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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form MC-216?
A: Form MC-216 is the Medi-Cal Renewal Form specifically designed for individuals in California who receive benefits from the Medi-Cal program.
Q: Who should fill out Form MC-216?
A: Form MC-216 should be filled out by individuals in California who are currently receiving benefits from the Medi-Cal program and need to renew their eligibility.
Q: What is the purpose of Form MC-216?
A: The purpose of Form MC-216 is to collect updated information from Medi-Cal recipients in order to determine if they still meet the eligibility requirements for continued benefits.
Q: When do I need to submit Form MC-216?
A: The renewal form should be submitted by the deadline specified on the form. This deadline is typically based on your assigned renewal month.
Form Details:
Download a fillable version of Form MC-216 by clicking the link below or browse more documents and templates provided by the California Health and Human Services Agency.