California medi cal contact 2026

1. Click ‘Get Form’ to open the California Medi-Cal Contact form in the editor.
2. Begin by filling out Section 1 with your new contact information. Enter your name, address, city, state, and ZIP code. If your mailing address differs, provide that as well.
3. In Section 2, input your old contact information. This includes your previous name and address details to ensure accurate updates.
4. Proceed to Section 3 where you will enter your health plan information. Fill in the health plan name, date of birth, health plan number, and Beneficiary Identification Card (BIC) number.
5. Finally, review Section 5 for authorization. Print your name, sign it, and date the form to confirm permission for updates to be made by the county Medi-Cal office.

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