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

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

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

FAQ

Q: What is MC604 MDV Doctor's Verification?
A: MC604 MDV Doctor's Verification is a form used in California to verify the need for home and community-based services under spousal impoverishment provisions.

Q: Who needs to complete the MC604 MDV Doctor's Verification?
A: The MC604 MDV Doctor's Verification needs to be completed by a doctor to confirm the medical necessity for home and community-based services.

Q: What are home and community-based services?
A: Home and community-based services refer to a range of support services that are provided to individuals in their own homes or community settings to help them with daily activities and health-related needs.

Q: What are spousal impoverishment provisions?
A: Spousal impoverishment provisions refer to rules that prevent one spouse from becoming impoverished while the other spouse receives home or community-based services.

Q: Why is the MC604 MDV Doctor's Verification necessary?
A: The MC604 MDV Doctor's Verification is necessary to establish the medical need for home and community-based services and to ensure that the spousal impoverishment provisions are met.

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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 fillable version of Form MC604 MDV by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

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

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