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Form MC195 County Transmittal for Medi-Cal Inmate Eligibility Program (Mciep) Applicants Receiving Social Security Income (Ssi) - California
What Is Form MC195?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form MC195?
A: Form MC195 is used for the County Transmittal for Medi-Cal Inmate Eligibility Program (MCIEP) applicants receiving Social Security Income (SSI) in California.
Q: Who is eligible for the MCIEP program?
A: MCIEP is for applicants who are receiving Social Security Income (SSI) and are incarcerated in a county jail or juvenile facility in California.
Q: What does Form MC195 entail?
A: Form MC195 is a transmittal form that is used by the county to submit the MCIEP application to the California Department of Health Care Services.
Q: Why is the MCIEP program important?
A: The MCIEP program ensures that eligible individuals who are incarcerated continue to receive Medi-Cal benefits while in jail or juvenile facilities in California.
Q: What is the role of the County in the MCIEP program?
A: The County is responsible for determining the applicant's eligibility for the MCIEP program, completing Form MC195, and submitting it to the California Department of Health Care Services.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form MC195 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
