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Oregon Medical Marijuana Program (OMMP) APPLICATION INSTRUCTIONS KEEP A COPY OF YOUR APPLICATION FOR YOUR RECORDS Application Form SECTION A Applicant Information Complete all of Part A. You must.

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Most people who have Medi-Cal must enroll in a medical plan. You or a member of your family must choose a medical plan if: You get CalWorks benefits (cash aid, food stamps) You get Medi-Cal only and you do not have a share of cost.

Use this form to join or change a health plan. For FREE help with this form, contact Health Care Options at 1-844-580-7272. Mail completed form to California Department of Health Care Services, Health Care Options, P.O. Box 989009, West Sacramento, CA 95798-9850.

On January 1, 2023, your Cal MediConnect plan will transition to Medicare Medi-Cal Plans (MMPs or Medi-Medi Plans) provided by the same company that provides your Cal MediConnect. These matching plans are designed to coordinate care for people with both Medicare and Medi-Cal.

A Medical Exemption Request (MER) is a request to be exempt from mandatory enrollment in a Medi-Cal plan and instead remain in fee for service (FFS) Medi-Cal.

Use this form to join or change health plans. If you need help filling out this form, call 1-800-430-4263. Mail Completed form to: California Department of Health Care Services • Health Care Options • Box 989009, W. Sacramento, CA 95798-9850.

Medi-Cal premiums are required for certain children who are 1 up to 19 years of age in the Optional Targeted Low-Income Children's Program, known as the Medi-Cal for Families Program.

Modern media comes in many different formats, including print media (books, magazines, newspapers), television, movies, video games, music, cell phones, various kinds of software, and the Internet. Each type of media involves both content, and also a device or object through which that content is delivered.

You should keep this guide and use it when you have questions about Medi-Cal. California offers two ways to get health coverage. They are “Medi-Cal” and “Covered California.” Both programs use the same application.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232