Mc 330 2025

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The document is a Newborn Referral Form from the California Department of Health Care Services, designed to assist Medi-Cal eligible mothers in reporting the birth of their child(ren) to Medi-Cal. It outlines the necessary information required for eligibility confirmation, instructions for submission, and clarifies that this form does not initiate benefits but helps in reporting births for existing beneficiaries.

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What is the MC add a person form?

The MC 371 form is an essential document for families in California seeking to add additional members to their Medi-Cal coverage. It serves as a means to communicate important information about each family members eligibility and need for health care services to the Department of Health Care Services.

How long does it take to add a newborn to Medicaid?

If you have Medicaid when you give birth, your newborn is automatically enrolled in Medicaid coverage and will remain eligible for at least a year.

Does my newborn qualify for Medi-Cal?

Newborns. Infants born to women receiving Medi-Cal are automatically enrolled in coverage and do not need a separate application. At their first birthday, the county will complete a Medi-Cal redetermination.

What is mc 383?

Authorized Representative Standard Agreement for Organizations Form (MC 383) The purpose of the MC 383 is for an individual acting on behalf of an organization that was named as an AR to sign an agreement under penalty of perjury to adhere to federal and state regulations.

Do babies automatically get Medi-Cal?

Once you deliver, your babys health, dental, and vision care coverage will be provided by DHCS through its Medi-Cal providers and managed care plans. Your newborn baby will receive medical and vision services through a Medi-Cal Health Plan and dental services through the Medi-Cal Dental Program.

Does California cover newborns for the first 30 days?

For the first 30 days, a newborn is covered under the mothers insurance as an extension of her policy and deductible. After this 30-day period, your baby must have his or her policy. You could simply add your baby to your employer-provided insurance or convert from your individual policy to a family plan.

How do I report a birth to Medi-Cal?

If you are receiving coverage through Medi-Cal, please report the birth information at: benefitscal.com or by calling County Offices (ca.gov). You may also send the county a Newborn Referral form found here.

What qualifies a child for Medi-Cal?

For example, a child is eligible for Medi-Cal if the familys household income is less than 266 percent of the Federal Poverty Level, or about $53,600 for a family of three and $75,650 for a family of five.

Mc 330 2025

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