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

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

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

FAQ

Q: What is the MC604 MDV VIE form?
A: The MC604 MDV VIE form is the Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions in California (Vietnamese).

Q: What is the purpose of the MC604 MDV VIE form?
A: The purpose of the MC604 MDV VIE form is to verify the medical need for home and community-based services under spousal impoverishment provisions in California.

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 is spousal impoverishment?
A: Spousal impoverishment is a provision that allows a spouse to keep a certain amount of income and resources when their partner requires long-term care services.

Q: What does the form require?
A: The form requires a doctor's verification of the individual's need for home and community-based services.

Q: Is the form available in Vietnamese?
A: Yes, the form is available in Vietnamese, as indicated by the 'VIE' in the form name.

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

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

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