Under Construction

The RII online application form is in development. In the meantime, download and submit your RII Application through our secured Dropbox. The fillable RII Applications can be downloaded and used to begin the enrollment process.

H6317_WBHWebLocation_166_SanJose_CMS Approved 01/05/2024, H8082_WBHWebLocation_166_Modesto Approved 5/14/2024, H1917_WBHWebLocation_166_RIVCVY Approved 5/14/2024, H1544_WebCAR CMS Approved 12/17/2024, H0934_WebLdgPgPT CMS Approved 12/17/2024, H1544_WebLdgPgPT CMS Approved 12/17/2024, H1917_WebLdgPgPT CMS Approved 12/17/2024, H2384_WebLdgPgPT CMS Approved 12/17/2024, H6317_WebLdgPgPT CMS Approved 12/17/2024, H8082_WebLdgPgPT CMS Approved 12/17/2024, H1917_CVYWelcome_CMS Approved 09/30/2024, H8082_StkMod_CMS Approved 09/30/2024, H1544_WebCAR CMS Approved 12/17/2024 H0934_WebLdgPg_CMS Approved 10/18/2024, H1544_WebLdgPg_CMS Approved 10/18/2024, H1917_WebLdgPg_CMS Approved 10/08/2024, H2384_WebLdgPg_CMS Approved 10/18/2024, H6317_WebLdgPg_CMS Approved 10/18/2024, H8082_WebLdgPg_CMS Approved 10/18/2024, H1219_PACEGuide_SP CMS Approved 05/14/2024, H1219_PACEGuide_CH CMS Approved 05/14/2024, H8082_WebLocPgMOD_CMS Approved 4/22/2025, H8082_WebLocPgEG_CMS Approved 4/21/2025, H1219_WebLocPgSBN_CMS Approval 7/11/25 , H2384_WebLocPgFresno_CMS Approval Pending XX/XX/XXXX