Form MC217 Medi-Cal Renewal Form - California (Lao)

Form MC217 Medi-Cal Renewal Form - California (Lao)

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

FAQ

Q: What is the MC217 Medi-Cal Renewal Form?A: The MC217 Medi-Cal Renewal Form is a renewal form used to determine continued eligibility for Medi-Cal in California.

Q: Who needs to complete the MC217 Medi-Cal Renewal Form?A: Individuals receiving Medi-Cal benefits in California need to complete the MC217 form to renew their eligibility.

Q: What information is required on the MC217 Medi-Cal Renewal Form?A: The MC217 form requires information about the applicant's household, income, assets, and any changes that may have occurred since the last renewal.

Q: How often do I need to renew my Medi-Cal eligibility using the MC217 form?A: Medi-Cal eligibility needs to be renewed once a year using the MC217 form.

Q: What happens if I don't submit the MC217 Medi-Cal Renewal Form?A: Failure to submit the MC217 form may result in a loss of Medi-Cal benefits.

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Form Details:

  • Released on October 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 MC217 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC217 Medi-Cal Renewal Form - California (Lao)

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