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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY APPLICATION FOR AFRESH CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, CASH AID, AND/OR MEDICAL/HEALTH CARE PROGRAMS If you have a disability or need
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People Also Ask about
How do I submit a claim to Medi-Cal?
To file a claim, you must submit a Medi-Cal Claim Form for Beneficiary Reimbursement. The claim form must be filled out in blue or black ink; • The claim form must have an original signature (no copies will be accepted); The Claim Form must include: • A photo copy of your Medi-Cal Beneficiary Identification Card (BIC).
What happens if you don't report a change to Medi-Cal?
If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS. 19. You, or any family member receiving Medi-Cal, must not be getting public assistance from another state.
How do I contact Medi-Cal managed care?
Call Health Care Options (HCO) Medi-Cal Managed Care at 1-800-430-4263 (TTY 1-800-430-7077). The call is free.
How do I contact DHCS Medi-Cal?
(800) 977-2273 Medi-Cal Rx Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 977-2273 for our Medi-Cal Rx Customer Service Center (CSC).
How do I transfer my Medi-Cal to a different county?
You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to. This is to make sure you keep getting Medi-Cal benefits. You should tell your local county office within 10 days of moving to a new county.
How do I notify Medi-Cal of changes?
For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.
How do I report a claim to Medi-Cal?
To file a claim, you must submit a Medi-Cal Claim Form for Beneficiary Reimbursement. The claim form must be filled out in blue or black ink; • The claim form must have an original signature (no copies will be accepted); The Claim Form must include: • A photo copy of your Medi-Cal Beneficiary Identification Card (BIC).
How do I update my Medi-Cal information?
For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.
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What is attachment 2 - california?
Attachment 2 - California is a form used for reporting additional income and adjustments from California sources when filing your state tax return.
Who is required to file attachment 2 - california?
Taxpayers who have income or adjustments from California sources are required to file attachment 2 - California.
How to fill out attachment 2 - california?
Attachment 2 - California should be filled out by entering the necessary information regarding income or adjustments from California sources in the designated fields.
What is the purpose of attachment 2 - california?
The purpose of attachment 2 - California is to ensure that taxpayers accurately report all income and adjustments from California sources to properly calculate their state tax liability.
What information must be reported on attachment 2 - california?
Information such as income from California sources, adjustments related to California income, and any other relevant details must be reported on attachment 2 - California.
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