Form MC604 MDV HMO Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Hmong)

Form MC604 MDV HMO Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Hmong)

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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the MC604 MDV HMO Doctor's Verification?
A: The purpose of the MC604 MDV HMO Doctor's Verification is to verify the need for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: Who is this document applicable to?
A: This document is applicable to individuals in California who are applying for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: What is the Spousal Impoverishment Provisions?
A: The Spousal Impoverishment Provisions are a set of rules that protect the financial well-being of the spouse of an individual receiving long-term care services.

Q: What are Home and Community Based Services (HCBS)?
A: Home and Community Based Services (HCBS) are a range of services and supports that are provided to individuals in their own homes or communities to help them with daily activities and to maintain their independence.

Q: Why is doctor's verification required for HCBS?
A: Doctor's verification is required for Home and Community Based Services (HCBS) to confirm the medical necessity and need for these services.

Q: What is the MC604 MDV HMO form used for?
A: The MC604 MDV HMO form is used to collect information from a doctor or medical professional about the individual's medical condition and need for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: Is this document available in multiple languages?
A: Yes, this document is available in multiple languages, including Hmong.

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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 HMO by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC604 MDV HMO Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions - California (Hmong)

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