Form MC217 Medi-Cal Renewal Form - California

Form MC217 Medi-Cal Renewal Form - California

What Is Form MC217?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MC217 Medi-Cal Renewal Form?
A: The MC217 Medi-Cal Renewal Form is a form used in California to renew eligibility for the Medi-Cal program.

Q: Who needs to fill out the MC217 Medi-Cal Renewal Form?
A: Individuals who are currently receiving Medi-Cal benefits and need to renew their eligibility must fill out the MC217 form.

Q: What information is required on the MC217 Medi-Cal Renewal Form?
A: The MC217 form requires information about your household, income, and any changes in your circumstances since your last Medi-Cal application.

Q: When is the deadline to submit the MC217 Medi-Cal Renewal Form?
A: The deadline to submit the MC217 form is stated on the form itself. It is important to submit the form before the deadline to avoid any interruption in your Medi-Cal coverage.

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Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Available in Chinese;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MC217 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC217 Medi-Cal Renewal Form - California

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