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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDPH8736
for the current year.
Form CDPH8736 Pre-exposure Prophylaxis Assistance Program (Prep-Ap) Medi-Cal Eligibility Request (Meer) - California
What Is Form CDPH8736?
This is a legal form that was released by the California Department of Public Health - 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 Form CDPH8736?A: Form CDPH8736 is a Medi-Cal eligibility request for the Pre-exposure Prophylaxis Assistance Program (PREP-AP) in California.
Q: What is the Pre-exposure Prophylaxis Assistance Program (PREP-AP)?A: The Pre-exposure Prophylaxis Assistance Program (PREP-AP) is a program in California that provides assistance to eligible individuals in obtaining pre-exposure prophylaxis (PrEP) medications for HIV prevention.
Q: Who is eligible for the PREP-AP?A: Eligibility for the PREP-AP is determined by meeting specific income and residency requirements in California.
Q: What is Medi-Cal?A: Medi-Cal is California's Medicaid program, which provides free or low-cost healthcare coverage to eligible individuals and families.
Q: Why do I need to fill out Form CDPH8736?A: Form CDPH8736 is the Medi-Cal eligibility request form specifically for the PREP-AP program. It is used to determine if an individual qualifies for assistance with obtaining PrEP medications.
Q: How do I know if I am eligible for the PREP-AP?A: To determine eligibility for the PREP-AP, you need to meet income and residency requirements and submit the completed Form CDPH8736 for evaluation.
Q: Can I receive PrEP medications for free through the PREP-AP?A: If you meet the eligibility criteria and are approved for the PREP-AP, you may receive PrEP medications at no cost or a reduced cost, depending on your income.
Q: Is the PREP-AP available only to California residents?A: Yes, the PREP-AP is specifically for California residents who meet the eligibility requirements.
Q: Are there any other programs that provide assistance with obtaining PrEP medications?A: Yes, in addition to the PREP-AP, there are other programs and resources available that provide assistance with obtaining PrEP medications. It is recommended to explore all available options to find the best fit for your needs.
Form Details:
- Released on January 1, 2018;
- The latest edition provided by the California Department of Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CDPH8736 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
Download Form CDPH8736 Pre-exposure Prophylaxis Assistance Program (Prep-Ap) Medi-Cal Eligibility Request (Meer) - California
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