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.
Q: What is the MC360 Notification of Medi-Cal Intercounty Transfer?
A: The MC360 Notification of Medi-Cal Intercounty Transfer is a form used in California to notify Medi-Cal of a change in county residence for a Medi-Cal beneficiary.
Q: Why is the MC360 form important?
A: The MC360 form is important because it ensures continuity of Medi-Cal benefits for the beneficiary when they move from one county to another in California.
Q: Who needs to fill out the MC360 form?
A: The MC360 form needs to be filled out by the Medi-Cal beneficiary who is moving from one county to another in California.
Q: What information is required on the MC360 form?
A: The MC360 form requires information such as the beneficiary's name, Medi-Cal ID number, current address, new address, and the effective date of the move.
Q: Are there any deadlines for submitting the MC360 form?
A: Yes, the MC360 form should be submitted within 10 calendar days of the beneficiary's move to ensure uninterrupted Medi-Cal coverage.
Q: Who should I contact if I have questions about the MC360 form?
A: If you have any questions about the MC360 form, you should contact your local county social services office or the California Department of Health Care Services.
Form Details:
Download a fillable version of Form MC360 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.