How to Apply for MediCal/CMSP

WE ARE NAPA COUNTY

Self Sufficiency Services Health and Human Services Agency

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 How to Apply for Medi-Cal/CMSP

To get an application:

  • Call (707) 253-4511 to have an application sent to you
  • Visit one of two locations: 2751 Napa Valley Corporate Drive Building A in Napa or 4381 Broadway in American Canyon to complete an application
  • Apply online at C4Yourself.com

Instructions for completing the application are provided. It is important to answer every question. If you need help, call (707) 253-4511.

After completing the application, either return it to the local office by mail or in person.

What to include with your application:

For faster service, include the following with the application:

  • Proof of the identity of the head of household
  • Proof of U.S. Citizenship or U.S. Nationalization and identification for all applicants. Go to http://www.dhcs.ca.gov/services/medi-cal/pages/dra.aspx.
  • Social Security number for each person for whom application is made
  • Proof of income (paystubs, tax return for self-employed, unemployment or disability benefits)
  • Proof of the value of real and personal property (bank accounts, life insurance, vehicle registrations)

The process:

  • An eligibility worker (EW) will be assigned to process each application. If additional documents or proof of circumstances are needed, the EW will request them via mail.
  • The applicant will receive a letter, called a Notice of Action, letting him/her know if benefits have been approved or denied.
  • The County has 45 days to process an application for Medi-Cal/CMSP. If the applicant requests a disability determination, the process may take up to 90 days depending upon how quickly the applicant provides information and the doctors and hospitals submit medical records.
  • If the applicant disagrees with any action taken by the County, there is an appeals process known as a State Hearing. Look on the back of the Notice of Action for information on how to request a State Hearing.