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The MC 604 IPS Evaluation for Non-MAGI Medi-Cal form requests the necessary Non-MAGI MC asset, income, and deduction information to evaluate an individual for Non-MAGI MC eligibility when such information has not been obtained through the ex-parte review process.
Authorization for Release of Information (MC 220) The MC 220 authorizes the release of medical records, including testing and treatment records for medical conditions including Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), or AIDS-Related Complex (ARC) patients.
Know More About Medicaid Redetermination. Medicaid Redetermination (also known as Medicaid Recertification, or Medicaid Renewal) is the regular eligibility review that each states Medicaid agency conducts to determine whether beneficiaries still qualify for Medicaid or Childrens Health Insurance Plan (CHIP) coverage.
If your information has changed, you can update it online at benefitscal.com, or by calling 1-866-613-3777 (TTY) 1-800-660-4026. This way, the county can contact you about your Medi-Cal.
Local Medi-Cal offices review each members eligibility once a year or when they report changes to their household. Everyones renewal date is different.
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Members can submit information online by logging in or creating an online account at benefitscal.com. To submit information by phone, members can call DPSS at 1-866-613-3777 Monday Friday from 7:30 a.m. 6:30 p.m. (excluding holidays). How can Medi-Cal members receive alerts on their Medi-Cal case?
If you received a renewal form in the mail, you may submit your information by mail, phone, in person, or online to help avoid a gap in your Medi-Cal coverage.

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