Get the free DHCS 6251 (04/20) - Estate Recovery Questionnaire
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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services
WILL LIGHTHOUSE
DIRECTORMEDICAL ESTATE RECOVERY
QUESTIONNAIREGAVIN NEWSOM
GOVERNORNotice of death must be provided
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Who needs dhcs 6251 0420?
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DHCS 6251 0420 is needed by individuals who are applying for or renewing their eligibility for healthcare programs, such as Medi-Cal or other government assistance programs.
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What is dhcs 6251 0420?
DHCS 6251 0420 is a form used by the California Department of Health Care Services to report and verify eligibility for specific programs and services related to Medi-Cal.
Who is required to file dhcs 6251 0420?
Individuals or entities that are applying for or renewing eligibility for certain Medi-Cal programs are required to file DHCS 6251 0420.
How to fill out dhcs 6251 0420?
To fill out DHCS 6251 0420, individuals should carefully follow the instructions provided on the form, ensuring all required personal and financial information is accurately reported.
What is the purpose of dhcs 6251 0420?
The purpose of DHCS 6251 0420 is to collect necessary information to determine eligibility for Medi-Cal benefits and to ensure compliance with state regulations.
What information must be reported on dhcs 6251 0420?
Information that must be reported on DHCS 6251 0420 includes personal identification details, household income, family composition, and relevant medical expenses.
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