Medi Cal Child Support Questionnaire

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Medi-Cal Eligibility Procedures Manual

    https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/Article23-Medi-CalSupportEnforcement.pdf
    MEDI-GAL ELIGIBILITY PROCEDURES MANUAL 23A. INTRODUCTION 1. PURPOSE The Medical Support Enforcement Program provides that as a condition of eligibility for MedtCal, applicants, beneficiaries, or caretaker relatives must cooperate in medical support enforcement when there is an absent parent who may be responsible for their dependent child(ren)'s medical care, or in

SUPPORT QUESTIONNAIRE

    http://www.cdss.ca.gov/cdssweb/entres/forms/english/cw2.1q.pdf
    CW 2.1 (Q) (10/16) SUPPORT QUESTIONNAIRE REQUIRED FORM–SUBSTITUTE PERMITTED 1st Copy – Local Child Support Agency 2nd Copy – County Welfare Department 3rd Copy – Applicant STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES SUPPORT QUESTIONNAIRE INSTRUCTIONS: You must answer …

Frequently Asked Questions CA Child Support Services

    https://childsupport.ca.gov/faq/
    Under California law, you pay child support until the child turns 18, or 19 if the child is unmarried and still attending high school full time.Under special circumstances, the court may order child support to continue after the child is an adult. If past-due support (called arrears) is still owed, the local child support agency may continue to enforce collection until the balance including ...

SUPPORT QUESTIONNAIRE

    https://hsa.smcgov.org/sites/hsa.smcgov.org/files/documents/files/CW2.1Q.PDF
    support questionnaire california department of social services section 1 - complete the following about yourself section 4 - support enforcement services (medi-cal only) i declare under penalty of perjury under the laws of the united states of america and the state of california that the information in this questionnaire is true, correct and ...

NOTICE AND AGREEMENT FOR CHILD, SPOUSAL AND …

    http://www.cdss.ca.gov/cdssweb/entres/forms/English/CW2.1NA.PDF
    support enforcement process, your family’s grant will be lowered by 25 percent until you cooperate and you may not get Medi-Cal. This penalty ends effective the first day of the month in which you do cooperate. • For applicants/beneficiaries of Medi-Cal Only:You will not be eligible for Medi-Cal benefits, but your child(ren) may still be ...

Medi-Cal FAQs 2014 - California Department of Health Care ...

    https://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014a.aspx
    Jan 01, 2014 · Medi-Cal managed care offers a selection of 21 health plans. Your health plan options will vary depending upon the county in which you live. Most counties offer commercial plans, which also operate in Covered California including Anthem Blue Cross, Kaiser, Health Net, and Molina.

Medi-Cal - San Luis Obispo County

    https://www.slocounty.ca.gov/Departments/Social-Services/Medical-Resources/Services/Medi-Cal.aspx
    For children's Medi-Cal programs that have a premium, the premium is $13 per child up to three (3) children, a maximum of $39 per household. Households with more than 3 children in a premium program still only pay $39.

Medi-Cal - Ventura County

    https://www.ventura.org/human-services-agency/medi-cal/
    Medi-Cal is California’s public health insurance program that provides needed health care services for low-income individuals, including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low-income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS.

MEDICAL/CHILD SUPPORT QUESTIONNAIRE ND …

    http://www.nd.gov/eforms/Doc/sfn01224.pdf
    medical/child support questionnaire nd department of human services/ea sfn 1224 (rev. 06-99) for each child whose mother or father is not in the home, complete the following information. if more than one child in your home has the same absent parent, this form can be completed for all children with the same absent parent. name of child(ren):

Online Forms - San Luis Obispo County

    https://www.slocounty.ca.gov/Departments/Social-Services/Forms-Documents/Online-Forms.aspx
    Child Hotline Information: If you suspect there is an emergency requiring immediate intervention, call 911; To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437) Adult Hotline Information: If you suspect there is an emergency requiring immediate intervention ...



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