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R No.: 06-17 ALL COUNTY ADMINISTRATIVE OFFICERS ALL COUNTY MEDI-CAL PROGRAM SPECIALIST/LIAISONS ALL COUNTY HEALTH EXECUTIVES ALL COUNTY MENTAL HEALTH DIRECTORS SUBJECT: MEDI-CAL ANNUAL REDETERMINATION FORM The purpose of this letter is to transmit the new Medi-Cal Annual Redetermination form (MC 210 RV, rev. 01/06) and the instructions on processing the information received on the form. The new MC 210 RV was designed in collaboration with counties and consumer advocates. The new form is more.
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The county will mail you a letter about your Medi-Cal eligibility. You may need to complete a renewal form. If you're sent a renewal form, submit your information by mail, phone, in person, or online, so you don't lose your coverage.
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Every Woman Counts 2023 Income Eligibility Guidelines Number of Persons Living in HouseholdMonthly Gross Household IncomeAnnual Gross Household Income1$2,430$29,1602$3,287$39,4403$4,143$49,7204$5,000$60,0005 more rows • Apr 7, 2023
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The county will mail you a letter about your Medi-Cal eligibility. You may need to complete a renewal form. If you're sent a renewal form, submit your information by mail, phone, in person, or online, so you don't lose your coverage.
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Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.
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Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.
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You may be able to receive a reimbursement if: You received a Medi-Cal covered service on a date that you were eligible for Medi-Cal. The three periods of eligibility that are included are the following: RETRO: The 3-month period prior to the month you applied for the Medi-Cal program.
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You may be able to receive a reimbursement if: You received a Medi-Cal covered service on a date that you were eligible for Medi-Cal. The three periods of eligibility that are included are the following: RETRO: The 3-month period prior to the month you applied for the Medi-Cal program.
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MC 210 RV ENG (Rev 10/20) Expenses and deductions. Reporting expenses and deductions that you pay may lower the income Medi-Cal uses to determine. your eligibility. You must attach current proof of expenses and deductions.
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