Verification Period - PA

The Department Eligibility Verification Period for enrollees of Participating Agencies (PA) runs from 8/28/09 - 11/25/09. Information packets will be mailed to enrollees' homes betwen 8/27/09 - 9/4/09.

HBA Memo

PA Memo PA 10-04/PAEX 10-04

PA Memo PA 10-01/PAEX 10-01

Poster

PA Poster

Enrollee Mailings

Note: The actual Eligibility Worksheet and Required Documents List the enrollee will receive from Budco may look slightly different from the sample provided below. Enrollees should wait until they receive their packet from Budco before submitting the required documents.

Letter to Enrollees

Eligibility Worksheet/Required Documents List

Caution: These forms should not be printed from the website and mailed to Budco.

If the enrollee needs the forms resent to them, they should call Budco at 1-888-358-2198.