-5333

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 19, 2021

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 19, 2021

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: DE_PARIS-ARMS@state.de.us

ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

 

 

 

Last Updated: March 14, 2018

 

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: jamie.washington-thomas@dc.gov
ii. Phone: 202-442—8464
iii. FAX: 202-645-4197

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: September 22, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
X ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: D11.SFL.CallCenter@myflfamilies.com
ii. Phone: 866-762-2237
iii. FAX: 866-886-4342

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions: More information is available at https://www.myflfamilies.com/service-programs/access/out-of-state-inq... Visit disclaimer page

Last Updated: October 20, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 3 Email, # 2 Phone, # 1 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ga.paris@dhs.ga.gov
ii. Phone: 877-423-4746
iii. FAX: 404-463-0093

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: July 29, 2019

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ehirabara@dhs.hawaii.gov
ii. Phone: (808) 692-8076
iii. FAX: (808) 692-8173

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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: April 2, 2019

Program Support via Contact Point (check all that apply):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: (808) 586-5720 SNAP / (808) 586-5732 TANF
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

For SNAP fraud investigations contact W. Nicola at wnicola@dhs.hawaii.gov or (808) 587-7291

Last Updated: April 2, 2019

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: SRIUWFIU@dhw.idaho.gov
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: February 3, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: DHS.OUTOFSTATE@ILLINOIS.GOV
ii. Phone: 217-524-4174
iii. FAX: 217-524-5741

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: May 20 2019

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: PARISinquiries@fssa.IN.gov
ii. Phone:
iii. FAX:

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, # 1 Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: 1-877-855-0021
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: 1-877-855-0021
iii.FAX: ______

Special Instructions:  Need client zipcode to be routed

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: DCF.PARIS@ks.gov
ii. Phone: _(785) 296-3874 __
iii. FAX:   _(785) 296-6960___

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: KS.PARISReports@conduent.com
ii. Phone: ______
iii. FAX: _(785) 338-5268___

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

 

 

Last Updated: February 16, 2021

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: CHFS.DFS.Claims@ky.gov
ii. Phone: (502) 564-3440
iii. FAX: (502) 564- 4021

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: outofstateinquiries@ky.gov
ii. Phone: (502) 564-3440
iii. FAX: (502) 564-4021

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: June 11, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: Cara.Shields@la.gov
ii. Phone: (225) 342-2342
iii. FAX:  (225) 342-9833

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: susan.wright@la.gov 
ii. Phone:(985) 543-4331
 iii. FAX: (225) 376-4753

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: Paris@Maine.gov
ii. Phone: ______
iii. FAX: 207-287-3455

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: November 19, 2019

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: paris.inquiries@maryland.gov
ii. Phone: (410) 238-1249
iii. FAX: (410) 238-1260

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions: If you do not receive a response from the contact listed in the data match within 5 business days, contact Gina Roberts  (410) 238-3550 or Gina.Roberts@maryland.gov Please provide how you want information received back, either email or fax. 

Last Updated: December 3, 2018

 

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

 

 

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:  Jody Jordan-Kiley
i. Email: Jody.Jordan@state.ma.us
ii. Phone: (617) 367-5133
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: November 19, 2019

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:  Jody Jordan-Kiley
i. Email: Jody.Jordan@state.ma.us
ii. Phone: (617) 367-5133
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: November 19, 2019

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: MDHHS-ICU-Customer-Service@michigan.gov
ii. Phone: 517-335-3900
iii. FAX: 517-335-6054

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: October 5, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#  1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: paris.project.dhs@state.mn.us
ii. FAX: 651-431-7529
iii. Phone:  651-431-3010

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: EA.CustomerService@mdhs.ms.gov 
ii. Phone: 1-800-948-3050
iii. FAX: 601-359-4435

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  First attempt contact to phone number or fax number in file

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: Cole_Howerton.FSD_C&I@dss.mo.gov 
ii. Phone: 855-373-4636
iii. FAX: 573-522-6220

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: Ask.MHD@dss.mo.gov 
ii. Phone: 573-751-3425
iii.FAX: 573-751-6564

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email:  hhsparis@mt.gov
ii. Phone: 406-444-4987
iii. FAX: 406-444-0248

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: hhsparis@mt.gov
ii. Phone: 406-444-9401
iii. FAX: 406-444-0248

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
X ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: DHHS.EconomicAssistancePolicyQuestions@nebraska.gov 
ii. Phone:  800-383-4278
iii. FAX:  402-471-9286

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: WelfOOSInquiries@dwss.nv.gov
ii. Phone:702-486-1646
iii. FAX: 775-684-0844

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Faxed requests for coverage verification should be submitted on letterhead. 

Last Updated: October 14, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email:  outofstateinquiries@dhhs.nh.gov

ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: May 24, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: DFD.FIRM@dhs.state.nj.us
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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 3, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: MAHS.NJPARISMATCH@dhs.state.nj.us
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: HSD-OIG.FRAUD@state.nm.us
ii. Phone: 505-827-8189
iii. FAX: 505-827-8165

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions: PARIS email inquiries must include the requestor’s signature lines with titles

Last Updated: September 24, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, # 1 Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: (See Spreadsheet Linked Below)
ii. Phone:(See Spreadsheet Linked Below)
iii. FAX: (See Spreadsheet Linked Below)

B. Multiple contact points:
[  ]  Use contact data in match
XNYS Contact List for PARIS 20201116.xls Link to spreadsheet as provided by the state; submit revised list to ACF (Note: NY counties can be looked up by ZIP code at https://data.ny.gov/Government-Finance/New-York-State-ZIP-Codes-Count... Visit disclaimer page )

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: November 16, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Contact is county switchboard — ask to speak to interstate match worker.

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: medicaidcc@nd.gov
ii. Phone: 1-844-854-4825 (Call Center)
iii. FAX: 701-328-1060

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: May 18, 2020

Program Support via Contact Point (check all that apply):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 3 Email, # 2 Phone, # 1 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: dhs.eap@nd.gov
ii. Phone: 701-328-2332
iii. FAX: 701-328-1060

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: OIG.PARIS@OKDHS.ORG
ii. Phone: 800-784-5887
iii. FAX: 405-522-6058

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Oklahoma Health Care Authority is secondary contact for on-line enrollment medical

Last Updated: February 23, 2021

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 2 Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: eligibility@okhca.org
ii. Phone: 1-800-987-7767
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Cover PARIS matches for Oklahoma Medicaid Online enrollment only

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: OR.Paris@state.or.us
ii. Phone: ______
iii.FAX:  503-378-3207

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 2 Email, # 1 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
X ]PA County - PARIS Match contacts - 12162020.pdf Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Match first two digits of record # with county on list.

Last Updated: December 16, 2020

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: acalitri@dhs.ri.gov
ii. Phone:  401-462-6870
iii. FAX:  401-462-2975

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email (encrypted), #2 Phone, #3 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: INTERFACES@SCDHHS.GOV
ii. Phone:  803-898-3020
iii. FAX:  803-255-8203

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: October 1, 2020

Program Support via Contact Point (check all that apply):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1  Email (encrpyted), # 2  Phone, # 3  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: scdssverify@dss.sc.gov
ii. Phone: 803-898-1764 option 6
iii. FAX:  803-898-1214 attention Nadine Livingston

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:  Fraud and PARIS matches handled by Keshawn Jacobs at Keshawn.Jacobs@dss.sc.gov

Last Updated: October 1, 2020

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
X ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: vicki.vandenbos@state.sd.us
ii. Phone: 605-773-4678
iii. FAX: 605-773-7183

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[ X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1  Email, # 2 FAX, # 2 Phone

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: paris.inquiries@tn.gov
ii. Phone: _____
iii. FAX: ______

B. Multiple contact points:
[ X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email:  ______
ii. Phone: ______
iii.FAX: ______

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):
[ X ]  TANF (Temporary Assistance to Needy Families)
[ X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
 # 1   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: 615-687-5535

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

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

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, # 1 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: 1-877-447-2839

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: 1-877-447-2839

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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
X ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, # 1 Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: 1-866-435-7414
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)

[   ]  MA (Medical Assistance)

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
TANF and SNAP: # 2 Email, # 1 FAX

Medical Assistance: #1 Email, #2 FAX, #3 Phone

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:

TANF and SNAP
i. Email: ahs.dcfesdparis@vermont.gov
ii. Phone:
iii. FAX: (802) 241-0960

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1  Email, # 3  Phone, # 2  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ReportMedicaidFraud@vermont.gov
ii. Phone: (802) 241-9210
iii. FAX: (802) 241-9072

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: July 29, 2020

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 3 Email, # 1 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
X ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#  1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: DSHSParissupport@dshs.wa.gov
ii. Phone: 1-855-927-2747 or 1-855-WAPARIS 
iii. FAX: 888-212-2319

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions: PARIS inquiries need to include a current mailing address and application date.

Last Updated: November 08, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
X ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
X ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:  (A-L Surnames)
i. Email:  tammy.w.hollandsworth@wv.gov
ii. Phone: 304-847-2861
iii. FAX: 304-847-7244
A. Single Point of Contact(M-Z Surnames)
i. Email:  rusty.b.udy@wv.gov
ii. Phone: 304-465-9613
iii. FAX:304-465-7288

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
 ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
  ]  SSI (Supplemental  Security Income)
 ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #  Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: DHSOIGPARIS@dhs.wisconsin.gov
ii. Phone: 
iii. FAX:

B. Multiple contact points:
[  ]  Use contact data in match

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 24, 2021

Program Support via Contact Point (check all that apply):
[ X ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[ X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, # 3 Phone, # 2 FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: DCFW2TANFVerify@wisconsin.gov (TANF) and DCFBPITArequest@wisconsin.gov (CC)
ii. Phone:
iii. FAX:

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: June 18, 2020

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #  Phone, #  FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email:  penny.davis@wyo.gov
ii. Phone: 307-777-3772
iii. FAX: 307-777-6964

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
X ]  TANF (Temporary Assistance to Needy Families)
X ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: annette.jones@wyo.gov
ii. Phone: 307-777-5846
iii. FAX: 307-777-6276

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  NAP (Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
X ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
# 1 Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: PR.Paris@salud.pr.gov
ii. Website: www.medicaid.pr.gov Visit disclaimer page
 iii. FAX: 787-763-5250

 B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: August 18, 2020

Program Support via Contact Point (check all that apply):
[ X ]  TANF (Temporary Assistance to Needy Families)
X ]  NAP (Nutrition Assistance Program, formerly Food Stamps)
X ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
X ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

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.)
A. Single Point of Contact:
i. Email: Communityrelations@Familia.pr.gov; OR Jeanette.rivera@Familia.pr.gov 
ii. Phone: 787-289-7600 EXT 2408
iii. FAX: 787-289-7621 OR 787-289-7614 

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions: All inquiries should be sent with Complete SS#.

Last Updated: August 18, 2020

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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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):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

Program Support via Contact Point (check all that apply):
[  ]  TANF (Temporary Assistance to Needy Families)
[  ]  SNAP (Supplemental Nutrition Assistance Program, formerly Food Stamps)
[  ]  GA (General Assistance)
[  ]  SSI (Supplemental  Security Income)
[  ]  CC (Child Care)
[  ]  WC (Workers’ Compensation)
[  ]  MA (Medical Assistance), Medicaid/Medical in most states

Preferred Contact Method: (Rank contact methods from #1 to #3; #1 being preferred.)
#   Email, #   Phone, #   FAX

Contact Format used by State: (Answer for either A or B, but not both.)
A. Single Point of Contact:
i. Email: ______
ii. Phone: ______
iii. FAX: ______

B. Multiple contact points:
[  ]  Use contact data in match
[  ]  Link to PDF as provided by the state; submit revised list to ACF 

C. Contact for benefit redemption history/medical claims history if different from above:
i. Email: ______
ii. Phone: ______
iii.FAX: ______

Special Instructions:

Last Updated: March 14, 2018

 

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