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

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

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 Tagalog. 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 form for a Medi-Cal authorized representative appointment.

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

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

Q: What does an authorized representative do?
A: An authorized representative is someone who can act on your behalf in Medi-Cal matters, such as helping you with applications or managing your benefits.

Q: Is this form available in Tagalog?
A: Yes, this form is available in Tagalog, which is a language spoken by some Filipino residents in California.

Q: How should I fill out Form MC381?
A: You should carefully follow the instructions on the form and provide accurate information about your Medi-Cal authorized representative appointment.

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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 (Tagalog)

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