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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is MC604 MDV Doctor's Verification?
A: MC604 MDV Doctor's Verification is a form used in California to verify the need for home and community-based services under spousal impoverishment provisions.
Q: Who needs to complete the MC604 MDV Doctor's Verification?
A: The MC604 MDV Doctor's Verification needs to be completed by a doctor to confirm the medical necessity for home and community-based services.
Q: What are home and community-based services?
A: Home and community-based services refer to a range of support services that are provided to individuals in their own homes or community settings to help them with daily activities and health-related needs.
Q: What are spousal impoverishment provisions?
A: Spousal impoverishment provisions refer to rules that prevent one spouse from becoming impoverished while the other spouse receives home or community-based services.
Q: Why is the MC604 MDV Doctor's Verification necessary?
A: The MC604 MDV Doctor's Verification is necessary to establish the medical need for home and community-based services and to ensure that the spousal impoverishment provisions are met.
Form Details:
Download a fillable version of Form MC604 MDV by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.