Form MC223C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California

What Is Form MC223C?

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 MC223C?
A: MC223C is a Supplemental Statement of Facts form specifically for Medi-Cal child applicants under the age of 18 in California.

Q: Who can use the MC223C form?
A: The MC223C form is specifically for Medi-Cal child applicants who are under the age of 18.

Q: What is the purpose of the MC223C form?
A: The purpose of the MC223C form is to provide additional information and facts about the child applicant to support their eligibility for Medi-Cal.

Q: What information is required in the MC223C form?
A: The MC223C form requires information about the child's household, income, health needs, and other factors that may affect their eligibility for Medi-Cal.

Q: Do I need to fill out the MC223C form if my child is already on Medi-Cal?
A: No, the MC223C form is specifically for new Medi-Cal child applicants. If your child is already on Medi-Cal, you do not need to fill out this form.

Q: What should I do if I have questions or need assistance with the MC223C form?
A: If you have questions or need assistance with the MC223C form, you can contact your local Medi-Cal office or the California Department of Health Care Services (DHCS) for guidance.