Rov qab mus rau MCED Forms Main Page​​ 

Medi-Cal Daim Ntawv Qhia Txog Kev Tsim Nyog Muaj Peev Xwm muaj npe nyob rau hauv cov tsiaj ntawv hauv qab no los ntawm tus lej daim ntawv thiab tej zaum yuav muaj lwm hom lus yog muaj. PDF sau thiab luam cov ntawv tuaj yeem ua tiav hauv online thiab luam tawm rau cov ntawv tawv tawv kom kos npe thiab xa hauv lossis xa tuaj rau tus neeg ua haujlwm tsim nyog rau kev ua haujlwm.​​  

Txoj Cai Txo Cov Nyiaj Tsis Txaus (DRA) Xyoo 2005 - Cov Kev Cai Rau Kev Ua Pej Xeem​​ 

Rov qab mus rau DRA Main Page​​ 

Thaum Lub Ob Hlis 8, 2005, Thawj Tswj Hwm Bush tau kos npe rau hauv txoj cai DRA uas tau hloov qee yam rau Medicaid (Medi-Cal hauv California) txoj cai. Ib qho ntawm cov kev hloov pauv no yog qhov yuav tsum tau ua rau cov tib neeg tshaj tawm tias yog neeg xam xaj Asmeskas lossis neeg Asmeskas cov neeg tuaj yeem qhia cov ntaub ntawv pov thawj ntawm qhov tseeb no nrog rau cov ntaub ntawv pov thawj ntawm tus kheej. Lub vev xaib no muaj cov ntaub ntawv hais txog lub xeev thiab tseemfwv txoj cai lij choj hais txog qhov yuav tsum tau ua thiab kev ua raws li qhov yuav tsum tau ua hauv California.​​ 

DHCS 0000 Forms:​​  

DHCS 0001 (05/09) – U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0002 (01/08) – Proof of Citizenship and Identity–New Requirements for Medi-Cal Beneficiaries who are U.S. Citizens or Nationals​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0005 (02/08) – Receipt of Citizenship and Identity Documents​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0007 (12/07) - Cov Ntaub Ntawv Txog Kev Ua Neeg Amelikas Thiab Kev Txheeb Xyuas Tus Kheej Uas Txais Tau​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0008 (01/08) – Proof of Citizenship and Identity Requirements – For Children who are U.S. Citizens or Nationals filling out the Healthy Families/Medi-Cal Joint Application​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0009 (09/07) - Daim Ntawv Pov Thawj Qhia Txog Tus Kheej Rau Cov Neeg Xam Xaj Meskas lossis Cov Menyuam Yaus Hauv Tebchaws Uas Muaj Hnub Nyoog Qis Dua 18 Xyoo​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0010 (01/08) – Affidavit of Identity for U.S. Citizens or National for Disabled Individuals Living in Institutional Care Facilities​​

DHCS 0011 (06/08) – Proof of Acceptable Citizenship or Identity Documents​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​