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20232024 Medical Suspension NOTE: A medical suspend form will only be processed for injuries or illnesses that last longer than 21 days. This form must be completed and emailed to Tiffany Miller (tmiller@triangleaquatics.org)
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How to fill out suspension of medi-cal benefits
How to fill out suspension of medi-cal benefits
01
Contact your county Medi-Cal office to request a suspension of benefits
02
Provide necessary information such as your name, case number, reason for suspension, and length of time needed
03
Submit any supporting documentation required
04
Follow up with the Medi-Cal office to ensure the suspension has been processed
Who needs suspension of medi-cal benefits?
01
Individuals who are temporarily ineligible for Medi-Cal benefits due to specific circumstances such as incarceration, hospitalization, or temporary relocation
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What is suspension of medi-cal benefits?
Suspension of medi-cal benefits is when an individual temporarily stops receiving benefits from the Medi-Cal program.
Who is required to file suspension of medi-cal benefits?
Individuals who no longer meet the eligibility requirements for Medi-Cal benefits are required to file for suspension.
How to fill out suspension of medi-cal benefits?
To fill out suspension of Medi-Cal benefits, individuals must contact their county Medi-Cal office and complete the necessary paperwork.
What is the purpose of suspension of medi-cal benefits?
The purpose of suspending Medi-Cal benefits is to ensure that only eligible individuals receive benefits from the program.
What information must be reported on suspension of medi-cal benefits?
Individuals must report changes in income, household size, or any other eligibility criteria that may affect their Medi-Cal benefits.
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