Medi-Cal Application - Health Care

Health Care

Children and Youth

Ability To Pay (ATP) Plan Child Health & Disability Prevention Program (CHDP) Children's No-Cost Medi-Cal Services Former Foster Care Children Healthy Families Kaiser Permanente Cares for Kids Medi-Cal Outreach District Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Women, Infants & Children Supplemental Nutrition Program (WIC)

Pregnant Women

Ability To Pay (ATP) Plan Access For Infants and Mothers (AIM) Pregnant-Only Medi-Cal Services Other Health Care Programs for Pregnant Women Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Women, Infants & Children Supplemental Nutrition Program (WIC)

Families

Ability To Pay (ATP) Plan Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Transitional Medi-Cal Programs

Aged - Blind - Disabled

Ability To Pay (ATP) Plan Long Term Care Medi-Cal Medicare Medi-Cal for Individual/Couple Living at Home Medicare Premium Assistance Programs Outpatient Reduced-Cost Simplified Application (ORSA) Plan Other Health Care Programs and Services Pickle Amendment Programs

Adults

Ability To Pay (ATP) Plan Other Free or Low-Cost Plans Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low Cost Medical Services

Special Health Problems

Ability To Pay (ATP) Plan California Children Services (CSS) Programs DDS Home & Community Based Services Dialysis or Total Parenteral Hyperalimentation (TPN) Programs Outpatient Reduced-Cost Simplified Application (ORSA) Plan Tuberculosis (TB) Program

Access Manual Estate Recovery Program Former Foster Care Children Healthy Way LA California Health Care Options (HCO) Immigrants We've Got You Covered

CalFresh General Relief Medi-Cal Office Locations

Medi-Cal Application

Language	Introduction	Application	Instructions
Armenian	View	View	View
Chinese	View	View	View
English	View	View	View
Farsi	View	View	View
Hmong	View	View	View
Khmer	View	View	View
Korean	View	View	View
Lao	View	View	View
Russian	View	View	View
Spanish	View	View	View
Vietnamese	View	View	View

Last Updated: May 2012