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Updated ‘2014 – 2015 Certification of Compliance’

January 4, 2016

The 2014 – 2015 Certification of Compliance form (MC 0805) has been updated. The form is available on the Provider Enrollment page or the Forms page of the Medi-Cal website.

The 2014 – 2015 Certification of Compliance form is required for all providers that received at least $5 million during the 2014 – 2015 federal fiscal year.