Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Arabic)

Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Arabic)

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.

FAQ

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.

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Form Details:

  • Released on September 1, 2021;
  • 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 MC381 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Arabic)

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  • Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Arabic), Page 1
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