Medi-Cal Eligibility Forms

Medi-Cal Eligibility forms are listed numerically and are available in other languages.

Notice of Action (NOA) forms are available through a secured website on the MEDS homepage (https://www.ext.dhs.ca.gov/meds_home/). This is a confidential secured website and you will need your password to access this page.

Forms Listed by Number

Forms available in other languages:

Arabic | Armenian | Chinese | English | Farsi | Hmong | Khmer | Korean |
Lao | Russian | Spanish | Tagolog | Vietnamese

Medi-Cal Mail-In Applications

Deficit Reduction Act (DRA)