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The following are documents used in MCHA trainings. They may be reproduced with credit to MCHA as it appears on the document. Please check our website often as the documents are updated as we get new information and at least annually for the federal cost-of-living increases that occur April 1 of every year. For additional materials used in our trainings, visit The Health Consumer Alliance.
Overall Income and Program Guidelines
Medi-Cal
Newborn Referral Forms (MC 330) - – Fax numbers have been updated on forms listed on the state website – see http://www.dhcs.ca.gov/formsandpubs/forms/Pages/MCEBbyNumber.aspx
with separate link for Spanish form http://www.dhcs.ca.gov/formsandpubs/forms/Pages/MCEBTranslatedForms.aspx
if your county’s fax or phone is incorrect, PLEASE let us know.
Maternal and Child Health Access’s copies have the fax number for Los Angeles printed at the top of the form:
Newborn Enrollment Forms (Los Angeles - English & Spanish)
Children’s Programs
Special Programs
Los Angeles County Programs
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