Get Transitional Medi-cal (tmc) Quarterly Status Report - Department Of ... - Dhcs Ca

Filling out the Transitional Medi-cal (tmc) Quarterly Status Report is an essential process for maintaining eligibility for healthcare assistance. This guide provides clear and concise instructions for users to accurately complete and submit the report online.

Follow the steps to fill out your Transitional Medi-cal Quarterly Status Report

1. Press the ‘Get Form’ button to access the Quarterly Status Report form. Ensure you have a reliable internet connection to avoid disruptions while completing the form.
2. Begin with Part A, where you can request a discontinuance of your Transitional Medi-Cal, if applicable. This section requires your signature and the date to confirm your decision.
3. Move to Part B, Eligibility Status Information. Here, you will report any income received during the reporting period. Provide the names of individuals who received income, the source, and the total hours worked. Attach proof of income such as pay stubs or documentation.
4. Continue to address questions regarding any benefits received from other sources, such as disability or unemployment. Make sure to include the required documentation for each reported income source.
5. Answer questions about any non-monetary assistance received, such as free housing or food, and note any child care expenses incurred. List the amount paid for child care and the names of the children cared for.
6. Indicate any changes in your household composition or family situation during the reporting period. This may include addresses changes, employment status, or any new household members.
7. Provide details regarding any private health, vision, or dental insurance you or your family members may expect to receive. Complete the necessary fields for insurance-related inquiries.
8. Ensure you complete the certification section at the end of the report. This requires your signature and date, confirming that the information provided is accurate and complete.
9. After completing all sections, review the form for accuracy. Save the changes, and follow the instructions on how to submit the report online.

Complete your Transitional Medi-cal Quarterly Status Report online today to maintain your eligibility for essential healthcare services.