DEBS Forms Packets

All DEBS forms including the forms needed for the Intake Packet, the Intake Informational Packet and the RRR Packet are maintained on a spread sheet. The spread sheet allows the Program Unit to update the forms and revision dates as needed and in real time.

The link to the “DEBS Forms List” is located on the Program BureauProgram Bureau page, in the Reference Materials located under the Resources heading.

1. On the Reference MaterialsReference Materials page, go to the Quick Reference Guides column and select List of All DEBS Forms.

   

2. When you select the List of All DEBS Forms, the following messagemessage will appear:

   

3. Click on “Open in Excel”.
4. The DEBS Forms ListDEBS Forms List is displayed.

   

5. The “Instruction” tab of the DEBS Forms List provides instructions on how to use the sheet most effectively.

Refresh Data

To refresh the data on the DEBS Forms List, click the Refresh DataRefresh Data button (orange button) on the Instruction tab.

• The “RefreshedRefreshed” tab provides the most recent date and time the list was updated.

  

• The “Non-Magi ScreenNon-Magi Screen” tab contains Non-Magi Medi-Cal related forms.

  

• The “IntakeIntake” tab contains Intake application related forms for all programs in all available languages.

  

• The “Intake InformationalIntake Informational” tab contains all forms needed for the Intake Informational Packets in all available languages.

  

• The “CW-CF-GA-CAPI-FC-AAP RRRCW-CF-GA-CAPI-FC-AAP RRR” tab contains all required RRR forms for the corresponding programs in all available languages.

  

• The “MC RRRMC RRR” tab contains all required RRR forms for the various Medi-Cal programs.

  

• The “Other LanguagesOther Languages” tab contains forms available in languages other than English, Spanish or Vietnamese.

  

• The “ALL DEBS FORMSALL DEBS FORMS” tab is the repository for all DEBS Forms currently available in the DEBS Forms Library.

  

Saving the DEBS Forms List

To save the DEBS Forms List to your computer, right click the List of All DEBS Forms link and choose “save target assave target as” to save to your computer.

Related Topics

Intake Packets

Recertification/Redetermination Information Packets