13-022 Eligibility Process
- 09/11/13 DHCS Submitted SPA to CMS (PDF)
- S94 PDF Form – Eligibility Process (PDF)
- S94 PDF Form ADA – Eligibility Process (PDF)
- Attachment 1 – California Single Stream Application DRAFT ONLY (PDF)
- Attachment 2 – Application for CalFresh, Cash Aid, And/Or Medi-Cal/Health Care Programs (PDF)
- Attachment 3 – Medi-Cal Form for Special Health Care Needs (PDF)
- Attachment 4 – California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) DRAFT ONLY (PDF)