Form MC171 Medi-Cal Long-Term Care Facility Admission and Discharge Notification - California

What Is Form MC171?

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 MC171 Medi-Cal Long-Term Care Facility Admission and Discharge Notification?
A: The MC171 Medi-Cal Long-Term Care Facility Admission and Discharge Notification is a form used in California for notifying Medi-Cal about admissions and discharges from long-term care facilities.

Q: Who needs to complete the MC171 form?
A: Long-term care facilities in California need to complete the MC171 form for each admission and discharge.

Q: Why is the MC171 form important?
A: The MC171 form is important because it allows Medi-Cal to track admissions and discharges from long-term care facilities and ensures that individuals who are eligible for Medi-Cal are receiving the necessary services.

Q: Are there any fees associated with submitting the MC171 form?
A: No, there are no fees associated with submitting the MC171 form.

Q: What information is required on the MC171 form?
A: The MC171 form requires information such as the patient's name, date of birth, Medi-Cal identification number, facility admission and discharge dates, and other relevant details.

Q: Is it mandatory to submit the MC171 form?
A: Yes, it is mandatory for long-term care facilities in California to submit the MC171 form for each admission and discharge.

Q: What happens if a facility fails to submit the MC171 form?
A: Failure to submit the MC171 form may result in delayed payment or denial of reimbursement for services provided to Medi-Cal beneficiaries.

Q: Can I make changes to the MC171 form after submission?
A: No changes can be made to the MC171 form after submission, so it is important to ensure that all information is accurate before sending it.