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

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 Lao. 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 form used to cancel or change a Medi-Cal Authorized Representative Appointment in California.

Q: Who can use Form MC381?
A: This form can be used by individuals who need to cancel or change their authorized representative appointment for Medi-Cal in California.

Q: How do I fill out Form MC381?
A: You must provide your personal information, such as your name, date of birth, and social security number, as well as the information of your current authorized representative in order to cancel or change the appointment.

Q: Is there a fee to submit Form MC381?
A: No, there is no fee to submit Form MC381.

Q: What should I do after completing Form MC381?
A: Once you have completed the form, you should submit it to your local county office or follow the instructions provided on the form.