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To add your newborn to your health insurance coverage, you will need to provide the following documents: The baby's birth certificate. The maternity discharge card. A photograph of the baby for the cashless health card. Health reports detailing the baby's medical condition, if applicable.

If the undocumented immigrant sibling is not yet enrolled in Medi-Cal coverage (e.g., restricted scope coverage), the parent can enroll an undocumented child by filling out a MC 371 “add a family member” form which would add the undocumented immigrant child to the existing family's Medi-Cal case using the family's ...

The Newborn Referral Form is used to assist a Medi-Cal eligible mom to report the birth of her child(ren) to Medi-Cal. By completing the information on this form, you help the county confirm the eligibility of the newborn so that the newborn can begin receiving Medi-Cal services. Mail or fax this form to the county.

Older Adult Expansion | En Español​ |​ 漢語​​​ Beginning May 1, 2022, a new law in California will give full scope Medi-Cal to adults 50 years of age or older and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

MC 210 RV ENG (Rev 10/20) Other health insurance. Tell us about any health coverage that you have that is not from Medi-Cal or Medicare. Reporting other health insurance premiums that you pay may lower the income Medi-Cal uses to determine your eligibility.

​Apply for Medi-Cal Apply By Mail. Medi-Cal Single Streamlined Application. Apply for Medi-Cal with a Single Streamlined Application, provided in English and other languages. ... Apply In Person. County Social Services Office. ... Apply Online​​​ Covered California Website.

Complete the Infant Registration Form​ and send it to MCAP within 30 days after your delivery. Fax this information to 1-888-889-9238, or send this information to MCAP at the address printed on the form. If you do not receive the Infant Registration Form, call 1-800-433-2611.

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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