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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MC604 MDV VIE form?
A: The MC604 MDV VIE form is the Doctor's Verification for Home and Community Based Services Under Spousal Impoverishment Provisions in California (Vietnamese).
Q: What is the purpose of the MC604 MDV VIE form?
A: The purpose of the MC604 MDV VIE form is to verify the medical need for home and community-based services under spousal impoverishment provisions in California.
Q: Who is this form for?
A: This form is for individuals in California who are seeking home and community-based services under spousal impoverishment provisions.
Q: What is spousal impoverishment?
A: Spousal impoverishment is a provision that allows a spouse to keep a certain amount of income and resources when their partner requires long-term care services.
Q: What does the form require?
A: The form requires a doctor's verification of the individual's need for home and community-based services.
Q: Is the form available in Vietnamese?
A: Yes, the form is available in Vietnamese, as indicated by the 'VIE' in the form name.
Form Details:
Download a printable version of Form MC604 MDV VIE by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.