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 Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MC371 form?
A: The MC371 form is a request form for additional family members to be included in Medi-Cal in California.
Q: Who can use the MC371 form?
A: This form can be used by individuals in California who are already enrolled in Medi-Cal and want to add additional family members to their coverage.
Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program, which provides free or low-cost health coverage for eligible individuals and families.
Q: Is the MC371 form available in Tagalog?
A: Yes, the MC371 form is available in Tagalog for individuals who prefer to complete the form in that language.
Form Details:
Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.