Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes Cov Ntawv Cog Lus DMC-ODS​​ 

DMC-ODS Daim Ntawv Cog Lus​​ 

Rov qab mus rau Program & Txhawb lub vev xaib​​ 

DMC-ODS Incorporated Document Links​​ 

Cov ntaub ntawv​​ 
Title​​ 
Cov ntaub ntawv 1F(a):​​ County Reporting Requirement Matrix​​ 
Cov ntaub ntawv 1G:​​  Perinatal Practice Guidelines​​    
Cov ntaub ntawv 1J:​​ Department of Health Care Services (DHCS) Audit Appeals Process​​ 
Cov ntaub ntawv 1K:​​ 

Cov neeg siv uas tau tso cai tuaj yeem nkag mus rau Daim Ntawv Qhia Txog Kev Kho Mob Tshuaj Yeeb thiab Cawv (DATAR) daim ntawv thov thiab phau ntawv qhia siv los ntawm kev mus saib DATAR Application Portal.​​  

Cov ntaub ntawv 1P:​​ 
Cawv thiab lossis Lwm Yam Kev Pabcuam Cov Tshuaj Certification Standards​​ 
Cov ntaub ntawv 1V:​​ 
Cov Tub Ntxhais Hluas Cov Tshuaj Siv Cov Teeb Meem Zoo Tshaj Plaws Phau Ntawv Qhia​​  
Cov ntaub ntawv 2A:​​ Sobky v. Smoley Kev Txiav Txim, Kos Npe Lub Ob Hlis 1, 1995​​ 
Cov ntaub ntawv 2G:​​ Phau ntawv qhia txog kev them nqi tshuaj Medi-Cal​​ 
Cov ntaub ntawv 2L(a):​​ 

Good Cause Certification – Form 6065A​​ 

Daim ntawv​​  | Cov lus qhia​​ 

Cov ntaub ntawv 2L(b):​​ 

Good Cause Certification Retroactive Eligibility – Delay Reason Code 8 – Form 6065B​​ 

Daim ntawv​​  | Cov lus qhia​​ 

Cov ntaub ntawv 2P:​​ County Certification – Cost Report Year-End Claim for Reimbursement (Mailed to providers separately by the Fiscal Management and Accountability Section)​​ 
Cov ntaub ntawv 2P(a):​​ 
Daim Ntawv Qhia Txog Tus Nqi Tshuaj Medi-Cal Tus Kws Kho Mob Excel Workbook (Tau xa mus rau cov kws kho mob sib cais los ntawm Kev Tswj Nyiaj Txiag thiab Lub Luag Haujlwm Saib Xyuas Nyiaj Txiag)​​ 
Cov ntaub ntawv 3G:​​ 

California Cov Cai Tswjfwm, Lub Npe 9. Kev Pabcuam Kho Dua Tshiab thiab Kev Loj Hlob - Pawg 4. Lub Chaw Haujlwm Saib Xyuas Kev Pabcuam Cawv thiab Tshuaj​​ 

Tshooj 4. Cov Kev Pabcuam Kev Kho Mob Narcotic​​ 

Cov ntaub ntawv 3H:​​ 

California Cov Cai Tswjfwm, Lub Npe 9. Kev Pabcuam Kho Dua Tshiab thiab Kev Loj Hlob - Pawg 4. Lub Chaw Haujlwm Saib Xyuas Kev Pabcuam Cawv thiab Tshuaj​​ 

Tshooj 8. Daim ntawv pov thawj ntawm cawv thiab lwm yam tshuaj yeeb​​ 

Cov ntaub ntawv 3J:​​ 

Txoj Kev Ntsuas Kev Ntsuas Hauv California (California Outcomes Measurement System Treatment) (CalOMS Tx) Cov Ntaub Ntawv Qhia Txog Kev Sau Cov Ntaub Ntawv tuaj yeem nkag mus tau los ntawm cov neeg siv tau tso cai los ntawm kev mus saib nplooj ntawv CalOMS Tx nkag rau ntawm Cov Ntaub Ntawv Txog Kev Noj Qab Haus Huv.​​ 

Cov ntaub ntawv 3S:​​ 

CalOMS Tx Cov Ntaub Ntawv Ua Raws Cai tuaj yeem nkag mus tau los ntawm cov neeg siv tau tso cai los ntawm kev mus saib nplooj ntawv CalOMS Tx ID nkag mus ntawm  Cov Ntaub Ntawv Txog Kev Noj Qab Haus Huv.​​   

Cov ntaub ntawv 3V:​​ Culturally and Linguistically Appropriate Services (CLAS) National Standards​​ 
Cov ntaub ntawv 4D:​​ Tshuaj Medi-Cal Certification rau Tsoom Fwv Teb Chaws Them Nyiaj Rov Qab (DHCS Daim Ntawv 100224A) (Hloov Kho 04/2025)
​​ 
Cov ntaub ntawv 4F:​​ 

Daim Ntawv Thov Kev Pab Txog Kev Kho Mob Medi-Cal (DMC) rau Kev Them Rov Qab Cov Nqi Siv Hauv Lub Nroog - Daim Ntawv MC 5312 (Muab xa mus rau cov chaw muab kev pab sib cais los ntawm Fiscal Management and Accountability Section)​​ 

Cov ntaub ntawv 5A:​​ Daim ntawv cog lus tsis pub lwm tus paub​​