Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 20 - Division of County Operations
Rule 016.20.99-018 - Income Maintenance Form (IMF) 99-8: Revised Form DCO-116 - Client Statement Regarding Absent Parent
Universal Citation: AR Admin Rules 016.20.99-018
Current through Register Vol. 49, No. 9, September, 2024
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.
Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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