Form MC262 Redetermination for Medi-Cal Beneficiaries (Long-Term Care in Own Mfbu) - California

Form MC262 Redetermination for Medi-Cal Beneficiaries (Long-Term Care in Own Mfbu) - California

What Is Form MC262?

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 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.

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Form Details:

  • Released on June 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form MC262 Redetermination for Medi-Cal Beneficiaries (Long-Term Care in Own Mfbu) - California

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