Medi-Cal Eligibility Division (MCED) DHCS 0000 Daim Ntawv Thov
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 Lij Choj Txo Kev Txom Nyem (DRA) 2005 - Kev Cai Lij Choj
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) - Cov Neeg Asmeskas Cov Neeg Xam Xaj thiab Cov Neeg Qhab Asmeskas uas thov rau Medi-Cal yuav tsum muaj pov thawj ntawm pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
DHCS 0002 (01/08) - Cov Ntaub Ntawv Pov Thawj ntawm Kev Ua Neeg Xam Xaj thiab Kev Qhia Txog Tus Kheej - Cov Lus Qhia Tshiab rau cov neeg tau txais txiaj ntsig Medi-Cal uas yog neeg xam xaj Asmeskas lossis haiv neeg
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
DHCS 0005 (02/08) - Tau txais cov ntaub ntawv pov thawj ntawm pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
DHCS 0007 (12/07) - Cov ntaub ntawv lees paub ua pej xeem thiab tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
DHCS 0008 (01/08) - Cov ntaub ntawv pov thawj ntawm Kev Ua Neeg Xam Xaj thiab Kev Qhia Txog Tus Kheej - Rau Cov Menyuam Yaus uas yog Neeg Xam Xaj Meskas lossis Neeg Qhab Asmeskas ua daim ntawv thov Kev Noj Qab Haus Huv / Medi-Cal Joint Application
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
DHCS 0009 (09/07) - Daim ntawv pov thawj ntawm tus kheej rau US Citizen lossis National Children Under 18
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
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DHCS 0010 (01/08) - Daim ntawv pov thawj ntawm Tus Kheej rau Cov Neeg Asmeskas Cov Neeg Xam Xaj lossis Lub Tebchaws rau Cov Neeg xiam oob khab nyob hauv Institutional Care Facilities |
DHCS 0011 (06/08) - Cov ntaub ntawv pov thawj lees paub tias yog neeg xam xaj lossis cov ntaub ntawv qhia txog tus kheej
Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Nyab Laj |
