Healthy Families Program Updates

Program UpdatesUpdateDate
Healthy Families Program Wait List Tracking Tool Instructions view November 2009
Healthy Families Program Wait List Tracking Tool (Spanish) view November 2009
Healthy Families Program Wait List Tracking Tool (English) view October 2009
All County Letter regarding Healthy Families Wait List view October 2009
Healthy Families Program Re‐Opens to New Enrollment view October 2009
Healthy Families Co-Pays and Premiums Increase view October 2009
Open Enrollment 2008 view November 2008
Healthy Families Premium Increase view November 2008
Changes to Joint Medi-Cal and Healthy Families Application view April 2008
Assistor Tips view January 2007


Healthy Families Forms

Form NameEnglishSpanish
*NEW* Annual Eligibility Review Forms - November 2008 view view
Add a Person view
Authorized Representative view view
Electronic Funds Transfer view
Joint Medi-Cal and Healthy Families Application - With Instructions view view
Open Enrollment - Transfer Request Form view
Premium Re-Evaluation Form view view
Re-Enrollment view
Sample Profit & Loss Statement view
Sample Self Affidavit view