Form DHCS9052 Genetically Handicapped Persons Program (Ghpp) New Referral Form - California

Form DHCS9052 Genetically Handicapped Persons Program (Ghpp) New Referral Form - California

What Is Form DHCS9052?

This is a legal form that was released by the California Department of Health Care Services - 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 DHCS9052?
A: DHCS9052 is the Genetically Handicapped Persons Program (GHPP) New Referral Form in California.

Q: What is the Genetically Handicapped Persons Program (GHPP)?
A: The GHPP is a program in California that provides specialized medical services for individuals with certain genetically handicapping conditions.

Q: What is the purpose of the DHCS9052 form?
A: The DHCS9052 form is used to refer individuals to the GHPP for specialized medical services.

Q: Who can use the DHCS9052 form?
A: Healthcare providers and facilities can use the DHCS9052 form to refer individuals to the GHPP.

Q: What information is required on the DHCS9052 form?
A: The DHCS9052 form requires basic personal information, genetic diagnosis, medical history, and supporting documentation.

Q: Are there any eligibility requirements for the GHPP?
A: Yes, individuals must meet certain income and residency requirements to be eligible for the GHPP.

Q: How long does it take to process the DHCS9052 form?
A: The processing time may vary, but it typically takes several weeks to process the DHCS9052 form and determine eligibility for the GHPP.

Q: Can individuals already enrolled in Medi-Cal use the DHCS9052 form?
A: No, individuals who are already enrolled in Medi-Cal should not use the DHCS9052 form to refer to the GHPP. They should contact their Medi-Cal provider for appropriate referrals.

Q: Is there a cost to participate in the GHPP?
A: No, there is no cost to participate in the GHPP as it is funded by the state of California.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS9052 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS9052 Genetically Handicapped Persons Program (Ghpp) New Referral Form - California

4.3 of 5 (30 votes)
  • Form DHCS9052 Genetically Handicapped Persons Program (Ghpp) New Referral Form - California, Page 1
ADVERTISEMENT

Related Documents