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Chula Vista California online Form W-11: What You Should Know
Appoint a case manager — My Benefits for Cali Phone: 310.922.3233 Email: CaliMyBenefitsmedicares.org 3. Get a health status interview: MyBenefitsCaliforniaCall1.800.252.7272 You are able to receive your medical benefits from the county's Medical Assistance programs that are administered by the Department of Developmental Services (DDS). To apply for Medical benefits, you must first be determined to be “eligible.” A person is “eligible to receive medical care” if they are unable to meet their own qualified medical expenses. Health Status Interview for Medical Expenses You can request a Health Status Interview for Medical Expenses for all medical expenses that exceed the federal limits. The DDS will pay for the interview. You may not get a refund for your medical expenses if you are not a resident of the county. You must submit at least one of the following forms of documentation to the DDS's County Counselor's Office: Income Tax Exemption Certificate (Form 1111) or Certification of U.S. Citizenship (Form W-9). Each certificate/certification must be signed and dated by the holder of the certificate/certification, a representative of the DDS, or an employee of the county or the county's contractor. Affidavits, transcripts, notes of interviews, or other evidence of your income must also be submitted with your request. Medical Status Interview for Medical Expenses Medical Status Interview for Medical Expenses You are able to get all benefits from the county without paying any of your own medical expenses. However, you will have to pay for the Medical Status Interview fees. Medical Status Interview for Medical Expenses Medical Status Interview for Medical Expenses You can get all the Medical Status Interview Services, including the payment of charges, without the application fee. Contact the Medical Status Interview for Medical Expenses Office at to request an appointment. All sessions will be in English. All sessions will start 1 hour before normal business hours. There is no cancellation fee. Fees: 8-95.00; 5.00 for persons older than 60; 2.00 for persons younger than 60.
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