Hardship Waiver Application
DHCS will waive an applicant's proportionate share of the claim if an Application for Hardship Waiver, DHCS 6195 (06/19) is submitted within 60 days of the date on the Estate Recovery claim letter and one or more of the substantial hardship criteria apply. This criterion may be found on pages 4 & 5 of the Hardship Waiver Application. For deaths occurring on or after January 1st, 2017 there is additional hardship waiver criteria.
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