Form MC371 Additional Family Members Requesting Medi-Cal - California (Farsi)

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

FAQ

Q: What is Form MC371?
A: Form MC371 is a request form for additional family members to apply for Medi-Cal in California.

Q: What is Medi-Cal?
A: Medi-Cal is a California state program that provides low-cost or free health coverage for eligible individuals and families.

Q: Who can use Form MC371?
A: Form MC371 can be used by additional family members who want to apply for Medi-Cal in California.

Q: Is Form MC371 available in Farsi?
A: Yes, Form MC371 is available in Farsi for individuals who prefer to fill it out in that language.

Q: What information is required on Form MC371?
A: Form MC371 requires information such as name, date of birth, address, income, and household size for each additional family member applying for Medi-Cal.

Q: Do all family members need to fill out Form MC371?
A: Yes, all additional family members who want to apply for Medi-Cal need to fill out their own individual Form MC371.

Q: Are there any fees to apply for Medi-Cal using Form MC371?
A: No, there are no fees to apply for Medi-Cal using Form MC371.

Q: Is there a deadline to submit Form MC371?
A: There is no specific deadline to submit Form MC371, but it is recommended to submit it as soon as possible to avoid any gaps in coverage.