Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Medi-Cal Eligibility Division (MCED) PM 100 & 200 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 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.​​ 

Nco tseg​​ : Qee qhov txuas ntawm nplooj ntawv no yog cov ntaub ntawv hauv Adobe Acrobat Portable Document Format (PDF); tshwj tsis yog qhia tias me dua 2 MB. Cov ntaub ntawv PDF xav tau Adobe Reader. Yog tias koj xav tau nruab lossis hloov kho mus rau qhov tseeb version, nyem qhov "Download Free Readers ".​​  

PM 100 & 200 Forms:​​ 

 




Hnub hloov tshiab kawg: 4/13/2022 12:39 PM​​