PDF
Word
Form MC604 MDV TAG Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Tagalog)
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.
The document is provided in Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form MC604 MDV TAG Doctor's Verification?A: The purpose of Form MC604 MDV TAG Doctor's Verification is to verify the need for home and community-based services under spousal impoverishment provisions.
Q: Who is this form for?A: This form is for individuals in California who are seeking home and community-based services under spousal impoverishment provisions.
Q: What does the form verify?A: The form verifies the need for home and community-based services.
Q: What are spousal impoverishment provisions?A: Spousal impoverishment provisions are rules that aim to prevent the spouse of a Medicaid recipient from becoming impoverished when seeking long-term care services.
Q: Is this form specific to a certain language?A: Yes, this form is available in Tagalog, a language commonly spoken in the Philippines.
Form Details:
- Released on August 1, 2017;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form MC604 MDV TAG by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
Download Form MC604 MDV TAG Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Tagalog)
1
2
