The Department of Health Care Services (DHCS) administers the Medi-Cal/HIPP program through the Third Party Liability Branch. For more information, call the HIPP Toll-Free Line at 1-866-298-8443.

Medi-Cal/HIPP program applicants must submit the following:

• Medi-Cal/HIPP Department of Health Care Services Form 6155 (Health Insurance Questionnaire);
• Medi-Cal/HIPP Department of Health Care Services Form 6172 (HIPP application);
• An insurance policy or description of benefits from the insurer or employer;
• A physician letter of diagnosis of high-cost medical condition; and
• A premium payment notice or election form from COBRA or Cal-COBRA.

The AIDS Project Los Angeles (APLA) provides information on Medi-Cal/HIPP as well as benefits counseling to men, women and children living with HIV and AIDS in Los Angeles County.