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STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCYGRAY DAVIS, GovernorDEPARTMENT OF HEALTH SERVICES 714/744 P Street P.O. Box 942732 Sacramento, CA 942347320 (916) 6572941February 8,2000MediCal Eligibility

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How to fill out new medi-cal mail-in application

01

Obtain a medi-cal mail-in application form either by downloading it from the official website or requesting it by mail.

02

Fill out the application form completely and accurately, providing all necessary information about yourself and your household.

03

Attach any required documents, such as proof of income or citizenship, to the application form.

04

Double check the completed form and documents to ensure they are filled out correctly and completely.

05

Mail the application form and documents to the address provided on the form, making sure it is postmarked by the deadline.

Who needs new medi-cal mail-in application?

01

Individuals who do not have access to a computer or internet to apply online for medi-cal

02

Individuals who prefer to fill out paper applications rather than online forms

03

Individuals who are unable to visit a local medi-cal office in person to apply

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What is new medi-cal mail-in application?

The new medi-cal mail-in application is a form used to apply for Medi-Cal benefits through the mail.

Who is required to file new medi-cal mail-in application?

Individuals who are eligible for Medi-Cal benefits and prefer to apply through the mail are required to file the new medi-cal mail-in application.

How to fill out new medi-cal mail-in application?

The new medi-cal mail-in application can be filled out by providing all required information accurately and completely, then submitting it by mail to the appropriate Medi-Cal office.

What is the purpose of new medi-cal mail-in application?

The purpose of the new medi-cal mail-in application is to facilitate the application process for Medi-Cal benefits for individuals who prefer to apply through the mail.

What information must be reported on new medi-cal mail-in application?

The new medi-cal mail-in application must include information such as personal details, income, household members, and any other information required to determine eligibility for Medi-Cal benefits.

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