This is a legal form that was released by the California Department of Health Care Services - 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 MC217 Medi-Cal Renewal Form?
A: The MC217 is a renewal form for Medi-Cal benefits in California.
Q: Who is eligible to use the MC217 form?
A: Individuals who are currently receiving Medi-Cal benefits in California and need to renew their coverage can use the MC217 form.
Q: What language is the MC217 form available in?
A: The MC217 form is available in Korean.
Q: What information do I need to complete the MC217 form?
A: You will need to provide personal information, income details, and other relevant information about yourself and your household.
Q: How do I submit the completed MC217 form?
A: You can submit the completed MC217 form by mail or in person at your local county social services office.
Q: When do I need to renew my Medi-Cal coverage using the MC217 form?
A: You should renew your Medi-Cal coverage using the MC217 form when you receive a notice from the California Department of Health Care Services.
Q: What happens if I don't renew my Medi-Cal coverage?
A: If you don't renew your Medi-Cal coverage, you may lose your benefits and need to reapply.
Q: Can I get help completing the MC217 form?
A: Yes, you can get assistance with completing the MC217 form from your local county social services office or by contacting the California Department of Health Care Services.
Form Details:
Download a fillable version of Form MC217 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.