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Medi-Cal Eligibility Division Information Letter No.: I 15-14 TO: ALL COUNTY WELFARE DIRECTORS ALL COUNTY WELFARE ADMINISTRATIVE OFFICERS ALL COUNTY MEDI-CAL PROGRAM SPECIALISTS/LIAISONS SUBJECT: Revised MC 216 Pre-Populated Renewal Form (Reference: All County Welfare Directors Letter 15-09 and 14-38) The purpose of this letter is to transmit the revised MC 216 Pre-Populated Renewal Form to counties, which is used to confirm and request verification of beneficiary information kno.

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