Form MC217 Medi-Cal Renewal Form - California (English / Mien)

Form MC217 Medi-Cal Renewal Form - California (English / Mien)

What Is Form MC217?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form MC217 Medi-Cal Renewal Form?
A: The Form MC217 Medi-Cal Renewal Form is a document used to renew Medi-Cal coverage in California for individuals who speak English or Mien.

Q: Who can use the Form MC217 Medi-Cal Renewal Form?
A: The Form MC217 Medi-Cal Renewal Form can be used by individuals in California who already have Medi-Cal coverage and need to renew it.

Q: What languages is the Form MC217 Medi-Cal Renewal Form available in?
A: The Form MC217 Medi-Cal Renewal Form is available in both English and Mien languages.

Q: What information do I need to provide on the Form MC217 Medi-Cal Renewal Form?
A: You will need to provide personal information, income details, and other relevant information about your household and current Medi-Cal coverage.

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Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Available in Chinese;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form MC217 Medi-Cal Renewal Form - California (English / Mien)

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