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Pending Application

 

Your Application Is Pending - Now What?

You signed paperwork requesting medical services. Your application is now pending with Del Norte County Health & Human Services. During this eligibility determination period you have been assigned an Eligibility Caseworker who will send you mail-in medical application forms along with a request for verifications.  Time limits do apply.  You are required to complete and return all by the assigned due date.  You may contact that office at 880 Northcrest Dr, Crescent City CA or Phone: 707-464-3191 for more information or to inquire about your application status. 

Once your caseworker has received all your required paperwork and verifications, your application will be processed for eligibility determination.  You will be notified in writing regarding your medical program eligibility.  The notice will also explain if you have a Share of Cost and the dates of your certification period. 

Once determined eligible your medical Benefit Issuance (BIC) cards will be mailed arriving in 2-6 weeks.  If you were issued a BIC card in the past, but no longer have it, you must request a new replacement card. If you need medical services sooner you may request an Immediate Need Temporary Paper Card be printed at Del Norte County Health & Human Services.

The medical program you qualify for may not go back retro for past dates of medical service. Your current application will date back to the first of the month in which you applied. If you qualify for Medi-cal you may also request Retro Medi-Cal for the past three months. The CMSP program does not provide retro for a past month however. It is important that you apply in the month of service to ensure eligibility.

Don't put off needed health care.  You may seek and receive medical attention during the eligibility determination period.   When eligibility has been verified the appropriate medical programs can then be billed.   If you have already paid out of pocket medical and prescription expenses in a month that you are eligible, you may request a refund directly from that provider.

Medi-Cal and CMSP are good only for approved prescriptions and medical expenses where the cards are accepted.  Not all medical care, procedures, or medicines may be covered by Medi-Cal or CMSP. There are restrictions, such as a limit of 6 prescriptions monthly.  Vision and Dental are restricted to emergency services only for CMSP.  Remember that not all Doctors, Dentists, and providers accept Medi-Cal or CMSP.  You should always check to be sure your provider accepts your cards and that the expense is covered under your program. Verify with all providers for pre-approval. You are responsible to inform your various medical providers your BIC card eligibility information and ID number.

NOTE:  To be considered for the Sutter Financial Assistance Charity Program it is required that you first apply for any available State or County medical programs. Verification of your medical application eligibility determination is required. 

 

Report the Following Changes to Del Norte County Health & Human Services:

Phone 707- 464-3191 

      • If you have a medical emergency requiring program eligibility sooner
      • If you have medical bills in the past three months- request Retro Medi-Cal
      • If you would also like to apply for CalWORKs Cash-Aid or Food Stamps
      • If you need more time to provide application paperwork or verifications
      • If you are having difficulty completing the application or have questions
      • If you are having difficulty in obtaining required documents and verifications
      • If you no longer have your Medi-cal BIC card a new one must be re-ordered
      • If since applying your income has been reduced or ended
      • If since applying your address or contact information has changed
      • If since applying a family member has moved in or out of your home
      • If you do not receive an application packet within 7-10 days
      • If you do not receive an eligibility determination letter within 30-45 days

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This site is intended as a resource to provide Sutter Coast Hospital Patients better access to free or low cost medical coverage. For more help and information contact:

 

Debbie Youtsey - Patient Services - Sutter Coast Hospital

800 E. Washington Blvd. PO Box 2009 Crescent City CA 95531

Phone: (707)464-8960      Fax: (707)464-8839

  E-mail: YoutseD@sutterhealth.org

 

Official Sutter Web Sites:  Sutter Coast Hospital   Sutter Health   Find a Doctor

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