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

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 Hmong. 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 Form?
A: The MC0021 Medi-Cal to Healthy Families Bridging Consent Form is a document used in California to request a bridge from Medi-Cal to Healthy Families program for children.

Q: Who needs to fill out this form?
A: This form needs to be filled out by parents or legal guardians of children currently enrolled in the Medi-Cal program who wish to transition their child to the Healthy Families program.

Q: What is the purpose of this form?
A: The purpose of this form is to give consent for the transfer of health coverage from Medi-Cal to Healthy Families for eligible children.

Q: Are there any eligibility requirements for transferring from Medi-Cal to Healthy Families?
A: Yes, there are eligibility requirements that need to be met for the transfer. It is best to consult with your local County Welfare Department or the California Department of Health Care Services for specific eligibility criteria.