Daim Ntawv Thov Kev Pab Cuam Medi-Cal MC 00
Rov qab mus rau nplooj ntawv tseem ceeb ntawm MCED Cov ntawv Medi-Cal Eligibility Division (MCED) tau teev raws li cov tsiaj ntawv hauv qab no los ntawm tus lej ntawm daim ntawv thiab tej zaum yuav muaj lwm hom lus yog tias muaj. Cov ntawv sau thiab luam tawm PDF tuaj yeem ua tiav hauv online thiab luam tawm ua daim ntawv theej kom tau kos npe thiab xa ntawv lossis xa mus rau tus neeg ua haujlwm tsim nyog rau kev ua tiav.
MC 00 Forms
- MC 05 (07/15) – Daim Ntawv Pov Thawj Tub Rog thiab Daim Ntawv Xa Mus Rau Tub Rog
- MC 13 (08/26) – Cov Ntaub Ntawv Txog Kev Ua Pej Xeem/ Kev Nkag Tebchaws
- MC 14 A (07/22) – Daim Ntawv Thov Medicare Tus Neeg Tau Nyiaj Tsawg (QMB) Uas Tsim Nyog, Tus Neeg Tau Nyiaj Tsawg (SLMB), thiab Tus Neeg Tau Txais Kev Pab Cuam (QI)
- MC 18 (06/07) – Daim Ntawv Ceeb Toom Tseem Ceeb Txog Koj Cov Kev Pab Cuam Medi-Cal (Eng/Sp)
- MC 19 (08/17) – Important Information for New Supplemental Security Income/State Supplementary Payment (SSI/SSP) Recipients
- MC 19A (07/17) – Important Information for SSI/SSP Applicants Medi-Cal May Help Pay Past Medical and Dental Bills (“Retroactive Coverage”)
- MC 61 (05/07) – Daim Ntawv Qhia Txog Kev Kho Mob