Caregiver

A primary caregiver is a person who consistently assumes the responsibility for the housing, health or safety of the applicant (patient).  This may be an individual or the owner, operator or employee of an appropriately licensed clinic, facility, hospice, or home health agency.  As a primary caregiver you cannot apply for a card for yourself.  Your patient must apply for you. 

Your responsibilities are:

  1. Provide proof of identity.
  2. Be prepared to be photographed.
  3. Complete and sign the “Primary Caregiver Declaration” portion of the Application/Renewal Form.
  4. If you work for more than one qualified patient you must reside in the same county.
  5. If you no longer work for a qualified patient, you must return your MMIC for confidential destruction to the county program that issued the card to you. I’m not sure if you would like the County to add its own guidelines to the State guidelines.

If Applying for a Primary Caregiver

If you designate a primary caregiver, make sure your caregiver is not already serving as a designated primary caregiver to another qualified patient in a different county.
If you, as the applicant, are a Medi-Cal beneficiary, the fee for your primary caregiver’s card will also be discounted 50 percent. Be sure your primary caregiver completes, signs, and dates their portion of the Application/Renewal Form.  

The primary caregiver, if any, will need to provide:

A primary caregiver is a person who consistently assumes the responsibility for the housing, health or safety of the applicant (patient).  This may be an individual or the owner, operator or employee of an appropriately licensed clinic, facility, hospice, or home health agency.  As a primary caregiver you cannot apply for a card for yourself.  Your patient must apply for you. 

  • A completed application
  • A current and valid California motor vehicle’s driver license or California Identification Card issued by the California    Department of Motor Vehicles    (DMV).  This includes DMV’s DL 43 “Change of Address Certification Card”
  • Proof of residency
  • The application fee for each MMIC requested
  • Your photo will be taken at the time of application