Form MC176 S Medi-Cal Status Report - California

Form MC176 S Medi-Cal Status Report - California

What Is Form MC176 S?

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 Form MC176 S?
A: Form MC176 S is the Medi-Cal Status Report for residents of California.

Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program, which provides healthcare coverage for low-income individuals and families.

Q: Who needs to fill out Form MC176 S?
A: Form MC176 S needs to be filled out by individuals who receive Medi-Cal benefits and need to report any changes in their circumstances.

Q: What kind of changes do I need to report on Form MC176 S?
A: You need to report changes in your income, household size, address, or any changes that may affect your eligibility for Medi-Cal.

Q: How often do I need to fill out Form MC176 S?
A: The form needs to be filled out once a year, but it's important to report any changes within 10 days of the change occurring.

Q: Is there a deadline for submitting Form MC176 S?
A: Yes, there is a deadline for submitting the form. It should be submitted within 90 days of the date shown on the upper right corner of the form.

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Form Details:

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

Download a fillable version of Form MC176 S by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC176 S Medi-Cal Status Report - California

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