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Home and Community Based Alternatives (CBA) Waiver Stakeholder Advisory Committee February 8, 2018 1HCBA Waiver Overview The CBA Waiver is a Medicaid Home and CommunityBased Services (HUBS) Waiver

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How to fill out aging of form medi-cal

01

To fill out the Aging of Form Medi-Cal, follow these steps:

02

Obtain the Aging of Form Medi-Cal from your local Medi-Cal office or download it from their website.

03

Fill out your personal information accurately, including your full name, date of birth, and contact information.

04

Provide your Medi-Cal identification number, if applicable.

05

Complete the sections related to your income, assets, and expenses. Provide details about your household's financial situation.

06

Indicate any changes in your medical condition, if applicable.

07

Sign and date the form.

08

Submit the form to your local Medi-Cal office or send it via mail, according to their specific instructions.

Who needs aging of form medi-cal?

01

Anyone who is applying for or receiving Medi-Cal benefits and needs to report changes in their income, assets, expenses, or medical condition may need to fill out the Aging of Form Medi-Cal. It is typically required for ongoing eligibility determination and to ensure that individuals receive the appropriate level of financial assistance.

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What is aging of form medi-cal?

Aging of form medi-cal is the process of reporting the age of individuals receiving Medi-Cal benefits to determine eligibility and coverage.

Who is required to file aging of form medi-cal?

Individuals enrolled in the Medi-Cal program or their legal guardians are required to file aging of form medi-cal.

How to fill out aging of form medi-cal?

Aging of form medi-cal can be filled out by providing accurate information about the age of the individual receiving benefits and submitting it to the appropriate Medi-Cal office.

What is the purpose of aging of form medi-cal?

The purpose of aging of form medi-cal is to verify the age of individuals receiving Medi-Cal benefits and ensure that they are eligible for coverage.

What information must be reported on aging of form medi-cal?

Aging of form medi-cal requires reporting the accurate age of the individual receiving benefits and any changes that may affect their eligibility.

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