Form MC0021 Medi-Cal to Healthy Families Bridging Consent Form - California (Korean)

Form MC0021 Medi-Cal to Healthy Families Bridging Consent Form - 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 the MC0021 Medi-Cal to Healthy Families Bridging Consent Form?
A: The MC0021 Medi-Cal to Healthy Families Bridging Consent Form allows the transfer of Medi-Cal benefits to the Healthy Families Program.

Q: Who can use the MC0021 Medi-Cal to Healthy Families Bridging Consent Form?
A: This form is for residents of California who are currently receiving Medi-Cal benefits and want to transfer to the Healthy Families Program.

Q: What is the Healthy Families Program?
A: The Healthy Families Program is a state-funded health insurance program in California for low-income children and teens who do not qualify for Medi-Cal.

Q: Is the MC0021 Medi-Cal to Healthy Families Bridging Consent Form available in other languages?
A: Yes, the form is available in multiple languages, including Korean.

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Form Details:

  • Released on April 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MC0021 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC0021 Medi-Cal to Healthy Families Bridging Consent Form - California (Korean)

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  • Form MC0021 Medi-Cal to Healthy Families Bridging Consent Form - California (Korean), Page 1
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