MC 210 : RESTORATION OF COVERAGE

This article provides essential information for parents in the event of a denied claim. They will be required to contact the county or visit the county office in order to complete a form known as the MC 210. This form is essential for the restoration of retroactive coverage.


Step 1: Please complete the form and send it to the county or drop it off in person.

Step 2: Contact our office to facilitate the resubmission of the coverage.


Note: If the claim has been past the year of services. The chances of coverage is lower. Please note the sooner the better. 

MC 120 FORM