Form DHCS6209 Medi-Cal Supplemental Changes - California

What Is Form DHCS6209?

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 DHCS6209?A: Form DHCS6209 is a Medi-Cal Supplemental Changes form used in California.

Q: What is Medi-Cal?A: Medi-Cal is California's Medicaid program that provides free or low-cost health coverage to eligible individuals.

Q: What are Medi-Cal Supplemental Changes?A: Medi-Cal Supplemental Changes refer to any updates or revisions made to a Medi-Cal application or enrollment.

Q: Who needs to complete Form DHCS6209?A: Form DHCS6209 needs to be completed by Medi-Cal beneficiaries or their authorized representatives when there are changes to their information.

Q: What kind of changes can be reported on Form DHCS6209?A: Form DHCS6209 can be used to report changes in address, income, household composition, and other relevant information.