Memoranda ntawm kev nkag siab ntawm Medi-Cal Cov Kev Npaj Kho Mob thiab Cov Neeg Thib Peb
Rov qab mus rau Managed Care All Plan Letters Homepage
Medi-Cal Managed Care Plans (MCPs) cnrog rau Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS) kom muab kev kho mob zoo, siv tau, thiab raug nqi zoo los ntawm cov kev tswj xyuas kev noj qab haus huv. Daim Ntawv Cog Lus MCP xav kom MCPs tsim kev koom tes nrog cov koom haum thib peb hauv qab no kom ntseeg tau tias kev saib xyuas cov tswv cuab raug sib koom ua ke thiab Cov tswv cuab muaj kev nkag mus rau cov kev pab cuam hauv zej zog txhawm rau txhawb kev saib xyuas tag nrho cov neeg:
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos ;
Cov chaw qhia ntawv hauv zos thiab tsoomfwv, xws li lub nroog cov chaw saib xyuas kev coj cwj pwm kev noj qab haus huv rau Specialty Mental Health Care thiab S yam khoom U se D isorder (SUD) Kev Kho Mob ; thiab
Lwm cov kev pabcuam hauv zos thiab cov kev pabcuam, suav nrog
- Kev pab cuam;
- Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Me Me;
- Thawj 5 County Commissions
- Cov chaw hauv cheeb tsam;
- Cov Poj Niam, Cov Menyuam mos, thiab Cov Menyuam Ntxiv Khoom Noj Khoom Noj; thiab
- California Department of Corrections and Rehabilitation, county jail, thiab cov chaw kho cov hluas
Daim Ntawv Ceeb Toom Txog Kev Nkag Siab (MOUs) yuav tsum muaj nyob hauv MCP Daim Ntawv Cog Lus, Cov Khoom Siv A, Cov Ntawv Txuas III, Ntu 5.6 (MOUs nrog Cov Neeg Thib Peb). Cov MOUs yog npaj los ua cov cuab yeej siv tau zoo los qhia meej txog lub luag haujlwm thiab kev lav phib xaub ntawm MCPs thiab Thib Peb, txhawb kev koom tes hauv zos, thiab txhawb kev sib koom tes saib xyuas thiab kev sib pauv ntaub ntawv tsim nyog los ua kom muaj kev sib koom tes saib xyuas thiab txhim kho cov txheej txheem xa mus ntawm MCPs thiab Third-Party Entities. MOUs kuj tseem npaj los txhim kho qhov pom tseeb thiab kev lav phib xaub los ntawm kev teeb tsa qee cov kev cai uas twb muaj lawm rau txhua tus neeg koom nrog vim lawv cuam tshuam txog kev pabcuam lossis kev saib xyuas thiab kev sib koom ua ke kom cov tog neeg ntawm MOU paub txog ib leeg lub luag haujlwm.
Lub hom phiaj ntawm MOU yog:
- Sau cov MOU yam tsawg kawg nkaus uas yuav tsum tau ua los ntawm MCP Daim Ntawv Cog Lus;
- Qhia meej txog lub luag haujlwm thiab kev lav phib xaub rau kev sib koom tes ntawm kev xa kev saib xyuas thiab kev pabcuam ntawm txhua tus tswvcuab, tshwj xeeb tshaj yog thoob plaws MCP cov kev pabcuam carved-out, uas tej zaum yuav muab los ntawm Pawg Thib Peb;
- Tsim kom muaj kev sib tham thiab pom zoo raws li cov txheej txheem rau yuav ua li cas MCPs thiab Thib Peb Cov Neeg Koom Tes yuav koom tes thiab sib koom tes ntawm pej xeem kev noj qab haus huv thiab / lossis lwm yam kev pab cuam thiab kev pib;
- Memorialize seb cov ntaub ntawv twg yuav raug muab faib ntawm MCPs thiab Third-Party Entities thiab yuav muab cov ntaub ntawv li cas los pab txhawb kev saib xyuas thiab pab saib xyuas;
- Muab kev pom tseeb rau pej xeem rau hauv kev sib raug zoo thiab lub luag haujlwm / kev lav phib xaub ntawm MCPs thiab Cov Koom Haum Thib Peb; thiab
- Muab cov txheej txheem rau ob tog los daws qhov kev tsis sib haum xeeb thiab ua kom muaj kev saib xyuas tag nrho thiab kev lav phib xaub raws li MOU.
MCP Daim Ntawv Cog Lus xav kom MCPs los ua MOU nrog txhua qhov ntawm Pawg Neeg Thib Peb tau teev tseg hauv qab no. DHCS tau tsim MOU Templates rau MCPs thiab Thib Peb Cov Koom Haum los siv hauv cov txheej txheem no los xyuas kom meej tias tag nrho MCP Daim Ntawv Cog Lus rau MOUs raug ntes thiab muab cov txheej txheem hauv kev tshaj tawm. Txhua MOU yog ib qho kev sib cog lus, kev cog lus ntawm MCP thiab Pawg Neeg Thib Peb uas qhia txog lub luag haujlwm thiab kev lav phib xaub ntawm MCP thiab Pawg Neeg Thib Peb los koom tes thiab txhawb nqa tag nrho cov kab ke, kev saib xyuas tus kheej rau cov tswv cuab.
Cov Base MOU Template yog tsim los muab cov ntsiab lus rau Bespoke MOUs. Nws suav nrog txhua yam uas yuav tsum tau muab tso rau hauv tag nrho cov MOUs raws li tau teev tseg hauv 2024 MCP Model Daim Ntawv Cog Lus. Lub Base MOU Template suav nrog yam tsawg kawg nkaus; MCPs thiab Third-Party Entities tuaj yeem suav nrog cov kev cai ntxiv yog tias lawv tsis cuam tshuam nrog yam tsawg kawg nkaus uas yuav tsum tau muaj.
MOUs Pib Lub Ib Hlis Ntuj 1, 2024
*MCPs uas koom rau hauv Qhov Kev Pabcuam Tag Nrho Tus Qauv (WCM) yuav tsum tsis txhob siv California Cov Kev Pabcuam Menyuam Yaus F ntawm LHD MOU thiab yuav tsum siv WCM MOU.
WCM MOU tuaj yeem nrhiav tau ntawm California Children's Services Whole Child Model lub vev xaib.
MOUs Pib Lub Xya Hli 1, 2024
MOUs siv tau rau lub Ib Hlis 1, 2025
MOU siv tau rau lub Ib Hlis 1, 2026
California Department of Corrections and Rehabilitations, county Jails, and Youth Reconstruction (Kev Ncaj Ncees Involved) (Template forthcoming)
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MOU siv tau rau lub Ib Hlis 1, 2027
Hloov tshiab tseem ceeb
DHCS yuav tshaj tawm cov kev hloov tshiab tseem ceeb thaum lawv muaj.
- Thaum Lub Yim Hli 12, DHCS tau tuav lub Tsev Haujlwm Saib Xyuas Kev Kho Mob thiab Kev Kho Mob hauv California, lub tsev kaw neeg hauv nroog, thiab cov chaw kho cov tub ntxhais hluas hauv webinar kom tau txais cov lus qhia muaj txiaj ntsig ntawm Lub Tsev Kho Mob Kho Mob MOU Template. Thov mus saib "Informational Webinar" seem hauv qab no rau cov ntaub ntawv sib tham.
- DHCS tau hloov kho hnub ua haujlwm rau Lub Chaw Haujlwm Saib Xyuas Kev Kawm Hauv Zos MOU txij Lub Ib Hlis 1, 2026, txog Lub Ib Hlis 1, 2027.
- DHCS tau tshaj tawm Lub Tsev Haujlwm Saib Xyuas Kev Khomob thiab Kev Khomob hauv California, lub tsev kaw neeg hauv nroog, thiab cov chaw kho cov hluas MOU qauv. Cov tswv yim tawm tswv yim yuav dhau los thaum Lub Yim Hli 22, 2025.
- California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau tsim cov yeeb yaj kiab qhia IHSS hauv qab no los txhawb cov kev cob qhia uas tau teev tseg hauv IHSS MOU.
- Kaw- Loop Referral (CLR) Hloov tshiab
- CLR yog ib qho kev xa mus rau tus tswv cuab ntawm Medi-Cal Managed Care Member mus rau ib qho kev pabcuam lossis kev txhawb nqa uas tau txais kev txhawb nqa, taug qab thiab saib xyuas thiab ua rau muaj kev paub kaw. Pib txij Lub Xya Hli 1, 2025, CLR Requirements for Managed Care Plans (MCP) yuav siv tau rau kev xa mus rau Enhanced Care Management (ECM) thiab Community Supports. MCPs yuav tsum ua raws li Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) CLR Kev Taw Qhia Txog Kev Ua Haujlwm . Cov lus qhia ntxiv ntawm CLR cov cai tuaj yeem pom ntawm no hauv Population Txoj Cai Tswjfwm Saib Xyuas Kev Noj Qab Haus Huv.
- DHCS tsis tau hloov kho rau MOU Templates raws li txoj cai tshiab CLR no thiab tsis npaj yuav rov muab MOU Templates tshiab. Cov kev cai MOU hauv qab no yog npaj los pab cov neeg thib peb nkag siab txog MCP cov cai los siv CLR thiab txhawb kom cov neeg thib peb koom tes nrog MCPs 'los koom nrog CLR cov cai ceeb toom rau hauv txoj hauv kev xa mus. DHCS tseem txhawb kom MCPs koom nrog cov kev hloov kho CLR rau hauv lawv cov MOUs nrog cov neeg thib peb uas tseem tsis tau ua tiav.
- Hloov kho CLR MOU Kev Pab : Pib Lub Xya Hli 1, 2025, MCP yuav tsum ua raws li DHCS CLR Kev Taw Qhia Txog Kev Ua Haujlwm. Rau txhua qhov kev xa mus rau ECM, Kev Pabcuam Hauv Zej Zog, thiab cov kev pabcuam CLR yav tom ntej, MCP yuav tsum siv cov txheej txheem los taug qab, txhawb nqa, thiab saib xyuas kev xa mus los ntawm [Lwm tog] los ntawm kev xa mus kaw. MCP tseem yuav tsum ua raws li cov kev cai rau kev ceeb toom rau [Lwm tog] ntawm txoj cai tso cai, xa mus rau lub voj kaw vim li cas thiab hnub kaw nyob rau hauv lub sij hawm uas tau teev tseg hauv cov lus qhia los txhawb [Lwm tog] hauv lawv txoj kev paub txog kev xa mus thiab cov txiaj ntsig rau Cov Tswv Cuab xa mus rau CLR cov kev pabcuam. Cov tog neeg yuav koom tes ua ke los tsim cov txheej txheem thiab cov txheej txheem rau MCP cov ntawv ceeb toom rau CLRs. DHCS xav kom MCPs siv cov txheej txheem hluav taws xob los ceeb toom rau cov chaw xa mus rau cov xwm txheej xa mus, tsis yog cov txheej txheem hauv ntawv.
Cov ntaub ntawv tseem ceeb
DHCS yuav tshaj tawm cov ntaub ntawv tseem ceeb thaum lawv muaj, suav nrog:
Cov ntaub ntawv Webinars
DHCS yuav tshaj tawm cov ntaub ntawv hais txog webinars tom ntej no thaum cov ntaub ntawv muaj.
Previous Cov Ntaub Ntawv Webinar
- California Department of Correctional and Rehabilitations, County Jails, thiab Youth Correctional Facilities Webinar
- Thawj 5 Lub Nroog Commissions MOU Post-Release Webinar
- IHSS MOU Stakeholder Webinar.
- Lub Regional Center MOU Stakeholder Webinar.
- Txoj Kev Npaj Kho Mob Puas Hlwb thiab Tshuaj Medi-Cal ODSMOU nrog MCPs Webinar.
- Child County Welfare MOU Webinar.
- LHD MOU Webinar
- WIC MOU Webinar
- Cov TCM MOU W ua ebinar
- DMC-SP MOU Webinar
- The CoC MOU Webinar
- Thawj 5 MOU Webinar
Cov peev txheej ntxiv
Cov npe hauv qab no yog cov peev txheej ntxiv:
Lus nug thiab lus pom
Hu rau DHCS nrog rau cov lus nug lossis lus hais txog MOUs ntawm MCPMOUS@dhcs.ca.gov.
