- Txheej txheem nqa daim ntawv pov thawj tam sim no:
- Ua kom tiav 80-teev cov ntawv pov thawj thawj zaug rov ua dua tshiab lossis xeem dhau daim ntawv pov thawj
- Ua kom tiav 20 teev ntawm kev kawm txuas ntxiv
- Rov lees paub Code of Ethics
- Them tus nqi rov qab thiab tus nqi lig, yog tias muaj
Ncua tseg: Ib daim ntawv pov thawj raug txiav txim siab yog tias nws tsis rov ua dua tshiab hauv plaub xyoos ntawm hnub kawg ntawm kev rov ua dua tshiab. - Txheej txheem nqa daim ntawv pov thawj tam sim no:
- Rov ua ntaub ntawv pov thawj
- Ua kom tiav 80-teev cov ntaub ntawv pov thawj thawj zaug
- Kev xeem ntawv pov thawj
- Them nqi daim ntawv thov, nqi kawm, thiab nqi kuaj
10. Puas muaj hnub nyoog tsawg kawg nkaus kom dhau los ua Medi-Cal Peer Support Specialist?
Siv: BHIN 25-010, W&I Code 14045.15
Yog lawm. Raws li W&I Code 14045.15, Cov neeg thov yuav tsum muaj hnub nyoog tsawg kawg yog 18 xyoo thiaj li tau lees paub tias yog Medi-Cal Peer Support Specialist. Qhov no tsis txwv Medi-Cal Peer Support Specialists los ntawm kev ua haujlwm nrog cov hluas lossis cov hluas uas muaj hnub nyoog hloov pauv.
11. Puas yog ib tug phooj ywg uas tsis ua hauj lwm nrog Medi-Cal cov tswv cuab yuav tsum tau ntawv pov thawj?
Siv: BHIN 25-010
Tsis yog. Daim ntawv pov thawj ntawm Medi-Cal Peer Support Specialist tsuas yog qhov yuav tsum tau muaj ntawv pov thawj tshwj xeeb yog tias Medi-Cal kev coj tus cwj pwm kev noj qab haus huv xav kom them rov qab los ntawm Medi-Cal rau kev them nyiaj Medi-Cal. Peer Support Services rau Medi-Cal cov tswv cuab.
Cov cheeb tsam tshwj xeeb
12. Medi-Cal Peer Support Specialists puas tuaj yeem ua tiav ntau tshaj ib qho tshwj xeeb?
Siv: BHIN 25-010
Yog lawm. Medi-Cal Peer Support Specialists tuaj yeem ua tiav kev cob qhia rau ntau yam tshwj xeeb.
13. Cov neeg raug kaw yav tas los puas tuaj yeem ua tiav qhov kev ua txhaum cai (kev ncaj ncees koom nrog) tshwj xeeb?
Siv: BHIN 25-010
Yog lawm. Cov neeg raug kaw yav dhau los tuaj yeem ua tiav qhov kev cai lij choj (kev ncaj ncees koom nrog) tshwj xeeb.
14. Kev cob qhia hauv ib cheeb tsam tshwj xeeb tuaj yeem suav rau 80 teev ntawm kev cob qhia rau kev lees paub thawj zaug?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. Cov cheeb tsam ntawm cov sij hawm kev cob qhia tshwj xeeb tsis suav rau 80 teev ntawm kev cob qhia uas yuav tsum tau ua kom tau txais ntawv pov thawj thawj zaug.
15. Puas yog Medi-Cal Peer Support Specialists yuav tsum ua kom tiav cov kev cob qhia tshwj xeeb kom muaj peev xwm ua hauj lwm hauv qhov tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. DHCS tsis xav kom Medi-Cal Peer Support Specialists ua tiav kev cob qhia hauv ib cheeb tsam tshwj xeeb ua ntej muaj peev xwm muab Medi-Cal Peer Support Services rau cov tswv cuab. Kev cob qhia hauv thaj chaw tshwj xeeb yog xaiv tau.
16. Leej twg tsim cov ntaub ntawv kawm rau txhua qhov chaw tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Lub Xeev-pom zoo Medi-Cal Cov Kev Pabcuam Ntawv Pov Thawj yog lub luag haujlwm tsim thiab xa lawv cov ntaub ntawv kawm rau txhua qhov chaw tshwj xeeb rau Department of Health Care Services (DHCS) kom pom zoo.
17. Cov Kev Pabcuam Ntawv Pov Thawj puas tuaj yeem muab cov chaw tshwj xeeb ntxiv rau cov kev tshwj xeeb uas yuav tsum tau teev tseg hauv BHIN 25-010?
Cov ntaub ntawv: BHIN 25-010
Lub nroog, lossis lub nroog-xaiv Cov Kev Pabcuam Ntawv Pov Thawj, tuaj yeem hais qhia ntxiv txog kev tshwj xeeb los ntawm kev xa daim ntawv qhia ua ntej mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ntawm CountySupport@dhcs.ca.gov. Lwm qhov chaw tshwj xeeb uas tau muab los ntawm Cov Kev Pabcuam Ntawv Pov Thawj yog raug rau DHCS kev tshuaj xyuas thiab kev pom zoo.
18. Cov kws kho mob dab tsi tau tso cai los muab kev taw qhia rau Medi-Cal Peer Support Specialists?
Cov ntaub ntawv: BHIN 25-010
Rau Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam yog muab raws li Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS), cov kws tshaj lij kev noj qab haus huv hauv qab no raug tso cai los muab kev taw qhia rau Medi-Cal Peer Support Specialist: tus kws kho mob; ib tug kws kho mob uas muaj ntawv tso cai los yog zam; ib tug muaj ntawv tso cai, zam los yog sau npe rau social worker; tus neeg muaj ntawv tso cai, zam lossis sau npe sib yuav thiab tus kws kho mob hauv tsev neeg; daim ntawv tso cai, zam lossis sau npe tus kws pab tswv yim kho mob, tus kws saib xyuas neeg mob sau npe (nrog rau tus kws saib xyuas neeg mob tau ntawv pov thawj, lossis tus kws saib xyuas neeg mob), thiab cov kws kho mob muaj ntawv tso cai.
Rau Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam yog muab los ntawm Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal (DMC)/Drug Medi-Cal Organized Delivery System (DMC-ODS), cov kws tshaj lij kev noj qab haus huv hauv qab no tau tso cai los qhia rau Medi-Cal Peer Support Specialist: tus kws kho mob; tus kws kho mob; tus neeg saib mob sau npe; tus kws kho mob puas siab puas ntsws muaj ntawv tso cai; ib tus kws kho mob uas muaj ntawv tso cai lossis sau npe ua haujlwm rau social worker; ib daim ntawv tso cai lossis sau npe tus kws pab tswv yim kho mob; ib tug muaj ntawv tso cai los yog sau npe sib yuav thiab tsev neeg kho mob; thiab cov kws kho mob muaj ntawv tso cai.
19. Puas yog Medi-Cal Peer Support Specialist Supervisors yuav tsum yog cov kws tshaj lij kev noj qab haus huv?
Cov ntaub ntawv: BHIN 25-010
Medi-Cal Peer Support Specialist Supervisors tsis tas yuav yog Cov Kws Paub Txog Kev Noj Qab Haus Huv. Raws li tau hais hauv BHIN 25-010, Medi-Cal Peer Support Specialist Supervisors yuav tsum ua kom tau raws li yam tsawg kawg ib qho ntawm cov kev tsim nyog hauv qab no:
· Muaj daim ntawv pov thawj Medi-Cal Peer Support Specialist; ob xyoos ntawm kev paub muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom; thiab ua tiav Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau pom zoo Medi-Cal Peer Support Specialist Supervisor cov ntaub ntawv qhia kev cob qhia raws li subdivision (b) ntawm Tshooj 7 ntawm BHIN 25-010.
LOSSIS
- Ua Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv raws li subdivision (a)(2) ntawm Tshooj 7 ntawm BHIN 25-010; muaj ob xyoos ntawm kev paub muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom; thiab ua tiav DHCS pom zoo Medi-Cal Peer Support Specialist Supervisor cov ntaub ntawv qhia kev cob qhia raws li subdivision (b) ntawm Tshooj 7 ntawm BHIN 25-010.
LOSSIS
- Muaj daim ntawv kawm tiav high school lossis GED, plaub xyoos ntawm kev paub muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom (uas yuav suav nrog kev pabcuam Medi-Cal Peer Support Services), thiab ua tiav DHCS-pom zoo Medi-Cal Peer Support Specialist Supervisor cov kev qhia qhia raws li subdivision (b) ntawm Tshooj 7 ntawm BHIN 25-010.
Yog tias Medi-Cal Peer Support Specialist tus thawj saib xyuas kuj tsis yog Tus Kws Paub Txog Kev Noj Qab Haus Huv raws li tau teev tseg hauv BHIN 25-010, tus kws tshaj lij Medi-Cal Peer Support Specialist yuav tsum tau muab kev pabcuam raws li kev coj noj coj ua ntawm Tus Cwj Pwm Kev Noj Qab Haus Huv uas ua tau raws li cov kev tsim nyog tau piav qhia hauv BHIN 25-06 subvision (sectione ,).
20. Puas yog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tsim kom muaj cov lus qhia rau cov ntaub ntawv qhia kev saib xyuas?
Cov ntaub ntawv: BHIN 25-010
DHCS qhia txog cov cai rau Medi-Cal Peer Support Specialist Supervisors hauv BHIN 25-010. California Mental Health Services Authority (CalMHSA), raws li txoj haujlwm tam sim no ib lub nroog-xaiv cov ntawv pov thawj, tau tsim ib daim ntawv qhia kev saib xyuas uas tau pom zoo los ntawm DHCS. DHCS txhawb cov nroog kom txhawb nqa Medi-Cal Peer Support Specialists ua tus saib xyuas ntawm lawv cov phooj ywg ua haujlwm.
21. Muaj pes tsawg Medi-Cal Peer Support Specialists muaj peev xwm Medi-Cal Peer Support Specialist Supervisor saib xyuas?
Cov ntaub ntawv: BHIN 25-010
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis tau teeb tsa tus qauv kev ua haujlwm rau Medi-Cal Peer Support Specialist Supervisors thiab Medi-Cal Peer Support Specialists.
Medi-Cal Peer Support Specialist Certification Programs
22. Leej twg yog tus tuav tswj Medi-Cal Peer Support Specialist certification programs?
Cov ntaub ntawv: BHIN 25-010
Lub nroog, lossis ib lub koomhaum sawv cev rau lub nroog, raug tso cai los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS), yog lub luag haujlwm tsim, saib xyuas, thiab ua raws li Medi-Cal Peer Support Specialist certification program raws li W&I Code 14045.14 qhov no txhais tau hais tias thaum DHCS yog lub luag haujlwm los teeb tsa cov qauv thoob plaws xeev rau Medi-Cal Cov Kev Pabcuam Tshwj Xeeb, lossis Kev Pabcuam Tshwj Xeeb. sawv cev rau ib lub nroog, yog lub luag haujlwm los tsim ib qho kev pab cuam uas ua raws li cov qauv no thiab xyuas kom nws raug tswj xyuas kom tsim nyog.
23. California Mental Health Services Authority (CalMHSA) ua lub luag haujlwm li cas hauv Medi-Cal Pe er Support Specialist certification process?
Cov ntaub ntawv: BHIN 25-010
Medi-Cal Peer Support Specialist certification programs tuaj yeem tsim los ntawm lub nroog lossis lub nroog uas tau xaiv. Sawv cev ntawm txhua lub nroog xaiv, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Xeev California tau txheeb xyuas CalMHSA ua ib qho kev pabcuam Medi-Cal Peer Support Specialist certification program los txhawb kev sib luag hauv lub xeev. CalMHSA, sawv cev ntawm cov nroog uas lawv sawv cev, yuav tsum ua raws li lub xeev cov qauv uas tau teev tseg hauv BHIN 25-010.
Xaiv rau Medi-Cal Peer Support Services Benefit
24. Yog hais tias ib lub nroog xaiv los muab Medi-Cal Peer Support Services, nws puas yuav tsum ua rau ob qho tib si xa khoom (Tshwj xeeb Mental Health thiab Tshuaj Medi-Cal/Drug Medi-Cal Organized Delivery System)
Cov ntaub ntawv: BHIN 25-010
Tsis muaj. Raws li DHCS txoj cai tam sim no, cov nroog uas tau xaiv xaiv tuaj yeem ua rau ib lossis ob qho tib si xa khoom. Piv txwv li, ib lub nroog tuaj yeem pib siv cov kev pabcuam hauv Specialty Mental Health Services (SMHS) kev xa khoom, thiab tom qab ntawd xaiv los muab cov txiaj ntsig hauv Drug Medi-Cal (DMC) lossis Drug Medi-Cal Organized Delivery System (DMC-ODS), raws li muaj.
25. Lub nroog pov thawj cov chaw muab Medi-Cal Peer Support Services li cas?
Lub nroog yuav tsum xa cov ntawv ua tiav Tus Muab Kev Pab Cuam Hloov Kho (PFU) cov ntaub ntawv thiab Medi-Cal Certification and Transmittal forms (Transmittal forms) ntxiv Medi-Cal Peer Support Services rau txhua lub koom haum muab kev pab cuam Medi-Cal Peer Support Services. Txog thaum hloov kho tshiab rau hauv daim ntawv Transmittal, cov nroog tuaj yeem sau ntawv txhais tes rau Peer Support Services Hom Kev Pabcuam 15/Service Function 20 ua ke ntawm Transmittal daim ntawv xa.
26. Puas yog lub nroog uas xaiv los muab Medi-Cal Cov Kev Pabcuam Peer hauv Kev Siv Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) yuav tsum muab rau hauv Opioid Treatment Programs (OTPs)?
Cov ntaub ntawv: BHIN 25-010
Tsis tau. Lub nroog tsis tas yuav muab Medi-Cal Kev Pabcuam Peer Kev Pabcuam los ntawm OTPs.
27. Cov koom haum hauv zej zog thiab cov koom haum sib koom ua ke tuaj yeem muab thiab sau nqi rau Medi-Cal Peer Support Services li cas?
Cov ntaub ntawv: BHIN 25-010
Txhua lub nroog xaiv tsa tswj hwm nws tus kheej lub network ntawm Medi-Cal Peer Support Specialists. Cov koom haum xav muab Medi-Cal Peer Support Services yuav tsum hu rau lub nroog lossis lub nroog uas lawv txaus siab muab cov kev pabcuam los tham txog kev cog lus thiab cov cai.
Muab Medi-Cal Peer Support Services
28. Lub nroog puas yuav tsum tau muab Medi-Cal Cov Kev Pabcuam Rau Cov Neeg Sib Raug Zoo rau cov tswvcuab hnub nyoog qis dua 21 xyoos txhawm rau ua kom tau raws li lub nroog txoj haujlwm raws li Txoj Cai Saib Xyuas Thaum Ntxov thiab Lub Sijhawm Ua Haujlwm, Kev Ntsuas, thiab Kev Kho Mob (EPSDT)?
Cov ntaub ntawv: BHIN 25-010
Yog lawm. Raws li tau piav qhia hauv BHIN 25-010 raws li txoj cai EPSDT raws li Tshooj 1905(r) ntawm Txoj Cai Xaus Saus, vim tias Medi-Cal Cov Kev Pabcuam Peer muaj peev xwm raug them raws li Tshooj 1905(a) ntawm Txoj Cai Xaus Saus, txhua lub nroog, txawm tias lawv xaiv los xaiv los muab Medi-Cal Cov Kev Pabcuam Peer C2 yuav tsum xyuas kom meej tias txhua tus neeg muaj hnub nyoog txhawb nqa Cov Kev Pabcuam Txhawb los kho lossis kho cov kev mob uas tau pom. DHCS qhov kev siv Medi-Cal Peer Support Services raws li ib qho txawv Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), thiab Specialty Mental Health Services (SMHS) cov txiaj ntsig tsis txwv lossis hloov kho lub luag haujlwm ntawm EPSDT txoj cai.
29. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DH CS) puas xav tau kev kuaj keeb kwm yav dhau los rau Medi-Cal Peer Support Specialists uas muab Medi-Cal Peer Support Services?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. DHCS tsis tas yuav muaj kev soj ntsuam keeb kwm yav dhau los rau Medi-Cal Peer Support Specialists vim lawv tsis muaj Txoj Kev Them Nqi-rau-Service (FFS) hauv DHCS tus neeg muab kev pabcuam rau npe. Lub nroog, lossis ib lub chaw haujlwm uas sawv cev rau lub nroog, tuaj yeem tsim cov ntaub ntawv txheeb xyuas keeb kwm yav dhau los rau Medi-Cal Peer Support Specialists. Medi-Cal Peer Support Specialists yuav tsum tau ua raws li cov kev cai hais txog kev raug ncua thiab tsis tsim nyog cov neeg muab kev pab raws li 14043.6 thiab 14123, thiab raws li qhov yuav tsum tau muaj nyob rau hauv daim ntawv cog lus Mental Health Plan (MHP).14123, ib. thiab raws li cov kev xav tau hauv Mental Health Plan (MHP) daim ntawv cog lus.
30. Medi-Cal Peer Support Specialists puas tuaj yeem xa cov kev pab cuam hauv xov tooj?
Siv tau: BHIN 23-018, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Yog lawm. Medi-Cal Cov Kev Pabcuam Peer tuaj yeem muab kev sib ntsib tim ntsej tim muag, hauv xov tooj, lossis hauv xov tooj kev noj qab haus huv nrog tus tswv cuab lossis cov neeg txhawb nqa tseem ceeb thiab tuaj yeem muab rau txhua qhov chaw hauv zej zog. Cov tswv cuab muaj cai thov thiab tau txais kev pabcuam ntawm tus kheej. Yog xav paub ntxiv, mus saib BHIN 23-018 thiab MedCCC Library rau cov ntaub ntawv sau nqi tshiab rau Cov Kev Pabcuam Kev Mob Siab Tshwj Xeeb (SMHS), Tshuaj Medi-Cal (DMC), thiab Tshuaj Medi-Cal-Organized Delivery System (DMC-ODS).
31. Puas yog Medi-Cal Peer Support Specialists muaj peev xwm ua hauj lwm raws li Community Health Workers (CHWs)?
Reference: Community Health Worker Phau Ntawv Qhia
Medi-Cal Peer Support Specialists uas ua tau raws li cov qauv tsim nyog rau Community Health Workers (CHWs) tuaj yeem ua haujlwm li CHWs. Thov mus saib CHW Tus Muab Kev Pab Cuam rau cov ntaub ntawv hais txog qhov tsawg kawg nkaus tsim nyog rau CHWs thiab CHW cov lej them nqi. Cov kev pab cuam muab los ntawm Medi-Cal Peer Support Specialist raws li CHW, yuav tsum siv CHW taxonomy code. CHW cov kev pabcuam tsis suav nrog Medi-Cal Cov Kev Pabcuam Peer Raws li kev pabcuam raws li Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal, Tshuaj Medi-Cal Organized Delivery System, thiab Cov Kev Pabcuam Tshwj Xeeb Mental Health Services. CHW cov kev pabcuam yog txawv thiab cais los ntawm Medi-Cal Peer Support Services.
32. Dab tsi yog qhov "kev pom zoo ntawm kev saib xyuas" rau Medi-Cal Peer Support Services?
Siv: BHIN 23-068, CMS State Medicaid Directors Letter 07-011
Raws li CMS State Medicaid Directors Letter 07-011, Peer Support Services, "yuav tsum muaj kev sib koom tes nyob rau hauv cov ntsiab lus ntawm ib qho kev nthuav dav, ib tug neeg txoj kev npaj saib xyuas uas suav nrog cov hom phiaj tshwj xeeb." Ib txoj kev npaj saib xyuas rau Medi-Cal Peer Support Services yuav tsum suav nrog kev koom tes nrog tus tswv cuab los xyuas kom meej tias nws cuam tshuam txog kev xav tau thiab kev nyiam ntawm tus tswv cuab.
Daim phiaj xwm kev saib xyuas tau pom zoo yuav tsum tau sau tseg hauv tus tswv cuab cov ntaub ntawv kho mob thiab pom zoo los ntawm tus kws kho mob uas tuaj yeem them rov qab cov kev pab cuam Medi-Cal. Thov mus saib BHIN 23-068 (lossis cov lus qhia ntxiv) kom paub meej ntxiv txog cov ntaub ntawv sau tseg txog kev ua tiav rau txhua qhov Kev Pabcuam Kev Puas Siab Puas Ntsws Tshwj Xeeb (SMH), Tshuaj Medi-Cal (DMC), thiab Tshuaj Kho Mob Medi-Cal Organized Delivery System (DMC-ODS).
33. Cov ntaub ntawv yuav tsum muaj rau Medi-Cal Peer Support Services yog dab tsi?
Reference: BHIN 23-068, W&Code §14045.13
Raws li W&I Code §14045.13, Cov ntaub ntawv kev txawj ntse thiab cov qauv yog qhov tseem ceeb uas yuav tsum tau muaj rau Medi-Cal Peer Support Specialist cov ntawv pov thawj cov kev pab cuam kom suav nrog hauv lawv cov ntaub ntawv kawm. Thov xa mus rau BHIN 23-068 (lossis cov lus qhia ntxiv) rau cov ntaub ntawv ntxiv rau cov ntaub ntawv xav tau rau Medi-Cal Cov Kev Pabcuam Kev Noj Qab Haus Huv, suav nrog Medi-Cal Cov Kev Pabcuam Peer.
34. Puas yog cov kev npaj kho mob rau Targeted Case Management (TCM) thiab Intensive Care Coordination (ICC) puas zoo ib yam li cov kev pab cuam rau Medi-Cal Peer Support Services?
Daim ntawv pov thawj: 42 CFR § 440.169(d)(2)
Medi-Cal Cov Kev Pabcuam Peer yog txawv ntawm Kev Tswj Xyuas Cov Cai thiab Kev Sib Koom Tes Ua Haujlwm hnyav, uas muaj lawv tus kheej cov kev xav tau kev npaj khomob. Yog xav paub ntxiv, saib 42 CFR § 440.169(d)(2).
35. "Cov khoom pov thawj" txhais li cas hauv cov ntsiab lus ntawm Medi-Cal Cov Kev Pabcuam Pabcuam Peer?
Siv: BHIN 25-010, Ntxiv 3 rau Daim Ntawv Cuam Tshuam 3.1-A ntawm California State Plan
Raws li tau piav nyob rau hauv Ntxiv 3 rau Daim Ntawv Txuas Ntxiv 3.1-A ntawm California State Plan thiab BHIN 25-010, Medi-Cal Cov Kev Pabcuam Peer tuaj yeem suav nrog kev sib cuag nrog cov neeg hauv tsev neeg lossis lwm yam kev lav phib xaub (cov neeg hauv tsev neeg lossis lwm tus neeg txhawb nqa tus neeg txais txiaj ntsig). Cov kev pabcuam no feem ntau yog qhia txog kev pab cov neeg txhawb nqa tseem ceeb hauv cov tswvcuab lub neej, xws li cov neeg hauv tsev neeg lossis cov koom tes sib koom tes, kom pab tau zoo dua rau cov tswvcuab kom ua tiav lawv cov kev noj qab haus huv lossis kev siv tshuaj yeeb dej caw. Cov kev pabcuam nyiaj txiag muaj xws li kev sib tham, kev kawm, thiab lwm yam kev koom tes uas tsom mus rau kev tsim cov tswvcuab txoj kev txhawb nqa nrog cov kev paub lossis cov cuab yeej tsim nyog los txhawb tus neeg txoj kev rov qab los thiab kev rov zoo. Tej zaum yuav muaj qee lub sijhawm thaum, raws li kev txiav txim siab kho mob, tus tswvcuab tsis nyob hauv lub sijhawm xa khoom, tab sis tseem yog qhov tseem ceeb ntawm kev pabcuam.
Kev them nqi rau Medi-Cal Peer Support Services
36. Cov txheej txheem twg yuav tsum tau siv rau Medi-Cal Peer Support Specialist pab pawg pab pawg thiab dab tsi yog pawg loj?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Raws li BHIN 25-010, Medi-Cal Peer Support Specialist pab pawg cov kev pab cuam yog nyob rau hauv "Educational Skill Building Groups" thiab yuav tsum tau thov raws li "Behavioral Health Prevention Education Service" code (H0025). Pawg loj yog txwv tsis pub tsawg dua ob thiab tsis pub ntau tshaj kaum ob tus tswv cuab tib lub sijhawm. Cov kws kho mob ua haujlwm hauv Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) yuav tsum xa mus rau Medi-Cal phau ntawv them nqi tsim nyog rau pab pawg neeg thov txheej txheem. (Saib DHCS MedCCC Lub Tsev Qiv Ntawv rau cov ntawv teev nqi tshiab rau SMHS, DMC, thiab DMC-ODS.)
37. Nyob rau hauv ib pab pawg uas ob tus kws kho mob tshwj xeeb ntawm Medi-Cal Peer Support Specialist thiab lwm tus kws kho mob tab tom xa cov kev pabcuam, puas yog txhua tus neeg muab kev pabcuam raug tso cai sau nqi rau cov kev pabcuam sib txawv uas lawv tau muab?
Daim ntawv pov thawj: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals
Raws li BHIN 25-010, Cov Kev Pabcuam Peer tuaj yeem xa thiab thov raws li kev pabcuam ib leeg lossis muab nrog rau lwm cov kev pabcuam SMHS, DMC, lossis DMC-ODS. Medi-Cal Peer Support Services yuav tsum tau sib koom ua ke kom tsis txhob muaj cov kev pab cuam sib npaug. Yog li ntawd, thaum ntau tus kws kho mob muab kev pabcuam rau tib tus tswvcuab tib lub sijhawm, txhua tus kws kho mob yuav tsum xa ib daim ntawv thov sib txawv rau cov kev pabcuam sib txawv txhua tus kws kho mob tau lees paub kom tsim nyog rau Medi-Cal cov nyiaj rov qab thaum tsim nyog cov ntaub ntawv thiab sau nqi. Nco ntsoov tias Medi-Cal Peer Support Specialists yog tib hom kws kho mob uas tsim nyog rau cov lej lej H0038 thiab H0025 cov lej, thiab cov kws kho mob tsis raug tso cai hauv DMC thiab DMC-ODS cov khoom xa tuaj.
Kev taw qhia ntsig txog Peer Support Specialist sau nqi rau kev xa ntawm Peer Support Services yog teev nyob rau hauv BHIN 25-010. Kev taw qhia ntxiv rau kev them nqi SMHS, DMC, thiab DMC-ODS cov kev pabcuam tuaj yeem nrhiav tau hauv DHCS MedCCC Library.
38. Medi-Cal Peer Support Specialists puas tuaj yeem thov rau cov kev pabcuam uas tsis yog Medi-Cal Peer Support muab rau cov tswvcuab Medi-Cal siv cov lej pabcuam uas tsis yog H0025, H0038, thiab H0050?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Certified Medi-Cal Peer Support Specialists tsuas yog xa mus rau Short Doyle Medi-Cal (SD/MC) rau Medi-Cal Peer Support Services (H0038 thiab H0025) thiab Contingency Management (H0050) raws li Peer taxonomy. Yog tias Medi-Cal Peer Support Specialist ua tau raws li qhov tsim nyog rau lwm hom kws kho mob (piv txwv li, Lwm Tus Kws Pab Tswv Yim Tsim Nyog), Medi-Cal Peer Support Specialist tuaj yeem xa ib daim ntawv thov cais raws li tus lej se sib txawv rau cov kev pabcuam uas tsis yog Medi-Cal Peer Support Services uas tsis sib npaug ntawm Peer Support Services tau thov. Medi-Cal Peer Support Specialists yuav tsum xa mus rau BHIN 25-010, ntu 11 kom paub meej cov lus qhia txog kev thov kev pab.
39. Puas muaj cov lej sau nqi cais kom paub qhov txawv ntawm Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam muab rau cov tib neeg thiab Medi-Cal Cov Kev Pabcuam Peer muab rau cov neeg hauv tsev neeg lossis lwm tus neeg saib xyuas?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Tsis muaj. Tsis muaj tus lej txheej txheem sib txawv lossis tus hloov kho kom paub qhov txawv ntawm Medi-Cal Peer Support Specialist cov kev pabcuam muab rau cov tib neeg los ntawm cov kev pabcuam muab rau cov neeg hauv tsev neeg lossis cov neeg saib xyuas.
40. Medi-Cal Cov Kev Pabcuam Peer puas tuaj yeem xa thiab thov thoob plaws tag nrho Cov Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) qib kev saib xyuas?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Yog lawm. Medi-Cal Peer Support Services tej zaum yuav raug xa thiab thov raws li ib qho kev pabcuam ib leeg, lossis ib qho kev pabcuam xa los ua ib feem ntawm ASAM qib kev saib xyuas raws li kev pabcuam DMC-ODS.
41. Dab tsi yog hom thiab kev pabcuam kev ua haujlwm rau Medi-Cal Peer Support Services (ie “Kev Pabcuam Kev Tiv Thaiv Kev Noj Qab Haus Huv” thiab “Kev Pabcuam Tus Kheej/Peer Services”)?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Siv Hom 15, Kev Pabcuam Kev Ua Haujlwm 20 thaum qhia txog cov kev pabcuam thiab cov nqi rau Medi-Cal Peer Support Services ntawm Daim Ntawv Qhia Txog Tus Nqi Kho Mob Tshwj Xeeb.
42. Cov Kev Pabcuam Medi-Cal puas tuaj yeem xa thiab thov raws li ib qho kev pabcuam ib leeg lossis muab nrog rau lwm cov Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb (SMHS), Tshuaj Medi-Cal (DMC), lossis Tshuaj Khomob Medi-Cal Organized Delivery System (DMC-ODS) cov kev pabcuam, suav nrog kev pabcuam hauv tsev khomob thiab chaw nyob?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, 42 CFR § 438.208(b)(4)
Medi-Cal Peer Support Services tej zaum yuav raug xa thiab thov raws li ib qho kev pabcuam nyob ib leeg los ntawm Medi-Cal Peer Support Specialist – ib tug tswvcuab yuav tau txais Medi-Cal Peer Support Services txawm tias tam sim no lawv tsis koom nrog lwm cov kev pabcuam sab nraud. Ib tug tswvcuab kuj tuaj yeem tau txais Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam muab nrog rau lwm cov kev pabcuam SMHS, DMC, lossis DMC-ODS, suav nrog, piv txwv li, Kev Pabcuam Kev Noj Qab Haus Huv - Hauv cov xwm txheej no, Medi-Cal Peer Support Services yuav tsum tau thov ntxiv rau cov kev pabcuam no. Rau cov neeg mob hauv tsev kho mob thiab cov tsev kho mob hauv tsev, Medi-Cal Cov Kev Pabcuam Peer tuaj yeem thov ntxiv rau, lossis ib txhij nrog, cov kev pabcuam hauv tsev lossis cov neeg mob nyob hauv tsev uas tau thov raws li tus nqi tuag, raws li tau piav qhia hauv BHIN 25-010. Raws li tau teev tseg hauv BHIN 25-010, rau kev thov kom raug txiav txim, SMHS counties, DMC counties, thiab/los yog DMC-ODS cov phiaj xwm yuav tsum xa cov ntawv thov uas suav nrog Healthcare Common Procedure Coding System (HCPCS) thiab kev hloov pauv ua ke. Tsuas yog DMC-ODS cov kev npaj yuav tsum qhia txog qib kev saib xyuas hauv kev thov, txawm tias tus tswv cuab xaiv tsis tau txais cov kev pabcuam. Medi-Cal Peer Support Specialist Services tsis raug tso cai ua ntej los ntawm Medi-Cal cov kab kev noj qab haus huv ntawm tus cwj pwm. Raws li SMHS, DMC, thiab DMC-ODS phau ntawv sau nqi, tsis muaj kev kaw tseg rau Medi-Cal Peer Support Services. (Saib DHCS MedCCC Lub Tsev Qiv Ntawv rau cov ntawv teev nqi tshiab rau SMHS, DMC, thiab DMC-ODS.)
Medi-Cal Peer Support Services tej zaum yuav raug xa los ntawm Medi-Cal Peer Support Specialist uas koom tes nrog ib lub koom haum uas tau cog lus nrog Medi-Cal kev coj tus cwj pwm kev noj qab haus huv los muab Medi-Cal Peer Support Services. Raws li tau piav qhia hauv 42 CFR § 438.208(b)(4), Medi-Cal Peer Support Services yuav tsum tau sib koom ua ke kom tsis txhob muaj cov kev pab cuam sib npaug.
43. Medi-Cal Peer Support Specialists puas tuaj yeem muab cov kev kho mob puas siab puas ntsws uas tau piav qhia hauv Xeev Txoj Kev Npaj, suav nrog kev ntsuam xyuas, kev kho puas siab puas ntsws, kev xa mus thiab kev sib txuas, kev kho mob, thiab/lossis kev npaj kho mob?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, Supplement 3 to Attachment 3.1-A of the California State Plan
Cheebtsam ntawm tag nrho cov kev pabcuam hauv qab no yog ua raws li Medi-Cal Peer Support Specialist scope of services: Kev soj ntsuam, kev kho puas siab puas ntsws, kev xa mus thiab kev sib txuas, thiab kev npaj kho mob. Medi-Cal Peer Support Specialists tuaj yeem siv Medi-Cal Peer Support Procedure Codes (H0025 thiab H0038), raws li qhov tsim nyog, los muab cov kev pab cuam nyob rau hauv. Medi-Cal Peer Support Specialists yuav tsum tsis txhob muab cov kev pab cuam dua thiab yuav tsum ua raws li tag nrho cov kev qhia txog kev them nqi thiab cov ntaub ntawv.
Piv txwv li: Nws yog nyob rau hauv lub Scope ntawm Medi-Cal Peer Support Services los muab cov khoom ntawm kev xa mus thiab kev sib txuas cov kev pabcuam, suav nrog kev txheeb xyuas cov peev txheej tsim nyog, teem caij, thiab pab tus neeg txais txiaj ntsig nrog kev sov so kom tau txais cov kev pabcuam txuas mus ntxiv. Medi-Cal Peer Support Specialist yuav them nqi H0025 lossis H0038, raws li qhov tsim nyog, rau kev muab cov kev pabcuam no.
Medi-Cal Peer Support Specialists tsis muaj peev xwm ua SMHS lossis SUD kev soj ntsuam kuaj mob. Txawm li cas los xij, nws nyob hauv thaj tsam ntawm Medi-Cal Peer Support Services los pab txhawb cov ntaub ntawv rau SMHS lossis SUD kev ntsuas. Hauv qhov no, Medi-Cal Peer Support Specialist yuav them nqi H0038, yog tias tsim nyog.
44. Cov Kws Pabcuam Medi-Cal puas tuaj yeem muab cov kev pabcuam tsis zoo rau kev siv tshuaj yeeb tshuaj thiab/lossis cov kev pabcuam teebmeem kev siv yeeb tshuaj uas tau piav qhia hauv Lub Xeev Txoj Haujlwm, suav nrog kev sojntsuam, kev sab laj tus kheej, kev pabcuam pab pawg, kev pabcuam rau tus neeg mob, SUD kev pabcuam teebmeem, kev pabcuam saib xyuas, saib xyuas, thiab/lossis kev pabcuam rov qab los?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, Supplement 3 to Attachment 3.1-A of the California State Plan
Cov ntsiab lus ntawm cov kev pabcuam hauv qab no yog ua raws li Medi-Cal Peer Support Specialist scope of services: Patient Education, SUD kev pab cuam cuam tshuam txog kev kub ntxhov, kev sib koom tes saib xyuas, thiab kev pabcuam rov qab los. Medi-Cal Peer Support Specialists tuaj yeem siv Medi-Cal Peer Support Procedure Codes (H0025 thiab H0038), raws li qhov tsim nyog, los muab cov kev pab cuam nyob rau hauv. Medi-Cal Peer Support Specialists yuav tsum tsis txhob muab cov kev pab cuam dua thiab yuav tsum ua raws li tag nrho cov kev qhia txog kev them nqi thiab cov ntaub ntawv.
Piv txwv li:
- Cov kev pab cuam rov qab los: Cov peev txheej uas twb muaj lawm ntawm Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam yog zoo ib yam ntawm cov kev pabcuam rov qab los tau piav qhia hauv Xeev Txoj Kev Npaj, suav nrog kev saib xyuas, kev saib xyuas rov qab, thiab kev tiv thaiv rov qab los. Hauv qhov no, Medi-Cal Peer Support Specialist tuaj yeem sau nqi H0025 lossis H0038, raws li qhov tsim nyog.
- Kev sib koom tes saib xyuas: Medi-Cal Peer Support Specialists tuaj yeem siv cov kev pabcuam kev sib koom tes los txhawb kev sib txuas nrog tus kws kho mob thiab cov haujlwm kho mob los tawm tswv yim rau cov neeg siv khoom xa mus, ua raws li cov khoom ntawm kev sib koom tes saib xyuas, raws li tau teev tseg hauv Xeev Txoj Kev Npaj. Hauv qhov no, Medi-Cal Peer Support Specialist tuaj yeem sau nqi H0038, raws li qhov tsim nyog.
45. Cov kws kho mob puas tuaj yeem sau nqi raws li "Lwm Cov Kws Kho Mob Tsim Nyog" ua ntej Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam txuas ntxiv mus them nqi raws li cov kev pabcuam muaj rau "Lwm Cov Kev Pabcuam Tsim Nyog"?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis tshem tawm cov lej sau nqi, cov kev pabcuam, lossis cov chaw muab kev pabcuam tshwj xeeb hauv Kev Pabcuam Kev Puas Siab Puas Hlwb (SMHS), Tshuaj Medi-Cal (DMC), lossis Tshuaj Kho Mob Medi-Cal Organized Delivery System (DMC-ODS) cov kev pabcuam, suav nrog hom "Lwm Yam Muaj Peev Xwm Muaj Peev Xwm". "Lwm tus neeg muab kev pabcuam uas tsim nyog" yuav txuas ntxiv thov rau lwm cov kev pabcuam uas siv "Lwm Tus Muab Kev Tsim Nyog" tus lej lej. Medi-Cal Cov Kws Pabcuam Peer tsuas tuaj yeem xa daim ntawv thov rau luv Doyle Medi-Cal rau Medi-Cal Cov Kev Pabcuam Pabcuam Peer thiab Kev Tswj Xyuas Kev Pabcuam (H0038, H0025 thiab H0050) raws li Peer taxonomy.
46. Cov nqi them rau Medi-Cal Peer Support Services nyob qhov twg?
Siv: SMHS, DMC, DMC-ODS phau ntawv qhia txog nqi
Cov nqi Medi-Cal uas tau thov los ntawm lub nroog txoj kev npaj saib xyuas tus cwj pwm coj noj coj ua tau tshaj tawm hauv Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) lub vev xaib, tshwj xeeb hauv nplooj ntawv Cov Nqi Kho Mob Tus Cwj Pwm . Lub nroog Medi-Cal cov nqi teev tseg tsis yog cov nqi them rau Medi-Cal Peer Support Specialists. Kev them nyiaj rau Medi-Cal Peer Support Specialists yog txiav txim los ntawm lub koom haum uas ntiav Medi-Cal Peer Support Specialist.
47. Cov kws kho mob uas muaj ntawv pov thawj Medi-Cal puas tuaj yeem siv Medi-Cal Peer Support Services cov lis dej num (piv txwv li, H0038 & H0025) thaum muab kev pab cuam cuam tshuam rau hauv xov tooj los yog kev tswj xyuas qhov xwm txheej?
Reference: BHIN 25-010, BHIN 23-025, BHIN 24-031
Tsis yog. Medi-Cal Peer Support Specialists tej zaum yuav tsis siv Medi-Cal Peer Support Services cov lis dej num thaum xa cov kev pab cuam nyob rau hauv cov teeb meem ntawm lub xov tooj ntawm tes los yog cov txiaj ntsig kev tswj xyuas qhov xwm txheej. Saib BHIN 25-010 rau kev taw qhia ntsig txog Medi-Cal Cov Kev Pabcuam Peer, BHIN 23-025 rau kev taw qhia ntsig txog Mobile Crisis Services, thiab BHIN 24-031 rau kev taw qhia ntsig txog Kev Pabcuam Txog Kev Pabcuam.
Lwm yam
48. Medi-Cal Pe er Cov Kws Kho Mob puas tuaj yeem muab cov kev pab cuam rov qab los thiab/lossis koom nrog cov kev kho mob txuas mus ntxiv?
Tsis muaj lub xeev txoj cai lij choj hauv txoj cai lij choj, kev tswj hwm, kev zam, lossis Daim Ntawv Pom Zoo Sib Koom Tes uas cov tib neeg ua haujlwm ua Medi-Cal Cov Kws Pabcuam Pabcuam Pabcuam tsis tuaj yeem muab kev pabcuam rau lub sijhawm ntev tomqab rov qab los lossis koom nrog kev pabcuam khomob.
49. Yuav ua li cas Medi-Cal Peer Support Specialists cov nyiaj hli lossis cov nqi ib teev twg?
Cov ntaub ntawv: BHIN 25-010
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis raug tso cai raws li txoj cai los tsim kom tau ib qho kev them nyiaj rau Medi-Cal Peer Support Specialists. Lub nroog teeb tsa cov nqi them rau county-ua hauj lwm Medi-Cal Peer Support Specialists. Lub nroog kuj sib tham txog kev them nqi thiab cov nqe lus cog lus nrog cov koom haum hauv zej zog uas ntiav Medi-Cal Cov Neeg Pabcuam Pabcuam Tshwjxeeb thiab cog lus nrog lub nroog los muab Medi-Cal kev pabcuam kev noj qab haus huv. Yog li ntawd, cov nyiaj them rau Medi-Cal Peer Support Specialists yuav txawv ntawm cov nroog thiab lwm lub koom haum uas ntiav cov phooj ywg.
50. Puas muaj txoj hauv kev rau kev nce qib kev tshaj lij rau Medi-Cal Peer Support Specialists?
Siv: BHIN 25-010
Medi-Cal Peer Support Specialists tej zaum yuav dhau los ua Medi-Cal Peer Support Specialist Supervisors yog tias lawv ua tau raws li kev tsim nyog thiab kev cob qhia uas tau teev tseg hauv BHIN 25-010 thiab raug xaiv los ntawm lawv qhov chaw ua haujlwm.
Lub nroog thiab cov koom haum sib cog lus muab Medi-Cal Cov Kev Pabcuam Peer tuaj yeem tsim txoj hauv kev ua haujlwm ntxiv, lub luag haujlwm, thiab cov npe rau cov neeg ua haujlwm.
