Difference between revisions of "Puerto Rico - PR"

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'''Medicaid Award Letter'''
 
'''Medicaid Award Letter'''
[[Image:Pr-med-letter.gif]][[File:Pr-med_salud_letter.gif]][[File:Ff9e081c8c3285c93dabbb0368efd08b.jpg]][[File:Pr-new_med_letter.gif]]
+
[[Image:Pr-med-letter.gif]][[File:Pr-med_salud_letter.gif]][[File:Ff9e081c8c3285c93dabbb0368efd08b.jpg]][[File:Pr-new_med_letter.gif]][[File:Pr-med letter from DHS.gif]]
  
 
'''Medicaid Review Letter'''
 
'''Medicaid Review Letter'''

Revision as of 19:15, 14 December 2015

Acceptable Subsidies

The standard eligibility programs that may be used as proof of subsidy include Programa Suplementario de Asistencia Nutricional, Medicaid (not Medicare), Seguridad de Ingreso Suplementario, Temporal Asistencia para Familias Necesitadas, Hogares de Bajos Ingresos Programa de Asistencia Energética, Programa Nacional de Almuerzo 's programa de almuerzo gratis, and Sección 8 Asistencia Federal de Viviendas Públicas.


See General Rules for more information.

UNACCEPTABLE Subsidy Proof Examples

Pr-no mmm is med.gifPr-1st med.gifPr-msc-not-medicaid.gifPr-not med.gifPr-another mcs no.gifPr-yet another classicare.gifPr-mmm no.gifPr-no jubilados.gif

  • These are MediCARE providers.

Pr-triple s not acceptable.gif

  • Must have the Mi Salud or Medicare Platino (MP) logo to be acceptable.

Acceptable Subsidy Proof Examples

Food Stamps Card Prfs.gifPr-tanf2.gif

SNAP Benefits Award Letter PR-SNAP.gif

Medicaid Cards Pr-platinob.gifSalud.gifPr-medico.gifPr-medico2.gifAhm-platino.gifAnother pr platino.gifAhm.gifHumana-gold.gifFirst plus.gifAnother-humana.gifMmm-mp.gifPr-humana-inc.gifPr-mmm-med.gifPr-ahm-platino.gifPr-med-smartcard.gifPr-abarca.gifPr-constellation.gifPr-pmc-platino-hmo.gifPr-mcs-mi salud2.gifPr-state med.gifPr-mcs premium.gifPr-triple s-mi salud.gifPr-triple s mp hmo.gifPr-humana mediciaid.gifPr-humana-med-again.gifPr-new med.pngPr-molina-med-salud.pngPr-med 1st med ases.pngPr-pmc ases med.jpgPr-mmm med ases.gif

Medicaid Award Letter Pr-med-letter.gifPr-med salud letter.gifFf9e081c8c3285c93dabbb0368efd08b.jpgPr-new med letter.gifPr-med letter from DHS.gif

Medicaid Review Letter Reforma2.gif

TANF PR-TANF.gifPr-tanf credit.gif

LIHEAP Pr-liheap-card.gif

Section 8 Pr-section 8 1.gif Pr sec 8.gif Pr sec 8 - 2.gif Pr sec 8 - 3.gif

  • Housing Authority printouts showing rent credits

Free School Lunch Program Pr-free-school-lunch.gifPr-comida gratis.gif

Unemployment Benefits Statements Pr-unemployment.gifPr-ue.gif

  • Can be used to demonstrate low income eligibility.

Pension Statement Pr-pension.gif

  • If income is listed in addition to the pension as in this example, it must be treated as a paystub and three (3) consecutive months within the past year must be provided.

Acceptable Address Proof Examples

ONLY the following are acceptable documents as address proofs for Puerto Rican customers:

  • Housing leasesPr1b.gifPr-housing.gif
  • Benefits award lettersPr2b.gifPr-ssa address proof.gif
  • Water BillPr-water.pngPr-new water bill.gif
  • Electric BillPr4.gif Online printout PR Online Electric Bill.jpg
  • Cable BillPr5.gif


  • U.S. Federal or State Government-Issued Photo ID


Additional Notes

  • Utility bills that do not include the ZIP code are acceptable if the rest of the address and the name are correct.


Acceptable ID Examples

All government-issued photo ID proofs MUST include TWO last names. If the ID proof provided does not include both last names, an additional GOVERNMENT-ISSUED document (no photo needed) evidencing the second last name may be uploaded with the ID proof (If a Social Security card is used, the number must be COVERED). This additional document can also be a subsidy proof or address proof, and if so, should be uploaded with the ID proof. The subsidy proof or address proof used should then be uploaded by itself for proof of subsidy or proof of address.

Pr-Id.gifPr-Id 2.gifPr-state-id.gifPr-state-id2.gifPr-port ID.gifPr-police id.gifPr-csp-id.gifPr-adoptive-id.gifPr-sailing-id.gifPR electoralID.pngPr-retiree id.gifPr-old dl.gifPr-mi salud id.gifPr-volunteer ID.gifPr-military.gifPr-loteria id.gifPr-identification.gifPr-pensionado.gifPr-navigation id.gifPr-detective license.gifPr-rec id.gifPr-po po id.gifPr-retiree id.gifPr-retirees id.pngPr-jodicial id.pngPr-new id.jpgPr-navi id.gifPr-jail id.gif

Pr-secuirty.gif

  • State-Issued Security Guard License


Pr-another voter ID.gif


Pr-attorney letter.gif

  • Notarized letter evidencing married last name
  • Can be uploaded with photo ID to prove married last name

Important Links