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Initial Application for Calfresh , Cash Aid , and/or Medi ...
You are also giving the Medi-Cal agency the right to pursue and get medical support from a spouse or parent. If you think that cooperating to collect medical support will harm you or your children, you can tell the Medi-Cal agency and you may not have to cooperate. Please take and keep for your records . SAWS 1 (8/13) GE 1 OF 4
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STATEMENT ACKNOWLEDGING REQUIREMENT …
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STATE OF CALIFORNIA – HEALTH AND HUMAN …
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www.dhcs.ca.govRetroactive Medi-Cal page. 18. Up dating & Renewing My Medi-Cal . Reporting Household Changes Movi ng O ut of a Co ty or the Sae Renewing My Medi-Cal page. 19. Rights & Responsibilities Appeal and Hearing Rights State Fair Hearings Third Party Liability Estate Recovery Medi-Cal Fraud Nondiscrimination and Accessibility Requirements. DHCS On ...
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