This version of the form is not currently in use and is provided for reference only. Download this version of Form DHCS6209 for the current year.
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 the Form DHCS6209?
A: Form DHCS6209 is a document used in California for reporting changes to Medi-Cal Supplemental benefits.
Q: What are Medi-Cal Supplemental benefits?
A: Medi-Cal Supplemental benefits are additional services and supports provided to Medi-Cal recipients to enhance their healthcare coverage.
Q: Why would I need to report changes to Medi-Cal Supplemental benefits?
A: You may need to report changes to Medi-Cal Supplemental benefits to ensure that you receive the appropriate level of coverage and benefits.
Q: How can I report changes to Medi-Cal Supplemental benefits?
A: You can report changes to Medi-Cal Supplemental benefits by filling out and submitting the Form DHCS6209.
Q: What information do I need to provide on the Form DHCS6209?
A: You will need to provide information such as your name, address, Medi-Cal ID, and details of the changes you are reporting.
Q: Is there a deadline for submitting the Form DHCS6209?
A: Yes, there may be a deadline for submitting the Form DHCS6209. It is important to check with the DHCS or your Medi-Cal caseworker for the specific deadline.
Q: Are there any fees for submitting the Form DHCS6209?
A: No, there are no fees for submitting the Form DHCS6209.
Q: What happens after I submit the Form DHCS6209?
A: After you submit the Form DHCS6209, the information will be reviewed and processed by the DHCS. You may receive a notification about any changes to your Medi-Cal Supplemental benefits.
Q: Who can I contact for more information about the Form DHCS6209?
A: You can contact the California Department of Health Care Services (DHCS) or your Medi-Cal caseworker for more information about the Form DHCS6209.
Form Details:
Download a fillable version of Form DHCS6209 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.