Follow the steps to effectively complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your case name, case number, worker's name, worker's phone number, date sent, and return date for this form. It is important to ensure all names and numbers are accurate to avoid processing delays.
3. Provide additional household information as required. If you or a member of your household is living apart due to legal marriage, indicate this and list the name of the spouse. Also, provide details if there is a step-parent living in your household or if a child is being cared for by a relative.
4. Answer the income and expenses section. Check 'Yes' or 'No' for each income type and expense type relevant to your household. Ensure that you gather and attach proof for any 'Yes' responses, ensuring to meet documentation requirements as specified.
5. In the property and possessions section, check the boxes for the types of property your household owns. Be thorough and provide any necessary documentation if you answer 'Yes' to ownership of specific property, such as vehicles, real estate, or valuable possessions.
6. If applicable, answer questions about long-term care or nursing facility residence. Provide any details related to the sale or transfer of property or financial assets within the specified time frames.
7. Read through the declaration section carefully, understanding that by signing, you confirm the truth of your information. Ensure the signature is completed accurately along with the date.

Complete your CA DHCS MC 604 IPS form online today to ensure your Medi-Cal eligibility is assessed promptly.