Form MC355 Medi-Cal Request for Information - California (Korean)

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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC355?
A: Form MC355 is a request for information related to Medi-Cal, which is California's Medicaid program.

Q: Who should use Form MC355?
A: Form MC355 should be used by individuals who are applying for or currently receiving Medi-Cal benefits in California.

Q: What is the purpose of Form MC355?
A: The purpose of Form MC355 is to gather additional information or documentation needed to determine eligibility for Medi-Cal benefits.

Q: Do I need to fill out Form MC355 in Korean?
A: If you are more comfortable completing the form in Korean, it is available in that language. However, you can also choose to complete it in English.

Q: What information do I need to provide on Form MC355?
A: You will need to provide personal information, such as your name, address, and social security number, as well as details about your income, assets, and household members.

Q: Is there a deadline for submitting Form MC355?
A: There is no specific deadline for submitting Form MC355. However, it is recommended to submit the form as soon as possible after it is requested to avoid any delays in processing your Medi-Cal application or benefits.