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.
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.
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.