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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form MC371?
A: Form MC371 is a request for additional family members to be added to your Medi-Cal coverage in California.
Q: Who can use Form MC371?
A: Form MC371 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: Is Form MC371 available in Korean?
A: Yes, Form MC371 is available in Korean for those who prefer to fill it out in that language.
Q: How do I fill out Form MC371?
A: You will need to provide information about yourself and the additional family members you are requesting to add to your Medi-Cal coverage. The form also requires your signature and date.
Q: Is there a deadline for submitting Form MC371?
A: There is no specific deadline for submitting Form MC371, but it is recommended to submit it as soon as possible to ensure timely processing of your request.
Q: What happens after I submit Form MC371?
A: After submitting Form MC371, the California Department of Health Care Services will review your request and notify you of the outcome.
Q: Is there a fee to submit Form MC371?
A: No, there is no fee to submit Form MC371.
Q: Can I make changes to my Form MC371 after submitting it?
A: Yes, you can make changes to your Form MC371 by contacting your local county office or submitting a new form with the updated information.
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.