Form MC216 Medi-Cal Renewal Form - California

What Is Form MC216?

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 Form MC216?
A: Form MC216 is the Medi-Cal Renewal Form used in California to renew eligibility for Medi-Cal benefits.

Q: Who needs to fill out Form MC216?
A: Anyone who is currently enrolled in Medi-Cal and needs to renew their eligibility must fill out Form MC216.

Q: What information is required on Form MC216?
A: Form MC216 requires you to provide personal information, household information, income details, and any changes in circumstances that may have occurred since your last application.

Q: When is the deadline to submit Form MC216?
A: The deadline to submit Form MC216 for Medi-Cal renewal varies based on your renewal date. Be sure to check the instructions provided on the form for your specific deadline.

Q: What happens if I don't renew my Medi-Cal benefits?
A: If you don't renew your Medi-Cal benefits by submitting Form MC216, your benefits may be discontinued, and you may lose access to healthcare services.