Form Dhcs 0008 - California Proof Of Citizenship And Identity Requirements - Health And Human Services Agency

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State of California – Health and Human Services Agency
Department of Health Care Services
Proof of Citizenship and Identity Requirements
For Children who are U.S. Citizens or Nationals
Filling out the Healthy Families/Medi-Cal Joint Application
If your child is not a U.S. citizen, this law does not apply to the child.
Your county Medi-Cal office is reviewing your child’s application. During this time, your child is covered by
Medi-Cal. To continue receiving full-scope Medi-Cal, your county office will need to obtain proof of citizenship
and proof of identity for your child. Read below to learn more.
Do all children have to show proof of
If the county gets my child’s birth record, do
citizenship and identity?
I still need to provide proof of identity?
No. These children do not have to provide proof:
If your child is under 16 and you have filled out and
• A child with:
signed the Healthy Families/Medi-Cal joint
– Supplemental Security Income (SSI)
application with your child’s date and place of birth,
– Medicare
you do not need to provide proof of identity. (The
– Social Security Disability Insurance (SSDI)
signed application is proof of your child’s identity.)
– Social Security Retirement and Survivors
What if my child is 16 or older?
Insurance (RSI – Title II) based on their own
Children who are 16 or older must provide proof of
disability
citizenship and proof of identity. See page 2.
• A child under 21 asking for Minor Consent
Services
Do you need the original citizenship or
• Babies born to women on Medi-Cal
identity documents?
• Children in Foster Care, Adoption Assistance, or
Yes. The county office needs the original citizenship
Kin-GAP
and identity documents, or copies that have been
• Babies in the Abandoned Baby Program
certified by the issuing agency.
• CalWORKs Beneficiaries
Can I mail my proof of citizenship or identity?
What if my child is not a U.S. citizen?
Yes. The county will make copies and mail the
If your child is not a U.S. citizen or national, you only
originals back to you. Or, you can take your
need to provide the same documents that were
documents to your local social services office. Ask
required before. Nothing has changed.
them to make copies and give them back right away.
U.S. nationals include people born in American
Do I have to provide proof of citizenship or
Samoa (including Swains Island) and certain people
identity more than once?
from the Commonwealth of the Northern Mariana
Islands.
No. You only have to provide proof of citizenship and
identity once.
What if I do not have proof of my child’s
What If I paid for medical or dental care for
citizenship?
my child while getting proof of citizenship
If your child was born in California, your county office
and identity?
may be able to get a birth record. (A birth record is
proof of citizenship.)
If you incurred health costs while getting your child’s
citizenship and identity documents, Medi-Cal may
Fill out a Request for California Birth Record form.
pay for bills. Call Beneficiary Services at the
Then, mail or take this form to your local social
Department of Health Care Services for answers to
services office. If a birth record cannot be found, you
your questions: (916) 403-2007
will need to provide another proof of citizenship. See
page 2 for list of acceptable documents.
Ask your county about getting proof of citizenship if
your child was not born in California. Contact the
county to see if they have found a birth record match
for your child before you pay for a birth certificate.
DHCS 0008 (01/08)
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