Form MC196 Transmittal Form for Notifying Dhcs of Medi-Cal Inmate Eligibility Program (Mciep) Changes in Status for County Medical Probation or Compassionate Release Inmates - California

Form MC196 Transmittal Form for Notifying Dhcs of Medi-Cal Inmate Eligibility Program (Mciep) Changes in Status for County Medical Probation or Compassionate Release Inmates - California

What Is Form MC196?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of form MC196?
A: Form MC196 is used to notify DHCS of changes in status for County Medical Probation or Compassionate Release inmates in the Medi-Cal Inmate Eligibility Program (MCIEP) in California.

Q: Who uses form MC196?
A: County Medical Probation or Compassionate Release inmates and their associated agencies use form MC196 to notify DHCS of changes in their eligibility status in the MCIEP.

Q: What changes in status can be reported using form MC196?
A: Form MC196 can be used to report changes in the inmate's enrollment status, release date, change in custody status, change in medical eligibility, or any other relevant changes.

Q: Is form MC196 mandatory for reporting changes in status?
A: Yes, form MC196 is mandatory for reporting any changes in status for County Medical Probation or Compassionate Release inmates in the MCIEP.

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Form Details:

  • Released on March 1, 2020;
  • 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 fillable version of Form MC196 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC196 Transmittal Form for Notifying Dhcs of Medi-Cal Inmate Eligibility Program (Mciep) Changes in Status for County Medical Probation or Compassionate Release Inmates - California

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