What form does Medi-Cal use?

The Form 1095-B shows your Medi-Cal coverage and can be used to verify that you had minimum essential coverage (MEC) during the reported tax year in the upper right corner of your Form 1095-B. You can use this information to complete your state and/or federal income tax returns.

Where do I send my MC 382 form?

Where do I send my MC 382 form? Mail the form to address Access, PO Box 85027, San Diego, CA 92186. Please include the case number on the form when doing so. The form will be scanned into the system and a representative will contact you.

What is California Medi-Cal 1095-A form?

The 1095-A Form is a Covered California statement that is needed to file your Federal Income Tax Return. It shows how many months you had health insurance and how much Advanced Premium Tax Credit (APTC) you received. It is your proof that you had health insurance in place so that you won't be subject to a tax penalty.

What is Medi-Cal called in California?

Medi-Cal is California's Medicaid health care program.

What is an authorized representative for Medi-Cal?

An Authorized Representative is someone you can name and give access to your Protected Health Information (PHI). An Authorized Representative can be family members, friends, or any other individual you choose.

What is an appointment of authorized representative MC 382?

For the applicant or beneficiary An Appointment of Authorized Representative form (MC 382) came with this notice. The form lists the duties you granted your authorized representative. Part C of the form lists the copies of notices and other mail you asked us to send to your authorized representative, if any.

What form is Medi-Cal?

Form 1095-B will report the months of MEC a Medi-Cal beneficiary received during the calendar year. DHCS will send your MEC information to the IRS and beneficiaries are not required to provide Form 1095-B to the IRS, if they chose to file their taxes.

What is Medi-Cal called now?

California offers two ways to get health coverage. They are Medi-Cal and Covered California. Both programs use the same application. What Is Medi-Cal? Medi-Cal is California's version of the Federal Medicaid program.

Get Form 0804 2010-2024

Q: What is Medi-Cal called in California?

Medi-Cal is California&#039;s Medicaid health care program.

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