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Get the free Santa Clara Family Health Plan CAP - dhcs ca

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ATTACHMENT A MCP Name: Santa Clara Family Health Plan Review/Audit Type: Medical Audit Review Period: January 1, 2013, December 3, 2013, MCPS are required to provide a CAP and respond to all documented
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How to fill out Santa Clara Family Health:

01
Visit the Santa Clara Family Health website or office to acquire the necessary forms and documents.
02
Provide personal information such as name, address, phone number, and social security number on the application form.
03
Fill out the sections regarding your family members, including their names, birthdates, and any other relevant information.
04
Indicate your income and employment details to determine eligibility for different programs or subsidies.
05
If applicable, provide information about any other health insurance coverage you or your family members may have.
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Review and double-check the completed form for accuracy and completeness.
07
Attach any required supporting documents, such as proof of income, proof of residency, or identification.
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Submit the filled-out application form and supporting documents to the designated office or online portal.

Who needs Santa Clara Family Health:

01
Santa Clara County residents who do not have health insurance coverage.
02
Individuals and families who meet the income eligibility requirements.
03
Those seeking affordable healthcare options and access to medical services within the Santa Clara County area.
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Santa Clara Family Health Plan is a local public health plan in California that provides health coverage for low-income individuals and families.
Individuals and families who meet the income eligibility requirements are required to file for Santa Clara Family Health Plan.
To fill out Santa Clara Family Health Plan, individuals need to submit an application with their income and family size information.
The purpose of Santa Clara Family Health Plan is to provide affordable health coverage to low-income residents of Santa Clara County.
Applicants must report their income, family size, and any other relevant information required for determining eligibility for the health plan.
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