• Be at least 21 years of age but less than 65 years and not eligible for the Medi-Cal program
• Meet the citizenship or immigration status requirements
• Provide all required documentation within the required time frames
• Apply for and accept unconditionally available income
• Provide Social Security Number
• Meet the countable property limits for the program and any transfer / utilization of property requirements
• Not be an inmate in public or private institutions
• Utilize other available health care coverage
• Depending on the situation, CMSP benefits may be at no cost or may require the recipient to make a share of cost contribution
  

• Applicants can either come into the office(s) to apply or call and request a mail-in application
• If the applicant is unable to apply on his/her own behalf, or is deceased, any of the following may complete and file the application for the applicant
  • The applicant’s spouse, guardian, conservator or executor
  • A person who knows of the applicant’s need to apply
  • A public agency representative
• The county department shall obtain verification of the following information contained on the application form prior to approval of eligibility:
  • Income
  • Savings and checking account balances
  • The value of stocks, bonds, and mutual funds
  • Trust deeds
  • Other real property
  • All CMSP income deductions such as child care costs, health insurance premiums, alimony, etc
  • Non-exempt motor vehicles, including boats, campers or trailers
  • Cash value of non-exempt life and burial insurance policies and trusts
  • Any other item which the county determines to be necessary to establish eligibility

If an interpreter is needed please ask at the time an appointment is made so one can be made available for the interview. There is no cost to you for the services of an interpreter.