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Check-List Before You Turn in the Application

  • Double-check the children's social security numbers and birth dates
  • Make sure as many questions are answered as possible
  • Attach copies of documents that show proof of your income
  • Attach proof of citizenship
  • If necessary (see What Other Things Do You Need), attach proof of private insurance, immigration status (if a child is not a U.S. Citizen), and pregnancy (or the name of the doctor who can verify pregnancy). (Note, documents may not be able to be returned if mailed-in)
  • Keep the "Rights and Responsibilities" page for your information

If you have any additional questions, please call the
Hoosier Healthwise Helpline toll-free number at 1-800-889-9949