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MC 219 (4/10). Spanish. 5. Recibir informaci n sobre las reglas para elegibilidad retroactiva de Medi-Cal. 6. Solicitar Medi-Cal, y a que se me informe por.

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The Medi-Cal Member's beneficiary ID number. or. The last 4 digits of the Member's Social Security Number. And the Member's date of birth (2 digit month and 4-digit year) i.e. 12/1961.

Do you need to update your information with Medi-Cal? To report change of address, income, name, or employment, please contact your local county office.

To receive Medi-Cal benefits in California, you must be a U.S. citizen, a state resident of California, a permanent U.S. resident, a legal alien or a U.S. national. You are eligible to receive benefits if you are: Over the age of 65. Blind or disabled.

Select your program: Medi-Cal Managed Care or Cal MediConnect. Choose a provider type: Doctor, hospital, medical clinic or dentist/dental clinic. Search by location: Address, zip code or county.

Medi-Cal is jointly administered by the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS), while the county welfare department in each of the 58 counties is responsible for local administration of the Medi-Cal program.

3. Give a Social Security Number (SSN) for anyone who is applying for Medi-Cal benefits. ... If anyone on your application who otherwise qualifies for Medi-Cal does not have a satisfactory immigration status, he or she can apply for restricted Medi-Cal benefits without giving an SSN.

Apply online at www.CoveredCA.com . Applications are securely transferred directly to your local county social services office, since Medi-Cal is provided at the county level.

As you apply for Medi-Cal, you will need the following documents: Social Security numbers: Every applicant who has a Social Security number needs to provide it to make the application process faster. Social Security numbers help your county social services office verify your information.

Apply online at www.CoveredCA.com . Applications are securely transferred directly to your local county social services office, since Medi-Cal is provided at the county level. If you need additional help applying or have additional questions, you can contact a trained Certified Enrollment Counselor (CEC) for free.

Call (209) 558-2777 to request a new card. Provide your name and Social Security Number to confirm your identity and request a new card. One will be mailed to you immediately.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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