Form MC0021 Medi-Cal to Healthy Families Bridging Consent - California (Tagalog)

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

FAQ

Q: What is the MC0021 Medi-Cal to Healthy Families Bridging Consent?
A: The MC0021 Medi-Cal to Healthy Families Bridging Consent is a form used in California to transfer a child's coverage from the Medi-Cal program to the Healthy Families program.

Q: Who needs to fill out this form?
A: This form needs to be filled out by the parent or guardian of a child who is currently enrolled in the Medi-Cal program and wants to transfer their coverage to the Healthy Families program.

Q: What is the purpose of transferring coverage from Medi-Cal to Healthy Families?
A: The purpose of transferring coverage from Medi-Cal to Healthy Families is to provide health insurance for children who are not eligible for Medi-Cal but still need affordable coverage.

Q: Is this form available in Tagalog?
A: Yes, this form is available in Tagalog for those who prefer to fill it out in that language.

Q: What information do I need to provide on this form?
A: You will need to provide information about the child, the parent or guardian, and the Medi-Cal case information.

Q: Are there any fees associated with transferring coverage?
A: No, there are no fees associated with transferring coverage from Medi-Cal to Healthy Families.

Q: What happens after I submit this form?
A: After you submit this form, your child's coverage will be transferred from the Medi-Cal program to the Healthy Families program.

Q: Can I transfer coverage back to Medi-Cal if needed?
A: Yes, if your child becomes eligible for Medi-Cal again, you can transfer their coverage back to the Medi-Cal program.

Q: Is this form only for California residents?
A: Yes, this form is specifically for California residents who want to transfer coverage from Medi-Cal to Healthy Families.