• MC 604 (05/14) – Cov Ntaub Ntawv Ntxiv Txog Cov Nyiaj Tau Los Thiab Khoom Vaj Khoom Tsev Uas Yuav Tsum Muaj Rau Medi-Cal​​ 
  Alt: Lus Askiv (Loj Sau), Arabic, Armenian, Cambodian, Suav, Farsi, Hmong, Korean, Russian, Spanish, Tagalog, Nyab Laj​​ 
• MC 604 MDV (08/17) - Kev Txheeb Xyuas Los Ntawm Kws Kho Mob Rau Cov Kev Pabcuam Hauv Tsev Thiab Hauv Zej Zog Raws Li Cov Kev Cai Txog Kev Txom Nyem Ntawm Tus Txij Nkawm​​ 
  Lwm hom lus: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmoob, Nyiv Pooj, Kauslim, Laotian, Mien, Punjabi, Lavxias, Mev, Tagalog, Thaib, Nyab Laj, Ukrainian
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