Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-Cal Must Show Proof Of Citizenship And Identity (Armenian) - Health And Human Services Agency
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4State of California – Health and Human Services Agency
Department of Health Care Services
Medi-Cal-Ç ¹ÇÙáÕ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇÝ»ñÁ »õ ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓÇÝù
å³ñï³íáñ »Ý ³å³óáõÛó Ý»ñϳ۳óÝ»É ù³Õ³ù³óÇáõÃÛ³Ý, ÇÝãå»ë ݳ»õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ
Üáñ ûñ»ÝùÝ ³ëáõÙ ¿` Medi-Cal-Ç ¹ÇÙáÕÝ»ñÇ Ù»Í³Ù³ëÝáõÃÛáõÝÁ, áñ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ¿ ϳÙ
ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ, å³ñï³íáñ ¿ ³å³óáõÛó Ý»ñϳ۳óÝ»É ù³Õ³ù³óÇáõÃÛ³Ý, ÇÝãå»ë ݳ»õ ÇÝùÝáõÃÛ³Ý
Ù³ëÇÝ։ γñ¹³ó»ù Ý»ñù»õáõÙ, ï»Õ»Ï³Ý³Éáõ ѳٳñ, ³ñ¹Ûá±ù ³Ûë ûñ»ÝùÁ Ò»½ ѳٳñ ¿:
ºÃ» ¹áõù ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ã»ù, ³Ûë ûñ»ÝùÁ Ó»½ ѳٳñ Ç ½áñáõ ã¿։
Üáñ ûñ»ÝùÁ ãÇ ÏÇñ³éíáõÙ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇÝ»ñÇ Ï³Ù ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÛÝ ³ÝÓ³Ýó ѳٳñ,
áñáÝù ÙïÝáõÙ »Ý Ý»ñùáÑÇßÛ³É Ï³ï»·áñdzݻñÇ Ù»ç.
• àñ»õ¿ ³ÝÓ, áñÝ áõÝÇ – Èñ³óáõóÇã ²å³Ñáí³·ñáõÃÛ³Ý ºÏ³Ùáõï (Supplemental Security Income, SSI)
– Èñ³óáõóÇã Medicare
– êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý Ð³ßٳݹ³ÙáõÃÛ³Ý ³å³Ñáí³·ñáõÃÛáõÝ (Social Security
Disability Insurance, SSDI)
– êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý Ð³Ý·ëïÛ³Ý »õ ì»ñ³åñáÕÝ»ñÇ ³å³Ñáí³·ñáõÃÛáõÝ (Social
Security Retirement and Survivors Insurance, RSI - Title II), ѳٳå³ï³ëË³Ý Çñ»Ýó
³ÝÓÝ³Ï³Ý Ð³ßٳݹ³ÙáõÃÛ³Ý
• 21 ï³ñ»Ï³ÝÇó ÷áùñ áñ»õ¿ ³ÝÓ, áñÁ ¹ÇÙáõÙ ¿ ²Ýã³÷³Ñ³ëÝ»ñÇ ÊáñÑñ¹Ç ̳é³ÛáõÃÛáõÝÝ»ñÇÝ
(Minor Consent Services)
• Medi-Cal áõÝ»óáÕ Ï³Ý³ÝóÇó ÍÝí³Í Ýáñ³ÍÇÝÝ»ñÁ
• àñμ³ÝáóáõÙ ·ïÝíáÕ (Children in Foster Care) ϳ٠àñ¹»·ñÙ³Ý ÁÝóóùÇ (Adoption Assistance) Ù»ç ·ïÝíáÕ
ϳ٠Kin-GAP áõÝ»óáÕ »ñ»Ë³Ý»ñÁ
• Èùí³Í Ýáñ³ÍÇÝÝ»ñÇ Íñ³·ñáõÙ (Abandoned Baby Program) ·ïÝíáÕ Ýáñ³ÍÇÝÝ»ñÁ
• CalWORKs-Ç Ýå³ëï³éáõÝ»ñÁ
ƱÝã` »Ã» »ë í»ñ»õáõÙ Ýßí³Í Ù³ñ¹Ï³ÝóÇó Ù»ÏÁ ã»Ù:
ÆÝãå»±ë ϳñáÕ »Ù ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó
Ó»éù μ»ñ»É։
ºÃ» ¹áõù ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ »ù ϳÙ
ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ, ¹áõù å³ñï³íáñ »ù
ºÃ» ¹áõù ÍÝí»É »ù γÉÇýáñÝdzÛáõÙ, Ñݳñ³íáñ ¾, áñ
ù³Õ³ù³óÇáõÃÛ³Ý, ÇÝãå»ë ݳ»õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ
ù³áõÝÃÇÝ áõݻݳ Ó»ñ ÍÝÝ¹Û³Ý ³ñӳݳ·ñáõÃÛáõÝÁ։ (ÌÝݹ۳Ý
³å³óáõÛó Ý»ñϳ۳óÝ»É Medi-Cal-ÇÝ Çñ³í³ëáõ ÉÇÝ»Éáõ
³ñӳݳ·ñáõÃÛáõÝÁ ³å³óáõÛó ¿ ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ)։
ѳٳñ: (î»ë ¿ç 3-Ç ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ
γÉÇýáñÝdzÛÇ ÍÝÝ¹Û³Ý ·ñ³Ýó³Ù³ïÛ³ÝÇÝ Ëݹñ³·Çñ
ÁݹáõÝ»ÉÇ ³å³óáõÛóÇ óáõó³ÏÁ):
Ý»ñϳ۳óñ»ù, áñå»ë½Ç ù³áõÝÃÇÇó å³Ñ³Ýç»Ý Ó»ñ ÍÝݹ۳Ý
¸áõù ã»ù ϳñáÕ ëï³Ý³É Medi-Cal-Ç ³ÙμáÕç³Ï³Ý
³ñӳݳ·ñáõÃÛáõÝÁ: лïá ÷áëïáí áõÕ³ñÏ»ù ϳ٠³ÝÓ³Ùμ
Ýå³ëïÝ»ñ, ÙÇÝã»õ ³å³óáõÛó ãÝ»ñϳ۳óÝ»ù:
ï³ñ»ù ³ÛÝ Ó»ñ ï»Õ³Ï³Ý êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý
ͳé³ÛáõÃÛ³Ý ·ñ³ë»ÝÛ³Ï: ºÃ» ÍÝÝ¹Û³Ý ³ñӳݳ·ñáõÃÛáõÝÁ ãÇ
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ³Ýó Ù»ç »Ý
·ïÝíáõÙ, ¹áõù å»ïù ¿ Ý»ñϳ۳óÝ»ù ù³Õ³ù³óÇáõÃÛ³Ý
ÙïÝáõÙ Ù³ñ¹ÇÏ, áíù»ñ ÍÝí»É »Ý ²Ù»ñÇÏÛ³Ý ê³Ùá³ÛáõÙ
Ù³ëÇÝ áõñÇß ³å³óáõÛó: î»ë ¿ç 3-Ç ù³Õ³ù³óÇáõÃÛ³Ý »õ
(American Samoa), Ý»ñ³éÛ³É êí»ÛÝ ÏÕ½ÇÝ (Swains Island) »õ
ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ÁݹáõÝ»ÉÇ ³å³óáõÛóÇ óáõó³ÏÁ:
áñáß Ù³ñ¹ÇÏ ÐÛáõëÇë³ÛÇÝ Ø³ñdzݳ ÏÕ½ÇÝ»ñÇ
гë³ñ³Ï³å»ïáõÃÛáõÝÇó (Commonwealth of the Northern
ºÃ» ¹áõù ã»ù ÍÝí»É γÉÇýáñÝdzÛáõÙ, ù³áõÝÃÇÇó å³Ñ³Ýç»ù
Mariana Islands):
³å³óáõÛó ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ։ γåí»ù ù³áõÝÃÇÇ
Ñ»ï` ï»ëÝ»Éáõ ѳٳñ, û Ýñ³Ýù ·ï»É »Ý Ó»ñ
ѳٳå³ï³ëË³Ý ÍÝÝ¹Û³Ý ³ñӳݳ·ñáõÃÛáõÝÁ` ݳËù³Ý
ƱÝã` »Ã» »ë ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ã»Ù:
ÍÝÝ¹Û³Ý íϳ۳ϳÝÇ Ñ³Ù³ñ í׳ñ»ÉÁ:
ºÃ» ¹áõù ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ Ï³Ù ù³Õ³ù³óÇ
¹³ñÓ³Í ³ÝÓ ã»ù, ¹áõù å³ñï³íáñ »ù Ý»ñϳ۳óÝ»É ÙdzÛÝ
³ÛÝ ÝáõÛÝ ÷³ëï³ÃÕûñÁ, áñáÝù Ó»½³ÝÇó å³Ñ³ÝçíáõÙ ¾ÇÝ
ݳ˳å»ë։ àãÇÝã ãÇ ÷áËí»É։
DHCS 0001 (01/08) – Armenian
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