This is a legal form that was released by the California Health and Human Services Agency - a government authority operating within California.
The document is provided in Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the MC216 Medi-Cal Renewal Form?
A: The MC216 Medi-Cal Renewal Form is a form used in California to renew or recertify your Medi-Cal benefits.
Q: Who is eligible for Medi-Cal benefits in California?
A: Medi-Cal benefits are available to low-income individuals and families who meet certain income and asset requirements.
Q: What information do I need to provide on the MC216 Medi-Cal Renewal Form?
A: You will need to provide information about your household, income, assets, and any changes in your circumstances.
Q: When should I submit the MC216 Medi-Cal Renewal Form?
A: You should submit the MC216 Medi-Cal Renewal Form before your current Medi-Cal benefits expire to ensure there is no gap in coverage.
Form Details:
Download a fillable version of Form MC216 by clicking the link below or browse more documents and templates provided by the California Health and Human Services Agency.