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California health care services 2025

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The document is an Initial Application Coversheet for Narcotic Treatment Programs (NTP) issued by the California Department of Health Care Services. It provides detailed instructions for completing the application, including sections for applicant information, types of treatment programs, and required declarations. The form emphasizes the importance of accuracy and completeness in providing information related to opioid addiction treatment facilities, and outlines the legal requirements and privacy considerations associated with the application process.

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Click ‘Get Form’ to open the California Health Care Services Initial Application Coversheet in the editor.
Begin with Section A, where you must select the type of application. Check all applicable boxes for Narcotic Treatment Program, Detoxification Treatment, Maintenance Treatment, Medication Unit, or Office-Based Narcotic Treatment Network.
Proceed to Section B and fill in your Applicant Information. Enter your License Number if applicable, National Provider Identifier (NPI), and the Name of Legal Entity. Ensure that you provide accurate details as required.
Complete the Facility Street Address and Mailing Address fields accurately. Verify addresses using the United States Postal Service website to avoid errors.
In Section D, print your name as the program sponsor, sign the form, and date it. This confirms that all information provided is true and complete.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why do inmates go to California health care facilities?

California Health Care Facility (CHCF) is a state prison for incarcerated patients with long-term medical needs or acute mental health needs.

What is California health care called?

Medi-Cal is Californias Medicaid health care program.

What is the maximum income to qualify for Medi-Cal in California?

(800) 541-5555 Providers: Telephone Service Center: (800) 541-5555. Provider-Telecommunications Network (PTN): (800) 786-4346. Out-of-State Provider Support: (916) 636-1960. Department of Health Care Services Contacts - DHCS - CA.gov ca.gov Pages dhcscontact ca.gov Pages dhcscontact

What are the income limits for California Medi-Cal?

If your income is too high for Medi-Cal, you may qualify to purchase health insurance through Covered California. Covered California offers premium assistance. It helps lower the cost of health care for individuals and families who enroll in a Covered California health plan and meet income rules.

Do California citizens get free healthcare?

Medi-Cal offers free or low-cost health coverage for Californians who meet eligibility requirements, regardless of immigration status. Most applicants who apply and enroll in Medi-Cal will receive care through Medi-Cal health plans.

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How much money can you have in the bank and still qualify for Medi-Cal?

If you get Medi-Cal coverage and then get a job, you have a couple of options for keeping your Medi-Cal benefits. If you got Supplemental Security Income (SSI) cash benefits before you got your job, Social Securitys 1619(b) program lets you earn up to $58,638 annually and still keep Medi-Cal coverage at no cost.