Skip to Main Content
Turn on more accessible mode
Turn off more accessible mode
Skip to Main Content
Medi-Cal Members:
Keep your coverage. Log on to
your account
or contact
your county office
to update your information.
Important
Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? Give your local county office your updated contact information so you can stay enrolled.
Find your local county office.
Home
#
#
#
#
Home
About DHCS
Translate
Menu
Search
Home
Services
Individuals
Providers &
Partners
Laws &
Regulations
Data &
Statistics
Forms &
Publications
Search
Search for this site:
Page Content
Forms by Program
Audits & Investigations
Financial Audits Branch (FAB)
Children's Medical Services (CMS) Branch
California Children's Services (CCS)
Child Health and Disability Prevention Program (CHDP)
Genetically Handicapped Persons Program (GHPP)
Newborn Hearing Screening Program (NHSP)
Hearing Conservation Program (HCP)
Drug Medi-Cal Treatment Program
Ground Emergency Medical Transportation Program (GEMT)
Health Insurance Premium Program
Home and Community-Based Services
Licensing and Certification Program
Aide and Technician Forms
Medi-Cal
Mental Health
Office of Family Planning
Primary, Rural, and Indian Health Division
American Indian Infant Health Initiative (AIIHI) Forms
Medicare Rural Hospital Flexibility Critical Access (FLEX/CAH) Grant Program
Small Rural Hospital Improvement Program (SHIP)
Privacy Forms
Provider Enrollment Division
Licensing and Certification Division
(LCD)
Treatment Authorization Request (TAR)
Back to the Forms Index
Last modified date: 1/10/2023 9:41 AM
