Hla mus rau Cov Ntsiab Lus Tseem Ceeb
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Hla mus rau Cov Ntsiab Lus Tseem Ceeb
Medi-Cal Cov Tswv Cuab:
Khaws koj qhov kev pab them nqi kho mob
. Nkag mus rau
koj tus as-qhauj
lossis tiv tauj
koj lub nroog chaw ua haujlwm
kom hloov kho koj cov ntaub ntawv.
Tseem ceeb
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Nrhiav koj lub county office.
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Page Content
Cov Ntawv Los Ntawm Lub Npe - D
DAPD Pending Information Update (Los Angeles)
(MC 222 LA, 02/14)
Department of Developmental Services Waiver Referral
(DHCS 7096, 05/07)
DHCS Computer Files Release/Access of MC Program Confidential Oath
(DHCS 4512)
DHCS Employee Approver Certification
(MC 5123D)
Direct Provider Day Care Residential - Alcohol and Drug
(Excel) (MC 6007-MC 6008-1112)
Alt:
Cov lus qhia
Direct Provider Day Care Residential - Perinatal
(Excel) (MC 6009-MC 6010-1112)
Alt:
Cov lus qhia
Tus Muab Kev Pab Direct Nruas Kev Kho Mob - Cawv thiab Tshuaj
(Excel) (DHCS 6011-1112)
Alt:
Cov lus qhia
Qhov Kev Pabcuam Direct Muab Tshuaj Kho Mob - Perinatal
(Excel) (DHCS 6012-1112)
Alt:
Cov lus qhia
Direct Provider Out Patient Drug Free - Perinatal
(Excel) (MC 6013-MC 6014 - MC 6004)
Alt:
Cov lus qhia
Direct Provider Out Patient Drug Free Group-Alcohol and Drug
(Excel) (MC 6003-MC 6015-MC 6016)
Alt:
Cov lus qhia
Tus Kws Pab Tswv Yim Ncaj Ncees - Perinatal
(Excel) (MC 6005-MC 6006-1112)
Alt:
Cov lus qhia
Disability Determination and Transmittal (Los Angeles)
(MC 221 LA, 02/14)
Disability Determination Service Division
(MC 179, 11/07)
Alt:
Spanish (01/08)
Kev Hloov Kho Cov Npe Tsis Taus
(MC 4033, 06/07)
Qhia tawm rau DHCS
(DHCS 5140)
Disregard Computation Work Sheet (Pickle Eligible Individual or Couple and/lossis Tus Poj Niam Tsis Tsim Nyog Nrog RSDI Cov Nyiaj Tau Los)
(DHCS 7029 ,06/07)
Daim ntawv pov thawj DMC Tus Muab Kev Pab
(MC 6002, (10/12) - 1112)
Rov qab mus rau Forms Index
Hnub hloov tshiab kawg: 8/22/2025 9:26 AM