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.
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.
Form Details:
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.