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BOARD OF GOVERNORS Executive Committee Meeting May 22, 2024 2:00 PM L.A. Care Health Plan 1055 W. 7th Street, Los Angeles, CA 900171AGENDA Executive Committee Meeting Board of Governors Wednesday,
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Obtain the 2024 la care medi-cal form from the La Care website or a local office.
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Read the instructions carefully before completing the form.
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Fill out all required personal information, such as name, address, date of birth, and social security number.
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Provide information about your household income and household members.
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Individuals who meet the income and eligibility requirements for the 2024 la care medi-cal program.
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La Care Medi-Cal member is an individual who is enrolled in the Medi-Cal program provided by LA Care Health Plan.
Individuals who are eligible for Medi-Cal benefits through LA Care Health Plan are required to file as a La Care Medi-Cal member.
To fill out as a La Care Medi-Cal member, individuals need to provide their personal information, income details, household information, and any other required documentation to LA Care Health Plan.
The purpose of being a La Care Medi-Cal member is to access healthcare services and benefits provided by the Medi-Cal program through LA Care Health Plan.
Information such as personal details, income sources, household composition, and any changes in circumstances must be reported on the La Care Medi-Cal member application.
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