Medi-Cal資格認定部門DHCS 7000表格
Medi-Cal 資格認定部門 (MCED) 的表格按表格編號字母順序排列如下，如有其他語言版本，則可能包含這些語言版本。PDF格式的填寫和列印表格可以在線上完成，然後列印成紙本副本，簽字後郵寄或親自提交給資格審查員進行處理。
DHCS 7000 表格：
- DHCS 7013 (06/07) – Change of Status-Liens (2.79mb)
- DHCS 7014 (06/07) – Property Lien Referral
- DHCS 7019 (05/07) – Pickle Eligibles Financial Eligibility Work Sheet—Eligible Child With Ineligible Parent or Parents
- DHCS 7020 (06/07) – 篩檢工作表
- DHCS 7021 (05/07) – Financial Eligibility Work Sheet (Individual or Couple, Applicant With an Ineligible Spouse)
- Alt: 說明
- DHCS 7029 (06/07) – 忽略計算工作表（符合皮克爾資格的個人或夫婦和/或不符合資格但有 RSDI 收入的配偶）
- DHCS 7035 A (06/07) – Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
- DHCS 7035 C (04/08) – Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection
- DHCS 7037 (05/07) – 泡菜資源工作表
- DHCS 7044 (12/08) – 居住安排、實物支援和維護聲明
- DHCS 7045 (05/07) – Worker Observations – Disability
- DHCS 7068 (06/07) – Responsibilities of Public Guardians/Conservators or Applicant/Beneficiary Representatives
- DHCS 7071 (06/07) – Medi-Cal Waiver Information and Authorization
- DHCS 7075 (05/07) – Pickle Needs Test
- DHCS 7077 (01/25) – Notice Regarding Standards for Medi-Cal Eligibility
- DHCS 7077 A (05/07) – 關於已婚和未婚申請人/受益人房屋轉移的通知 (英文/西班牙文)
- DHCS 7089 (05/07) – 殘障喪偶者篩檢表（DW），年齡 50 至 64 歲
- DHCS 7096 (05/07) – Department of Developmental Services Waiver Referral
- DHCS 7102 (05/24) – 關於保險公司、代理人和經紀人分發 Medi-Cal 資格標準的通知
- DHCS 7103 (09/22) – Request for Additional Income Information