Medi-Cal Eligibility Division MC 300 Daim Ntawv Thov​​ 

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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 suav nrog lwm hom lus yog tias 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.​​ 

Hloov tshiab!​​ 

Tag nrho cov kev tsim nyog tau txais kev pab rau cov poj niam cev xeeb tub yuav tam sim no muaj nyob rau hauv peb lub website rau hauv qab no:
MC 311​​ 

MC 300 Daim Ntawv Thov:​​ 

• MC 306 (11/15) - Kev Txiav Txim ntawm Tus Neeg Sawv Cev​​ 
• Alt: Spanish (01/08)​​ 
• MC 322 (05/07) - Cov khoom ntiag tug thiab tus kheej - Ntxiv rau Medi-Cal Mail-hauv Daim Ntawv Thov​​ 
• Alt: Lus Mev (09/07)  MC 324 (05/07) - Sneede v. Kizer Section 1931(b) Property Work SheetMC 325 (05/07) - Thov rau Transitional Medi-Cal (TMC) lossis Plaub Hlis Txuas Ntxiv Medi - Cal​​  
• MC 326 A (05/07) - Supplemental Security Income (SSI) Methodology Adult Income Eligibility Worksheet​​   MC 326 C (05/07) - Supplemental Security Income (SSI) Methodology Income Worksheet - Cov me nyuam tsim nyog nrog niam txiv lossis niam txiv tsis tsim nyog​​   MC 327 A (05/07) - Supplemental Security Income (SSI) Program Property Worksheet Adult​​   MC 327 C (05/07) - Supplemental Security Income (SSI) Program Property Worksheet Child​​  
• MC 330 (10/24) - Kev Xa Mus Rau Me Nyuam Tshiab (Tsis yog Daim Ntawv Thov rau Medi-Cal (ua tiav)​​ 
  
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai , Ukrainian, Nyab Laj
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• Loj Font: Lus Askiv
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• MC 337 (05/07) - 100 Teev lossis Ntau Cov Ntawv Txiav Txim Rau Niam Txiv Tsis Ua Haujlwm​​  
• MC 338 (05/07) - 250 feem pua cov nyiaj tau los xeem daim ntawv ua haujlwm rau 250 feem pua Kev Ua Haujlwm Tsis Taus - Cov Neeg Laus​​ 
• Alt: Cov Lus Qhia  MC 338 A (05/07) - SSI/SSP Cov Nyiaj Tau Los Xeem Ntawv Ua Haujlwm Rau Qhov Kev Pabcuam 250 Feem Xyuam Ua Haujlwm - Cov Neeg Laus  MC 338 B (05/07) - 250 Feem pua Cov Nyiaj Tau Los Xeem Ntawv Ua Haujlwm rau 250 feem pua Kev Ua Haujlwm Tsis Taus -Me nyuam thov nrog lossis tsis tsim nyog Niam Txiv  MC 338 C (05/07) - SSI/SSP Property Test Sheet Worksheet For The 250 Percent Working Disabled Program - Cov Neeg Laus thiab Menyuam Thov  
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• MC 338 J (05/07) - Daim Ntawv Ua Haujlwm Zoo Tshaj Plaws hauv 250 feem pua Kev Ua Haujlwm Tsis Muaj Peev Xwm​​   MC 350 (05/07) - Medi-Cal Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm - Kev Pom Zoo Rau Cov Kev Pab Kho Mob Khomob lossis Kho Mob Tsis Txaus Siab​​ MC 354 (05/07) - Medi-Cal Hu rau Hloov Kho​​ 
• Alt: Spanish  
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• MC 355 (07/18) - Medi-Cal Thov Kev Qhia​​ 
  
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thaib, Ukrainian, Nyab Laj​​ 
• MC 356 (05/07) - "Safe Arms for Newborn" Cov Lus Nug Txog Kev Kho Mob​​ 
• Alt: Spanish   MC 360 (06/07) - Kev Ceeb Toom Txog Medi-Cal Intercounty Transfer  MC 360 R (05/07) - Medi-Cal Intercounty Transfer Packet Receipt  MC 363 (05/07) - Medi-Cal rau Healthy Families Transmittal  MC 363 S (05/07) - County Summary Transmittal  MC 364 (05/07) - California Department of Aging (CDA) Waiver Referral  MC 368 (06/07) (Chi) - Daim Ntawv Ceeb Toom Ntxiv rau Cov Neeg Thov Npe Nkag Siab (Suav)​​ 
• MC 368 (06/07) (Hmo) - Notice of Supplemental Form for Express Enrollment Applicants (Hmong)​​ 
• MC 368 (06/07) (Rus) - Daim Ntawv Ceeb Toom Ntxiv rau Cov Neeg Thov Npe Nkag Siab (Lavxias teb sab)​​  
• MC 368 A (11/10) - Cov ntaub ntawv tseem ceeb rau cov neeg thov Medi-Cal​​ 
• Alt: Spanish  MC 368 M (06/07) - Daim Ntawv Sau Npe Qhia Ntxiv rau Medi-Cal, Cov Tsev Neeg Noj Qab Haus Huv, thiab Cov Menyuam Noj Qab Haus Huv​​ 
• Alt: Spanish  MC 370 (06/13) - Cov Tsev Neeg Noj Qab Haus Huv / Medi-Cal Daim Ntawv Thov Kev Sib Koom Tes Daim Ntawv Thov MC 371 (07/09) - Cov Tsev Neeg Ntxiv Thov Medi-Cal​​ 
• Alt: Arabic, Armenian, Suav, Farsi, Hmong, Cambodian, Korean, Russian, Spanish, Tagalog, Nyab Laj​​  
• MC 372 (12/21) - Kev Kho Mob Lub Cev thiab Cervical (BCCTP)​​ 
  
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thaib, Ukrainian, Nyab Laj​​ 
• MC 373 (12/21) - Lub Nroog Xa Mus Rau Qhov Kev Pabcuam Kev Kho Mob Cancer Mis thiab Cervical​​ 
  
• MC 380 (06/18) - Daim Ntawv Ceeb Toom Txog Kev Tso Cai Sawv Cev​​ 
  
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thaib, Ukrainian, Nyab Laj ​​ 
• MC 381 (06/18) - tso cai sawv cev cancellation tsab ntawv​​ 
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thaib, Ukrainian, Nyab Laj ​​ 
• MC 382 (06/18) - Teem sijhawm Daim Ntawv Tso Cai Sawv Cev​​ 
• Alt: Arabic, Armenian, Cambodian, Suav, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thaib, Ukrainian, Nyab Laj ​​ 
• MC 383 (06/18) - Daim Ntawv Pom Zoo Tus Neeg Sawv Cev Tso Cai​​ 
• Alt: Spanish​​