Forms
Income worksheet
What is the HSD410
HSD1503
What is the CalFresh budget sheet
MI-MN
What is Medically indigent-Medically Needy
Telephonic Signature
What is TESI
$170.10
What is the Medicare part B premium
CalFresh budget for elderly and disabled
What is the DFA285-D
$487
What is SUA or SUAS
QMB, SLMB, QI-1
2, 2.167, 4.33
What are conversion factors
MC210A
Medicare Savings Programs
What is the MC176-1 QMB
Rent, utilities, child care, child support, medical
What are allowable expenses
Additional income and property information needed for Medi-Cal
What is the MC604IPS
Redeterminations and Recertifications
What are annual renewals for Medi-Cal and CalFresh
Retirement, Survivors, and Disability Insurance
What is RSDI
Work registration
What is the HSD231A
R3, R4, R5
What are WINS aid codes
Pickle and Medicare savings program
What are Mega Mandatory programs
The ONLY mandatory mid-period report for CalFresh
What is over the income reporting threshold (IRT)
SOC
What is share of cost
Pickle needs test
What is the DHCS7075
Households that are technically not required to pass a gross income test, only a net income test.
What are elderly and/or disabled households
Mega Mandatory, Primary Programs, Secondary Programs
What is the program hierarchy
FPL
What is the Federal Poverty Level
36-month certification period
What is an ESAP household