This INF introduces the revised mandated DSS-2114: "Public Assistance Recertification - Medical Assistance Status". This form is used to notify Public Assistance recipients that they are scheduled for a recertification interview to determine whether they are still eligible for Public Assistance and/or Medical Assistance. The DSS-2114 was formerly a single-ply notice with English on the front and Spanish on the reverse. However, at the request of local districts, it has been reformatted into a chemically carbonless three-ply form and rewritten in plainer English.
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