CalAIM Behavioral Health Initiative Cov lus nug nquag nug​​ 

Rov qab mus rau CalAIM FAQs​​ 

Hauv qab no yog cov npe ntawm cov lus nug uas nquag nug tau raug sau los ntawm kev pab cuam thiab cov ntaub ntawv webinars thiab xa mus rau BHCalAIM@dhcs.ca.gov email. DHCS yuav hloov kho cov npe no nyob rau peb lub hlis twg.​​ 

Cov Ntaub Ntawv Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv rau DMC, DMC-ODS, & SMHS​​ 

Kev soj ntsuam​​ 

Puas yog American Society of Addiction Medicine (ASAM) Cov Cai ® tuaj yeem siv los ntsuas cov tub ntxhais hluas thiab cov tub ntxhais hluas? Puas muaj kev pom zoo ASAM cov cuab yeej ntsuas rau cov hluas thiab cov tub ntxhais hluas?​​ 

ASAM 4th Edition Development thiab BHIN 23-068​​ 

Tsis tau. Raws li lub Plaub Hlis 2024, American Society of Addiction Medicine (ASAM) tsis tau tsim cov cuab yeej ntsuas rau cov hluas thiab cov tub ntxhais hluas, tab sis ib tug hluas thiab cov hluas hnub nyoog hloov pauv ntawm ASAM Criteria ® tau xav txog yav tom ntej. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) yuav tshuaj xyuas cov ntawv tshaj tawm yav tom ntej ntawm ASAM Cov Cai ® thiab yuav ua kom tsim nyog hloov tshiab rau lub xeev cov lus qhia thaum muaj kev txhim kho tshiab. Nyob rau lub sijhawm no, cov nroog thiab cov chaw muab kev pabcuam tseem tuaj yeem siv lawv cov cuab yeej ntsuas kev tsim kho hauv zos rau cov tub ntxhais hluas thiab cov hluas thaum cov kev cai tshiab rau cov qauv kev ntsuas ASAM ® rau cov neeg laus uas tau teev tseg hauv BHIN 23-068 tau pib siv txij lub Ib Hlis 1, 2025.
​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) puas yuav pom zoo ntxiv rau American Society of Addiction Medicine (ASAM) cov cuab yeej ntsuas?​​ 

Reference BHIN 23-068​​ 

Lub sijhawm no, DHCS tsis tau pom zoo ib qho ntxiv rau American Society of Addiction Medicine (ASAM) cov cuab yeej ntsuas lwm yam uas tsis yog ASAM Cov Kev Ntsuam Xyuas Kev Ntsuam Xyuas Cov Lus Qhia thiab ASAM CONTINUUM software. DHCS tuaj yeem xaiv los ntsuas thiab muaj peev xwm pom zoo cov cuab yeej ntxiv yav tom ntej; Yog tias DHCS ua li ntawd, qhov kev txiav txim siab no yuav raug tshaj tawm rau cov neeg muaj feem. Txawm li cas los xij, Lub Tsev Haujlwm tsis xav tias yuav tsim cov txheej txheem los niaj hnub pom zoo cov cuab yeej tshiab xa los ntawm cov neeg muaj feem, vim qhov no yuav tsis txhawb nqa lub hom phiaj ntawm CalAIM.​​ 

DHCS qhov kev txiav txim siab xav kom siv cov cuab yeej saum toj no ua raws li CalAIM cov hom phiaj los ua qauv, ua kom yooj yim, thiab ua kom yooj yim rau kev nkag mus rau Medi-Cal cov kev pab cuam. Kev siv cov cuab yeej uas tau lees paub los ntawm ASAM yuav pab ua kom muaj txiaj ntsig zoo ntawm DMC/DMC-ODS cov kev pabcuam thoob lub xeev los ntawm kev ua kom txhua tus tswvcuab Medi-Cal uas tau txais kev pabcuam DMC lossis DMC-ODS tau txais kev ntsuam xyuas dav dav uas tsim nyog siv ASAM qib ntawm kev saib xyuas.​​ 

Puas yog American Society of Addiction Medicine (ASAM) Cov Txheej Txheem Hloov Kho yuav cuam tshuam rau yav tom ntej Department of Health Care Services (DHCS) cov lus qhia?​​ 

Siv BHIN 23-068 thiab BHIN 21-001 Exhibit A​​ 

Yog lawm. DHCS npaj yuav hloov kho DMC thiab DMC-ODS txoj cai qhia raws li qhov xav tau los ua kom haum raws li tam sim no American Society of Addiction Medicine (ASAM) version. Cov cuab yeej ntsuas ASAM pub dawb kuj tseem yuav raug hloov kho kom muaj kev cuam tshuam rau ASAM Cov Qauv Txheej Txheem Plaub Ntug. DHCS yuav muab cov ntaub ntawv hloov tshiab ntawm cov hnub tshaj tawm rau ASAM Cov Txheej Txheem Fourth Edition txoj cai qhia kom sai li sai tau.​​ 

BHIN 23-054 qhia meej tias Kev Ntsuas Tshuaj rau Kev Kho Mob (MAT) yuav tsum tau muab ua ntej 24 teev tom qab nkag mus rau cov ntawv tso cai thiab / lossis cov ntawv pov thawj siv tshuaj tsis raug cai rov qab los yog chaw kho mob. Qhov kev taw qhia no ua raws li BHIN 23-068, uas tshem tawm lub sijhawm 30/60 yav dhau los rau kev ua tiav ASAM Qib Kev Ntsuas Kev Kho Mob li cas?​​ 

Siv BHIN 23-068; PAB 23-054​​ 

Tshooj (a)(3)(ii) ntawm BHIN 23-068 qhia meej tias "Kev ntsuam xyuas MAT, raws li tau piav qhia hauv BHIN 23-054 lossis kev taw qhia tom ntej, yuav tsum tsis ua raws li cov kev ntsuas ASAM uas tau piav qhia hauv BHIN no." Cov kev ntsuam xyuas MAT tau piav qhia hauv BHIN 23-054 ua haujlwm rau lub hom phiaj kho mob tshwj xeeb uas txawv ntawm lub hom phiaj ntawm kev ntsuas ASAM. Yog li ntawd, qhov kev ntsuam xyuas MAT yuav tsum tshwm sim sai thaum qhov kev ntsuam xyuas ASAM muaj peev xwm tshwm sim nyob rau lub sijhawm ntev.​​ 

Lub hom phiaj ntawm MAT kev ntsuam xyuas yog txhawm rau txheeb xyuas tam sim yog tias MAT yuav muaj txiaj ntsig zoo rau Medi-Cal tus tswv cuab, kom MAT tuaj yeem pib ua raws sijhawm. Kev ntsuam xyuas ASAM Qib Kev Saib Xyuas Kev Tshawb Fawb tuaj yeem siv cov ntaub ntawv sau tseg thaum qhov kev ntsuam xyuas MAT tab sis yuav suav nrog lwm cov ntaub ntawv thiab. Qhov kev ntsuam xyuas ASAM muaj peev xwm ua tiav nyob rau lub sijhawm ntev dua thiab yuav tsum ua kom tau raws li tag nrho DMC/DMC-ODS cov kev ntsuas raws li tau piav qhia hauv BHIN 23-068. ​​ 

Ntu 1​​ 

Nplooj 4 ntawm Daim Ntawv Ceeb Toom Txog Tus Cwj Pwm Kev Noj Qab Haus Huv (BHIN) 23-068 tham txog cov kev taw qhia uas twb muaj lawm ntawm Lub Tsev Haujlwm Saib Xyuas Kev Khomob (DHCS) Qib Kev Saib Xyuas (LOC) uas xav kom cov chaw muab kev pabcuam khomob hauv tsev kom ntseeg tau tias cov tswvcuab tau txais ntau qhov kev ntsuas kev saib xyuas. Puas yog cov kev cai tshiab no? Puas yog lawv sib npaug ntawm cov kev ntsuas ASAM uas tau piav qhia hauv BHIN 23-068?​​ 

Reference BHIN 23-068 & BHIN 21-001​​ 

Cov kev taw qhia Medi-Cal uas tau teev tseg hauv BHIN 23-068 tsis hloov pauv qhov kev xav tau ntawm Theem Kev Kho Mob (LOC) rau cov chaw muaj ntawv tso cai uas tau teev tseg yav dhau los hauv Exhibit A ntawm BHIN 21-001. Txhua tus neeg laus uas muaj ntawv tso cai haus cawv lossis lwm yam tshuaj rov qab los yog chaw kho mob yuav tsum tau txais daim ntawv pov thawj DHCS LOC lossis ASAM Level of Care Certification. Cov kev pabcuam xa hauv cov chaw uas tuav DHCS LOC Kev Tsim Kho yuav tsum tau muab thiab sau tseg raws li cov lus qhia rau kev ntsuam xyuas thiab kev npaj saib xyuas tau teev tseg hauv BHIN 21-001. Cov neeg muab kev pab cuam uas xaiv los koom hauv Medi-Cal yuav tsum ua raws li ob qho kev taw qhia rau cov chaw muaj ntawv tso cai hauv BHIN 21-001, thiab Medi-Cal cov lus qhia hauv BHIN 23-068.​​ 

Qhov kev ntsuam xyuas LOC thawj zaug uas tau piav qhia hauv BHIN 21-001 yuav tsum tsis ua raws li tag nrho cov kev cai rau kev ntsuam xyuas ASAM, raws li tau piav qhia hauv BHIN 23-068 (nplooj 4). Txawm li cas los xij, cov ntaub ntawv khaws tseg rau kev ntsuam xyuas LOC kuj tuaj yeem siv los ua ib feem ntawm kev ntsuas ASAM. Ob lub BHIN yuav tsum tsis txhob raug txhais raws li qhov yuav tsum tau muaj kev ntsuam xyuas dua (saib hauv qab).​​ 

Ntu 2​​ 

Qhov no puas txhais tau tias yuav tsum muaj ob qhov kev ntsuas sib txawv? Puas yog cov chaw muab kev pabcuam hauv tsev yuav tsum tau ua kom tiav ASAM hauv 72 teev?​​ 

Reference BHIN 23-068 & BHIN 21-001​​ 

Tsis yog. DHCS tsis tas yuav muaj teeb meem siv tshuaj yeeb (SUD) cov chaw nyob hauv tsev los ua ob qhov kev ntsuas sib txawv. DHCS xav kom cov ntaub ntawv tseem ceeb raug sau thaum nkag mus rau kev kho mob kom ntseeg tau tias cov tswv cuab tau txais cov kev pab cuam hauv qib kev saib xyuas raug (BHIN 21-001). Tom qab ntawd, tus kws kho mob tuaj yeem ntxiv rau cov ntaub ntawv uas tau sau yav dhau los los ntawm kev ua tiav qhov kev ntsuam xyuas ASAM (BHIN 23-068).​​ 

BHIN 23-068 tsis siv lub sijhawm ntsuas nruj rau kev pabcuam kev noj qab haus huv. DHCS txoj cai hais tias qhov kev ntsuam xyuas tuaj yeem tshwm sim thaum muaj ntau qhov kev sib ntsib thiab yuav tsum tau ua nyob rau hauv lub sijhawm uas ua tau raws li tus neeg xav tau ntawm txhua tus tswv cuab Medi-Cal. Medi-Cal kev coj tus cwj pwm kev noj qab haus huv yuav tsum tsis txhob ua raws li cov qauv rau kev ntsuam xyuas raws sij hawm, lossis kev ntsuam xyuas tom ntej, uas tsis tso cai rau lub sij hawm txaus los ua kom tiav cov kev ntsuam xyuas thaum lub sij hawm tsim nyog vim yog tus tswv cuab cov kev xav tau kho mob (p. 3, BHIN 23-068).​​  

Puas yog xya qhov kev ntsuas raws li tau teev tseg hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHIN) 23-068 yuav tsum muaj rau Cov Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb (SMHS) kev cuam tshuam lossis kev pabcuam teebmeem teebmeem? Yuav ua li cas txog SMHS lossis Drug Medi-Cal (DMC)/Drug Medi-Cal Organized Delivery System (DMC-ODS) cov kev pab cuam mobile ntsoog?​​ 

Siv BHIN 23-068, BHIN 23-025, & Supplement 3 To Attachment 3.1-A hauv California State Plan​​ 

Txawm hais tias Kev Pabcuam Txog Kev Mob Siab Tshwj Xeeb (SMH) kev cuam tshuam lossis kev pabcuam teebmeem teebmeem lossis SMH, DMC, lossis DMC-ODS kev pabcuam mobile teebmeem yuav suav nrog kev sojntsuam, ua tiav kev sojntsuam raws li tau piav qhia hauv BHIN 23-068 tsis tas yuav tsum tau ua thaum lub sijhawm tus neeg SMH teebmeem kev cuam tshuam lossis teebmeem kev pabcuam DMC SMH, SMH stabil. ntsib. Yog tias tus tswvcuab tau txais lwm yam SMHS, DMC, lossis DMC-ODS ib txhij lossis hnub tom qab, ces cov kev ntsuas yuav tsum tau ua hauv BHIN 23-068 .​​ 

Yog xav paub ntxiv txog Medi-Cal Mobile Crisis Services kev soj ntsuam thiab cov ntaub ntawv xav tau, thov mus rau BHIN 23-025.​​ 

Puas yog cov kev hloov pauv rau ncua sij hawm ntsuam xyuas rau Cov Kev Pabcuam Kev Mob Siab Tshwj Xeeb cuam tshuam rau Kev Ntsuas Me Nyuam thiab Cov Hluas thiab Lub Zog (CANS) thiab Pediatric Symptom Checklist (PSC)-35? Yuav ua li cas txog Kev Ntsuam Xyuas Kev Xav Tau rau Cov Neeg Laus thiab Lub Zog (ANSA) (rau cov neeg laus)?​​ 

Reference BHIN 23-068​​ 

Tsis tau. Cov kev cai CANS thiab PSC-35 tsis tau hloov. DHCS tsis tas yuav ua kom tiav ANSA rau cov neeg laus.​​ 

Yog tias Txoj Kev Npaj Kho Mob Puas Siab Puas Ntsws (MHP) muaj cov qauv ntsuas tam sim no nyob rau hauv lawv cov ntaub ntawv kho mob hluav taws xob uas ntes tag nrho xya (7) Cov Kev Pabcuam Kev Puas Hlwb Tshwj Xeeb (SMHS), MHP puas yuav tsum tau rov ua lawv qhov kev ntsuam xyuas kom nws raug cais los ntawm cov npe tshiab?​​ 

Reference BHIN 23-068​​ 

Txawm hais tias qhov kev txiav txim ntawm xya lub ntsiab lus tsis tau teev tseg, qhov kev ntsuam xyuas yuav tsum ntes tag nrho ntawm xya qhov kev ntsuam xyuas uas yuav tsum tau ua raws li BHIN 23-068.​​ 

Puas yog xya (7) lub luag haujlwm rau Kev Ntsuam Xyuas Tshwj Xeeb Kev Pabcuam Kev Puas Siab Puas Ntsws yuav tsum muaj rau kev ntsuam xyuas kev puas siab puas ntsws?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Xya (7) tus qauv kev ntsuas qhov ntsuas yuav tsum muaj rau kev ntsuam xyuas kev puas siab puas ntsws.​​ 

Cov kws kho mob puas yuav sau cov laj thawj rau kev siv sijhawm ntau dua li niaj zaus los ua kom tiav qhov kev ntsuas?​​ 

Reference BHIN 23-068​​ 

Nws yog qhov kev coj ua zoo los sau cov tswvcuab cov xwm txheej thiab tus kws khomob kev siv zog los tshuaj xyuas thiab koom nrog tus tswvcuab, thaum tsim nyog.​​ 

Cov lus nug thiab cov lus teb no tau hloov mus rau FAQ no los ntawm​​  MHSUDS IN 17-040​​ , uas yog superseded los ntawm​​  PAB 22-019. BHIN 23-068 tau hloov pauv BHIN 22-019.​​ 

Kev Npaj Kho Mob​​ 

Cov Ntaub Ntawv Txog Kev Noj Qab Haus Huv Electronic (EHR) puas tuaj yeem siv rau cov phiaj xwm saib xyuas?​​ 

Reference BHIN 23-068​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis tswj hwm li cas cov kws kho mob lossis Medi-Cal Cov Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv tau npaj lawv cov EHRs (lossis cov ntaub ntawv sau) ntev npaum li cov ntaub ntawv uas tau teev tseg hauv BHIN 23-068 tau ua tiav. Ib daim qauv kev npaj khomob yog qhov chaw txais tau rau cov ntaub ntawv ntawm kev npaj saib xyuas, tsuav yog tag nrho cov kev xav tau ntawm lub xeev lossis tseemfwv txoj kev npaj khomob tau ua tiav.​​ 

Thov tshuaj xyuas cov Kev Npaj Kho Mob nyob rau nplooj 11 ntawm BHIN 23-068 thiab Enclosure 1a ntawm nplooj 13 – 14 ntawm BHIN 23-068 kom paub cov lus qhia ntxaws txog yuav ua li cas cov phiaj xwm saib xyuas yuav tsum tau sau tseg rau cov kev pab cuam, kev pabcuam, lossis cov chaw uas yuav tsum muaj kev npaj khomob tseem siv tau raws li lub xeev lossis tsoomfwv txoj cai lij choj.​​ 

Puas yog cov chaw muab kev pab cuam ntawm kev siv tshuaj yeeb tsis zoo uas tau txais nyiaj los ntawm Kev Siv Tshuaj Tiv Thaiv thiab Kev Puas Siab Puas Ntsws '(SAMHSA) Kev Tiv Thaiv Kev Siv Tshuaj Tiv Thaiv, Kev Kho Mob, thiab Kev Pabcuam Rov Qab Los Block Grant (SUBG) puas yuav tsum ua kom tiav cov phiaj xwm kho mob ib leeg?​​ 

Reference BHIN 23-068 & 45 CFR § 96.136​​   

Daim Ntawv Ceeb Toom Txog Tus Cwj Pwm Kev Noj Qab Haus Huv (BHIN) 23-068 piav qhia txog cov teeb meem tshiab thiab cov ntawv sau ua tiav thiab tshem tawm qee qhov kev xav tau yav dhau los rau Cov Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb thiab Cov Tshuaj Kho Mob Medi-Cal thiab Tshuaj Kho Mob Medi-Cal Organized Delivery System. DHCS kuj tseem tab tom hloov kho Lub Tsev Haujlwm Saib Xyuas Dej Cawv thiab/lossis Lwm Yam Kev Pabcuam Kev Noj Qab Haus Huv Cov Ntawv Pov Thawj kom ua raws li Medi-Cal cov lus qhia.​​ 

Ua raws li cov kev hloov tshiab no, ib leeg Kev npaj khomob tsis tas yuav tsum muaj rau cov kev pabcuam SUBG-nyiaj pab ntxiv lawm. SUBG cov ntawv cog lus ua haujlwm xav tau SUBG-nyiaj pab kev pabcuam los ua raws li tsoomfwv cov cai hauv 45 CFR § 96.136, tab sis tsis tas yuav npaj khomob yuav tsum tau sau tseg rau hauv ib hom ntawv teev tseg, piv txwv li, tus qauv kev npaj khomob ib leeg. Tsuav yog SUBG-nyiaj pab kev pab cuam ua raws li tsoom fwv cov cai hauv 45 CFR § 96.136, lawv tuaj yeem sau tau raws li Medi-Cal cov lus qhia hauv BHIN 23-068 lossis DHCS cov ntaub ntawv tom ntej.​​ 

Cov npe teeb meem​​ 

Cov npe teeb meem puas tuaj yeem siv los ua cov phiaj xwm saib xyuas?​​ 

Reference BHIN 23-068​​ 

Tsis yog. Cov npe teeb meem thiab cov phiaj xwm saib xyuas ua haujlwm sib txawv hauv cov ntaub ntawv kho mob thiab tsis tuaj yeem hloov pauv tau. Rau cov kev pab cuam, cov kev pab cuam, thiab cov chaw uas yuav tsum tau ua raws li txoj cai kev npaj saib xyuas nyob rau hauv lub xeev los yog tsoom fwv txoj cai lij choj (saib Enclosure 1a nyob rau nplooj 13 – 14 ntawm BHIN 23-068), cov npe teeb meem tsis hloov kev npaj kho mob.​​ 

Raws li tau piav qhia nyob rau nplooj 7 - 8 ntawm BHIN 23-068, cov npe teeb meem yuav suav nrog cov tsos mob, yam mob, kev kuaj mob, kev tsav tsheb hauv zej zog, thiab/lossis cov teeb meem raug txheeb xyuas los ntawm kev ntsuam xyuas, kev ntsuam xyuas kev puas siab puas ntsws, kev sib ntsib teeb meem, lossis lwm yam kev pabcuam ntsib, thiab tsim los ntawm tus kws kho mob.​​ 

Cov phiaj xwm saib xyuas, uas tseem hu ua tus neeg siv cov phiaj xwm, cov phiaj xwm kho mob, lossis cov phiaj xwm pabcuam, tau tsim los ntawm kev koom tes nrog tus kws kho mob thiab tus neeg siv khoom los txhais cov hom phiaj kho mob. Kev npaj saib xyuas yog ib qho txuas ntxiv, sib tham sib cuam tshuam ntawm kev xa cov kev pabcuam thiab tsis yog qhov tshwm sim ib zaug.​​ 

Yuav tsum muaj daim ntawv teev npe teeb meem rau txhua tus tswv cuab tau txais Medi-Cal kev pabcuam kev noj qab haus huv raws li tau piav qhia hauv BHIN 23-068. Tsis zoo li daim ntawv teev cov teeb meem, txoj kev npaj kho mob tsuas yog xav tau rau cov kev pab tshwj xeeb, hom chaw, cov peev txheej, thiab/lossis hom kev pab cuam raws li tau sau tseg hauv BHIN 23-068, Enclosure 1a.​​ 

Raws li kev txiav txim siab ntawm tus kws kho mob, cov ntsiab lus ntawm lub tshebe txoj kev npaj yuav raug sau tseg nyob rau hauv daim ntawv teev cov teeb meem, tab sis daim ntawv teev cov teeb meem tsis tuaj yeem hloov pauv rau daim phiaj xwm saib xyuas thaum xav tau.​​ 

Dab tsi yog qhov txawv ntawm daim ntawv teev cov teeb meem thiab daim ntawv them nqi lossis thawj qhov kev kuaj mob?​​ 

Kev siv​​  PAB 23-068​​ ,​​  IB 21-071​​ ,​​  IB 21-073​​  &​​  PAB 23-001​​ 

Daim ntawv teev cov teeb meem yog cov npe uas yuav suav nrog cov tsos mob, cov xwm txheej, kev kuaj mob, cov neeg tsav tsheb hauv zej zog, thiab/lossis cov xwm txheej muaj feem raug txheeb xyuas los ntawm kev ntsuam xyuas, kev ntsuam xyuas kev puas siab puas ntsws, kev sib ntsib teeb meem, lossis lwm yam kev pab cuam ntsib. Tej zaum nws yuav raug hloov kho thoob plaws hauv chav kho mob los ntawm cov tswv cuab ntawm pab neeg saib xyuas. Kev tuav ib daim ntawv teev tag nrho ntawm kev noj qab haus huv thiab teeb meem nyob rau hauv ib qho chaw hauv cov ntaub ntawv kho mob tuaj yeem pab txhawb kev saib xyuas txuas ntxiv ntawm cov kws kho mob.​​ 

Ib tug tib neeg tus thawj Diagnostic and Statistical Manual of Mental Disorders (DSM) kev puas hlwb kev puas siab puas ntsws lossis kev siv tshuaj yeeb dawb (SUD) feem ntau suav nrog hauv daim ntawv teev cov teeb meem. Txawm li cas los xij, daim ntawv teev cov teeb meem yog cov npe dav dua uas kuj suav nrog cov xwm txheej ntxiv thiab cov xwm txheej txaus ntshai. Ntxiv nrog rau kev mob hlwb lossis kev kuaj mob SUD, daim ntawv teev cov teeb meem yuav suav nrog lwm yam teeb meem uas tus tswvcuab tau tshaj tawm tus kheej lossis txheeb xyuas los ntawm lwm tus kws kho mob.​​   

Cov ntawv thov Medi-Cal yuav tsum suav nrog cov kev kho mob tsim nyog thoob ntiaj teb Kev faib tawm ntawm Kab Mob, Kaum Ib Hlis (ICD-10) cov lis dej num cuam tshuam nrog txhua qhov kev pabcuam ntsib, tsis hais seb cov npe teeb meem puas tau hloov kho kom suav nrog kev kuaj DSM thawj zaug. Raws li Txoj Cai Kev Noj Qab Haus Huv thiab Tsev Kawm Ntawv Tshooj Cai 14184.402(f)(1)(A), kev kuaj mob tus cwj pwm tsis yog qhov yuav tsum tau ua ua ntej rau kev nkag mus rau Cov Kev Pabcuam Tshwj Xeeb Mental Health, Tshuaj Medi-Cal, lossis Tshuaj Kho Mob Medi-Cal Kev Pabcuam Xa Khoom.​​ 

Yog xav paub ntxiv txog cov npe teeb meem, thov saib:​​ 

• BHIN 23-068 (DHCS kev taw qhia)​​ 
• Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Tebchaws Asmeskas, "Cov Ntawv Qhia Teeb Meem hauv EHR,"​​  

Tus kws kho mob puas tuaj yeem hloov kho cov npe teeb meem kom suav nrog kev kuaj mob uas tsis yog lawv qhov kev coj ua (piv txwv li, tus tswvcuab tshaj tawm txog kev kuaj mob qog noj ntshav rau Tus Kws Lij Choj thiab Tsev Neeg Therapy)?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Cov kws kho mob tuaj yeem ntxiv cov khoom rau cov npe teeb meem uas tsis yog lawv qhov kev coj ua, suav nrog, tab sis tsis txwv rau, kev noj qab haus huv ntawm lub cev, yog tias lawv raug qhia rau tus kws kho mob los ntawm tus tswv cuab lossis los ntawm lwm tus kws tshaj lij. Piv txwv li, tus kws kho mob thawj zaug tuaj yeem kuaj xyuas tus mob lub cev ntev thiab qhia cov ntaub ntawv ntawd nrog tus kws kho mob hlwb lossis kev siv tshuaj tsis zoo (SUD). Tus kws kho mob puas hlwb lossis SUD tuaj yeem hloov kho cov npe teeb meem kom suav nrog kev kuaj mob lub cev. Cov ntaub ntawv ntawm cov tswv cuab yuav suav nrog cov ntaub ntawv hais txog thaum twg, los ntawm leej twg, thiab rau leej twg qhov teeb meem raug tshaj tawm. Pab pawg saib xyuas kev puas siab puas ntsws lossis SUD uas nkag mus rau cov npe teeb meem thoob plaws hauv tus tswv cuab txoj kev kho mob tuaj yeem paub txog qhov kev kuaj mob uas yuav cuam tshuam rau tus tswv cuab lub neej lossis koom nrog kev mob hlwb lossis kev kho mob SUD.​​ 

Cov kws kho mob puas tuaj yeem ntxiv cov teeb meem rau cov npe teeb meem uas tsis kuaj tau?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Cov kws kho mob tuaj yeem ntxiv teeb meem rau daim ntawv teev cov teeb meem uas tsis kuaj mob. Daim ntawv teev cov teeb meem yuav tsum muaj kev cuam tshuam cov tswv cuab tam sim no thiab cov kev xav tau tshwj xeeb thiab yuav tsum muaj xws li International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification (CM) code rau txhua qhov teeb meem tau txheeb xyuas. BHIN 23-068, nplooj 7-8, teev cov kev cai tshwj xeeb rau Kev Pabcuam Kev Puas Hlwb Tshwj Xeeb, Tshuaj Medi-Cal, thiab Tshuaj Medi-Cal Organized Delivery System cov npe teeb meem.​​ 

Puas yog kev txheeb xyuas tus neeg ua haujlwm daim ntawv pov thawj (xws li Daim Ntawv Tso Cai Kho Mob Ua Haujlwm Pabcuam) ua tau raws li qhov yuav tsum tau ua rau "lub npe" ntawm tus kws kho mob hauv daim ntawv teev cov teeb meem?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Sau daim ntawv pov thawj txaus.​​ 

Vim tias nws tsis muaj peev xwm ua tau rau txhua tus tswv cuab tam sim no raug xa mus rau cov npe teeb meem, DHCS qhov kev cia siab yog dab tsi thaum cov tswv cuab uas tau qhib ua ntej 7/1/22 tau txais cov npe teeb meem?​​  

Reference BHIN 23-068​​ 

Rau cov tswvcuab uas tau txais Kev Pabcuam Kev Mob Siab Tshwj Xeeb ua ntej lub Xya Hli 1, 2022, thaum lub npe teeb meem tsis tas yuav tsum tau tsim rov qab, daim ntawv teev cov teeb meem yuav tsum raug tsim tsis pub dhau thaum tus tswvcuab tau txais kev ntsuas tom qab, lossis thaum muaj kev hloov pauv rau tus tswvcuab mob, qhov twg los ua ntej. Ib yam li ntawd, rau cov tswvcuab tau txais Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal lossis Tshuaj Khomob Medi-Cal Organized Delivery System, ib daim ntawv teev cov teebmeem yuav tsum raug tsim tsis pub dhau thaum tus tswvcuab raug tshuaj xyuas dua vim tias lawv tus mob tau hloov lawm, lossis thaum muaj kev hloov pauv rau tus tswvcuab tus mob, qhov twg los ua ntej.​​ 

Cov Lus Ceeb Toom​​ 

Tus kws kho mob yuav ua li cas sau ib daim ntawv qhia kev kawm rau ib tug tswv cuab uas tau txais ntau tshaj ib qho kev pab cuam thaum lub sij hawm ntsib ib qho kev pabcuam?​​ 

Reference BHIN 23-068
​​ 

Raws li California Advancing and Innovating Medi-Cal (CalAIM), cov kws kho mob tsis tas yuav tsum tau tsim ntau daim ntawv qhia kev kawm thaum muaj ntau tshaj ib qho kev pabcuam. Cov kws kho mob tuaj yeem xaiv los sau ntau yam kev pab cuam uas tshwm sim thaum ib qho kev pab cuam ntsib nyob rau hauv ib daim ntawv ua tiav rau ib tug tswv cuab. Txawm li cas los xij, daim ntawv qhia kev kawm yuav tsum muaj cov ncauj lus kom ntxaws txaus los txhawb cov kev pabcuam xa tuaj thiab txhua yam yuav tsum tau ua raws li tsab ntawv ceeb toom txog kev noj qab haus huv ntawm tus cwj pwm (BHIN) 23-068 (Page 9). Tshwj xeeb, daim ntawv qhia kev kawm yuav tsum muaj cov ncauj lus kom ntxaws txaus los txhawb cov kev pabcuam code(s) xaiv rau hom kev pabcuam raws li tau hais los ntawm kev pabcuam code piav qhia.​​ 

Raws li tau piav nyob rau nplooj 11 ntawm BHIN 23-068, "Medi-Cal kev coj tus cwj pwm kev noj qab haus huv yuav tsum tsis txhob ua raws li qhov yuav tsum tau muaj rau qhov chaw, hom, lossis lwm yam kev qhia tshwj xeeb rau cov ntaub ntawv ntawm txoj kev npaj saib xyuas thiab nws cov ntsiab lus uas txawv ntawm cov uas tau piav qhia hauv BHIN 23-068 thiab hais txog hauv nws cov ntaub ntawv enclosures." 
​​ 

Keeb kwm, cov neeg muaj feem cuam tshuam tau tsa kev txhawj xeeb txog lub nra hnyav rau cov ntaub ntawv sau tseg. Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tshuaj xyuas dab tsi los xyuas kom ntseeg tau tias DHCS cov ntaub ntawv qhia txog kev ua tiav uas tau teev tseg hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHIN) 23-068 ua raws li cov qauv kev lag luam tam sim no?​​  

Siv Cov Ntaub Ntawv Tus Neeg Mob Simplified thiab Coding Toolkit, Ethical Standards for Clinical Documentation Integrity (CDI) Professionals, Medicaid Documentation for Behavioral Health Practitioners, Record Keeping Guidelines, Mental Health Provider Manual, and BHIN 23-068​​ 

DHCS tau saib mus rau cov thawj coj hauv lub tebchaws thiab hauv nroog xws li American Medical Association's (AMA) Simplified Outpatient Documentation thiab Coding Toolkit, American Health Information Management Association's Ethical Standards for Clinical Documentation Integrity (CDI) Professionals, Centers for Medicare & Medicaid Services (CMS) Medicaid Documentation for Behaviour Healthcare and Medicaid Documentation Cov kws kho mob coj tus cwj pwm, nrog rau Carleon's Behavioral Health Provider Phau Ntawv Qhia los coj kev txhim kho ntawm BHIN 23-068. 
​​ 

Yuav ua li cas sau ntawv ua tiav rau pab pawg yog tias ob tus neeg muab kev pabcuam ua haujlwm pab pawg?​​ 

Reference BHIN 23-068​​ 

Yuav tsum muaj ib daim ntawv qhia kev kawm tiav rau txhua tus tswv cuab uas koom nrog hauv pab pawg sib tham, thiab tsuas yog ib tus kws kho mob yuav tsum tau kos npe rau daim ntawv qhia kev kawm. Raws li cov lus hauv qab taw qhia 15 ntawm nplooj ntawv 10 ntawm BHIN 23-068, “… yog tias ib pab pawg muab kev pabcuam los ntawm ntau tshaj ib tus neeg muab kev pabcuam, ib daim ntawv qhia kev kawm yuav tsum ua kom tiav rau txhua tus tswvcuab uas koom nrog pab pawg sib tham thiab daim ntawv yuav tsum tau kos npe los ntawm tsawg kawg ib tus kws kho mob. Daim ntawv tshaj tawm yuav tsum qhia meej txog qhov kev koom tes tshwj xeeb thiab lub sijhawm tshwj xeeb ntawm kev koom tes ntawm txhua tus neeg muab kev pabcuam ntawm pab pawg ua haujlwm. "​​ 

Cov kos npe digital puas ua tau raws li qhov yuav tsum tau kos npe rau kev ua tiav cov ntawv sau ua tiav?​​ 

Siv BHIN 23-068, hauv DMH Tsab Ntawv No. 08-10, thiab ADP Bulletin No. 08-13​​ 

Yog lawm. Kev ntsuam xyuas yuav tsum suav nrog lub npe ntaus lossis luam tawm raws cai thiab yuav tsum muaj kos npe ntawm tus neeg muab kev pabcuam raws li tau teev tseg hauv BHIN 23-068. DHCS tsis tsim cov kev cai tshwj xeeb rau cov chaw muab kev pabcuam teeb tsa lawv Cov Ntaub Ntawv Kho Mob Hauv Hluav Taws Xob. Tsuav yog cov ntaub ntawv xav tau uas tau teev tseg hauv BHIN 23-068 yog raug sawv cev rau hauv cov ntaub ntawv tswv cuab, suav nrog tus kws kho mob kos npe, digital lossis lub cev, cov ntaub ntawv raug suav tias yog ua raws.​​ 

Xav paub ntau ntxiv txog kev siv cov kos npe hauv hluav taws xob thiab cov kev cai muaj feem xyuam muaj nyob hauv DMH Tsab Ntawv No. 08-10 thiab ADP Bulletin No. 08-13.​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) puas yuav hloov kho lub sijhawm sau ntawv ua tiav tau teev tseg hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHIN) 23-068? Lub sijhawm no siv li cas thaum sau ntawv ua tiav los ntawm cov chaw muab kev pabcuam hauv kev saib xyuas?​​ 

Reference BHIN 23-068​​ 

Tsis yog. DHCS tsis npaj yuav hloov kho lub sijhawm sau ntawv ua tiav uas tshwm sim hauv BHIN 23-068. Cov kws kho mob yuav tsum ua kom tiav cov ntaub ntawv kev kawm tsis pub dhau peb (3) hnub ua haujlwm ntawm kev muab kev pabcuam, tshwj tsis yog cov ntawv sau rau cov kev pabcuam teebmeem, uas yuav tsum ua kom tiav hauv ib (1) hnub. Hnub ntawm kev pabcuam yuav tsum suav tias yog hnub xoom (0). Kev ua tiav raws sij hawm ntawm cov ntawv qhia kev kawm txhawb nqa kev kho mob zoo.​​ 

Qee qhov chaw zov me nyuam ua haujlwm nyob rau hauv kev saib xyuas ncaj qha ntawm tus kws tshaj lij. Nyob rau hauv cov xwm txheej no, tus kws kho mob yuav tsum ua kom tiav cov ntaub ntawv ua tiav raws li lub sijhawm teev tseg hauv BHIN 23-068. Ib qho yuav tsum tau tshuaj xyuas cov ntawv sau ua tiav los ntawm tus kws saib xyuas yuav tsum ua kom tiav raws li kev coj ua zoo tshaj plaws hauv kev kho mob, tab sis yuav tsum tsis txhob tshwm sim nyob rau hauv lub sijhawm sau ntawv nce qib tau teev tseg hauv BHIN 23-068.​​ 

Yuav ua li cas daim ntawv ceeb toom kev kawm nyob rau hauv Behavioral Health Information Notice (BHIN) 23-068 siv rau cov kev pab cuam xws li ib tus nqi diem rau kev kho mob hauv tsev?​​ 

BHIN 23-068 & SMHS, DMC, thiab DMC-ODS phau ntawv sau nqi​​ 

DHCS xav kom cov chaw muab kev pab ua kom tiav yam tsawg kawg ib daim ntawv qhia kev nce qib txhua hnub rau cov kev pab cuam uas raug nqi txhua hnub (piv txwv li bundled services). Daim ntawv ceeb toom kev kawm yuav tsum txhawb nqa cov kev pabcuam uas tau muab thiab suav nrog txhua qhov kev xav tau ntawm kev ua tiav tau teev tseg hauv BHIN 23-068. Piv txwv li, Therapeutic Foster Care (TFC) tau thov raws li 24-teev nce ntxiv, thiab yuav tsum muaj daim ntawv qhia ua tiav rau txhua qhov kev pabcuam xa. Cov ntawv ceeb toom kev nce qib txhua lub lim tiam lossis ib ntus tsis tuaj yeem siv los ntawm kev hloov pauv ntawm tus kheej cov ntaub ntawv kev nce qib rau txhua chav haujlwm.​​ 

Muaj qee qhov xwm txheej (kwv yees tsis tshua muaj) qhov kev pabcuam bundled yuav xa tuaj nrog rau qhov kev pabcuam thib ob uas tsis suav nrog tus nqi bundled thiab tuaj yeem thov cais. Nyob rau hauv cov ntaub ntawv no, kuj yuav tsum muaj ib daim ntawv qhia kev kawm los txhawb qhov thib ob, unbundled kev pab cuam. Piv txwv li, Medi-Cal Peer Support Specialist cov kev pab cuam yuav raug thov nyob rau tib hnub li, thiab cais los ntawm, cov kev pab cuam nyob hauv tsev lossis ib hnub. Hauv qhov xwm txheej no, DHCS yuav xav tau ib daim ntawv qhia ua tiav rau cov kev pabcuam hauv tsev lossis ib hnub thiab ib daim ntawv qhia txog kev ua haujlwm sib txawv los txhawb qhov kev thov ntxiv, tsis tau them rau Medi-Cal Peer Support Specialist cov kev pabcuam.​​ 

Cov kev cai no siv tau txawm hais tias cov kev pab cuam uas tau ntim thiab tsis tau muab los ntawm tib tus neeg muab kev pabcuam lossis los ntawm cov chaw muab kev pabcuam sib txawv.​​ 

Cov kws kho mob yuav tsum sau cov kev pabcuam pab pawg li cas yog tias nws muab los ua ib feem ntawm cov kev pabcuam pob khoom? Piv txwv li, cov tswv cuab tau txais kev kho mob hauv tsev tuaj yeem koom nrog kev pabcuam pab pawg nrog rau lwm yam kev pabcuam lossis kev ua ub no thaum lub sijhawm kawm ib hnub.​​ 

Siv BHIN 23-068 & Supplement 3 To Attachment 3.1-A hauv California State Plan​​ 

Qee Cov Kev Kho Mob Tshwj Xeeb (SMH), Tshuaj Kho Mob Medi-Cal (DMC), thiab Tshuaj Kho Mob Medi-Cal—Organized Delivery System (DMC-ODS) cov kev pab cuam suav nrog pab pawg kho mob raws li ib feem ntawm cov kev pabcuam uas tau them nqi txhua hnub lossis raws li cov kev pabcuam bundled. DHCS tsis tas yuav muaj cov ntawv sau qhia ua tiav rau txhua qhov kev pabcuam uas suav nrog hauv ib pob. Txawm li cas los xij, daim ntawv ceeb toom rau cov kev pab cuam uas tau thov yuav tsum raug suav hais tias yog cov kev pabcuam lossis cov haujlwm uas tau muab xa tuaj. Thaum pab pawg kho mob tau muab los ua ib qho kev pabcuam ntawm cov kev pabcuam bundled, daim ntawv qhia kev nce qib rau cov kev pabcuam bundled yuav tsum txhawb nqa cov kev pabcuam uas tau muab rau hauv cov kev pabcuam bundled, suav nrog pab pawg.​​  

Cov neeg koom nrog pab pawg puas tuaj yeem hloov daim ntawv sau tseg rau ib pawg neeg hauv cov ntaub ntawv cov tswv cuab?​​ 

Reference BHIN 23-068​​ 

Tsis yog. Txawm hais tias cov npe ntawm cov neeg koom yuav tsum tau sau tseg thiab khaws cia los ntawm tus kws kho mob thaum muab kev pabcuam pab pawg, cov npe koom nrog pab pawg tsis tuaj yeem hloov pauv rau ib daim ntawv qhia txog kev ua haujlwm ntawm ib pawg. Cov npe koom nrog tsis muaj cov ntaub ntawv tus kheej xav tau los txhawb kev saib xyuas txuas ntxiv lossis ua kom pom kev ncaj ncees.  Txhua tus neeg tuaj koom yuav tsum muaj daim ntawv qhia ua tiav hauv lawv cov ntaub ntawv kho mob uas sau cov kev pabcuam ntsib thiab lawv tuaj koom hauv pab pawg, thiab suav nrog cov ntaub ntawv teev nyob rau nplooj 9-10 ntawm BHIN 23-068. Daim ntawv ceeb toom kev nce qib rau kev sib ntsib pab pawg yuav tsum muaj cov lus piav qhia luv luv ntawm tus tswv cuab cov lus teb rau qhov kev pabcuam.​​ 

Puas yog daim ntawv ceeb toom ua tiav tau teev tseg hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv (BHIN) 23-068 Dab tsi yog qhov tsawg kawg nkaus los ntawm DHCS?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Daim ntawv ceeb toom kev nce qib tau teev tseg hauv BHIN 23-068 yog qhov yuav tsum muaj yam tsawg kawg nkaus.​​ 

Cov ntawv sau ua tiav puas yuav tsum suav nrog Phau Ntawv Qhia Txog Kev Tshawb Fawb thiab Kev Tshawb Fawb Txog Kev Puas Siab Puas Ntsws (DSM-5) ntxiv rau International Classification of Diseases, Tenth Revision (ICD-10) code?​​ 

Reference BHIN 23-068​​ 

Tsis yog. Txawm hais tias cov ntawv sau ua tiav tsis tas yuav suav nrog DSM-5 tus piav qhia, nws yuav yog qhov kev coj ua zoo tshaj plaws los suav nrog tus piav qhia ntxiv. Rau kev thov Medi-Cal uas siv tau, cov lej tshuaj ntsuam xyuas ICD-CM tsim nyog, nrog rau HCPCS/CPT cov lej, yuav tsum tshwm sim hauv daim ntawv thov thiab yuav tsum tau qhia meej meej nrog txhua qhov kev sib ntsib thiab ua raws li cov lus piav qhia hauv daim ntawv qhia ua tiav. Txawm li cas los xij, tam sim no ICD-CM cov lej thiab HCPCS / CPT cov lej tsis tas yuav tsum tau suav nrog hauv cov lus piav qhia ua tiav. Yog xav paub ntxiv txog kev siv cov lej ICD-10 thaum lub sijhawm ntsuas kev ntsuas, xa mus rau BHIN 22-013: Txoj Cai Xaiv Ua Ntej Kev Ntsuas.​​ 

Puas yog cov tswv cuab kos npe kos npe rau cov ntawv sau ua haujlwm pab pawg?​​ 

Reference BHIN 23-068​​ 

Tsis yog. Cov tswv cuab kos npe tsis tas yuav tsum muaj rau daim ntawv ceeb toom kev ua haujlwm ntawm pab pawg.​​ 

Kev Pabcuam, Kev Pabcuam, & Cov Kev Xav Tau​​ 

Qee tus kws kho mob tus cwj pwm coj tus cwj pwm Medi-Cal tau cog lus nrog Managed Care Plans (MCPs) uas muab Kev Tswj Xyuas Kev Kho Kom Zoo (ECM). Cov kws kho mob puas yuav tsum tau ua raws li ob qhov sib txawv ntawm cov ntaub ntawv xav tau rau Medi-Cal kev pabcuam kev noj qab haus huv thiab ECM?​​ 

Siv CalAIM Enhanced Care Management Policy Guide thiab BHIN 23-068​​ 

Yog tias ua tau, DHCS tau ua haujlwm los ua kom haum ECM thiab cov ntaub ntawv qhia txog kev noj qab haus huv ntawm tus cwj pwm thiab tau muab kev taw qhia rau MCPs ntawm cov ncauj lus no. Saib, tshwj xeeb tshaj yog, nplooj 28 – 29 ntawm CalAIM Txoj Cai Tswjfwm Txhim Kho Kev Saib Xyuas Kev Noj Qab Haus Huv:​​ 

• Ntawm qhov yuav tsum tau muaj kev ntsuam xyuas: Nplooj 28 ntawm Txoj Cai Qhia Ntawv sau tseg tias MCPs “…yuav tsum zam kev ua raws li qhov yuav tsum tau muaj kev soj ntsuam uas yog qhov sib npaug ntawm SMHS / DMC / DMC-ODS kev tshuaj ntsuam [kev ntsuam xyuas] cov cai tswj hwm. " Phau Ntawv Qhia Txoj Cai tau sau tseg ntxiv tias cov koom haum hauv nroog thiab/lossis cov chaw muab kev cog lus tuaj yeem siv cov ntaub ntawv ntsuas uas twb muaj lawm kom tsis txhob muaj kev sib tw, thiab yog li tsuas yog sau cov ntaub ntawv hauv ib ntu uas yuav tsum tau ploj lawm. MCPs yuav xav tau hloov kho lawv cov ntaub ntawv txoj cai kom tso cai rau siv cov ntaub ntawv ntsuam xyuas uas twb muaj lawm.​​ 
• Hais txog kev npaj saib xyuas: Nplooj 28 thiab 29 ntawm Txoj Cai Qhia Txoj Cai hais tias MCPs “…yuav tsum tsis txhob txwv cov ntaub ntawv npaj kev saib xyuas uas muab cov txheej txheem SMHS/DMC/DMC-ODS uas twb muaj lawm, tab sis ua haujlwm nrog lub nroog lub chaw saib xyuas tus cwj pwm coj noj coj ua thiab/lossis lawv cov ntawv cog lus SMHS/DMC/DMC-ODS cov chaw zov me nyuam kom ua tau raws li ob qho kev npaj khomob SMHS/ODSCM thiab leverages cov txheej txheem cov ntaub ntawv uas twb muaj lawm" MCPs raug coj mus ua hauj lwm nrog lub nroog cov koom haum thiab / los yog cov chaw muab kev cog lus rau "siv cov txheej txheem ntaub ntawv uas twb muaj lawm" raws li ib tug txhais tau tias rau ECM thiab SMHS / DMC / DMC-ODS cov chaw muab kev pab kom tau raws li cov ntaub ntawv yuav tsum tau nrog lub nra hnyav.​​ 

DHCS yuav txiav txim siab hloov kho tshiab rau CalAIM Txoj Cai Tswjfwm Txhim Kho Txoj Cai Tswjfwm Saib Xyuas kom paub meej ntxiv nrog cov ntaub ntawv kho mob ntawm Medi-Cal uas tau hloov kho hauv BHIN 23-068, thiab yuav sib txuas lus hloov tshiab rau ECM txoj cai rau cov neeg muaj feem. 
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Koj puas tuaj yeem qhia meej tias qhov yuav tsum tau teev tseg hauv Enclosure 1a ntawm BHIN 23-068 txhais li cas? Piv txwv li, cov chaw kho mob hauv Cov Neeg Laus puas tau ntawv tso cai los ntawm CDSS thiab tau lees paub los ntawm DHCS yuav tsum tau tsim cov phiaj xwm kho mob ntxiv? Yuav ua li cas txog SUD cov chaw muab kev pabcuam hauv tsev uas tuav Qib Kev Pabcuam?​​  

Reference BHIN 23-068​​ 

Txawm li cas los xij, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tshem tawm cov ncauj lus kom ntxaws txog kev kho mob rau kev puas hlwb thiab kev siv tshuaj yeeb dawb. Qee qhov xwm txheej, vim yog lub xeev lossis tsoomfwv cov cai, DHCS tsis tuaj yeem tshem tawm cov kev cai no tag nrho. Enclosure 1a ntawm BHIN 23-068 sau tseg cov kev npaj saib xyuas uas tseem siv tau rau cov kev pab cuam, cov kev pabcuam, thiab cov chaw nyob uas DHCS tsis tuaj yeem tshem tawm lub xeev lossis tsoomfwv cov cai. Qhov no suav nrog ntau yam kev pab cuam lossis chaw kho mob uas yuav tsum tau ua raws li cov kev pab cuam / cov cai tshwj xeeb hauv chaw lossis cov cai ntxiv rau Medi-Cal cov cai. Daim ntawv tso cai thiab ntawv pov thawj Social Rehabilitation Programs, thiab cov chaw muab kev kho mob hauv SUD, yog nyob rau hauv cov kev pab cuam/cov chaw uas yuav tsum tau saib xyuas cov kev cai npaj kho mob uas tshwm sim rau lwm qhov hauv lub xeev txoj cai lossis txoj cai.​​  

Txhawm rau txiav txim siab seb yuav xav tau txoj kev npaj kho mob rau ib qho kev pabcuam kev noj qab haus huv tshwj xeeb, ua raws li cov kauj ruam no:​​ 

1. Puas yog qhov kev zov me nyuam, kev pabcuam, lossis hom tsev kho mob puas muaj lub xeev lossis tseemfwv txoj kev npaj khomob uas tseem siv tau (saib Enclosure 1a rau ib daim ntawv uas tsis yog tag nrho)?​​ 
   
• Yog tias muaj, txuas ntxiv mus rau kauj ruam 2.​​ 
• Yog tias tsis yog, tsis muaj kev npaj kho mob yuav tsum ua raws. DHCS yuav tsis saib xyuas lossis tswj kev siv txoj kev npaj khomob, lossis cov ntaub ntawv hais txog kev npaj saib xyuas tshwj xeeb.​​ 
2. Saib xyuas lub xeev thiab/lossis tsoom fwv cov lus qhia los txheeb xyuas cov kev cai tshwj xeeb, xws li Kev npaj saib xyuas, suav nrog hauv Enclosure 1a ntawm BHIN 23-068. Qee qhov kev npaj khomob no yog cov ncauj lus kom ntxaws / tshwj xeeb tshaj li lwm tus.​​ 
3. Cov kws kho mob yuav tsum sau cov phiaj xwm saib xyuas / kev npaj kho mob uas yuav tsum tau ua nyob rau hauv cov ntaub ntawv ntawm cov tswv cuab. DHCS tso cai rau cov kws kho mob xaiv qhov twg hauv cov ntaub ntawv tus tswv cuab los sau cov ntaub ntawv kev npaj kho mob uas xav tau los ntawm lub xeev lossis tseemfwv txoj cai lij choj (xws li, nyob rau hauv daim ntawv qhia kev saib xyuas, cov ntawv sau ua haujlwm, lossis sib xyaw ntawm cov chaw lossis cov qauv).​​ 
4. Cov kws kho mob yuav tsum muaj peev xwm tsim thiab sib txuas lus cov ntsiab lus ntawm txoj kev npaj kho mob rau lwm tus kws kho mob, tus tswv cuab, thiab Medi-Cal kev coj tus cwj pwm kev noj qab haus huv raws li xav tau los pab txhawb kev sib koom tes, kev saib xyuas zoo rau cov tswv cuab Medi-Cal.​​ 

Puas yog cov tswvcuab tau txais Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal (DMC) thiab Tshuaj Khomob Medi-Cal Organized Delivery System (DMC-ODS) yuav tsum muaj kev kuaj mob thiab kev soj ntsuam ua tiav li ntawm 30 hnub ntawm kev nkag mus kho?​​ 

Reference BHIN 23-068​​ 

No. BHIN 23-068 superseded 22 CCR § 51341.1, subd. (h)(1)(A)(v)(ab) (saib Enclosure 2). Qhov no tshem tawm qhov yuav tsum tau ua rau DMC thiab DMC-ODS cov tswv cuab kom tau txais kev kuaj mob thiab kev ntsuas tsis pub dhau 30 hnub ntawm kev nkag mus rau kev kho mob. Thaum lub sijhawm 30 hnub rau kev sau cov ntaub ntawv kuaj mob tau raug hloov pauv, cov tswv cuab tseem yuav tau txais kev ntsuam xyuas dav dav thiab cov ntaub ntawv kuaj mob raws sijhawm raws li cov qauv kev coj ua tam sim no, ua raws li kev ntsuas kev taw qhia hauv BHIN 23-068.​​  

Koj puas tuaj yeem piav qhia qhov yuav tsum tau ua rau Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb (SMHS) Targeted Case Management (TCM)? Puas yog txoj cai txawv ntawm txoj cai uas nyob hauv BHIN 22-019 (tam sim no hloov pauv)?​​ 

Kev siv BHIN 23-068 thiab 42 CFR § 440.169(d)(2)​​ 

Daim Ntawv Ceeb Toom Txog Tus Cwj Pwm Kev Noj Qab Haus Huv (BHIN) 23-068 tau hloov kho Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ' (DHCS) txoj cai dhau los rau kev sau TCM cov phiaj xwm saib xyuas kom muaj kev hloov pauv ntxiv hauv txoj kev npaj kho mob yuav raug sau tseg. DHCS tsis xav kom TCM cov phiaj xwm saib xyuas yuav tsum tau sau cia rau hauv ib tus tswv cuab cov ntawv ua tiav. Txawm li cas los xij, DHCS' Medi-Cal kev taw qhia tsis cuam tshuam los ntawm tsoomfwv cov cai rau kev npaj kho mob TCM. SMHS TCM cov phiaj xwm saib xyuas yuav tsum tau sau tseg raws li tau teev tseg nyob rau nplooj 11 ntawm BHIN 23-068, thiab yuav tsum ua kom tau raws li tsoomfwv cov cai tau teev tseg hauv 42 CFR § 440.169(d)(2).​​ 

Thov nco ntsoov tias tsoomfwv cov cai tswjfwm ntawm 42 CFR § 440.169(d)(4) thiab 42 CFR § 441.18(a)(7) kuj tham txog cov kws kho mob cov cai ntsig txog kev npaj saib xyuas rau cov tswvcuab uas tau txais TCM. Cov kev cai no tsis tau teev tseg raws li txoj kev npaj saib xyuas hauv BHIN 23-068 Enclosure 1A tab sis tseem siv tau. (Raws li tau sau tseg hauv BHIN, cov rooj hauv BHIN Enclosures tsis yog tag nrho cov npe ntawm lub xeev thiab tsoomfwv txoj cai tswjfwm rau txhua qhov haujlwm, kev pabcuam, lossis hom chaw.)​​ 

Raws li tau sau tseg hauv cov lus hauv qab taw qhia 22 ntawm nplooj ntawv 14 ntawm BHIN 23-068, DHCS tau sab laj nrog Lub Chaw Pabcuam Medicare thiab Medicaid (CMS) ntawm tsab cai hloov tshiab no. CMS tau pom zoo DHCS thov kom zam dhau 42 CFR § 440.169(d)(2) thiab tau lees paub tias cov phiaj xwm saib xyuas yuav raug sau ua ntau hom, ntev npaum li qhov xav tau ntawm TCM txoj kev npaj kho mob uas tau teev tseg hauv 42 CFR § 440.169(d)(2) tau muab tso rau hauv cov ntaub ntawv kho mob. (Daim ntawv thov: Tshooj 1915(b) Kev Tso Cai Rau Kev Ua Haujlwm Hauv Xeev California thiab Kev Tsim Kho Medi-Cal (CalAIM), Kev Hloov Kho Xa Lub Kaum Ib Hlis 4, 2022, Hloov Kho Lub Rau Hli 23, 2023, (pg. 18) thiab Kev Pom Zoo: CalAIM 1915(b) Daim Ntawv Pom Zoo Hloov Kho STCs).​​ 

Dab tsi yog qhov txawv ntawm Targeted Case Management (TCM) thiab Intensive Care Coordination (ICC)? Puas yog xav tau kev npaj saib xyuas rau ICC?​​ 

Cov ntaub ntawv: BHIN 23-068, 42 CFR § 440.169(d)(2), 42 CFR § 441.18(a)(7), & Medi-Cal ICC, IHBS, & TFC Phau Ntawv Qhia​​ 

ICC yog ib qho kev pabcuam TCM, muab rau cov hnub nyoog qis dua 21 xyoos raws li tau piav qhia nyob rau nplooj 26 ntawm Medi-Cal ICC, IHBS, & TFC Phau Ntawv Qhia. Cov kev pabcuam ICC yuav tsum ua tau raws li tsoomfwv TCM kev npaj khomob hauv 42 CFR § 440.169(d)(2) raws li tau piav qhia hauv Enclosure 1a ntawm BHIN 23-068.​​ 

Thov nco ntsoov tias tsoomfwv cov cai tswjfwm ntawm 42 CFR § 440.169(d)(4) thiab 42 CFR § 441.18(a)(7) kuj tham txog cov kws kho mob cov cai ntsig txog kev npaj saib xyuas rau cov tswvcuab uas tau txais TCM, lossis ICC. Cov kev cai no tsis tau teev tseg raws li txoj kev npaj saib xyuas hauv BHIN 23-068 Enclosure 1A tab sis tseem siv tau. (Raws li tau sau tseg hauv BHIN, cov rooj hauv BHIN Enclosures tsis yog tag nrho cov npe ntawm lub xeev thiab tsoomfwv txoj cai tswjfwm rau txhua qhov haujlwm, kev pabcuam, lossis hom chaw.)​​ 

Puas yog cov ntsiab lus txhua lub limtiam tseem xav tau rau kev siv tshuaj yeeb dawb (SUD) qib kev saib xyuas nyob hauv tsev?​​ 

Siv BHIN 23-068, BHIN 21-001 Exhibit A, & DHCS AOD Certification Standards (Lub Kaum Hli 2023)​​ 

Lub Department of Health Care Services (DHCS) Certification for Alcohol and Other Drug (AOD) Programs Certification Standards (Lub Kaum Hli 2023) xav kom cov kev pab cuam hauv vaj tse sau tseg txhua tus tswv cuab txoj kev nce qib hauv ib lub lis piam.​​ 

BHIN 23-068 (nplooj 8-10) piav qhia txog qhov yuav tsum tau muaj rau Medi-Cal cov ntaub ntawv kev noj qab haus huv ntawm tus cwj pwm. Cov kws kho mob yuav tsum ua kom tiav yam tsawg kawg ib daim ntawv qhia txog kev nce qib rau cov kev pab cuam uas tau them nqi txhua hnub (xws li Drug Medi-Cal/Drug Medi-Cal Organized Delivery System Residential treatment) (BHIN 23-068(d)(6) (page 10)). Daim ntawv ceeb toom kev nce qib txhua hnub ua tiav raws li AOD Certification Standard yuav tsum tau sau tseg rau txhua tus tswv cuab txoj kev vam meej nyob rau ib lub lim tiam, thiab tsis tas yuav tsum tau sau ntawv ntxiv txog kev nce qib txhua lub lim tiam.​​ 

Puas yog Drug Medi-Cal Organized Delivery System (DMC-ODS) kev saib xyuas zoo ib yam li Targeted Case Management (TCM)?​​ 

Siv BHIN 23-001, BHIN 23-068, Supplement 1 to Attachment 3.1-A in the California State Plan, & 42 CFR § 440.169(d)(2)​​ 

Tsis yog. Qhov kev pabcuam DMC-ODS Care Coordination (yav tas los hu ua "kev tswj cov ntaub ntawv") tsis zoo ib yam li Targeted Case Management (TCM) thiab tsis tas yuav muaj kev npaj khomob. TCM yog ib qho kev pabcuam tshwjxeeb rau kev puas hlwb. Tsoom Fwv Teb Chaws cov cai rau TCM (xws li, tab sis tsis txwv rau, 42 CFR § 440.169(d)(2)) tsis siv rau DMC-ODS kev saib xyuas, tsis hais tus lej nqi dab tsi yog siv rau DMC-ODS kev pabcuam.​​ 

Cov Kev Pabcuam Targeted Case Management (TCM) puas tuaj yeem muab tau ua ntej kev soj ntsuam thiab ua tiav ntawm TCM Care Plan?​​ 

Reference BHIN 23-068​​ 

Cov kev kho mob tsim nyog thiab raug them, suav nrog TCM, tuaj yeem muab tau ua ntej TCM Care Plan tau tsim.​​ 

Lwm yam​​ 

"hnub ua lag luam" txhais li cas hauv Tshooj (d)(5) ntawm nplooj 10 ntawm BHIN 23-068? (Lub Kaum Ob Hlis 3, 2024)
​​ 

Reference BHIN 23-068
​​ 

Cov hnub ua lag luam raug txhais ua hnub Monday txog Friday, tsis suav nrog cov hnub so uas tau teev tseg los ntawm Lub Xeev California. Ib qho kev txhais lus ntawm kev siv rau "hnub ua lag luam" hauv BHIN 23-068 yuav tsum ua raws li cov ntsiab lus no.
​​ 

Kuv puas tseem yuav tau ua raws li cov ntaub ntawv uas yuav tsum tau ua rau kev kho mob tshwj xeeb Cov Txheej Txheem Txheej Txheem Txheej Txheem (HCPCS) / Cov Txheej Txheem Txheej Txheem Tam Sim No ® (CPT) cov lej, xws li Kev Ntsuas thiab Kev Tswj Xyuas (E/M) CPT cov lej?​​ 

Reference BHIN 23-068​​ 

Yog lawm. Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm 23-068 tsis hloov HCPCS lossis CPT cov qauv ntaub ntawv. HCPCS cov qauv ntaub ntawv yog tsim los ntawm Lub Chaw rau Medicare thiab Medicaid Services, thiab CPT cov qauv ntaub ntawv yog tsim los ntawm American Medical Association. Cov ntaub ntawv yuav tsum ua raws li cov qauv no, thiab BHIN 23-068.​​ 

Yog xav paub ntxiv txog CPT thiab HCPCS coding thiab cov ntaub ntawv, thov saib:​​ 

• American Medical Association CPT thiab HCPCS Resources​​ 
• Chaw rau Medicare thiab Medicaid Services HCPCS Cov Kev Pabcuam​​ 

Puas yog qhov kev lees paub rau kev pabcuam txuas ntxiv tseem yog qhov yuav tsum tau muaj rau cov kev pabcuam tshuaj siv tshuaj yeeb dawb (SUD) tseem siv tau?​​ 

Reference BHIN 23-068 thiab CCR 22 § 51341.1(h)(5)(A)(i-iii)​​ 

No. BHIN 23-068 (Enclosure 2) tau hloov pauv cov kev cai los muab kev ncaj ncees rau kev pabcuam SUD txuas ntxiv, tau teev tseg hauv CCR 22 § 51341.1 (h)(5)(A)(i-iii). Yav dhau los, qhov no yuav tshwm sim tsis pub dhau rau lub hlis tom qab tus tswv cuab pib kho mob. Raws li BHIN 23-068, kev ntsuas rov qab rau SUD cov kev pabcuam yuav tsum tau ua raws li tus tswvcuab cov kev xav tau thiab kev txiav txim siab kho mob.​​ 

Puas yog yuav tsum tau kuaj lub cev rau cov neeg mob sab nraud thiab cov kev siv tshuaj tsis zoo nyob hauv tsev (SUD)?​​ 

Reference BHIN 23-068 thiab 22 CCR § 51341.1, subd. (h)(1)(A)(iv)(ac)​​ 

Yog lawm, yuav tsum tau kuaj lub cev rau cov tswvcuab tau txais Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) ntawm 22 CCR § 51341.1, subd. (h)(1)(A)(iv)(ac). BHIN 23-068 sau tseg tias 22 CCR § 51341.1, subd. (h)(1)(A)(iv)(c) qhov yuav tsum tau muaj ntsig txog cov kev npaj kho mob tshiab raug hloov los ntawm BHIN.​​ 

Puas yog cov tswvcuab kos npe rau hauv nplooj ntawv xav tau rau kev pabcuam pab pawg? Yuav ua li cas txog cov tswv cuab kos npe?​​ 

Reference BHIN 23-068 & 22 CCR § 51341.1 subd. (g)(2)(AE)​​ 

Daim Ntawv Ceeb Toom Txog Kev Coj Tus Cwj Pwm (BHIN) 23-068 hloov pauv 22 CCR § 51341.1 sub. (g)(2)(AE) (Enclosure 2), tshem tawm cov kev cai rau cov tswv cuab cov nplooj ntawv kos npe thiab kos npe rau Drug Medi-Cal (DMC)/Drug Medi-Cal Delivery System (DMC-ODS) thaum muab kev pabcuam pab pawg. Cov kws kho mob yuav tsum tuav cov npe koom rau tag nrho DMC/DMC-ODS thiab Cov Kev Pabcuam Tshwj Xeeb Mental Health pab pawg, raws li tau sau tseg nyob rau nplooj 9-10 ntawm BHIN 23-068, tab sis tsis tas yuav kos npe ua ib feem ntawm cov npe koom.​​ 

Vim li cas Cov Kev Kho Mob Ntxov (NTPs) raug zam los ntawm cov lus qhia hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHIN) 23-068?​​ 

Reference BHIN 23-068, CCR Tit. 9 §§ 9995 – 10425[HT1]  & 42 CFR § 8​​ 

NTPs yog nyob rau hauv lub xeev tshwj xeeb thiab tseemfwv txoj cai raws li 42 CFR § 8, uas suav nrog cov qauv kev saib xyuas thiab cov ntaub ntawv. NTPs hauv California yuav tsum ua raws li Cal. Code Regs. Tit. 9 §§ 9995 – 10425[HT2]  thiab yuav tsum tau ua kom tau raws li cov qauv kev npaj kho mob uas tau teev tseg hauv Cal. Code Regs. Tit. 9 ZPO § 10305. Txhawm rau zam qhov nyuaj lossis tsis sib haum nrog cov qauv uas twb muaj lawm, lub sijhawm no, DHCS tau xaiv kom zam NTPs los ntawm cov qauv ntaub ntawv hauv BHIN 23-068.​​ 

Puas muaj cov kev cai rau kev tso cai tshuaj noj? Tshooj lus no tau raug tshem tawm los ntawm Cov Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb Triennial Protocol thiab Daim Ntawv Cog Lus Txog Kev Kho Mob Puas Hlwb thiab Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm 23-068 tsis cuam tshuam txog kev tso cai tshuaj.​​  

Reference WIC § 5325.3​​ 

California Senate Bill (SB) 184 yog tshooj ntawm 6/30/22. Tsab cai lij choj hais txog kev noj qab haus huv no tau hloov kho thiab hloov pauv lub xeev cov cai (Cal. Code Regs. Tit. 9, § 852) uas yuav tsum muaj cov chaw kho mob puas hlwb kom tau txais cov neeg mob kos npe los ua pov thawj pom zoo rau cov tshuaj tiv thaiv kev puas siab puas ntsws xa hauv cov chaw kho mob hlwb hauv zej zog. SB 184 tshem tawm qhov yuav tsum tau txais cov neeg mob kos npe, thiab hloov chaw yuav tsum muaj cov chaw khaws ntaub ntawv pom zoo uas muaj ob qho hauv qab no:​​ 

• Ib daim ntawv sau tseg tias cov ntaub ntawv hais txog kev pom zoo rau cov tshuaj tiv thaiv kev puas siab puas ntsws tau tham nrog tus neeg mob; thiab​​ 
• Ib daim ntawv qhia tias tus neeg mob nkag siab qhov xwm txheej thiab cov txiaj ntsig ntawm cov tshuaj tiv thaiv kev puas siab puas ntsws, thiab pom zoo rau kev tswj hwm cov tshuaj no.​​ 

Thov xa mus rau WIC § 5325.3 kom tiav cov lus hais.​​ 

Yog tias tam sim no cov kws kho mob puas siab ntsws (MHP) tuaj yeem xa cov kev kho mob sib koom ua ke thiab tsom mus rau ib tus tswv cuab txoj kev siv tshuaj yeeb (SUD) xav tau raws li kev kho mob tsim nyog, puas yog txhais tau tias tus tswv cuab cov ntaub ntawv kho mob nrog MHP tam sim no yuav raug tswj hwm los ntawm 42 CFR Part 2?​​ 

Reference BHIN 23-068​​ 

Kev ceev ntiag tug ntawm SUD cov ntaub ntawv tus neeg mob raws li qhov yuav tsum tau ua los ntawm 42 CFR Tshooj 2 yuav siv tau rau txhua cov ntaub ntawv uas txheeb xyuas tus neeg mob tias muaj lossis muaj SUD thiab muaj cov ntaub ntawv hais txog SUD tau txais los ntawm tsoomfwv cov kev pabcuam SUD. Yog tias SUD cov ntaub ntawv tau txais los ntawm MHP lossis Tus Kws Pabcuam Kev Kho Mob Tshwj Xeeb, cov kev txwv no yuav tsis siv.​​ 

Puas yog cov kev cai Medicare tau raug txiav txim siab vim cov nroog yuav tsum tau them nqi rau Medicare ua ntej? Puas yog cov tswv cuab uas muaj Medicare thiab Medi-Cal xav tau kev pab kho mob?​​ 

Reference BHIN 23-068​​ 

Cov ntaub ntawv yuav tsum tau teev tseg hauv BHIN 23-068 tsis hloov lossis hloov pauv ib qho tseem ceeb ntawm tsoomfwv, suav nrog Medicare cov cai.​​ 

Txhawm rau txo cov ntaub ntawv sijhawm, nws puas tuaj yeem siv lub thawv ntawv tshwj tsis yog qhov yuav tsum tau "nrhiav"?​​ 

Reference BHIN 23-068​​ 

Checkboxes tau tso cai ntev npaum li cov lus piav qhia yog tus kheej, muab cov ncauj lus kom ntxaws txaus los txhawb cov kev pabcuam uas tau xaiv, thiab tag nrho lwm cov kev xav tau ntawm kev ua tiav tau teev tseg hauv BHIN 23-068 tau ua tiav.​​ 

Puas tseem muaj Cov Tshuaj Kho Mob Medi-Cal Organized Delivery System xav tau los sau cov kev kuaj mob raws li cov ntsiab lus piav qhia raws li Kev Tshawb Fawb thiab Txheeb Xyuas Phau Ntawv Qhia Txog Kev Puas Siab Puas Ntsws?​​ 

Reference BHIN 23-068​​ 

No. BHIN 23-068 tsis tau khaws qhov yuav tsum tau sau cov ntsiab lus piav qhia hauv American Society of Addiction Medicine (ASAM) kev ntsuam xyuas. Thov saib nqe lus (c) pib ntawm nplooj ntawv 7 ntawm BHIN 23-068 rau cov cai ntawm cov ntaub ntawv ntawm kev kuaj mob / vim li cas rau kev pabcuam ntsib hauv cov npe teeb meem.​​  

Cov kws kho mob yuav sau cov tswv cuab txoj kev koom tes hauv txoj kev kho li cas?​​ 

Reference BHIN 23-068​​ 

DHCS txhawb kom muaj zog raws li kev kho mob rau tib neeg. Raws li cov ntaub ntawv yuav tsum tau teev tseg hauv BHIN 23-068, tus tswvcuab txoj kev xav thiab kev koom tes hauv kev kho mob tuaj yeem raug sau tseg hauv cov ntaub ntawv ntawm cov tswv cuab, xws li cov ntawv sau tseg.​​