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Santa Clara County
Social Services Agency page 1
Date:09/10/03References:ACW DL #0333Clerical:Handbook Revision:Distribution:Medical Update Distribution Liquidate 200326: Medical
Child Health and
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How to fill out medi-cal update distribution list

How to fill out medi-cal update distribution list:
01
Access the Medi-Cal update distribution list form from the official website.
02
Fill in your personal information accurately, including your full name, contact information, and any other relevant demographic details.
03
Provide your Medi-Cal identification number or any other identification number required on the form.
04
Indicate the reason for updating the distribution list, whether it is a change of address, contact details, or any other relevant information.
05
Include any supporting documentation, such as proof of address, if necessary.
06
Double-check all the information you have entered to ensure its accuracy.
07
Sign and date the form before submitting it, either online or by mail, as specified in the instructions.
Who needs medi-cal update distribution list?
01
Medi-Cal beneficiaries who have recently experienced a change in their personal information, such as a change in address, contact details, or any other relevant details.
02
Individuals who want to ensure that they receive the most up-to-date information and notifications from the Medi-Cal program.
03
Medi-Cal providers who need to update their contact information to maintain effective communication with Medi-Cal.
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What is medi-cal update distribution list?
Medi-Cal update distribution list is a list of individuals or entities responsible for updating and distributing Medi-Cal information.
Who is required to file medi-cal update distribution list?
Providers, facilities, and organizations participating in the Medi-Cal program are required to file the distribution list.
How to fill out medi-cal update distribution list?
The distribution list can be filled out online through the Medi-Cal website or submitted through mail using the provided forms.
What is the purpose of medi-cal update distribution list?
The purpose of the distribution list is to ensure that updated Medi-Cal information is distributed in a timely manner to all relevant parties.
What information must be reported on medi-cal update distribution list?
The distribution list must include the names and contact information of all individuals or entities responsible for updating and distributing Medi-Cal information.
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