Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Russian)

Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Russian)

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

FAQ

Q: What is Form MC381?A: Form MC381 is a Cancellation or Change to a Medi-Cal Authorized Representative Appointment form.

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 is an authorized representative in Medi-Cal?A: An authorized representative is a person who is able to act on behalf of a Medi-Cal beneficiary, such as assisting with the application or managing their Medi-Cal benefits.

Q: What can be done with Form MC381?A: Form MC381 can be used to cancel or make changes to a Medi-Cal authorized representative appointment.

Q: Who can use Form MC381?A: This form can be used by Medi-Cal beneficiaries or their authorized representative to cancel or change the appointment of an authorized representative in California.

Q: Is there a specific language requirement for Form MC381?A: This particular form is in Russian, but there may be versions available in other languages.

Q: Is there a deadline to submit Form MC381?A: There may not be a specific deadline, but it is recommended to submit the form as soon as possible.

Q: What should I do if I need help with Form MC381?A: If you need assistance with Form MC381, you can contact the California Department of Health Care Services (DHCS) or your local county social services office for guidance.

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Form Details:

  • Released on September 1, 2021;
  • 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 MC381 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Russian)

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  • Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Russian), Page 1
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