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Universal Application (AP-2) for PAAD, Senior Gold and other special benefits

Universal Companion Form (AP-2A) must be submitted with the AP-2

Universal Application instructions

Pharmaceutical assistance
for eligible senior citizens and the disabled

Utility assistance for eligible senior citizens and the disabled

Hearing aid assistance for eligible senior citizens and the disabled

Information on the coordination of PAAD, Senior Gold and the Medicare Prescription Drug Program

Important Information

Pharmaceutical assistance for those in need of HIV or AIDS specific medications

Assistance for qualified individuals to pay Medicare B premiums

DHSS Notice of Privacy Practices Regarding Program Beneficiaries' Personal Health Information [pdf 298k]

Information for Pharmacies

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