Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-Cal Must Show Proof Of Citizenship And Identity (Hmong) - Health And Human Services Agency Page 2
ADVERTISEMENT
1
2
3
4State of California – Health and Human Services Agency
Department of Health Care Services
Yog kuv muab tsis tau tej puavpheej uas qhia tias kuv
Yog kuv xav tau Medi-Cal tamsim nev?
yog neeg Amelikas lossis yog leejtwg nev?
Coob tus pojniam xeebtub thiab thiab cov menyuam yaus
Koj tsimnyog ciali mus thov tamsim no thiab mam li muab
thov tau cov Medi-Cal uas siv tau ib ntus tamsim thaum lub
tej puavpheej ntawd tuaj tomqab.
sijhawm uas lub county tseem tshuaj koj daim ntawv thov.
Koj yuav tsis tau txais cov Medi-Cal uas kho tau txhua yam
Kuv puas yuav tau muab tej puavpheej uas qhia
txog thaum koj muab tau tej puavpheej uas qhia tias koj yog
tias yog neeg Amelikas thiab yog leejtwg tiag tuaj
neeg Amelikas thiab yog leejtwg tuaj. Yog koj muab tsis tau
txhua xyoo?
cov puavpheej ntawd tuaj li lub sijhawm uas luag hais,
tabsis koj muaj txhua yam raws li luag tus qauv thiab muab
Tsis tau. Koj tsuas tau muab tej no tuaj ib zaug nkaus
lwm yam rau luag tas lawm, koj tsuas yuav tau txais cov
xwb – thaum koj tuaj thov thawj zaug lossis thaum koj rov
ntawv khomob uas kho tau qee yam xwb. Qee yam ntawd
tuaj txuas ntaub ntawv thov ntxiv xwb.
yog kev khomob xwmtxheej ceev, kho kev xeebtub, thiab
kev kho mus ntev.
Tsab kevcai no puas hais txog kuv cov Food Stamps,
Koj muab tej puavpheej ntawd tuaj tsis dhau li ib xyoos
CalWORKs, lossis Healthy Families?
tomqab uas koj tuaj thov, luag yuav muab koj cov Medi-Cal
Tsis hais txog. Cov kev yuav tau muab puavpheej uas qhia
hloov mus ua cov uas kho tau txhua yam suav txij thawj
tias yog neeg Amelikas thiab yog leejtwg tiag no tsuas yog
hnub uas koj tau tuaj thov.
hais txog Medi-Cal nkaus xwb.
Yog koj muaj kev khomob thaum lub sijhawm uas koj
tabtom nrhiav cov ntaub ntawv uas qhia tias koj yog
Nej puas yuavtsum tau daim ntawv qhia tias yog neeg
neeg Amelikas thiab yog leejtwg tiag, tej zaum Medi-Cal
Amelikas thiab yog leejtwg tias uas yog daim tseem?
yuav kam them rau koj cov nqi khomob. Hu mus rau lub
Chaw Them Nqi Khomob hauv lub Department of Health
Yuavtsum tau. Peb yuavtsum tau daim ntawv qhia tias yog
Care Services mus nrhiav lus teb rau koj cov lus nug:
neeg Amelikas thiab yog leejtwg tias uas yog daim tseem,
(916) 403-2007.
lossis cov ntawv luam uas lub koomhaum uas ua daim
ntawv ntawd nias lawv lub thwj rau tias yog daim tseem.
Cov menyuam yaus puas tau muab cov puavpheej uas
qhia tias lawv yog neeg Amelikas thiab yog leejtwg
Kuv xa kuv cov ntawv puavpheej tuaj puas tau?
tiag, thiab?
Tau. Lub county yuav muab luam cia thiab muab daim
Tau. Yog koj tus menyuam yug hauv xeev Kalifonias, hais
tseem xa rov tuaj rau koj. Lossis, koj nqa tau koj cov ntaub
kom koj lub county pab yuav nws daim ntawv yug los ua
ntawv mus rau tom lub chaw pabcuam pejxeem hauv koj
puavpheej qhia tias nws yog neeg Amelikas.
lub nroog. Hais kom lawv muab luam thiab muab cov tseem
rov rau koj tamsim.
Yog koj tus menyuam tsis tau muaj 16 xyoo thiab koj tau ua
thiab suam npe rau daim ntawv thov Medi-Cal lossis thov
Healthy Families/Medi-Cal uake uas teev tus menyuam
ntawd hnub yug thiab chaw yug lawm, koj yuav tsis tau
muab tej puavpheej uas qhia tias nws yog leejtwg ntxiv
lawm. (Daim ntawv thov uas koj suam npe rau no yog
puavpheej uas qhia tau tias koj tus menyuam yog leejtwg
lawm.) Koj tseem yuav tau muab tej puavpheej uas qhia
tias nws yog neeg Amelikas.
Yog koj tus menyuam muaj hnub 16 xyoo lossis tshaj ntawd
lawm, koj yuav tau muab puavpheej uas qhia tias nws yog
leejtwg tiag. Xyuas nplooj 3.
Yog koj tus menyuam thov hauv CHDP Gateway, hauv Kev
Pabcuam Noj Su Dawb hauv Tsev Kawm Ntawv, lossis siv
daim ntawv thov Healthy Families/Medi-Cal uake, koj yuav
tsis tau muab cov puavpheej no tuaj txog thaum koj lub
county lub chaw pabcuam pejxeem hais kom koj muab tuaj.
DHCS 0001 (01/08) – Hmong
Page 2 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (korean) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (vietnamese) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (tagalog) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (spanish) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (russian) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (laotian) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (farsi) - Health And Human Services Agency
Legal
Form Dhcs 0001 - California U.s. Citizens And Nationals Applying For Medi-cal Must Show Proof Of Citizenship And Identity (chinese) - Health And Human Services Agency
Legal
Related Categories
Parent category: Legal