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 Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MC355 form?
A: The MC355 form is a Medi-Cal Request for Information form.
Q: What is Medi-Cal?
A: Medi-Cal is a program that provides free or low-cost health coverage for eligible California residents.
Q: Who should use the MC355 form?
A: The MC355 form should be used by individuals who have questions or need information related to their Medi-Cal benefits.
Q: Is the MC355 form available in multiple languages?
A: Yes, the MC355 form is available in multiple languages, including Farsi.
Q: How do I fill out the MC355 form?
A: You should carefully read the instructions provided with the form and provide all requested information accurately.
Q: What should I do after completing the MC355 form?
A: After completing the MC355 form, you should submit it to your local county social services office or mail it to the address provided on the form.
Form Details:
Download a fillable version of Form MC355 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.