Form DHCS4480 Application to Determine Ccs Program Eligibility - California

What Is Form DHCS4480?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHCS4480?
A: DHCS4480 is an application form used to determine CCS program eligibility in California.

Q: What is the CCS program?
A: The CCS program stands for California Children's Services, which provides specialized medical care and services for eligible children with certain medical conditions.

Q: Who can use the DHCS4480 form?
A: Parents or guardians of children who may be eligible for the CCS program can use the DHCS4480 form.

Q: What information is required on the DHCS4480 form?
A: The form will ask for information about the child, their medical conditions, the healthcare providers involved, and the family's financial situation.

Q: How do I submit the DHCS4480 form?
A: You can submit the completed DHCS4480 form by mail or in person at a local CCS office.

Q: What happens after submitting the DHCS4480 form?
A: After reviewing the form, the CCS office will determine if the child is eligible for the CCS program and will notify the parents or guardians of the decision.

Q: Are there any fees associated with the CCS program?
A: No, there are no fees associated with the CCS program. It is funded through the California state budget.

Q: Can I appeal if my child is denied CCS program eligibility?
A: Yes, you have the right to appeal the decision if your child is denied CCS program eligibility. The denial letter will provide information on how to initiate an appeal.

Q: What other services are available through the CCS program?
A: In addition to medical care, the CCS program may provide services such as case management, physical therapy, occupational therapy, and transportation assistance.