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

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

FAQ

Q: What is the purpose of the MC604 MDV HMO Doctor's Verification?
A: The purpose of the MC604 MDV HMO Doctor's Verification is to verify the need for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: Who is this document applicable to?
A: This document is applicable to individuals in California who are applying for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: What is the Spousal Impoverishment Provisions?
A: The Spousal Impoverishment Provisions are a set of rules that protect the financial well-being of the spouse of an individual receiving long-term care services.

Q: What are Home and Community Based Services (HCBS)?
A: Home and Community Based Services (HCBS) are a range of services and supports that are provided to individuals in their own homes or communities to help them with daily activities and to maintain their independence.

Q: Why is doctor's verification required for HCBS?
A: Doctor's verification is required for Home and Community Based Services (HCBS) to confirm the medical necessity and need for these services.

Q: What is the MC604 MDV HMO form used for?
A: The MC604 MDV HMO form is used to collect information from a doctor or medical professional about the individual's medical condition and need for Home and Community Based Services (HCBS) under the Spousal Impoverishment Provisions.

Q: Is this document available in multiple languages?
A: Yes, this document is available in multiple languages, including Hmong.