Medi-Cal offers free or low-cost health coverage for California residents who meet eligibility requirements. How do I fill this out?This renewal form is for renewing Medi-Cal benefits through the Department of Health Care Services. Select an insurance product that best fits your policy or need below and find the right form. MEDI-CAL ANNUAL REDETERMINATION FORM. You must fill out this form and return it to the county to keep your Medi-Cal! Need to report a claim? This page explains your covered services as a member of IEHP. General Instructions. Request more information about WFG National Title.