Member Services Archives

2023 Medi-Cal EOC with cover
Megan Sims, Pending 2024 Review
Modified: 12/30/2022

2023_Medi-Cal EOC_Final_Hmong_web
Megan Sims, Pending 2024 Review
Modified: 12/30/2022

2023_Medi-Cal_EOC_Sp
Megan Sims, Pending 2024 Review
Modified: 12/30/2022

Covered_Benefits_Matrix_EN
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 8/9/2023

Covered_Benefits_Matrix_HM
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 8/9/2023

Covered_Benefits_Matrix_SP
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 8/27/2024

Daim Ntawv Foos Thov Them Nyiaj Rov Qab Rau Tus Tswvcuab
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 12/13/2021

Exhibit_U-1-SBC-IHSS-2018
Megan Sims, Pending 2024 Review
Modified: 6/30/2023

Exhibit_U-1-SBC-IHSS-2018_SP
Megan Sims, Pending 2024 Review
Modified: 6/30/2023

Formulario de Reclamo de Reembolso para Miembros
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 12/13/2021

Grievance Packet FAQ_NDN TAG Form HM_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 3/28/2022

Grievance Packet FAQ_NDN TAG Form_SP_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 3/28/2022

Grievance Packet-FAQ_NDN TAG Form ENG_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 9/7/2023

IHSS_EOC_ENG
Megan Sims, Pending 2024 Review
Modified: 7/1/2024

IHSS_EOC_SP
Megan Sims, Pending 2024 Review
Modified: 7/1/2024

KK-Complaint-and-Appeal-Form_ENG_v072021
Pending 2024 Review, Sarah Sanders
Modified: 2/3/2022

KK-Complaint-and-Appeal-Form_SP_v072021
Pending 2024 Review, Sarah Sanders
Modified: 2/3/2022

MC-Complaint-and-Appeal-Form_ENG_v072021
Pending 2024 Review, Sarah Sanders
Modified: 2/3/2022

MC-Complaint-and-Appeal-Form_HMG_v072021
Pending 2024 Review, Sarah Sanders
Modified: 2/3/2022

MC-Complaint-and-Appeal-Form_SP_v072021
Pending 2024 Review, Sarah Sanders
Modified: 2/3/2022

MEM_IHSS-Benefit-Matrix_SP
Megan Sims, Pending 2024 Review
Modified: 6/30/2022

MEM_IHSS-Benefits-Matrix_EN
Megan Sims, Pending 2024 Review
Modified: 6/30/2022

Форма заявления о возмещении ущерба участнику
Megan Sims, Pending 2024 Review, Yasuno Sato
Modified: 12/13/2021

Notice-of-Nondiscrimination-and-Accessibility
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 12/3/2021

Notice-of-Nondiscrimination-and-Accessibility-Hmong
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 12/3/2021

Notice-of-Nondiscrimination-and-Accessibility-Spanish
Megan Sims, Pending 2024 Review, Yomayra Gomez
Modified: 12/3/2021

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