Providing health care information by telephone Forms for Santa Clara
Speed up legal processes for Santa Clara Providing health care information by telephone. Access 85,000 state-specific legal forms and form packages applicable in all 50 states. Edit and send your legal forms for signature to one or multiple recipients online.
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Benefit from the online library of 85,000 state-specific forms and form packages that you can edit and eSign online.
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US Legal Forms has been providing legal forms and form packages to consumers, small businesses, and attorneys for almost 25 years. |
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Access the largest online library of over 85,000 legal forms created and regularly updated by attorneys and applicable to all 50 states. |
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FAQ
To be eligible for California Medicaid, you must be a resident of the state of California, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($17,774 for an individual; $36,570 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($70,490 per year for a family of four).
Call Customer Service at 1-800-260-2055 (TTY: 711), a.m. to 5 p.m., Monday through Friday.
Applying as a Care RecipientHow to Apply. Contact IHSS at (408) 792-1600 or fill out the application and submit using one of the options below.Health Certification Form. Have your doctor complete a Health Care Certification Form.Home Visit.Authorization.Hiring Provider(s)
If you have questions about this process or regarding the release of medical record information, please call (408) 885-3764 . For information regarding radiology films or the CD library, call (408) 885-6376 .
To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home. The income limits based on household size are: One person: $17,609. Two people: $23,792.