Medi-Cal Forms are used for various purposes related to the California Medicaid program known as Medi-Cal. These forms help individuals apply for and access healthcare services provided through Medi-Cal. They may be used to apply for eligibility determination, request additional family members to be included in a Medi-Cal case, report changes in income or household composition, and request various types of benefits and services covered by Medi-Cal. They are essential for individuals seeking healthcare coverage and services through the Medi-Cal program.
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This form is used for requesting the addition of family members to a medical plan in California.