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State of California – Health and Human Services Agency

Department of Health Care Services

²å³óáõÛó ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý å³Ñ³ÝçÝ»ñÇ Ù³ëÇÝ

ØÇ³óÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ Ï³Ù ù³Õ³ù³óÇ ¹³ñÓ³Í »ñ»Ë³Ý»ñÇ Ñ³Ù³ñ,

áñáÝù Éñ³óÝáõÙ »Ý Healthy Families/Medi-Cal Ñ³Ù³ï»Õ ¹ÇÙáõÙÝ³·ÇñÁ

ºÃ» Ó»ñ »ñ»Ë³Ý ØÇ³óÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ã¿, ³Ûë ûñ»ÝùÝ Ç ½áñáõ ã¿ Ýñ³ Ñ³Ù³ñ:

Ò»ñ ù³áõÝÃÇÇ Medi-Cal-Ç ·ñ³ë»ÝÛ³ÏÁ ùÝÝáõÙ ¿ Ó»ñ »ñ»Ë³ÛÇ ¹ÇÙáõÙÝ³·ÇñÁ: ²Ûë ÁÝÃ³óùáõÙ, Ó»ñ »ñ»Ë³Ý ³å³Ñáí³·ñí³Í ¿

Medi-Cal-áí: àñå»ë½Ç ß³ñáõÝ³ÏÇ ëï³Ý³É ³ÙμáÕç³Ï³Ý Medi-Cal, Ó»ñ ù³áõÝÃÇÇ ·ñ³ë»ÝÛ³ÏÁ å»ïù ¿ ëï³Ý³ ù³Õ³ù³óÇáõÃÛ³Ý

»õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ó»ñ »ñ»Ë³ÛÇ Ñ³Ù³ñ: Ð³í»ÉÛ³É ï»Õ»ÏáõÃÛáõÝÝ»ñÇ Ñ³Ù³ñ Ï³ñ¹³ó»ù Ý»ñù»õáõÙ:

²ñ¹Ûá±ù μáÉáñ »ñ»Ë³Ý»ñÁ å³ñï³íáñ »Ý ù³Õ³ù³óÇáõÃÛ³Ý

ºÃ» ù³áõÝÃÇÝ ëï³Ý³ ÇÙ »ñ»Ë³ÛÇ ÍÝÝ¹Û³Ý

»õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ý»ñÏ³Û³óÝ»É:

³ñÓ³Ý³·ñáõÃÛáõÝÁ, ¹»é»õë å³ñï³íá±ñ »Ù Ý»ñÏ³Û³óÝ»É

ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó:

àã: Ð»ï»õÛ³É »ñ»Ë³Ý»ñÁ å³ñï³íáñ ã»Ý ³å³óáõÛó

Ý»ñÏ³Û³óÝ»É.

ºÃ» Ó»ñ »ñ»Ë³Ý 16 ï³ñ»Ï³ÝÇó ÷áùñ ¿ »õ ¹áõù Éñ³óñ»É »õ

ëïáñ³·ñ»É »ù Ó»ñ »ñ»Ë³ÛÇ ÍÝÝ¹Û³Ý í³Ûñáí »õ ³Ùë³Ãíáí

• ºñ»Ë³, áñÝ áõÝÇ.

Medi-Cal-Ç ¹ÇÙáõÙÝ³·ÇñÁ Ï³Ù Healthy Families/Medi-Cal

– Èñ³óáõóÇã ³å³Ñáí³·ñáõÃÛ³Ý »Ï³Ùáõï (SSI)

Ñ³Ù³ï»Õ ¹ÇÙáõÙÝ³·ÇñÁ, ¹áõù Ï³ñÇù ãáõÝ»ù ÇÝùÝáõÃÛ³Ý

– Medicare

Ù³ëÇÝ ³å³óáõÛó Ý»ñÏ³Û³óÝ»É: (êïáñ³·ñí³Í ³Ûë

– êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý Ð³ßÙ³Ý¹³ÙáõÃÛ³Ý

¹ÇÙáõÙÝ³·ÇñÁ Ó»ñ »ñ»Ë³ÛÇ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó ¿):

³å³Ñáí³·ñáõÃÛáõÝ (SSDI)

– êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý Ð³Ý·ëïÛ³Ý »õ

Æ±Ýã` »Ã» ÇÙ »ñ»Ë³Ý 16 ï³ñ»Ï³ÝÇó Ù»Í ¿:

ì»ñ³åñáÕÝ»ñÇ ³å³Ñáí³·ñáõÃÛáõÝ (RSI - Title II),

16 ï³ñ»Ï³ÝÇó Ù»Í »ñ»Ë³ÛÇ Ñ³Ù³ñ å»ïù ¿ ÇÝùÝáõÃÛ³Ý »õ

Ñ³Ù³å³ï³ëË³Ý Çñ»Ýó ³ÝÓÝ³Ï³Ý Ñ³ßÙ³Ý¹³ÙáõÃÛ³Ý

• 21 ï³ñ»Ï³ÝÇó ÷áùñ áñ»õ¿ ³ÝÓ, áñÁ ¹ÇÙáõÙ ¿

ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ý»ñÏ³Û³óÝ»ù: î»ë ¿ç 2:

²Ýã³÷³Ñ³ëÝ»ñÇ ÊáñÑñ¹Ç Ì³é³ÛáõÃÛáõÝÝ»ñÇÝ

²ñ¹Ûá±ù ¹áõù å»ïù áõÝ»ù ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý

• Medi-Cal áõÝ»óáÕ Ï³Ý³ÝóÇó ÍÝí³Í Ýáñ³ÍÇÝÝ»ñÁ

Ù³ëÇÝ μÝûñÇÝ³Ï ÷³ëï³ÃÕÃ»ñÇ:

• àñμ³ÝáóáõÙ ·ïÝíáÕ (Children in Foster Care) Ï³Ù

àñ¹»·ñÙ³Ý ÁÝÃ³óùÇ (Adoption Assistance) Ù»ç ·ïÝíáÕ

²Ûá: ø³áõÝÃÇÇ ·ñ³ë»ÝÛ³ÏÁ Ï³ñÇù áõÝÇ ù³Õ³ù³óÇáõÃÛ³Ý »õ

Ï³Ù Kin-GAP áõÝ»óáÕ »ñ»Ë³Ý»ñÁ

ÇÝùÝáõÃÛ³Ý μÝ³·Çñ ÷³ëï³ÃÕÃ»ñÇ Ï³Ù å³ï×»ÝÝ»ñÇ`

• Èùí³Í Ýáñ³ÍÇÝÝ»ñÇ Íñ³·ñáõÙ ·ïÝíáÕ Ýáñ³ÍÇÝÝ»ñÁ

Ñ³ëï³ïí³Í ïíáÕ ·áñÍ³Ï³ÉáõÃÛ³Ý ÏáÕÙÇó:

• CalWORKs-Ç Ýå³ëï³éáõÝ»ñÁ

Î³ñá±Õ »Ù ù³Õ³ù³óÇáõÃÛ³Ý Ï³Ù ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ

Æ±Ýã` »Ã» ÇÙ »ñ»Ë³Ý ØÇ³óÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ã¿:

³å³óáõÛóÁ ÷áëïáí áõÕ³ñÏ»É:

ºÃ» Ó»ñ »ñ»Ë³Ý ØÇ³óÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ Ï³Ù

²Ûá: ø³áõÝÃÇÝ å³ï×»ÝÝ»ñ ÏÑ³ÝÇ »õ ÷áëïáí »ï ÏáõÕ³ñÏÇ

ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ ã¿, ¹áõù å³ñï³íáñ »ù

Ó»½: Î³Ù ¹áõù Ï³ñáÕ »ù Ó»ñ ÷³ëï³ÃÕÃ»ñÁ ³ÝÓ³Ùμ ï³Ý»É

Ý»ñÏ³Û³óÝ»É ÙÇ³ÛÝ ³ÛÝ ÝáõÛÝ ÷³ëï³ÃÕÃ»ñÁ, áñáÝù

Ó»ñ ï»Õ³Ï³Ý êáóÇ³É³Ï³Ý ³å³ÑáíáõÃÛ³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ

Ó»½³ÝÇó å³Ñ³ÝçíáõÙ ¾ÇÝ Ý³Ë³å»ë։ àãÇÝã ãÇ ÷áËí»É։

·ñ³ë»ÝÛ³Ï: ÊÝ¹ñ»ù, áñ å³ï×»Ý³Ñ³Ý»Ý »õ Ó»½

í»ñ³¹³ñÓÝ»Ý ³ÝÙÇç³å»ë:

ØÇ³óÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ³Ýó Ù»ç »Ý

ÙïÝáõÙ Ù³ñ¹ÇÏ, áíù»ñ ÍÝí»É »Ý ²Ù»ñÇÏÛ³Ý ê³Ùá³ÛáõÙ (American

²ñ¹Ûá±ù å³ñï³íáñ »Ù ³Ù»Ý ï³ñÇ ù³Õ³ù³óÇáõÃÛ³Ý Ï³Ù

Samoa), Ý»ñ³éÛ³É êí»ÛÝ ÏÕ½ÇÝ (Swains Island) »õ áñáß Ù³ñ¹ÇÏ

ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ý»ñÏ³Û³óÝ»É ÙÇ ù³ÝÇ ³Ý·³Ù։

ÐÛáõëÇë³ÛÇÝ Ø³ñÇ³Ý³ ÏÕ½ÇÝ»ñÇ Ð³ë³ñ³Ï³å»ïáõÃÛáõÝÇó

àã։ ¸áõù å³ñï³íáñ »ù ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý

(Commonwealth of the Northern Mariana Islands):

Ù³ëÇÝ ³å³óáõÛó Ý»ñÏ³Û³óÝ»É Ù»Ï ³Ý·³Ù:

Æ±Ýã` »Ã» »ë ãáõÝ»Ù ÇÙ »ñ»Ë³ÛÇ ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ

Æ±Ýã` »Ã» ÙÇÝã ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ

³å³óáõÛó:

³å³óáõÛó áõÝ»Ý³ÉÁ »ë í×³ñ»É »Ù ÇÙ »ñ»Ë³ÛÇ μÅßÏ³Ï³Ý »õ

ºÃ» Ó»ñ »ñ»Ë³Ý ÍÝí»É ¿ Î³ÉÇýáñÝÇ³ÛáõÙ, ÑÝ³ñ³íáñ ¿ Ó»ñ

³ï³ÙÝ³μáõÅ³Ï³Ý Í³Ëë»ñÇ Ñ³Ù³ñ:

ù³áõÝÃÇÇ ·ñ³ë»ÝÛ³ÏÁ áõÝ»Ý³ Ýñ³ ÍÝÝ¹Û³Ý

ºÃ» ¹áõù áõÝ»ó»É »ù μÅßÏ³Ï³Ý Í³Ëë»ñ ÙÇÝã »ñ»Ë³ÛÇ

³ñÓ³Ý³·ñáõÃÛáõÝÁ։ (ÌÝÝ¹Û³Ý ³ñÓ³Ý³·ñáõÃÛáõÝÁ ³å³óáõÛó

ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó áõÝ»Ý³ÉÁ,

¿ ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ):

Medi-Cal-Á Ï³ñáÕ ¿ í×³ñ»É Í³Ëë»ñÇ Ñ³Ù³ñ: ¼³Ý·³Ñ³ñ»ù

Î³ÉÇýáñÝÇ³ÛÇ ÌÝÝ¹Û³Ý ·ñ³Ýó³Ù³ïÛ³ÝÇ ËÝ¹ñ³·ñÇ Ó»õ

²éáÕç³å³Ñ³Ï³Ý ÊÝ³ÙùÇ Ì³é³ÛáõÃÛáõÝÝ»ñÇ μ³Å³ÝÙáõÝùÇ

Éñ³óñ»ù: Ð»ïá ÷áëïáí áõÕ³ñÏ»ù Ï³Ù ³ÝÓ³Ùμ ï³ñ»ù ³ÛÝ

ûÅ³Ý¹³ÏáÕ Í³é³ÛáõÃÛáõÝÝ»ñÇÝ (916) 403-2007

Ó»ñ ï»Õ³Ï³Ý êáóÇ³É³Ï³Ý ³å³ÑáíáõÃÛ³Ý Í³é³ÛáõÃÛ³Ý

Ñ»é³Ëáë³Ñ³Ù³ñáí:

·ñ³ë»ÝÛ³Ï: ºÃ» ÍÝÝ¹Û³Ý ³ñÓ³Ý³·ñáõÃÛáõÝ ãÇ ·ïÝíáõÙ, ¹áõù

å»ïù ¿ Ý»ñÏ³Û³óÝ»ù ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ Ù»Ï ³ÛÉ

³å³óáõÛó: î»ë ¿ç 2` ÁÝ¹áõÝ»ÉÇ ³å³óáõÛóÝ»ñÇ óáõó³ÏÁ:

ºÃ» Ó»ñ »ñ»Ë³Ý Î³ÉÇýáñÝÇ³ÛáõÙ ãÇ ÍÝí»É, ù³áõÝÃÇÇó

å³Ñ³Ýç»ù ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó: Ü³Ëù³Ý

ÍÝÝ¹Û³Ý íÏ³Û³Ï³ÝÇ Ñ³Ù³ñ í×³ñ»ÉÁ, Ï³åí»ù ù³áõÝÃÇÇ

Ñ³Ù³å³ï³ëË³ÝáÕ ÍÝÝ¹Û³Ý ³ñÓ³Ý³·ñáõÃÛáõÝ:

DHCS 0008 (01/08) – Armenian

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

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