• MC 4026 (05/07) – Request for Eligibility Limited Services (PDF)​​ 
• MC 4033 (06/07) – Disability Listing Update  (PDF)​​ 
• MC 4035 (04/08) – Medi-Cal Consent Form  (English) (PDF)​​ 
• 语言翻译：阿拉伯语、亚美尼亚语、中文、波斯语、苗语、柬埔寨语、韩语、俄语、西班牙语、塔加洛语、越南语​​ 
• MC 4529 (11/12) – CMS approved cost report for the GEMT program for state fiscal year 2009/10 (Excel)​​ 
• MC 4531 (11/12) – CMS approved cost report for the GEMT program for state fiscal year 2010/11 (Excel)​​ 
• MC 4532 (11/12) – CMS approved cost report for the GEMT program effective for state fiscal year 2011/12 and ongoing (Excel)​​ 

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