Note: In order for the course to properly track your progress, links to external webpages will load in new browser windows or tabs. Identify how to use online tools to determine the applicant’s correct mailing address and round-trip mileage. Providers should submit complete applications on behalf of their patients because incomplete applications significantly delay application processing. A complete KHC application requires an application form with all fields filled in, and the four pieces of documentation in the list below. Additionally, KHC requests that you verify the applicant’s mailing address through the USPS website and the round-trip mileage using Google maps before submitting the application. The application with all the supporting documents attached, must be signed by the applicant and notarized. This document is a requirement for KHC eligibility because it is the only source for verification of the physician’s diagnosis of the primary disease causing renal failure.
Date Self-dialysis Training began, Provider & Medicare Number, Type of Training, Will Patient Self Dialyze and date patient is expected to complete the training. View an example of a CMS 2728 that shows you where to find the information that KHC requires. Social Security numbers are required because KHC uses them to coordinate client benefits and to communicate with Texas Medicaid. A copy of the front and back of the applicant’s Social Security card issued by the Social Security Administration. A copy of any official Social Security Administration document that verifies the Social Security number. In cases where the applicant can only provide a residency document that shows someone else’s name, KHC will accept the document. Below is a list of the documents that can be used to establish Texas residency on the KHC application. Valid Texas Driver’s license or current Texas ID card issued by the Texas Department of Public Safety. Utility bill or payment receipt with date, name and address imprinted (not handwritten from one of the three months immediately preceding the date of the KHC application. Payroll or retirement check with the date, name and address imprinted (not handwritten) and dated within three months immediately preceding the date of the KHC application. Texas motor vehicle registration with expiration date within the next 12 months, or automobile license plate registration renewal form dated within three months immediately preceding the date of the KHC application.
Mortgage payment receipt issued or received from one of the three months preceding the date of the KHC application. Rent payment receipt issued or received to show the date, name and address imprinted (not handwritten) from one of the three months preceding the date of the KHC application. Employment or unemployment records with the name, date, and address imprinted (not handwritten) on the document and prepared within three months immediately preceding the date of the KHC application. Statement from a financial institution (bank, credit union, etc.) with date, name and address imprinted (not handwritten) on the document and issued within three months immediately preceding the date of the KHC application.
Social Security supplemental income or disability records or Social Security retirement benefit records with the name, date, and current address imprinted (not handwritten) on the document and issued within three months immediately preceding the date of KHC application. This document is used to verify that the applicant has an annual gross income of less than $60,000.
If the document does not show income for the entire year, you are responsible for calculating the annual amount based on the information contained in the verification document. KHC needs a mailing address that can be verified through the United States Postal Service (USPS) online lookup system in order to approve the application. The RTM is used to determine the allowable travel reimbursement from a client’s physical address to a dialysis facility and back. Ask post-transplant applicants or applicants on home dialysis how far they drive to the location where they receive kidney-related follow-up care. For in-center dialysis applicants find the distance from their home to the dialysis facility. For post-transplant applicants or applicants on home dialysis find out the distance from their home to the location where they receive kidney-related follow-up care. If the applicant believes that the RTM Google Maps calculates is too low, make a note on the application and KHC staff will re-calculate the RTM to determine if the applicant is entitled to additional mileage. KHC will review complete applications in order to determine eligibility for each of the benefits KHC offers. KHC verifies every applicant’s Medicaid status by looking him or her up in the Medicaid database. Some clients will receive all the benefits KHC offers, while others may only get one or two for a short time. Once KHC determines the applicant’s eligibility for benefits, it mails a denial letter or a Notice of Eligibility (NOE) to the applicant and one to the social worker or representative at the facility indicated on the application. The KHC eligibility effective date for approved applications will be the date KHC received the complete application with all required documentation. On Monday, the ECSO executed a search warrant at Wiggins’ residence at 1247 Ramblewoods Drive in Gulf Breeze. State Attorney Bill Eddins confirmed Thursday that the safe and firearms had been recovered.


The City of Pensacola is building a $6 million library downtown, and Escambia County Commissioners say they won’t contribute any funding to increase the size of the building. The Captains swept the Pelicans with the aid of rain on Thursday night, winning the final game of the series 3-2 in five innings.
With one out, Andres Rodriguez hit a triple off the centerfield wall in the bottom of the fourth inning. Adam Brandenburg made his third start for the Pelicans, pitching two outs into the bottom of the fifth. An hour and a two-minute rain delay followed, ending in the game being called and the Captains claiming victory. A rare July cold front is moving toward the Gulf Coast, and forecasters believe the front will make it all the way into the Gulf of Mexico, bringing cooler weather to North Escambia and surrounding areas. There is a 70 percent chance of rain for Friday, 50 percent for Friday night and 40 percent on Saturday as the cold front moves through the area. But Saturday night, the winds will turn to the north, and the overnight low is forecast at 65.  Sunday will be mostly sunny with a high of 88. Sunday night, forecasters say the low will deep to an unseasonable 62, with a high Monday of just 82. The Escambia County Commission decided Thursday morning to pass the possibility of an anti-tether ordinance off to a committee for study. Such an ordinance would make it  illegal to leave your dog tied up when you are not around in Escambia County.
Thursday morning, the commission’s Committee of the Whole directed staff  to take the ordinance to the Animal Services Oversight Committee. A similar ordinance in Miami-Dade that commissioners will look at makes it illegal for pet owners to leave their pets chained up outside when they are not around. The anti-tether law in Miami-Dade says it is illegal to tie a dog to anything with an item, including a rope, chain or leash.
Miami-Dade enacted the ordinance to prevent animal abuse, and because a tethered dog is 2.8 times more likely to bite, according to animal control experts in that metro area. The county attorney’s office researched possible ordinance at the request of Commissioner Grover Robinson.
Wednesday, she was charged with accessory after the fact to murder in connection with the murders of Melanie and Byrd Billings last Thursday in Beulah. Pamela Long Wiggins, 47,  was arrested Wednesday night in connection with the murder of Byrd and Melanie Billings. Her arrest came after hours of questioning at the Escambia County Sheriff’s Department.
A second person of interest is being sought because of their involvement with the security system at the Billings home. Morgan also said it was someone’s job to disable the security system at the Billings’ compound, but that did not happen. Video of the now infamous red van and other security system footage from the Billings home was the big break that allowed the sheriff’s department to quickly make arrests in the case. Sheriff said probably 20 to 30 persons of interest, most knew nothing significant and were released.
Pamela Long Wiggins, 47, could face a grand jury indictment for accessory after the fact to felony murder. Morgan said that he did not know of any federal investigation of the Billings family, but he said he would not have information on federal investigations.
More information is coming to light in the relationship between on of the Gonzalez murder suspects and the eighth person arrested Wednesday in connection with the Billings murders. But court records in Escambia County indicate that her divorce from her previous husband is not complete.
Under the name Pamela Long Malden, she filed for divorce from James Colburn Malden, 68, on January 29, 2008.  Escambia County court records indicate that the case is still open.
There are conflicting reports this morning as to whether or not the DEA has become involved in the Billings murder investigation. If you manage this site and have a question about why the site is not available, please contact us directly.
Providers will only have two weeks after submission of an incomplete application to make those applications complete. The provider must submit the complete application to KHC via US mail or electronically through ASKITWeb. In most cases, because it shows the date of first dialysis, it establishes KHC’s date of record for the first ESRD service. KHC does not accept photocopies of metal Social Security cards because they are not issued by the Social Security Administration.
The number and identification information must be printed on the document, not handwritten. However, if the copy of the document you use for the application package shows a Texas address that is different than the one written on the application itself, you must include an explanation for why the addresses do not match.
However, you must include additional supporting documentation in the application to prove the relationship between the applicant and the person whose name is on the residency document. For example, a receipt or bill from an electric, telephone (land line, not wireless), cable, water, or sanitation company is acceptable.


The payment booklet stub that is sent with the payment is not acceptable, unless submitted with additional documentation to show that it has been paid.
The document can be typed or handwritten by the applicant, social worker or individual providing the rent free housing.
Reported income pertains to the financially responsible person and is considered joint income for legally married applicants. For example, you must multiply the monthly direct deposit shown on a bank statement by twelve to provide an estimate for the year in order to fulfill the annual income requirement on the KHC Application for Benefits. Therefore, KHC recommends that you verify the mailing address on that system first and correct any errors before submitting an application in order to avoid a delay in the application’s processing. If the client is post-transplant or on home dialysis, the RTM is from the client’s home to the transplant hospital or other place where the client receives kidney-related follow-up care and back. If the mileage KHC calculates for the address-to-address distance is the same or less than what is on the application, KHC will use its calculation to determine reimbursement. It is very important that providers keep their clients’ records updated with KHC because their benefits can change depending on the type of treatment they receive or what kind of coverage they have from other sources.
As suspects were interviewed by investigators, information was received concerning a red minivan that was left at a predetermined location near the crime scene to facilitate the escape of those involved in the crime. The van was later observed by witnesses at Magnolia Antique Mall in Gulf Breeze, a business owned by Wiggins. An hour and two minute rain delay occurred after the end of the fifth inning, ultimately ending in the game being called due to weather. Luis Guance led off with a double, and came home when Antoin Gray hit his ninth homerun of the year. Jose Torres followed with a walk, and Rodriguez scored when Dwayne White hit a sacrifice fly. He walked Dan Williams to start the bottom-half of the fifth, Brandenburg’s third base on balls. Under that ordinance, it is still legal to walk a dog on a leash, or tether a dog when a responsible party is outside with the dog. 47,  was arrested Wednesday night and charged with accessory after the fact to felony murder in connection with the deaths of Melanie and Byrd Billings. Providers are ultimately responsible for making sure their applications are complete, but KHC will be available to assist providers in any way if they have trouble completing an application. If the mileage KHC calculates for the address-to-address distance is more than what is on the application, KHC will use the mileage shown on the application.
It was reported that Wiggins was the passenger in the red minivan which still contained the victims’ safe and the firearms used in the crimes.
On Wednesday, her estranged husband, Hugh Wiggins, told investigators that the safe was hidden in the backyard of a home owned by Wiggins. Antoin Gray hit a two-run bomb for the Pelicans’ runs in the top of the third inning, his ninth round-tripper of the year, but Shreveport-Bossier scored two to tie in the bottom of the fourth.
Jonathan Reynoso batted next and hit a single, scoring Torres to tie the game at two apiece. He allowed his sixth and final hit on the next batter, as Bryan Sabatella put down a bunt single. Morgan had previously identified Wiggins as Pamela Laverne Long, but court records indicate that she was married on December 21 of last year to Hugh Gregory Wiggins. She was seen being escorted by from a yacht by Escambia County deputies and Orange Beach police. Morgan said authorities believed they know that person’s identity, but he would not release a name. Morgan said that Wiggins has several aliases, including Pamela Wiggins, Pamela Malden, Pamela Long and Pamela Laverne Long Coco.
Gonzalez on the December 31, 2008, marriage license of Pamela Long Wiggins and Pamela Laverne Long. Providers also need to be aware that incomplete applications will be denied after two weeks. You will learn the specifics about each type of benefit in the lessons that follow this one. The arrest report does not specify if the home was the one on Ramblewoods Drive or if it was one of five other pieces of property she owns in Santa Rosa County. The Captains’ lone run in the bottom of the fifth would end up deciding the contest, as the Captains have now won eight straight games. After catching a pop-up from Richard Paz and recording his only strikeout with Chris Garcia, Brandenburg left his third earned run up to Joey Wedner. She was not arrested at the time; instead, she drove with her lawyer back to the Escambia County Sheriff’s Department in Pensacola for questioning.
Saturday’s game will be followed by fireworks, and Sunday will be a Kids Day, with all Kids Club members gaining free admission while wearing the Kids Club t-shirts.



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