unauthorized access to any state of california computing system containing us government or state of california information is a criminal violation of the penal code section 502 and/or applicable federal law and is subject to civil and criminal sanctions.

All information requested on the Application, the disclosure statement, and the provider agreement is mandatory. This information is required by the California Department of Health Care Services and any other California State Departments that are delegated responsibility to administer the Medi-Cal program, by the authority of the Welfare and Institutions Code, …