Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Only - Under Age 18 - California (Hmong)

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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC223 C?
A: Form MC223 C is the Supplemental Statement of Facts for Medi-Cal Child Only - Under Age 18 - California (Hmong).

Q: Who is this form for?
A: This form is for individuals applying for Medi-Cal Child Only benefits in California, specifically those who are under the age of 18 and belong to the Hmong community.

Q: What is the purpose of this form?
A: The purpose of Form MC223 C is to provide additional information and facts related to the Medi-Cal application for children under 18 who are of Hmong descent.

Q: Do I need to fill out this form if I am applying for Medi-Cal Child Only benefits?
A: Yes, if you are applying for Medi-Cal Child Only benefits in California and belong to the Hmong community, you will need to fill out Form MC223 C.

Q: Are there any other forms I need to submit along with Form MC223 C?
A: Yes, depending on your specific situation, you may be required to submit additional forms and documents as instructed by the California Department of Health Care Services.

Q: Is there a deadline for submitting this form?
A: There is no specific deadline mentioned for submitting Form MC223 C. However, it is recommended to submit the form as soon as possible after filling it out.

Q: Can I get assistance in filling out this form?
A: Yes, you can seek assistance from the California Department of Health Care Services or any local Medi-Cal office to help you fill out Form MC223 C.