Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Only - Under Age 18 - California (Vietnamese)

Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Only - Under Age 18 - California (Vietnamese)

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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC223 C?
A: Form MC223 C is a supplemental statement of facts for Medi-Cal Child Only - Under Age 18 in California.

Q: Who is this form for?
A: This form is for children under the age of 18 who are applying for Medi-Cal benefits in California.

Q: What is the purpose of Form MC223 C?
A: The purpose of Form MC223 C is to provide additional information about the child's circumstances and eligibility for Medi-Cal.

Q: Is this form available in Vietnamese?
A: Yes, this form is available in Vietnamese.

Q: Do I need to fill out this form if my child is already on Medi-Cal?
A: No, this form is only required for new applicants.

Q: What information do I need to provide on this form?
A: You will need to provide personal information about the child, household income, assets, and any other relevant details.

Q: Are there any fees associated with submitting this form?
A: No, there are no fees for submitting this form.

Q: What languages are available for this form?
A: This form is available in multiple languages, including Vietnamese.

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Form Details:

  • Released on June 1, 2011;
  • 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 MC223 C by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Only - Under Age 18 - California (Vietnamese)

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