Rov qab mus rau MCED Forms Main Page​​ 

Cov ntawv thov Medi-Cal Eligibility Division 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.​​  

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 Ntuj hnub tim 8, 2005, Thawj Tswj Hwm Bush tau kos npe rau hauv txoj cai DRA uas tau hloov qee yam rau txoj cai Medicaid (Medi-Cal hauv California). Ib qho ntawm cov kev hloov pauv ntawd yog qhov yuav tsum tau ua rau cov tib neeg uas tshaj tawm tias yog pej xeem Asmeskas lossis cov pej xeem Asmeskas yuav tsum muaj pov thawj ntawm qhov tseeb no thiab pov thawj ntawm tus kheej. Lub vas sab no muaj cov ntaub ntawv hais txog txoj cai lij choj ntawm lub xeev thiab tsoomfwv teb chaws txog qhov yuav tsum tau ua no thiab kev siv qhov yuav tsum tau ua no 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) – Acceptable Citizenship and Identity Documents​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0008 (01/08) - Cov Kev Cai Pov Thawj Txog Kev Ua Neeg Amelikas Thiab Kev Txheeb Xyuas Tus Kheej - Rau Cov Menyuam uas yog Neeg Amelikas lossis Neeg Tebchaws Meskas uas sau Daim Ntawv Thov Kev Pab Txhawb Nqa Tsev Neeg Noj Qab Haus Huv/Medi-Cal​​  Lwm hom lus: Arabic, Armenian, Suav, Farsi, Hmoob, Cambodian, Kauslim, Laotian, Lavxias, Mev, Tagalog, Nyab Laj​​

DHCS 0009 (09/07) – Affidavit of Identity for U.S. Citizen or National Children Under 18​​  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​​