Skip to Main Content
Turn on more accessible mode
Turn off more accessible mode
Skip to Main Content
Medi-Cal Members:
Keep your coverage
. Log on to
your account
or contact
your county office
to update your information.
Important
Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? Give your local county office your updated contact information so you can stay enrolled.
Find your local county office.
Home
#
#
#
Home
About DHCS
CA.gov
Menu
Search
Home
Services
Individuals
Providers &
Partners
Laws &
Regulations
Data &
Statistics
Forms &
Publications
Search
Search for this site:
Page Content
Forms: MC 5000
MC 5120AD - Vendor Approver Certification
MC 5121AD - County-Direct Provider Approver Certification
MC 5123AD - DHCS Employee Approver Certification
MC 5131AD - County-Direct Provider User Cancellation
MC 5254
MHSD ITWS: Business Partner Certification
MC 5257
MHSD ITWS: DHCS Employee Certification
MC 5258
MHSD ITWS: Vendor Certification
MC 5272
MHSD ITWS: County Certification
Last modified date: 6/23/2023 8:52 AM
