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--Cov Txheej Txheem Ua Haujlwm Thaum Ib Feem Ntawm Cov Nqi Them tau txo qis 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 Tso Cai/MC 180 Txheej Txheem​​ 

306                         06/25/07 14E--Letter of Tso Cai/MC 180 Txheej Txheem​​ 

Tshooj 15​​ 

298                         10/04/05 15B, 15F thiab 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--Kev Tshawb Fawb Txog Kev Txiav Txim Rau Lwm Qhov Kev Pabcuam Kev Noj Qab Haus Huv
                                                15H--Hloov Kho Tus Nqi Them OHC Codes​​ 

141E                       05/12/95 15A-- Tus lej tsis raug​​ 

130                         02/23/94 15G--Cov txheej txheem rau Kev Pabcuam Kev Kho Mob​​ 

127                         02/01/94 15A,D,F--Medicare General Information and Identifying, Reporting and Coding Lwm yam kev pab them nqi kho mob​​ 

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-- Qhia Txog Lwm Yam Kev Pabcuam Kev Noj Qab Haus Huv tau txais los ntawm Kev Pabcuam Kho Mob​​ 

116                         06/07/93 15A--Qhia Kev Qhia thiab Coding Lwm Yam Kev Pabcuam Kev Noj Qab Haus Huv​​ 

Tshooj 16​​ 

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

289                         06/25/04 16F--Kev them nyiaj ntau dhau thiab kev dag ntxias​​ 

211                         02/22/99 16F--Kev them nyiaj ntau dhau thiab kev dag ntxias​​ 

205                         10/16/98 16--Kev them nyiaj ntau dhau thiab kev dag ntxias​​