016.20.99 Ark. Code R. 018

Current through Register Vol. 49, No. 10, October, 2024
Rule 016.20.99-018 - Income Maintenance Form (IMF) 99-8: Revised Form DCO-116 - Client Statement Regarding Absent Parent

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INSTRUCTIONS FOR DCO-116

Purpose

Form DCO-116, Client Statement Regarding Absent Parent, is used to collect information from the Medicaid client about an absent parent.

Completion

The DCO-116 is an optional form to be used when securing absent parent information through the mail.

The DCO-116 may be completed by the county office worker or by the client.

Retention

The DCO-116 will be filed in the forms section of the case record and retained for three years.

016.20.99 Ark. Code R. 018

9/2/1999