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

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 Lao. 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 form is a consent form used in California to transition from Medi-Cal to Healthy Families.

Q: Who is eligible to use the MC0021 form?
A: Individuals who are currently on Medi-Cal and are transitioning to the Healthy Families program in California.

Q: Why is the MC0021 form required?
A: The form is required to obtain the necessary consent from the participant to transition from Medi-Cal to Healthy Families.

Q: Is there a version of the MC0021 form in Lao language?
A: Yes, there is a version of the MC0021 form available in the Lao language.

Q: What is the purpose of bridging from Medi-Cal to Healthy Families?
A: The purpose is to transition from the Medi-Cal program, which primarily serves low-income individuals, to the Healthy Families program, which provides health insurance to children and teens.

Q: Are there any fees associated with the MC0021 form?
A: No, there are no fees associated with the MC0021 form.

Q: Can someone assist me in filling out the MC0021 form?
A: Yes, you can seek assistance from a representative at your local California Department of Health Care Services office.

Q: What information do I need to provide on the MC0021 form?
A: You will need to provide personal information such as your name, address, Medi-Cal information, and consent to transition to the Healthy Families program.