Cov Lus Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv thiab Cov Ntawv Ceeb Toom​​ 

• 10-04: MHP Self-certification Letter​​ 

Daim ntawv pov thawj​​ 

DHCS 1735 Medi-Cal Certification Transmittal Form​​  | Kev cob qhia Video​​ 
Lub hom phiaj ntawm transmittal yog thov cov kev pauv hauv qab no:​​ 

• County-owned and operated provider – activate mode(s) or service, termination of a mode(s) or all services, address change and name change.​​ 
• Tus neeg muab kev pabcuam uas tau cog lus - qhib tus neeg muab kev pabcuam tshiab, qhib ib hom kev pabcuam, thiab xaus hom kev pabcuam lossis tag nrho cov kev pabcuam, kev rov lees paub dua, hloov chaw nyob thiab hloov lub npe.​​ 

DHCS 1736 County-Owned and Operated Certification Daim Ntawv Thov​​  | Kev cob qhia Video​​ 
Lub hom phiaj ntawm daim ntawv no yog rau Lub Nroog xa daim ntawv thov rau tus neeg muab kev pabcuam tshiab uas lub nroog muaj thiab ua haujlwm.
DHCS 1737 Daim Ntawv Soj Ntsuam Tus Kheej ntawm Tus Muab Kev Pabcuam uas Lub Nroog Muaj thiab Ua Haujlwm | Video Kev Kawm
Lub hom phiaj ntawm Daim Ntawv Soj Ntsuam Tus Kheej yog rau kev rov lees paub dua ntawm tus muab kev pabcuam uas lub nroog muaj thiab ua haujlwm.​​ 

Cov peev txheej​​ 

• Daim Ntawv Cog Lus Txog Kev Puas Siab Puas Ntsws​​ 
• Kev Tshawb Fawb thiab Kev Tshawb Fawb Homepage​​ 

Cov ntaub ntawv tiv tauj​​ 

Lub Chaw Saib Xyuas Kev Cog Lus thiab Kev Sau Npe (CERD)
Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
1500 Capitol Avenue, MS 2303
PO Box 997413
Sacramento, CA 95899-7413

Email: DMHCertification@dhcs.ca.gov​​