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 Korean. 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 that is used to renew Medi-Cal coverage in California.
Q: Who uses the MC216 Medi-Cal Renewal Form?
A: The MC216 Medi-Cal Renewal Form is used by individuals who currently have Medi-Cal coverage in California and need to renew it.
Q: Is the MC216 Medi-Cal Renewal Form only available in Korean?
A: Yes, the MC216 Medi-Cal Renewal Form is specifically for Korean-speaking individuals in California.
Q: How can I obtain the MC216 Medi-Cal Renewal Form?
A: You can obtain the MC216 Medi-Cal Renewal Form by contacting your local county social services office in California.
Q: What information is required on the MC216 Medi-Cal Renewal Form?
A: The MC216 Medi-Cal Renewal Form requires personal information, income information, and other details about your household.
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.