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 Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form MC381?
A: Form MC381 is a Cancellation or Change to a Medi-Cal Authorized Representative Appointment form.
Q: What is the purpose of form MC381?
A: The purpose of form MC381 is to cancel or change an appointment for a Medi-Cal authorized representative.
Q: Who can use form MC381?
A: Form MC381 can be used by individuals in California who have a Medi-Cal authorized representative appointment and want to cancel or change it.
Q: Is form MC381 available in Arabic?
A: Yes, form MC381 is available in Arabic for individuals who prefer to use that language.
Form Details:
Download a fillable version of Form MC381 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.