Cmsp 219 form 2025

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The document outlines the rights and responsibilities of applicants for the Path2Health and County Medical Services Program (CMSP). It details eligibility criteria, application processes, and the importance of providing accurate information regarding citizenship and residency. The document emphasizes the applicant's rights to fair treatment, access to interpreters, and confidentiality, as well as their responsibilities to report changes in circumstances and cooperate with Medi-Cal regulations. It also includes a privacy notification regarding the use of personal information.

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What is MC 219 form?

MC 219 (11/15) ENG2. To verify immigration status with the Department of Homeland Security (DHS), if required. Information shared with DHS cannot be used for immigration enforcement unless you are committing fraud.

What is the property limit for CMSP?

Real Property Limits Principal residence, including any appertaining buildings and land used as a home is exempt if the applicant/beneficiary lives there. Other real property with a net market value of $6,000 or less is exempt if utilization requirements are met.

Who qualifies for CMSP?

Who is eligible? Adults between 21 and 64 years old. Legal residents undocumented individuals. Persons cannot be eligible for Medi-Cal, Covered California, or Medicare. Coverage is available in 35 participating counties. Applicants can qualify with: Incomes up to 300% FPL (Medi-Cal is up to 138%)

Who is eligible for CMSP?

To qualify, CMSP Benefit members must: Be age 21-64. Live in one of the 35 CMSP counties. Have income up to 300% of the Federal Poverty Level (learn more about the Federal Poverty Level here)

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