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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is MC223?
A: MC223 is the Applicant's Supplemental Statement of Facts form for Medi-Cal in California.
Q: Who needs to fill out MC223?
A: Applicants for Medi-Cal in California need to fill out the MC223 form.
Q: What is the purpose of MC223?
A: The purpose of MC223 is to provide additional information and facts related to the applicant's eligibility for Medi-Cal in California.
Q: Is MC223 available in Korean?
A: Yes, MC223 is available in Korean for those who prefer to fill out the form in that language.
Q: Do I need to fill out MC223 if I am applying for Medi-Cal in California?
A: Yes, it is necessary to fill out MC223 if you are applying for Medi-Cal in California in order to provide additional information about your eligibility.
Q: Are there any specific requirements for filling out MC223 in Korean?
A: There are no specific requirements for filling out MC223 in Korean, but it is important to accurately provide the requested information on the form.
Form Details:
Download a printable version of Form MC223 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.