CalAIM Behavioral Health Initiative Cov lus nug nquag nug
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Hauv qab no yog cov npe ntawm cov lus nug uas nquag nug uas tau 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.
Memorandum of Understanding (MOU)
Dab tsi yog cov txheej txheem xa tawm rau peb lub hlis twg rau DHCS rau MCPs, MHPs, thiab DMC-ODS?
Managed Care Plans (MCPs) yuav tsum ua kom muaj kev ntseeg siab kom ua tau raws li Daim Ntawv Cog Lus Txog Kev Nkag Siab (MOU) cov cai ntawm Txhua Daim Ntawv Npaj (APL) 23-029. MCPs uas tsis tuaj yeem ua tiav cov MOUs uas yuav tsum tau ua los ntawm hnub ua tiav yuav tsum xa cov ntaub ntawv qhia txog kev nce qib peb lub hlis twg thiab cov ntaub ntawv rau DHCS ua pov thawj ntawm lawv txoj kev ntseeg siab los ua kom tiav MOUs. Lwm cov tog neeg tsis tas yuav xa lossis kos npe rau MCP cov lus ceeb toom peb lub hlis twg, vim tias cov ntawv ceeb toom peb lub hlis twg yog tshwj xeeb rau MCPs ua raws li MOU cov cai. DHCS tau tshaj tawm MOU Lub Peb Hlis Kev Tshaj Tawm Template thiab cov lus qhia rau xa cov ntawv ceeb toom peb lub hlis twg uas xav tau nrog cov qauv ua tiav.
MHPs thiab DMC-ODS cov nroog yuav tsum ua kom muaj kev ntseeg siab kom ua tau raws li MOU cov cai ntawm Cov Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHINs) thiab 23-057, raws li. MHPs thiab DMC-ODS cov nroog uas tsis muaj peev xwm ua tau raws li MOUs xav tau los ntawm Lub Ib Hlis 1, 2024 yuav tsum xa cov ntaub ntawv qhia txog kev nce qib peb lub hlis twg thiab cov ntaub ntawv rau DHCS ua pov thawj ntawm lawv txoj kev ntseeg siab los ua kom tiav MOUs. Hnub kawg rau thawj lub quarter xa ntawv rau MHPs thiab DMC-ODS cov nroog yog lub Plaub Hlis 30, 2024. Thov xa mus rau BHIN 23-056 thiab 23-057 rau qhov kev nce qib peb lub hlis twg daim ntawv qhia hnub kawg rau DHCS. MHP thiab DMC-ODS cov nroog yuav tsum xa daim ntawv qhia txog kev nce qib peb lub hlis twg rau MCBHOMDMonitoring@dhcs.ca.gov. Kev hloov tshiab peb lub hlis twg yuav tsum tau ua kom txog thaum MOU raug ua tiav thiab txhua txoj cai thiab cov txheej txheem xav tau los ntawm MOU raug tsim thiab xa mus rau DHCS.23-056 thiab 23-057, raws. Mental Health Plans (MHPs) thiab Drug Medi-Cal-Organized Delivery System (DMC-ODS) cov cheeb nroog uas tsis tuaj yeem ua raws li MOUs xav tau los ntawm Lub Ib Hlis 1, 2024 yuav tsum xa cov ntaub ntawv qhia txog kev nce qib peb lub hlis twg thiab cov ntaub ntawv rau DHCS ua pov thawj ntawm lawv txoj kev ntseeg siab los ua kom tiav MOUs. Hnub kawg rau thawj lub quarter xa ntawv rau MHPs thiab DMC-ODS cov nroog yog lub Plaub Hlis 30, 2024. Thov xa mus rau BHIN 23-056 thiab 23-057 rau qhov kev nce qib peb lub hlis twg daim ntawv tshaj tawm hnub kawg rau DHCS. MHP thiab DMC-ODS cov nroog yuav tsum xa daim ntawv qhia txog kev nce qib peb lub hlis twg rau MCBHOMDMonitoring@dhcs.ca.gov. Kev hloov tshiab peb lub hlis twg yuav tsum tau ua kom txog thaum MOU raug ua tiav thiab txhua txoj cai thiab cov txheej txheem xav tau los ntawm MOU raug tsim thiab xa mus rau DHCS.
Puas yog MHPs thiab DMC-ODS county network / cov chaw muab kev cog lus yuav tsum tau kos npe rau lawv qhov kev xa khoom ntawm MOU?
Tsis yog. Cov neeg kos npe yuav tsum tau kos npe (ntxiv rau Mental Health Plan (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) County thiab Managed Care Plans (MCPs)) yog MCP Subcontractors lossis Downstream Subcontractors uas yog Knox-Kenee daim ntawv tso cai cov phiaj xwm saib xyuas kev noj qab haus huv thiab tau nkag mus rau hauv kev pom zoo nrog txhua feem ntawm MCPs. xa / tau txais kev xa mus thiab kev saib xyuas kev sib koom tes rau cov tswv cuab tau txais los ntawm ob tog ntawm Memorandum of Understanding (MOU). Tsis tas li ntawd, MHP tus thawj coj saib xyuas kev noj qab haus huv (lossis txoj haujlwm saum toj no) lossis ib tus tswvcuab raug xaiv los ntawm lub nroog Pawg Thawj Coj yuav tsum kos npe rau MOU. Qhov no tsis suav nrog network / cog lus MHP thiab DMC-ODS cov chaw muab kev pab.
Puas yog MCPs, MHPs, thiab DMC-ODS counties yuav tsum xa ib daim redline version ntawm txhua qhov hloov tshiab rau tus qauv, suav nrog kev siv cov kev xaiv xaiv?
Rau Managed Care Plans (MCPs), Mental Health Plans (MHPs), thiab Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties, ib qho redline version thiab kev pom zoo ua ntej rau cov kev xaiv xaiv thiab ntxiv yuav tsis tas yuav tsum ua ua ntej ua tiav. Txawm li cas los xij, daim ntawv npog rau MCPs, MHPs, thiab DMC-ODS counties, uas qhia meej txog cov kev cai ntxiv lossis kev xaiv yuav tsum tau ua. DHCS tab tom tsim daim ntawv npog rau siv los ntawm MCPs, MHPs, thiab DMC-ODS counties. Daim ntawv npog no yuav suav nrog tag nrho cov kev xaiv xaiv tau thiab muaj peev xwm rau MCPs, MHPs, thiab DMC-ODS lub nroog los sau cov kev cai ntxiv. DHCS yuav tau tshaj tawm cov kev xav tau no los ntawm kev pab cuam thiab hloov kho Daim Ntawv Ceeb Toom Txog Kev Nkag Siab (MOU) Cov Lus Nug Nquag FAQs.
Puas yog MHP thiab DMC-ODS MOU Templates suav nrog hauv BHINs 23-056 thiab 23-057 zoo ib yam rau MHP thiab DMC-ODS MOU Templates suav nrog hauv APL 23-029 thiab MHP thiab DMC-ODS MOU Templates ntawm MCP MOU lub vev xaib?
Yog lawm, Txoj Kev Npaj Kho Mob Puas Siab Puas Ntsws (MHP) thiab Tshuaj Kho Mob Medi-Cal-Organized Delivery System (DMC-ODS) Memorandum of Understanding (MOU) Templates hais nyob rau hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHINs), Txhua Tsab Ntawv Npaj (APL), thiab lub vev xaib yog tib yam.
