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Form MC224 A Supplemental Medi-Cal Potential Overpayment Reporting Work Sheet Income or Other Health Coverage - California
What Is Form MC224 A?
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 Form MC224?
A: Form MC224 is a Supplemental Medi-Cal Potential Overpayment Reporting Work Sheet.
Q: Who is this form for?
A: This form is for individuals in California who receive Medi-Cal benefits and need to report potential overpayments.
Q: What does this form cover?
A: This form covers income or other health coverage related to Medi-Cal benefits.
Q: What is the purpose of this form?
A: The purpose of this form is to report any potential overpayments that may have occurred with regards to your Medi-Cal benefits.
Form Details:
- Released on May 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 printable version of Form MC224 A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
