Form DHCS0006 Proof of Citizenship or Identity Needed for Medi-Cal Applicants and Beneficiaries Who Are U.S. Citizens or Nationals - California

Form DHCS0006 Proof of Citizenship or Identity Needed for Medi-Cal Applicants and Beneficiaries Who Are U.S. Citizens or Nationals - California

What Is Form DHCS0006?

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 DHCS0006?
A: DHCS0006 is a form used to prove citizenship or identity for Medi-Cal applicants and beneficiaries who are U.S. citizens or nationals.

Q: Who needs to fill out DHCS0006?
A: Medi-Cal applicants and beneficiaries who are U.S. citizens or nationals need to fill out DHCS0006.

Q: Why is DHCS0006 required?
A: DHCS0006 is required to verify the citizenship or identity of Medi-Cal applicants and beneficiaries who are U.S. citizens or nationals.

Q: What documents are needed to fill out DHCS0006?
A: Documents such as a U.S. passport, Certificate of Naturalization, Certificate of Citizenship, or birth certificate can be used to fill out DHCS0006.

Q: Is DHCS0006 specific to California?
A: Yes, DHCS0006 is specific to California and is used for Medi-Cal applicants and beneficiaries in the state.

Q: Can DHCS0006 be used for non-U.S. citizens?
A: No, DHCS0006 is only used for Medi-Cal applicants and beneficiaries who are U.S. citizens or nationals.

Q: What happens if I don't submit DHCS0006?
A: Failure to submit DHCS0006 may result in a delay or denial of Medi-Cal benefits for U.S. citizen or national applicants or beneficiaries.

Q: Are there any fees to submit DHCS0006?
A: No, there are no fees associated with submitting DHCS0006.

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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 DHCS0006 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0006 Proof of Citizenship or Identity Needed for Medi-Cal Applicants and Beneficiaries Who Are U.S. Citizens or Nationals - California

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