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 Japanese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form MC216?
A: Form MC216 is a Medi-Cal Renewal Form in California.
Q: What is Medi-Cal?
A: Medi-Cal is a program that provides free or low-cost health coverage to eligible California residents.
Q: Who is eligible for Medi-Cal?
A: Eligibility for Medi-Cal depends on factors such as income, family size, and immigration status.
Q: What is the purpose of the Form MC216?
A: The Form MC216 is used to renew Medi-Cal coverage for eligible individuals.
Q: Is the Form MC216 available in languages other than English?
A: Yes, the Form MC216 is available in multiple languages, including Japanese.
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.