Form MC216 Medi-Cal Renewal Form - California (Farsi)

Form MC216 Medi-Cal Renewal Form - California (Farsi)

This is a legal form that was released by the California Health and Human Services Agency - a government authority operating within California.

The document is provided in Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC216 Medi-Cal Renewal Form?
A: The MC216 Medi-Cal Renewal Form is a form used in California to renew or recertify your Medi-Cal benefits.

Q: Who is eligible for Medi-Cal benefits in California?
A: Medi-Cal benefits are available to low-income individuals and families who meet certain income and asset requirements.

Q: What information do I need to provide on the MC216 Medi-Cal Renewal Form?
A: You will need to provide information about your household, income, assets, and any changes in your circumstances.

Q: When should I submit the MC216 Medi-Cal Renewal Form?
A: You should submit the MC216 Medi-Cal Renewal Form before your current Medi-Cal benefits expire to ensure there is no gap in coverage.

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Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the California Health and Human Services Agency;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MC216 by clicking the link below or browse more documents and templates provided by the California Health and Human Services Agency.

Download Form MC216 Medi-Cal Renewal Form - California (Farsi)

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