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 Vietnamese. 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 a supplemental statement of facts for Medi-Cal Child Only - Under Age 18 in California.
Q: Who is this form for?
A: This form is for children under the age of 18 who are applying for Medi-Cal benefits in California.
Q: What is the purpose of Form MC223 C?
A: The purpose of Form MC223 C is to provide additional information about the child's circumstances and eligibility for Medi-Cal.
Q: Is this form available in Vietnamese?
A: Yes, this form is available in Vietnamese.
Q: Do I need to fill out this form if my child is already on Medi-Cal?
A: No, this form is only required for new applicants.
Q: What information do I need to provide on this form?
A: You will need to provide personal information about the child, household income, assets, and any other relevant details.
Q: Are there any fees associated with submitting this form?
A: No, there are no fees for submitting this form.
Q: What languages are available for this form?
A: This form is available in multiple languages, including Vietnamese.
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.