Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Cov Txheej Txheem Phau Ntawv Qhia Tshooj 11 txog 16
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–Cov Rooj Sib Tham Txog Kev Them Nqi Thaum Ib Feem Ntawm Tus Nqi Tau Txo Rov Qab Los
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 thiab 15H–Hloov Chaw Nyob rau Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
155 01/16/96 15A–Txheeb xyuas thiab sau cov lej rau lwm yam kev pab them nqi kho mob (OHC)
15H–Kev them nqi pov hwm kho mob (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 – Kev Sau Tus lej Tsis Yog
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–Tshaj Tawm Lwm Yam Kev Pab Them Nqi Kho Mob Tau Los Ntawm Kev Ua Haujlwm Txhawb Nqa Kev Kho Mob
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–Kev Them Nyiaj Ntau Dhau Thiab Kev Dag Ntxias