Form MC223C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California (Chinese)

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

FAQ

Q: What is the MC223C Supplemental Statement of Facts?
A: The MC223C Supplemental Statement of Facts is a form used in California to provide additional information for a Medi-Cal application for a child under the age of 18.

Q: Who is required to fill out the MC223C Supplemental Statement of Facts?
A: The MC223C Supplemental Statement of Facts is required to be filled out by a parent or guardian applying for Medi-Cal benefits for a child under the age of 18 in California.

Q: What information is included in the MC223C Supplemental Statement of Facts?
A: The MC223C Supplemental Statement of Facts includes information about the child's household, income, and expenses, as well as any other factors that may affect the eligibility for Medi-Cal.

Q: Do I need to provide any supporting documents with the MC223C Supplemental Statement of Facts?
A: Yes, you may need to provide supporting documents such as proof of income or residency along with the MC223C Supplemental Statement of Facts.

Q: Can I fill out the MC223C Supplemental Statement of Facts in Chinese?
A: Yes, the MC223C Supplemental Statement of Facts is available in Chinese for those who prefer to fill it out in that language.