You can print a form now . This web site offers help with filling out the form .
Applications are available in Spanish, Creole, and English.
Parents with custody, legal guardians, and emancipated minors may fill out and sign the application. Families applying only for Medicaid for their children may take the application to their DCF local service center for local processing. Within one week, we will mail a notice that we received the application. Processing takes several weeks. We check first to see if your children are eligible for KidCare Medicaid.