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Form MC381 Cancellation or Change to a Medi-Cal Authorized Representative Appointment - California (Vietnamese)
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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is MC381 form?
A: MC381 form is the Cancellation or Change to a Medi-Cal Authorized Representative Appointment form.
Q: Who uses the MC381 form?
A: The MC381 form is used by individuals in California who want to cancel or make changes to their Medi-Cal authorized representative appointment.
Q: What is a Medi-Cal authorized representative?
A: A Medi-Cal authorized representative is a person chosen by an individual to act on their behalf in matters related to their Medi-Cal benefits.
Q: Why would someone need to use the MC381 form?
A: Someone might need to use the MC381 form if they want to cancel or make changes to their authorized representative appointment for their Medi-Cal benefits.
Q: Is the MC381 form available in Vietnamese?
A: Yes, the MC381 form is available in Vietnamese. It is specifically for use in California.
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.
