Rov qab mus rau qhov Cov Kev Pab Cuam Cwj Pwm Kev Noj Qab Haus Huv Hauv Tsev.
Tus Cwj Pwm Saib Xyuas Kev Noj Qab Haus Huv Network Adequacy Oversight Branch
Cov Kev Noj Qab Haus Huv Lub Chaw Saib Xyuas Kev Ncaj Ncees Network ( BHNAOB ) yog kev tsim kho nyob rau hauv lub Behavioral Health Oversight and Monitoring Division (BHOMD), uas yog ib feem ntawm Kev Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv. Cov ntaub ntawv hais txog BHOMD tuaj yeem nrhiav tau los ntawm Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv nyob rau sab saum toj ntawm daim ntawv no. BHNAOB yog lub luag haujlwm rau tus Medi-Cal Behavioral Health network adequacy program , Txoj Kev Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm Network Kev Pabcuam kom txaus, thiab yav dhau los muaj lub luag haujlwm rau kev tswj hwm , uas yog hnub poob rau lub Rau Hli 30, 2024 . Cov Kev Saib Xyuas Kev Txaus Siab Network Tshooj yog lub luag haujlwm rau kev saib xyuas thiab saib xyuas hauv tag nrho kev coj cwj pwm noj qab haus huv Cheebtsam ntawm cov Specialty Mental Health Services (SMHS) thiab Kev Pabcuam Kev Muag Khoom Medi-Cal Organized Delivery System (DMC-ODS), nrog rau raws sijhawm Kev nkag mus tau rau cov phiaj xwm Tshuaj Medi-Cal hauv lub xeev vim muaj kev cai sib luag Kev Saib Xyuas Kev Ncaj Ncees Network
Network Adequacy Oversight Section (NAOS) muaj nyob hauv BHNAOB. BHNAOB muaj nyob rau hauv BHOMD thiab yog ib feem ntawm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv ntawm DHCS.
DHCS cog lus nrog cov nroog ntawd yog muab, lossis npaje rau kev muabkev pabcuamtshwj xeeb rau kev puas siab puas ntsws thiab kev pabcuam tshuajsiv tshuaj rau cov tswvcuab Medi-Cal tsim nyog.
NAOS ua raws li kev saib xyuasthiab saib xyuas ntawm MHPs thiab DMC-ODS cov kev pab cuamlos xyuas kom meej tias ua raws li cov kev cai tsim nyog tau teev tseg nyobrau hauv Title 42 ntawm Txoj Cai TswjfwmNtiag Tug (CFR) thiab covkev cai tsim nyog hauv lub network ntawm Txoj Cai Pabcuam Kev Noj Qab Haus Huv. NAOSfeem ntau ntsuam xyuas kev ua raws li MHPs thiab DMC-ODS cov kev pab cuam los ntawm nws cov kev tshuaj xyuas ntawm cov ntaub ntawv xav tau los ntawm cov koom haum no ua ib feem ntawm ibtug nnual n etwork c ertification process. NAOS, raws li qhov tsim nyog los xyuas kom meej qhov txaus ntawm txhua tus neeg muab kev pabcuam network, txheeb xyuas qhov tsis txaus nrog cov qauv tam sim no, suav nrog cov qauv kev nkag mus tau raws sijhawm raws li tau teev tseg los ntawm WIC 14197 thiab muab kev pabcuam rau MHPs thiab DMC-ODS cov kev pabcuam los daws teebmeem kev ua raws cai. Qhov kev pab cuam tsis zoo, NAOS siv cov kev kho kom raug xws li cov phiaj xwm kho kom raug thiab kev tswj hwm lossis kev nplua nyiaj txiag.
NAOS tseem ua haujlwm saib xyuas,kev pab cuam, thiab kev saib xyuas ntsig txog kev txhim kho kev nkag mus rau kev saib xyuas, uas suav nrog Cov kev cai nkag musraws sij hawm raws li tau teev tseg hauv Welfare and Institutions Code 14197. Cov cai no suav nrog ib qho kev thov thawj zaug rau thawjzaug lossis thawj qhov kev pabcuam tshwj xeeb rau kev puas siab puasntsws rau cov tswvcuab tshiab, kev teem sijhawm rov qab tsis sai, thiab ua kom cov kev pabcuam hais lus raug koom tes nrog cov sijhawm teem sijhawm rau kev pabcuam khomob.
Kev ua raws li kev tsim nyog hauv lub network thiab kev saib xyuas cov dej num uas tau teev tseg ntawm no yog tshwj xeeb rau MHPs, DMC-ODS cov kev pab cuam, thiab DMC lub xeev cov phiajxwm tshwj xeeb rau cov kev cai nkag mus raws sij hawm. Lub Chaw Saib Xyuas Kev Tswj Xyuas Zoo thiab Saib Xyuas Kev Tswj Xyuas Kev Tswj Xyuas Kev Ruaj Ntseg kom tsim nyog raucov phiaj xwm Kev Tswj Xyuas Kev Tswj Xyuas. Thov xa mus rau Department of Health Care Service Network Adequacy lub vev xaib Yog xav paub ntxiv txog kev txaus siab hauv lub network, suav nrog Daim Ntawv Qhia Ntawv Pov Thawj Txhua Xyoos, pom zoo lwm txoj kev siv tus qauv, thiab cov phiaj xwm kho kom raug.
Muab hauv qab no yog qee cov kev cai lij choj ntawm tsoomfwv thiab lub xeev siv rau NAOS. Cov kev cai lij choj no muaj nyob hauv CFR, thiab Welfare and Institutions Code (WIC).
Cov Cai Siv Tau
California Advancing and Innovation Medi-Cal (CalAIM):
Medicaid thiab Medi-Cal General:
Cov ntaub ntawv tiv tauj
