Form Dhcs 0008 - California Proof Of Citizenship And Identity Requirements (Hmong) - Health And Human Services Agency

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State of California – Health and Human Services Agency
Department of Health Care Services
Kev Samfwm txog Cov Puapheej Uas Qhia Tias Yog Neeg Amelikas thiab Yog Leejtwg Tiag
Rau Cov Menyuam Uas Yog Neeg Amelikas lossis Neeg Ntawm Lub Tebchaws No
Uas Ua Daim Ntawv Thov Healthy Families/Medi-Cal Uake
Yog koj tus menyuam tsis tau yog ib tus neeg Amelikas, tsab kevcai no tsis hais txog nws.
Koj lub county lub chaw thov Medi-Cal tabtom xyuas koj tus menyuam daim ntawv thov ntawv khomob. Thaum lub sijhawm no,
koj tus menyuam tau txais Medi-Cal lawm. Yuav kom koj tus menyuam tau txais cov Medi-Cal uas kho tau txhua yam mus ntxiv,
koj yuavtsum tau muab cov puavpheej uas qhia tias nws yog neeg Amelikas thiab puavpheej uas qhia tias nws yog leejtwg tiag
rau lub county. Nyeem cov hauv qab no kom paub ntxiv.
Puas yog txhua tus menyuam yuav tau muab tej
Yog lub county nrhiav tau kuv tus menyuam daim
puavpheej uas qhia tias yog neeg Amelikas thiab yog
ntawv yug lawm, kuv puas tseem yuav tau muab tej
leejtwg tiag?
puavpheej uas qhia tias nws yog leejtwg tiag?
Tsis yog. Cov menyuam no yuav tsis tau muab muab
Yog koj tus menyuam tsis tau muaj 16 xyoo thiab koj tau ua
tej puavpheej:
thiab suam npe rau daim ntawv thov Healthy Families/
Medi-Cal uake uas teev tus menyuam ntawd hnub yug
• Ib tus menyuam uas tau txais:
thiab chaw yug lawm, koj yuav tsis tau muab tej puavpheej
– Nyiaj Xiam Oob-qhab (SSI)
uas qhia tias nws yog leejtwg ntxiv lawm. (Daim ntawv thov
– Medicare
uas koj suam npe rau no yog puavpheej uas qhia tau tias
– Nyiaj Fajseeb Raug Mob Social Security (SSDI)
koj tus menyuam yog leejtwg lawm.)
– Nyiaj Laus thiab Nyiaj Nws Txiv/Niam Tuag
(RSI – Title II) thiab nws mob ua tsis tau haujlwm
Yog kuv tus menyuam muaj hnub nyoog 16 xyoo lossis
• Tus menyuam uas tsis tau muaj 21 xyoos thiab tuaj thov
loj dua lawm nev?
Kev Khomob Tsis Qhia Niamtxiv (Minor Consent Services)
Cov menyuam uas muaj hnub 16 xyoo lossis loj dua
• Cov menyuam mosliab uas yug los ntawm cov pojniam
lawm, koj yuav tau muab tej puavpheej uas qhia tias
uas tau txais Medi-Cal
nws yog leejtwg tiag. Xyuas nplooj 2.
• Cov menyuam uas raug luag coj mus tu (Foster Care),
tau txais Adoption Assistance, lossis Kin-GAP
Nej puas yuavtsum tau daim ntawv qhia tias yog neeg
• Cov menyuam mosliab uas nyob hauv Abandoned
Amelikas lossis yog leejtwg tiag uas yog daim tseem?
Baby Program
Yuavtsum tau. Peb yuavtsum tau daim ntawv qhia tias
• Cov menyuam uas tau txais CalWORKs
yog neeg Amelikas thiab yog leejtwg tiag uas yog daim
tseem, lossis cov ntawv luam uas lub koomhaum uas
Yog kuv tus menyuam tsis tau yog ib tus neeg
ua daim ntawv ntawd nias lawv lub thwj rau tias yog
Amelikas nev?
daim tseem.
Yog koj tus menyuam tsis tau yog ib tus neeg Amelikas
Kuv xa kuv cov ntawv puavpheej tuaj puas tau?
lossis neeg ntawm lub tebchaws no, koj tsuas tau muab tej
ntaub ntawv li yav tas los xwb. Nws tsis tau muaj dabtsi
Tau. Lub county yuav muab luam cia thiab muab daim
hloov rau nws.
tseem xa rov tuaj rau koj. Lossis, koj nqa tau koj cov ntaub
ntawv mus rau tom lub chaw pabcuam pejxeem hauv koj
Cov neeg ntawm lub tebchaws no uas suav cov neeg uas
lub nroog. Hais kom lawv muab luam thiab muab cov tseem
yug hauv American Samoa (suav Swains Island) thiab tuaj
rov rau koj tamsim.
hauv cov Koog Povtxwv Northern Mariana Islands tuaj.
Kuv puas yuav tau muab tej puavpheej uas qhia tias
Yog tias kuv tsis muaj tej puavpheej uas qhia tias kuv
kuv yog neeg Amelikas lossis yog leejtwg tiag ntau
tus menyuam yog neeg Amelikas nev?
tshaj li ib zaug?
Yog koj tus menyuam yug rau hauv lub xeev Kalifonias, tej
Tsis tau. Koj tsuas tau muab tej puavpheej uas qhia tias yog
zaum lub county yuav mus yuav tau nws daim ntawv yug.
neeg Amelikas thiab yog leejtwg tiag ib zaug nkaus xwb.
(Daim ntawv yug yog ib yam puavpheej uas qhia tau tias
nws yog neeg Amelikas.)
Yog tias kuv tau them rau cov nqi khomob lossis nqi
kho hniav thaum lub sijhawm uas kuv tabtom nrhiav tej
Ua Daim Ntawv Thov Ntawv Yug hauv Kalifonias. Tom qab
puavpheej uas qhia tias kuv tus menyuam yog neeg
ntawd, muab xa lossis nqa daim ntawv mus rau lub chaw
Amelikas lossis yog leejtwg tiag lawm nev?
pabcuam pejxeem hauv nroog. Yog tias luag nrhiav tsis tau
daim ntawv yug, koj yuav tau nrhiav lwm yam puavpheej
Yog koj muaj nqi khomob thaum lub sijhawm uas koj
uas qhia tau tias nws yog neeg Amelikas tuaj. Xyuas nplooj
tabtom nrhiav cov ntaub ntawv uas qhia tias koj tus
2 ntaub ntawv uas luag kam txais los ua puavpheej.
menyuam yog neeg Amelikas thiab yog leejtwg tiag, tej
zaum Medi-Cal yuav kam them rau cov nqi khomob ntawd.
Nug koj lub county saib yuav muab yam puavpheej uas
Hu mus rau lub Chaw Them Nqi Khomob hauv lub
qhia tias koj yog neeg Amelikas licas yog koj tsis yog yug
Department of Health Care Services mus nrhiav lus teb rau
rau hauv lub xeev Kalifonias. Hu mus nug lub county saib
koj cov lus nug: (916) 403-2007.
lawv puas nrhiav tau koj daim ntawv yug uantej koj yuav
mus them nyiaj yuav ib daim ntawv yug.
DHCS 0008 (01/08) – Hmong
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