Here are examples of information you may be asked to provide when you apply for Medi-Cal. Contact your local Medi-Cal office if you do not have these documents.
Identity
- Copy of driver’s license or photo ID
- Social Security Number (actual card)
- A copy of immigration documentation or card
You only need to provide proof of identity:
- When you first apply
- If you change your name
- For new household members, like a spouse or new baby
Physical/Mailing Address
You do not need to provide proof that you live in California. You only need to provide the address where you live and/or get mail.
You only need to certify that you live in California:
- When you first apply
- When you move
Income
Have a job
- A copy of your most recent pay stub showing:
- Gross income
- Pay period
- Date received
- Hours worked
- A copy of your most recent 1040 tax form, showing annual income information
- A statement from your employer about income received
Work for myself
- A copy of Schedule C of the most recent tax return
- A profit and loss statement for the last three months
Get Social Security or veteran’s benefits
- A copy of paid benefits stub or award letter
Get unemployment or disability benefits
- A copy of paid benefits stubs
- A letter that shows what you earned before deductions
Deductions
Provide a copy of checks or receipts if you pay for:
- Childcare
- Child support
- Alimony
- Health insurance
Self-Attestation
You may self-attest if you:
- Do not have proof of income
- Receive cash income
Your local county Medi-Cal office can tell you how.
