Medi-Cal Eligibility Division MC 00 Daim Ntawv Thov
Rov qab mus rau MCED Forms Main PageMedi-Cal Eligibility Division (MCED) cov ntaub ntawv tau teev 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.
MC 00 Forms:
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MC 05 (07/15) - Daim Ntawv Pov Thawj Ua Tub Rog thiab xa mus
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MC 13 (12/09) - Nqe Lus Qhia Txog Kev Ua Neeg Xam Xaj, Neeg Lij Choj, thiab Kev Nkag Tebchaws
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MC 14 A (07/22) - Tsim Nyog Tau Txais Cov Nyiaj Tau Los Tsawg Medicare (QMB), Cov Neeg Tau Txais Nyiaj Tau Los Tsawg (SLMB), thiab Daim Ntawv Thov Kev Tsim Nyog (QI)
- Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese , Korean, Laotian , Mien, Punjabi, Russian, Spanish, Tagalog, Thaib , Ukrainian, Nyab Laj
- Ntxiv: Lub Nroog Npe
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MC 18 (06/07) - Daim Ntawv Ceeb Toom Tseem Ceeb Txog Koj Cov Nyiaj Pab Medi-Cal (Eng/Sp)
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MC 19 (08/17) - Cov Ntaub Ntawv Tseem Ceeb rau Cov Nyiaj Tau Los Ntxiv Kev Ruaj Ntseg Tshiab / Lub Xeev Cov Nyiaj Them Ntxiv (SSI/SSP) Cov neeg tau txais
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MC 19A (07/17) - Cov ntaub ntawv tseem ceeb rau SSI/SSP Cov Neeg Thov Kev Pab Medi-Cal tuaj yeem pab them cov nqi kho mob thiab kho hniav yav dhau los ("Cov Kev Pab Them Rov Qab")
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MC 61 (05/07) - Daim Ntawv Qhia Txog Kev Kho Mob
