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 Lao. 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 Medi-Cal Renewal Form is a renewal form used to determine continued eligibility for Medi-Cal in California.
Q: Who needs to complete the MC217 Medi-Cal Renewal Form?
A: Individuals receiving Medi-Cal benefits in California need to complete the MC217 form to renew their eligibility.
Q: What information is required on the MC217 Medi-Cal Renewal Form?
A: The MC217 form requires information about the applicant's household, income, assets, and any changes that may have occurred since the last renewal.
Q: How often do I need to renew my Medi-Cal eligibility using the MC217 form?
A: Medi-Cal eligibility needs to be renewed once a year using the MC217 form.
Q: What happens if I don't submit the MC217 Medi-Cal Renewal Form?
A: Failure to submit the MC217 form may result in a loss of Medi-Cal benefits.
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.