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 MC176 S?
A: Form MC176 S is the Medi-Cal Status Report for residents of California.
Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program, which provides healthcare coverage for low-income individuals and families.
Q: Who needs to fill out Form MC176 S?
A: Form MC176 S needs to be filled out by individuals who receive Medi-Cal benefits and need to report any changes in their circumstances.
Q: What kind of changes do I need to report on Form MC176 S?
A: You need to report changes in your income, household size, address, or any changes that may affect your eligibility for Medi-Cal.
Q: How often do I need to fill out Form MC176 S?
A: The form needs to be filled out once a year, but it's important to report any changes within 10 days of the change occurring.
Q: Is there a deadline for submitting Form MC176 S?
A: Yes, there is a deadline for submitting the form. It should be submitted within 90 days of the date shown on the upper right corner of the form.
Form Details:
Download a fillable version of Form MC176 S by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.