Form MC360 Notification of Medi-Cal Intercounty Transfer - California

Form MC360 Notification of Medi-Cal Intercounty Transfer - California

What Is Form MC360?

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 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.

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Form Details:

  • Released on June 1, 2007;
  • 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 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.

Download Form MC360 Notification of Medi-Cal Intercounty Transfer - California

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  • Form MC360 Notification of Medi-Cal Intercounty Transfer - California, Page 1
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