Cov ntawv thov DHCS
Cov hauv qab no yog cov ntawv thov rau cov tib neeg thiab cov chaw muab kev pabcuam los koom nrog DHCS cov kev pabcuam:
Medi-Cal
- Daim Ntawv Thov Kev Sau Npe Rau Tus Kws Pab Tswv Yim Cov Ntawv Teev Npe los ntawm Tus Muab Kev Pab
- Daim Ntawv Thov Medi-Cal Xa Ntawv Tuaj, (ntau hom lus)
- Daim Ntawv Qhia Me Nyuam Tshiab (MC 330)
- Health Insurance Premium Payment Application (SP)
California Children's Services (CCS)
Cov hauv qab no yog cov ntawv thov rau npe menyuam yaus thiab cov poj niam cev xeeb tub hauv Medi-Cal lossis Healthy Families program
- Daim Ntawv Thov Txheeb Xyuas Qhov Tsim Nyog Tau Txais Kev Pab Cuam CCS (DHCS 4480)
Alt: Mev (06/25)
- CCS Special Care Center Daim Ntawv Qhia Hloov Kho Daim Ntawv Qhia (DHCS 4507)
Disproportionate Share Hospital Program (DSH).
Fair Hearing (California Department of Social Services)
- Thov kom Xeev Lub Rooj Sib Hais ua ntej Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
- Tus Neeg Sawv Cev Tso Cai (Form DFA 19)
- Kev rho tawm / Kev rho tawm raws li kev thov rau Lub Rooj Sib Hais (Daim Ntawv DFA 315)
Qhov Kev Pabcuam Tiv Thaiv Hnov
Cov Chaw Pabcuam Hauv Tsev thiab Zej Zog (HCBS)
Qhov Kev Ntsuas Kev Ntsuas Me Nyuam Me Me
- Daim Ntawv Thov Kev Sib Txuas Lus Disorder Center (DHCS 4482)
- Daim Ntawv Thov Kev Pab Cuam Rau Cov Me Nyuam Me Me Me (DHCS 4481)