California Correctional Health Care Services

Official Website: https://cchcs.ca.gov

California Correctional Health Care Services (CCHCS) provides care that includes medical, dental, and mental health services, to California’s prison inmate population at all 35 California Department of Corrections and Rehabilitation (CDCR) institutions statewide.

The mission is to facilitate the successful reintegration of the individuals in our care back to their communities equipped with the tools to be drug-free, healthy, and employable members of society by providing education, treatment, rehabilitative, and restorative justice programs, all in a safe and humane environment.

Forms & Documents

Browse all California Correctional Health Care Services government forms

81 - 100 of 160 forms

Form Title Topics
DHCS 6065A Form - Good Cause Certification
DHCS 6065A Instructions - Good Cause Certification
DHCS 6065B Form - Good Cause Certification
DHCS 6065B Instructions - Good Cause Certification
DHCS 6700 Form - Multiple Billing Override Certification
DHCS 6700 Instructions - Multiple Billing Override Certification Instructions
DHCS 8049 Form - County Certification of Compliance
DHCS 8049 Instructions - County Certification of Compliance
Established CCS/GHPP Client Service Authorization Request (SAR)
Facility Review Scoring Summary Sheet
Facility Review Tool and Scoring Instructions
Federally Qualified Health Center/Rural Health Clinic Change in Scope-of-Services Request
Federally Qualified Health Center/Rural Health Clinic Reconciliation Request
Financial Card
FQHC and RHC Initial Rate Setting Application Package
FQHC/RHC Dental Hygienist Services Prospective Payment System Alternate Payment Methodology Worksheet
GEMT Point of Contact
GEMT Provider Participation Agreement
GHPP Application to Determine Eligibility and Income Verification
GHPP Application to Determine Eligibility and Income Verification (Spanish)

Contact Information & Office Locations

1 contact point

Inmate Dental Services Program

Address:
PO Box 588500
Elk Grove, CA 95758

Phone numbers:
  • (916) 691-3174

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions