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 Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form MC223 C?
A: Form MC223 C is the Supplemental Statement of Facts for a Medi-Cal child applicant under the age of 18 in California.
Q: Who should complete Form MC223 C?
A: Form MC223 C should be completed by the child's applicant or their authorized representative.
Q: What is the purpose of Form MC223 C?
A: Form MC223 C is used to provide additional information about the child for the Medi-Cal application process.
Q: Is Form MC223 C specific to California?
A: Yes, Form MC223 C is specifically for Medi-Cal child applicants in California.
Q: Is Form MC223 C available in Tagalog?
A: Yes, Form MC223 C is available in Tagalog.
Form Details:
Download a printable version of Form MC223 C by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.