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

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 Armenian. 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 the Cancellation or Change to a Medi-Cal Authorized Representative Appointment form.

Q: What is Medi-Cal?
A: Medi-Cal is California's Medicaid program that provides free or low-cost health coverage to eligible low-income individuals and families.

Q: Who can use Form MC381?
A: Any Medi-Cal recipient who wants to cancel or change their authorized representative appointment can use Form MC381.

Q: What is an authorized representative?
A: An authorized representative is a person who can act on behalf of a Medi-Cal recipient in managing their Medi-Cal benefits.

Q: Why would someone need to cancel or change their authorized representative appointment?
A: Someone may need to cancel or change their authorized representative appointment if they no longer want the person to act on their behalf or if they want to appoint a new representative.

Q: Is this form available in Armenian?
A: Yes, Form MC381 is available in Armenian.

Q: Is there a fee for submitting Form MC381?
A: No, there is no fee for submitting Form MC381.

Q: What should I do after filling out Form MC381?
A: After filling out Form MC381, you should submit it to the county social service office or send it to the address provided on the form.

Q: How long does it take for a cancellation or change to an authorized representative appointment to take effect?
A: The cancellation or change to an authorized representative appointment should take effect within 10 days of the county social service office receiving the completed form.