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.
Q: What is Form MC262?
A: Form MC262 is a redetermination form for Medi-Cal beneficiaries receiving long-term care in their own homes.
Q: Who is eligible to use Form MC262?
A: Medi-Cal beneficiaries in California who receive long-term care in their own homes are eligible to use Form MC262.
Q: What is the purpose of Form MC262?
A: The purpose of Form MC262 is to request a redetermination or review of a Medi-Cal beneficiary's eligibility for long-term care in their own homes.
Q: How do I fill out Form MC262?
A: To fill out Form MC262, you will need to provide your personal information, income and resource information, and details about your long-term care needs.
Form Details:
Download a fillable version of Form MC262 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.