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​​​​​​​​​​​​​​​​​​​​​​​Hearing Aid Coverage for Children 

​​​​​HACCP home​

Program Resources for Community Partners​​​

HACCP Annual Eligibility Review (AER) Application​


DHCS 8711 - HACCP Application (fillable PDF)

  • English​
  • Spanish
  • Additionally, HACCP's Online Application Portal is available in: English, Español, 繁體中文, 한국어, Tiếng Việt, Русский, Hmoob, Հայերեն, العربية, Tagalog, Українська, فارسی, ខ្មែរ, ລາວ, 日本語, हिंदी, ਪੰਜਾਬੀ, ภาษาไทย, and Mienh waac.

DHCS 8482 - HACCP Provider Referral for Patient Enrollment (fillable PDF)

  • Please note: We recommend printing this form on the reverse side of any flyer for families, to make it even easier for families to document their child's referral for hearing aids and apply for coverage.

​Handouts​​​​​​

HACCP Flyer for Families: How to Qualify for Hearing Aid Coverage

HACCP Application (fillable PDF)

HACCP Overview Brochures​​

HACCP Communications Toolkit​​

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* To request a copy of the Communication Toolkit in any other threshold language, please contact HACCP by phone (multilingual, TTY/TTD) at 1 (833) 956-2878, or by email at HACCP@maximus.com. The call center is open Monday through Friday from 8 a.m. to 7 p.m., and Saturdays from 8 a.m. to 12 p.m.

​Social Media ​​

​Acti​on Plan​​​

​Webinars Schedule​​​

Future webinars are on hold at this time. If you have any HACCP-related questions, please contact HACCP@dhcs.ca.gov. 

​Assistive Services ​​​

For individuals with disabilities, DHCS will provide assistive devices such as sign-language interpretation, real-time captioning, note takers, reading or writing assistance, and conversion of training or meeting materials into Braille, large print, audiocassette, or computer disk. 

DHCS offers free alternative format and language services. Services available:

  • ​Language interpretation
  • Assistive devices
  • Sign-language
  • Real-time captioning​
  • Note takers
  • Reading or writing assistance
  • Braille
  • Large print
  • Audio
  • Electronic format
To request these services contact:

Department of Health Care Services
Hearing Aid Coverage for Children Program
PO Box 138000, Sacramento, CA 95813
(833) 956-2878

Note: Some services may be unavailable if a request is made less than ten business days before the meeting or event​
Last modified date: 5/21/2025 9:18 AM