Form MC370 Healthy Families / Medi-Cal Joint Application Order Form - California

Form MC370 Healthy Families / Medi-Cal Joint Application Order Form - California

What Is Form MC370?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC370 Healthy Families/Medi-Cal Joint Application Order Form?
A: The MC370 Healthy Families/Medi-Cal Joint Application Order Form is a form used in California to apply for both Healthy Families and Medi-Cal health coverage.

Q: Who can use the MC370 form?
A: Residents of California who want to apply for both Healthy Families and Medi-Cal can use the MC370 form.

Q: What information do I need to provide on the MC370 form?
A: You will need to provide personal information, such as your name, address, and social security number, as well as information about your income and household members.

Q: Can I apply for both Healthy Families and Medi-Cal separately?
A: No, the MC370 form is specifically for applying for both Healthy Families and Medi-Cal together.

Q: What is the difference between Healthy Families and Medi-Cal?
A: Healthy Families provides low-cost health coverage for children and teens, while Medi-Cal provides free or low-cost health coverage for low-income adults and families.

Q: Is there a deadline for submitting the MC370 form?
A: There is no specific deadline mentioned for submitting the MC370 form, but it is recommended to submit it as soon as possible.

Q: What happens after I submit the MC370 form?
A: After you submit the MC370 form, your application will be reviewed and you may be contacted for additional information. If you are eligible, you will be enrolled in either Healthy Families or Medi-Cal.

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Form Details:

  • Released on June 1, 2013;
  • 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;
  • Fill out the form in our online filing application.

Download a printable version of Form MC370 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC370 Healthy Families / Medi-Cal Joint Application Order Form - California

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  • Form MC370 Healthy Families / Medi-Cal Joint Application Order Form - California, Page 1
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