California Department of Healthcare Services

 How to Apply 

To apply for GHPP, complete the application. Complete the referral form to refer someone to GHPP.

NOTE: When you submit the GHPP application, it is very important that you include your prior year’s Federal Tax Form 1040. If you are a dependent on another person’s tax return, that return must be submitted. If you do not submit a complete application, GHPP staff will not be able to authorize GHPP services that are beyond your eligibility period.

• Application Part A (Program Eligibility) and Part B (Financial Eligibility)
  English | Spanish
• Referral Form
  English | Spanish

The mailing address is:

• Genetically Handicapped Persons Program
  MS 8100, P.O. Box 997413
  Sacramento, CA 95899-7413