Mc 13 form 2026

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  1. Click ‘Get Form’ to open the MC 13 form in the editor.
  2. Begin by filling out your personal information, including your name, address, and date of birth. Ensure that all details are accurate to avoid delays in processing.
  3. In the section regarding citizenship status, select whether you are a U.S. citizen/national or if you have satisfactory immigration status. This is crucial for determining your eligibility.
  4. If applicable, attach any relevant immigration documents directly within the editor. This will help streamline the verification process.
  5. Review all entered information for accuracy before submitting. Utilize our platform’s features to make edits as needed.
  6. Once completed, save your form and submit it electronically through our platform for free, ensuring a smooth submission process.

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The MC13 is a tool for clients who are requesting full-scope MC but do not have documentation indicating that they have a status which is eligible for full-scope MC AND the immigration status cannot be verified electronically.
The Statement of Citizenship, Alienage, and Immigration Status, Form MC 13, is part of the Medi-Cal application. 2 This form is not an immigration form. The categories on the form were created to help the State of California make decisions about your Medi-Cal.
How to fill out CA DHCS MC 371 Obtain the CA DHCS MC 371 form from the official website or your local health department. Fill in your personal information, including your name, address, and contact details in the designated fields. Provide information about your health insurance coverage, if applicable.
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