Form MC371 Additional Family Members Requesting Medi-Cal - California (Korean)

Form MC371 Additional Family Members Requesting Medi-Cal - California (Korean)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC371?
A: Form MC371 is a request for additional family members to be added to your Medi-Cal coverage in California.

Q: Who can use Form MC371?
A: Form MC371 can be used by individuals in California who are already enrolled in Medi-Cal and want to add additional family members to their coverage.

Q: Is Form MC371 available in Korean?
A: Yes, Form MC371 is available in Korean for those who prefer to fill it out in that language.

Q: How do I fill out Form MC371?
A: You will need to provide information about yourself and the additional family members you are requesting to add to your Medi-Cal coverage. The form also requires your signature and date.

Q: Is there a deadline for submitting Form MC371?
A: There is no specific deadline for submitting Form MC371, but it is recommended to submit it as soon as possible to ensure timely processing of your request.

Q: What happens after I submit Form MC371?
A: After submitting Form MC371, the California Department of Health Care Services will review your request and notify you of the outcome.

Q: Is there a fee to submit Form MC371?
A: No, there is no fee to submit Form MC371.

Q: Can I make changes to my Form MC371 after submitting it?
A: Yes, you can make changes to your Form MC371 by contacting your local county office or submitting a new form with the updated information.

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Form Details:

  • Released on June 1, 2009;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC371 Additional Family Members Requesting Medi-Cal - California (Korean)

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