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 Armenian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form MC223 C?
A: Form MC223 C is used as a supplemental statement of facts for Medi-Cal child applicants under the age of 18 in California (Armenian version).
Q: Who should use Form MC223 C?
A: This form should be used by Medi-Cal child applicants who are under the age of 18 in California and speak Armenian.
Q: What information should be provided in Form MC223 C?
A: Form MC223 C requires the applicant to provide additional facts and details related to their eligibility for Medi-Cal.
Q: Is Form MC223 C specific to California?
A: Yes, Form MC223 C is specific to California and is intended for use by Medi-Cal child applicants under the age of 18 in the state.
Q: Is Armenian the only language available for Form MC223 C?
A: No, Form MC223 C is available in multiple languages to accommodate applicants with different language preferences.
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.