Medi-Cal Services

MEDI-CAL
The purpose of Medi-Cal is to provide comprehensive medical services to children and adults in low-income families. Single adults and families who are eligible but have income levels above prescribed levels must pay or obligate their excess income toward the costs of their medical care.

How to Apply
Obtain a Medi-Cal application from any one of the offices listed on our Office Locations page, or phone the Human Services Agency at (559) 582-3241 or toll free 1-800-289-9981 and request to apply for Medi-Cal.  You may also click on the following link to complete an application and mail to the following address: 
www.dhcs.ca.gov/services/medi-cal/Pages/MediCalApplications.aspx

Your application will be screened and assigned to an Eligibility Worker who will determine your eligibility for the Medi-Cal program.
You have the choice to meet with the Eligibility Worker for a face-to-face interview or complete an interactive interview by phone or you can return your forms and verifications all by mail.

Citizenship / Identity Information Needed (Original documents are required)

• Birth Certificate
• Driver's License, Photo I.D., Alien Card(s)
• Passport
• More information:http://www.dhcs.ca.gov/formsandpubs/forms/Forms/DHCS%200001.pdf

Managed Care Information Needed

http://www.healthcareoptions.dhcs.ca.gov/HCOCSP/Home/default.aspx

• Information on how to navigate Medi-Cal managed care system
• Kings County presentation schedules
• Enrollment forms
• Provider Information Network
• Customer service contact number

Other Information Needed (Original documents are required)

• Social Security and Medicare cards
• Pregnancy verification
• Current Property Tax statement and proof of balance owed
• Car/Truck/Boat Registrations
• All Current Checking and Savings Account Statements
• Stocks or Bonds
• Life Insurance Policies
• Burial Trust Agreements
• Trust Funds
• Trust Deeds
• Unemployment Insurance Verification
• State Disability Income verifications
• Income verifications (check stubs, employer statement, award letters)
• Free Room and Board statement (if applicable)

COUNTY MEDICAL SERVICES PROGRAM   (CMSP)

The purpose of the County Medical Services Program is to provide medical services to Medically Indigent Adults not covered by Medi-Cal.

How to Apply
Obtain an application from any one of the offices listed on our Office Locations page, or phone the Human Services Agency at (559) 582-3241 or toll free 1-800-289-9981 to request an application.

For more information on CMSP go to their website at:
http://www.cmspcounties.org/benefits/benefits.html

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CMSP Application Link
The following link can be used to apply for the County Medical Services Program or if your benefits are about to expire you can re-apply in your last month of eligibility:

For English   http://www.cmspcounties.org/pdf_files/forms/CMSP210-1207.pdf

For Spanish  http://www.cmspcounties.org/pdf_files/forms/CMSP210SP-0609.pdf

Who’s Eligible?
Individuals between the ages of 21 and 64 that are not eligible for Medi-Cal.

Information Needed (Original documents are required)

• Proof of income amounts
• Proof of property values
• Citizenship status
• Social Security number

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