ຂ້າມໄປຫາເນື້ອຫາ
ບ້ານ CalAIM: ການຫັນປ່ຽນ Medi-Cal ການແປພາສາແບບຟອມ ASCMI

ການແປແບບຟອມ ASCMI

ກັບໄປທີ່ໜ້າ CalAIM ASCMI Initiative

DHCS-0303 ASCMI Form AB 133
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese

DHCS-0309 ASCMI Form Non-AB 133
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese

DHCS-0310 ASCMI Revocation Form
Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese