Tsev Cov Kev Pabcuam Cov Kev Pabcuam Medi-Cal Pawg Neeg Tsim Nyog Medi-Cal Phau Ntawv Qhia Txog Cov Txheej Txheem Tsim Nyog Tau Txais Medi-Cal Tshooj 11 txog 16​​ 

Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Cov Txheej Txheem Phau Ntawv Qhia Tshooj 11 txog 16​​ 

CEEB TOOM: 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, saib "Download Free Readers" txuas rau hauv qab ntawm nplooj ntawv.​​ 

Tshooj 11​​ 

Hloov tshiab tus lej, hloov kho hnub thiab cov ntsiab lus​​ 

98 09/18/87 Kev Kho Kom Zoo​​ 

90 07/25/86 Kev Kho Kom Zoo​​ 

82 10/04/85 Kev Kho Kom Zoo​​ 

Tshooj 12​​ 

298                         10/04/05      12A–Change of Address for Department of Health Services​​ 

244                         05/01/01      12C–Processing Cases When a Share of Cost Has Been Reduced Retroactively​​ 

136                         10/31/94      12H–Beneficiary Identification Card (BIC) Share of Cost​​ 

Tshooj 14​​ 

298                         10/04/05     14B–Change of Address for Department of Health Services​​ 

140                         01/31/95     14E–Letter of Authorization/MC 180 Process​​ 

306                         06/25/07     14E–Letter of Authorization/MC 180 Process​​ 

Tshooj 15​​ 

298                         10/04/05     15B, 15F and 15H–Change of Address for Department of Health Services​​ 

155                         01/16/96     15A–Identifying and Coding Other Health Coverage (OHC)
                                                15H–Health Insurance Premium Payment (HIPP) Program​​ 

141                         01/13/95     15A–Verification of Termination of Other Health Coverage
                                                15H–Updated Cost Avoidance OHC Codes​​ 

141E                       05/12/95     15A–Incorrect Numbering​​ 

130                         02/23/94     15G–Procedures for Medical Support Enforcement Program​​ 

127                         02/01/94     15A,D,F–Medicare General Information and Identifying, Reporting and Coding Other Health Coverage​​ 

119                         08/11/93 Medicare General Information thiab Aged Aliens Tsis tsim nyog muab cov ntaub ntawv tam sim no ntawm Txoj Cai thiab cov txheej txheem​​ 

118                         08/03/93     15G–Reporting Other Health Coverage Obtained through Medical Support Enforcement​​ 

116                         06/07/93     15A–Identifying Reporting and Coding Other Health Coverage​​ 

Tshooj 16​​ 

298                         10/04/05     16H and 16I–Change of Address for Department of Health Services​​ 

289                         06/25/04     16F–Overpayments and Fraud​​ 

211                         02/22/99     16F–Overpayments and Fraud​​ 

205                         10/16/98     16–Overpayments and Fraud​​