Fill and Sign California Legal Forms

This Form is used for healthcare providers in California to participate in the Medi-Cal Ground Emergency Medical Transportation Services (GEMT) Supplemental Reimbursement Program.

This form is used for requesting a waiver for hearing screening in California.

This document provides the point of contact information for ground emergency medical transportation in California.

This form is used for reporting the quarterly progress of the American Indian Infant Health Initiative (AIIHI) in California.

This form is used for the American Indian Infant Health Initiative (Aiihi) Database in California.

This form is used for reporting the enrollment and licensing information of participants in a 6-month DUI program in California on a quarterly basis.

This form is used for providing additional income and property information required for Medi-Cal eligibility in California.

This form is used to gather additional income and property information for Medi-Cal eligibility in California. It is specifically designed for Armenian-speaking individuals.

This form is used for providing additional income and property information needed for Medi-Cal in California. It is specific to the Hmong language.

This form is used for doctors to verify the need for home and community-based services in California, specifically under the spousal impoverishment provisions.

This form is used for providing additional income and property information needed for Medi-Cal in California. The form is available in Tagalog language.

This Form is used for providing additional income and property information needed for Medi-Cal in California. It is specifically designed for Chinese speakers.

This Form is used for verifying a doctor's approval for home and community-based services under spousal impoverishment provisions in California. The form is available in Arabic.

This form is used to provide additional income and property information for Medi-Cal eligibility in California for Cambodian residents.

This form is used for providing additional income and property information required for Medi-Cal in California. It is available in Arabic.

This form is used for providing additional income and property information needed for Medi-Cal in California. It is available in Vietnamese.

This form is used for doctors to verify the eligibility of individuals seeking home and community-based services under the spousal impoverishment provisions in California. It is specifically designed for individuals who speak Armenian.

This form is used to provide additional income and property information needed for the Medi-Cal program in California. It is available in Russian.

This document is used for the verification of a doctor for home and community-based services under spousal impoverishment provisions in California. It is specifically for Chinese language users.

This Form is used for providing additional income and property information needed for Medi-Cal in California. It is available in Korean language.

This type of document is a form used for verifying the doctor's services for caregivers under provisions that protect the spouse caregiver from impoverishment in California.

This form is used for doctors to verify the eligibility of individuals for Home and Community Based Services under the Spousal Impoverishment Provisions in California. (Mien)

This form is used for doctors to verify eligibility for Home and Community Based Services in California under the Spousal Impoverishment Provisions. The form is available in the Tagalog language.

This document is used for HMO doctors in California to verify the eligibility of patients for home and community-based services under spousal impoverishment provisions. The form is specific to the Hmong language.