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 Page 2
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4State of California – Health and Human Services Agency
Department of Health Care Services
ƱÝã` »Ã» ã»Ù ϳñáÕ ù³Õ³ù³óÇáõÃÛ³Ý Ï³Ù ÇÝùÝáõÃÛ³Ý
ƱÝã` »Ã» »ë Medi-Cal-Ç ³ÝÙÇç³Ï³Ý ϳñÇù áõÝ»Ù:
Ù³ëÇÝ ³å³óáõÛó Ý»ñϳ۳óÝ»É:
´³½Ù³ÃÇí ÑÕÇ Ï³Ý³Ûù »õ »ñ»Ë³Ý»ñ ϳñáÕ »Ý
²é³ÛÅÙ å»ïù ¿ ¹ÇÙ»ù, ÇëÏ Ñ»ïá ³å³óáõÛó Ý»ñϳ۳óÝ»ù:
ųٳݳϳíáñ Medi-Cal ëï³Ý³É, ÙÇÝã ù³áõÝÃÇÝ Ïí»ñ³Ý³ÛÇ
Ó»ñ ¹ÇÙáõÙݳ·ÇñÁ:
²ÙμáÕç³Ï³Ý Medi-Cal ãÇ Ï³ñáÕ ïñí»É Ó»½, ÙÇÝã»õ Ó»ñ ÏáÕÙÇó
ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó
²ñ¹Ûá±ù å³ñï³íáñ »Ù ³Ù»Ý ï³ñÇ ù³Õ³ù³óÇáõÃÛ³Ý »õ
Ý»ñϳ۳óÝ»ÉÁ: ºÃ» ¹áõù ã»ù ϳñáÕ Ý»ñϳ۳óÝ»É Ó»ñ
ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ý»ñϳ۳óÝ»É։
³å³óáõÛóÁ ïñ³Ù³μ³Ý³Ï³Ý ųٳݳϳѳïí³ÍÇ
ÁÝóóùáõÙ, μ³Ûó ¹áõù μ³í³ñ³ñáõÙ »ù Ùݳó³Í μáÉáñ
àã։ ¸áõù å³ñï³íáñ »ù ³Ûë ï»Õ»ÏáõÃÛáõÝÁ Ý»ñϳ۳óÝ»É Ù»Ï
å³Ñ³ÝçÝ»ñÇÝ, ¹áõù ϳñáÕ »ù ÙdzÛÝ ë³Ñٳݳ÷³Ï
³Ý·³Ù. »ñμ ¹áõù ³é³çÇÝ ³Ý·³Ù ¹ÇÙ»ù, ϳ٠ï³ñ»Ï³Ý Ó»ñ
Ýå³ëïÝ»ñ ëï³Ý³É: ê³Ñٳݳ÷³Ï Ýå³ëïÝ»ñÝ Áݹ·ñÏáõÙ
ѳçáñ¹ Çñ³í³ëáõÃÛ³Ý í»ñ³Ý³ÛÙ³Ý Å³Ù³Ý³Ï:
»Ý ßï³å û·ÝáõÃÛ³Ý, ÑÕáõÃÛ³Ý Ñ»ï ϳåí³Í »õ
»ñϳñ³Å³ÙÏ»ï ËݳÙùÇ Í³é³ÛáõÃÛáõÝÝ»ñÁ:
²ñ¹Ûá±ù ³Ûë ûñ»ÝùÁ áñ»õ¿ ³½¹»óáõÃÛáõÝ Ïáõݻݳ ÇÙ Food
ºÃ» ¹áõù ³å³óáõÛó Ý»ñϳ۳óÝ»ù Ó»ñ ¹ÇÙ»Éáõ ³Ùë³ÃíÇó
Stamps-Ç, CalWORKs ϳ٠Healthy Families Ýå³ëïÝ»ñÇ íñ³:
ÙÇÝã»õ Ù»Ï ï³ñÇ Å³Ù³Ý³Ï³Ñ³ïí³ÍáõÙ, Medi-Cal-Ç Ó»ñ
àã: ø³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý å³Ñ³ÝçÝ»ñÁ
Ýå³ëïÝ»ñÁ` ëÏëÛ³É Ó»ñ ¹ÇÙáõÙݳ·ñÇ ³Ùë³ÃíÇó,
í»ñ³μ»ñíáõÙ »Ý ÙdzÛÝ Medi-Cal-ÇÝ:
Ï÷áËí»Ý »õ Ϲ³éÝ³Ý ³ÙμáÕç³Ï³Ý:
ºÃ» ¹áõù áõÝ»ó»É »ù μÅßÏ³Ï³Ý Í³Ëë»ñ ÙÇÝã ¹áõù
²ñ¹Ûá±ù ¹áõù å»ïù áõÝ»ù ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý
Ïëï³Ý³ÛÇù Ó»ñ ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý
Ù³ëÇÝ μÝûñÇÝ³Ï ÷³ëï³ÃÕûñÇ:
÷³ëï³ÃÕûñÁ, Medi-Cal-Á ϳñáÕ ¿ í׳ñ»É Ó»ñ ͳËë»ñÇ
ѳٳñ: Ò»ñ ѳñóáõÙÝ»ñÇ å³ï³ë˳ÝÝ»ñÇ Ñ³Ù³ñ
²Ûá: Ø»Ýù å³Ñ³ÝçáõÙ »Ýù ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý
½³Ý·³Ñ³ñ»ù ²éáÕç³å³Ñ³Ï³Ý ÊݳÙùÇ Ì³é³ÛáõÃÛáõÝÝ»ñÇ
μݳ·Çñ ÷³ëï³ÃáõÕÃÁ ϳ٠å³ï×»ÝÝ»ñ, áñáÝù
´³Å³ÝÙáõÝùÇ (Department of Health Care Services)
ѳëï³ïí³Í ÏÉÇÝ»Ý ïíáÕ ·áñͳϳÉáõÃÛ³Ý ÏáÕÙÇó:
ûųݹ³ÏáÕ Í³é³ÛáõÃÛáõÝÝ»ñÇÝ (Beneficiary Services)
(916) 403-2007 Ñ»é³Ëáë³Ñ³Ù³ñáí:
γñá±Õ »Ù ³å³óáõÛóÁ ÷áëïáí áõÕ³ñÏ»É:
²Ûá: ø³áõÝÃÇÝ å³ï×»ÝÝ»ñ ϳÝÇ »õ ÷áëïáí »ï ÏáõÕ³ñÏÇ
²ñ¹Ûá±ù »ñ»Ë³Ý»ñÁ »õë å»ïù ¿ ³å³óáõÛó Ý»ñϳ۳óÝ»Ý
Ó»½: γ٠¹áõù ϳñáÕ »ù Ó»ñ ÷³ëï³ÃÕûñÁ ³ÝÓ³Ùμ ï³Ý»É
Ó»ñ ï»Õ³Ï³Ý êáóÇ³É³Ï³Ý ²å³ÑáíáõÃÛ³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ
ù³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ:
·ñ³ë»ÝÛ³Ï: Êݹñ»ó»ù, áñ å³ï×»Ý³Ñ³Ý»Ý »õ ³ÝÙÇç³å»ë
²Ûá: ºÃ» Ó»ñ »ñ»Ë³Ý ÍÝí»É ¿ γÉÇýáñÝdzÛáõÙ, ù³áõÝÃÇÇó
Ó»½ í»ñ³¹³ñÓÝ»Ý:
å³Ñ³Ýç»ù Ýñ³ ÍÝÝ¹Û³Ý ³ñӳݳ·ñáõÃÛáõÝÁ ÁݹáõÝ»É Çμñ»õ
ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó:
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
Medi-Cal-Ç ¹ÇÙáõÙݳ·ÇñÁ ϳ٠Healthy Families/Medi-Cal
ѳٳï»Õ ¹ÇÙáõÙݳ·ÇñÁ, ¹áõù ϳñÇù ãáõÝ»ù Ý»ñϳ۳óÝ»É
ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó: (êïáñ³·ñí³Í ³Ûë
¹ÇÙáõÙݳ·ÇñÁ Ó»ñ »ñ»Ë³ÛÇ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó ¿):
¸áõù ¹»é»õë å»ïù ¿ ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó
Ý»ñϳ۳óÝ»ù:
ºÃ» Ó»ñ »ñ»Ë³Ý 16 ï³ñ»Ï³ÝÇó Ù»Í ¿, ¹áõù å»ïù ¿ Ó»ñ
»ñ»Ë³ÛÇ Ñ³Ù³ñ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó Ý»ñϳ۳óÝ»ù:
î»ë ¿ç 3:
ºÃ» Ó»ñ »ñ»Ë³Ý ¹ÇÙáõÙ ¿ CHDP Gateway-Ç, School Lunch
Program-Ç Ï³Ù Healthy Families/Medi-Cal ѳٳï»Õ
¹ÇÙáõÙݳ·ñÇ ÙÇçáóáí, ³å³ ¹áõù å³ñï³íáñ ã»ù
³å³óáõÛó Ý»ñϳ۳óÝ»É, ù³ÝÇ ¹»é Ó»ñ ù³áõÝÃÇÇ
ëáóÇ³É³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ ·ñ³ë»ÝÛ³ÏÁ ¹³ Ó»½³ÝÇó
ãÇ å³Ñ³Ýç»É:
DHCS 0001 (01/08) – Armenian
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