Medi-Cal 资格部门 (MCED) DHCS 0000 表格
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Medi-Cal 资格部门的表格按表格编号的字母顺序排列如下，且可能包含其他语言（如有）。PDF 填写和打印表格可以在线填写并打印为硬拷贝，然后签名并邮寄或亲自提交给资格审查工作人员进行处理。
Deficit Reduction Act (DRA) 2005 – Citizenship Requirements
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2005 年 2 月 8 日，布什总统签署了《DRA》法律，对医疗补助 (加利福尼亚州的 Medi-Cal) 法律做出了某些修改。其中一项变化是要求宣称自己是美国公民或美国国民的个人出示相关文件证据以及身份证明。 该网站包含有关此要求的州和联邦法律以及在加利福尼亚州实施此要求的信息。
DHCS 0000 表格：
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DHCS 0001 (05/09) – U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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DHCS 0002 (01/08) – Proof of Citizenship and Identity–New Requirements for Medi-Cal Beneficiaries who are U.S. Citizens or Nationals
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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DHCS 0005 (02/08) – Receipt of Citizenship and Identity Documents
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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DHCS 0007 (12/07) – Acceptable Citizenship and Identity Documents
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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DHCS 0008 (01/08) – Proof of Citizenship and Identity Requirements – For Children who are U.S. Citizens or Nationals filling out the Healthy Families/Medi-Cal Joint Application
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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DHCS 0009 (09/07) – Affidavit of Identity for U.S. Citizen or National Children Under 18
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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| DHCS 0010 (01/08) – Affidavit of Identity for U.S. Citizens or National for Disabled Individuals Living in Institutional Care Facilities |
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DHCS 0011 (06/08) – Proof of Acceptable Citizenship or Identity Documents
Alt: Arabic, Armenian, Chinese, Farsi, Hmong, Cambodian, Korean, Laotian, Russian, Spanish, Tagalog, Vietnamese
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