Tsev CalAIM: Hloov Kho Medi-Cal Kev Tso Cai Qhia Cov Ntaub Ntawv Tsis Pub Lwm Tus Paub

Kev tso cai los qhia cov ntaub ntawv tus tswv cuab tsis pub lwm tus paub

Cov lus nug nquag nug (FAQs)

FAQ Updates

Cov FAQ no tau hloov kho tshiab txij li Lub Xya Hli 1, 2026. Lawv yuav txuas ntxiv mus hloov kho thaum ASCMI Initiative txuas ntxiv mus kom loj hlob.

Care Partners

Lub hom phiaj

The purpose of these FAQs is to provide information for providers’ reference as they administer the Authorization to Share Confidential Member Information (ASCMI) Form to their Clients. They contain further detail on the purpose of the Form, structure, and permissible disclosures. The Department of Health Care Services (DHCS) has additionally developed a set of Client-facing FAQs on the Form that you may share with your Clients.

Cov ntaub ntawv dav dav txog ASCMI

1. Lub ASCMI Initiative yog dab tsi?

Lub ASCMI Initiative yog ib qho kev siv zog thoob plaws lub xeev los txhawb thiab ua kom muaj kev sib pauv cov ntaub ntawv tiv thaiv ntawm Cov Neeg Siv Khoom, suav nrog qee cov ntaub ntawv kev noj qab haus huv lub cev, kev noj qab haus huv tus cwj pwm, thiab kev pabcuam hauv zej zog, ntawm Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob (piv txwv li, cov kws kho mob, cov phiaj xwm kev noj qab haus huv, cov koom haum hauv nroog, cov koom haum pabcuam hauv zej zog, thiab lwm yam). Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob siv tau Daim Ntawv ASCMI los tau txais kev tso cai ntawm lawv cov Neeg Siv Khoom los qhia lawv cov ntaub ntawv rau lub hom phiaj ntawm kev sib koom tes lawv txoj kev saib xyuas, kev xa khoom kho mob, lossis kev them nyiaj thiab kev ua haujlwm kho mob (saib FAQ # 2).

Lub xeev kuj tseem tab tom tsim ib lub portal tswj kev tso cai hauv hluav taws xob los khaws cov ntawv ASCMI uas ua tiav lawm. DHCS xav tias Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob yuav tuaj yeem nkag mus rau lub portal los xyuas seb lawv cov Neeg Siv Khoom puas muaj cov ntaub ntawv tso cai ua ntej muab Daim Ntawv rau lawv. Tib lub sijhawm ntawd, DHCS tab tom tshawb nrhiav cov hau kev los txhawb nqa Care Partners nrog kev pab txhawb kev sib pauv cov ntaub ntawv kev noj qab haus huv thiab kev pabcuam hauv zej zog. Cov ntsiab lus ntxiv txog kev tsim thiab kev tso tawm ntawm lub portal tswj kev pom zoo yuav los tom ntej no.

2. Daim Ntawv ASCMI yog dab tsi?

Daim Ntawv ASCMI yog daim ntawv tso tawm cov ntaub ntawv uas koj siv tau los thov kom koj cov Neeg Mob tso cai qhia lawv cov ntaub ntawv rau cov neeg muab kev pab uas yog ib feem ntawm lawv pab neeg saib xyuas. Tej zaum koj yuav tau pauv cov ntaub ntawv ntawm koj cov Neeg Siv Khoom rau:

  • Coordinate lawv txoj kev saib xyuas.
  • Muab lawv nrog kev kho mob, kho hniav, mob hlwb, thiab kev siv tshuaj yeeb tshuaj thiab kev pabcuam.
  • Tau txais cov nyiaj them rau kev kho mob thiab cov kev pabcuam uas koj muab.
  • Pab txuas lawv mus rau cov kev pab cuam, kev pabcuam, thiab kev pabcuam.
  • Daim ntawv ua raws li daim ntawv tso cai raws li tsoom fwv thiab xeev txoj cai sib qhia cov ntaub ntawv (saib FAQ #11-12) thiab qhia meej tias hom ntaub ntawv twg xav tau kev tso cai los qhia cov ntaub ntawv.
3. Vim li cas ho muaj ob daim ntawv no? Qhov txawv ntawm daim ntawv AB 133 thiab daim ntawv uas tsis yog AB 133 yog dab tsi?

Tsab Cai Lij Choj Sib Tham (AB) 133 (2021) yog txoj cai lij choj hauv California uas tso cai rau Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob qhia qee cov ntaub ntawv ntawm lawv cov Neeg Mob yam tsis tau lawv kos npe tso cai txhawm rau muab cov kev pabcuam rau lawv lossis sib koom tes saib xyuas lawv. Cov cai sib qhia cov ntaub ntawv ntawm AB 133 (2021) siv rau Cov Neeg Mob uas tau sau npe rau hauv Medi-Cal managed care, tau txais cov kev pabcuam kev noj qab haus huv raws li Medi-Cal, lossis tau txais cov kev pabcuam ua ntej tso tawm los ntawm Justice-Involved Reentry Initiative. Yog tias cov xwm txheej no tsis siv rau koj tus Neeg Siv Khoom, lawv yuav tsum kos npe rau Daim Ntawv Tsis Yog AB 133. Cov qauv AB 133 thiab cov qauv tsis yog AB 133 sib txawv ntau yam, uas tau piav qhia nyob rau hauv ntau cov lus nug nquag nug hauv daim ntawv no.

4. Daim Ntawv no txawv li cas ntawm daim ntawv tso cai ntxiv rau kev tso cai tso tawm cov ntaub ntawv (ROI) (piv txwv li, Daim Ntawv Tso Tawm Cov Ntaub Ntawv ntawm Lub Tshuab Tswj Xyuas Cov Neeg Tsis Muaj Tsev Nyob (HMIS))?

Daim Ntawv ASCMI yog daim ntawv tso cai txheem uas tsim tshwj xeeb rau kev sib koom tes saib xyuas thoob plaws cov chaw thaum lwm daim ntawv ROI feem ntau yog cov ntawv tso tawm ib txwm muaj, tshwj xeeb rau cov koom haum tsis tau tsim los rau kev sib koom tes, ntau tog sib koom cov ntaub ntawv raws li HIPAA, 42 CFR Ntu 2, thiab lwm cov cai lij choj sib koom cov ntaub ntawv hauv xeev.

Hais txog daim ntawv HMIS ROI, feem ntau, tsis tas yuav tsum tau kev tso cai los ntawm tus kheej los qhia txog qhov xwm txheej vaj tse los ntawm HMIS, tsuav yog qhov kev sib qhia cov ntaub ntawv no raug tso cai hauv Continuum of Care (CoC) Cov Ntawv Ceeb Toom Txog Kev Ua Haujlwm Ntiag Tug (NPPs). Yog tias cov ntaub ntawv vaj tse yog los ntawm CoC's HMIS, thiab CoC NPP tsis tso cai qhia cov ntaub ntawv rau lub hom phiaj ntawm kev sib koom tes saib xyuas, Daim Ntawv ASCMI tuaj yeem siv los ntawm CoC los sau cov kev pom zoo ntawm Tus Neeg Siv Khoom. Tej zaum lwm daim ntawv tso cai tso tawm cov ntaub ntawv yog tshwj xeeb rau cov pej xeem lossis cov kev pabcuam. Sab laj nrog koj lub koom haum tus kws lij choj thiab/lossis chaw ua haujlwm ntiag tug kom txiav txim siab seb puas xav tau kev tso cai thiab daim ntawv tso tawm cov ntaub ntawv tsim nyog siv. Lo lus nug 12 muaj cov ntsiab lus ntxiv txog US Department of Housing and Urban Development HMIS cov kev cai lij choj.

5. Yog tias kuv lub koom haum muaj daim ntawv tso cai tso tawm cov ntaub ntawv lawm, kuv puas yuav tsum siv daim ntawv ASCMI? Cov tib neeg puas yuav tsum kos npe rau ob qho tib si?

Rau cov xwm txheej siv uas tsis suav nrog hauv daim ntawv ASCMI 2.0 tam sim no, cov nroog yuav siv lwm cov ntawv tso cai los tso tawm cov ntaub ntawv. Daim ntawv ASCMI tam sim no tsis txhawb nqa kev sib qhia cov ntaub ntawv kev noj qab haus huv ntawm menyuam yaus, kev sib qhia cov ntaub ntawv raws li FERPA, lossis kev sib qhia cov ntaub ntawv kev noj qab haus huv ntawm kev yug me nyuam uas raug tiv thaiv. Sab laj nrog koj lub koom haum tus kws lij choj thiab/lossis chaw ua haujlwm ntiag tug kom paub seb daim ntawv (AB 133 lossis Non-AB 133 Version) puas hloov tau lossis siv tau ua ke nrog daim ntawv tso cai tso tawm cov ntaub ntawv uas twb muaj lawm.

Txij li Lub Ib Hlis 1, 2027, Cov Kev Npaj Kho Mob Hlwb (MHPs), Cov Txheej Txheem Kev Xa Khoom Tshuaj Medi-Cal (DMC-ODS), Cov Cheeb Tsam Kev Npaj Tshuaj Medi-Cal (DMC) Cov Nroog Npaj Tshuaj, thiab Cov Kev Npaj Kho Mob Tswj (MCPs) yuav tsum siv Daim Ntawv ASCMI ua lawv daim ntawv tso cai raws li tus qauv (saib BHIN 26-013 thiab APL 26-004 kom paub meej ntxiv txog qhov yuav tsum tau ua no). Qhov kev cai no siv rau txhua tus khub saib xyuas uas tau cog lus nrog cov chaw no. Rau txhua lwm cov haujlwm, DHCS pom zoo kom cov Neeg Koom Tes Saib Xyuas siv Daim Ntawv ASCMI ua lawv daim ntawv tso cai tus qauv.

6. Daim Ntawv puas yog daim ntawv cog lus sib qhia cov ntaub ntawv?

Tsis yog. Daim ntawv foos ua ntaub ntawv rau tus neeg siv khoom pom zoo los qhia lossis tsis qhia cov ntaub ntawv tshwj xeeb uas tau teev tseg hauv Tshooj 2.3 ntawm Daim Ntawv Foos (saib FAQ #9). Daim ntawv no tsis tsim ib daim ntawv cog lus sib qhia ntawm cov koom haum Care Partner.

7. Kev siv daim ntawv no muaj txiaj ntsig dab tsi?

Muaj ntau yam txiaj ntsig los siv Daim Ntawv, suav nrog:

  • Nws yog sau ua lus dawb, nyob rau theem kev nyeem ntawv nkag tau rau cov tib neeg uas muaj kev kawm theem nrab lossis siab dua.
  • Nws txo qis kev tswj hwm lub nra, vim tias daim ntawv qauv tuaj yeem siv tau los ntawm ntau qhov chaw. Koj Cov Neeg Siv Khoom tuaj yeem tso cai sib faib ntau hom ntaub ntawv thoob plaws lawv pab neeg saib xyuas raws li cov ntaub ntawv sib qhia thiab cov cai ntiag tug.
  • Nws ua raws li lub xeev thiab tsoomfwv cov kev hloov pauv rau cov ntaub ntawv sib qhia thiab kev cai ntiag tug, xws li kev hloov kho 2024 42 CFR Part 2 ("Part 2") cov cai.
8. Daim ntawv tso cai ntawm kuv tus Neeg Siv Khoom siv tau ntev npaum li cas? Lawv daim ntawv tso cai tas sij hawm thaum twg?

Feem ntau, kev tso cai yuav tas ib xyoos txij li hnub kos npe rau ob daim ntawv.

Txawm li cas los xij, yog tias koj tus neeg siv khoom muaj hnub nyoog 17 xyoo, lawv qhov kev tso cai tsuas yog kav mus txog thaum lawv muaj hnub nyoog 18 xyoo lossis txog thaum lawv hloov pauv kev saib xyuas, uas tej zaum yuav tsawg dua ib xyoos.

Txawm li cas los xij, Cov Neeg Siv Khoom lossis lawv niam lawv txiv, tus neeg saib xyuas, lossis tus neeg sawv cev raug cai muaj cai tshem tawm lawv qhov kev pom zoo lossis hloov kho lawv qhov kev pom zoo ua ntej nws tas sijhawm yog tias lawv xaiv.

9. Cov ntaub ntawv hom twg uas daim ntawv tso cai rau kev sib qhia?

AB 133 Version tuaj yeem siv tau kom tau txais kev tso cai los sib qhia cov ntaub ntawv hauv qab no:

  • Cov Ntaub Ntawv Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv los ntawm Ntu 2 (xws li, kev kuaj mob, cov ntsiab lus tshuaj, cov ntaub ntawv kho mob).
  • Cov ntaub ntawv txog vaj tse uas tsis suav nrog hauv Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm Ntiag Tug ntawm Continuum of Care (piv txwv li, kev ntsuam xyuas vaj tse uas ua tiav los ntawm Coordinated Entry). Saib lo lus nug 4 kom paub meej ntxiv.

Tsis yog-AB 133 Version tuaj yeem siv tau kom tau txais kev tso cai los sib qhia cov ntaub ntawv hauv qab no:

  • Cov Ntaub Ntawv Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv los ntawm Ntu 2 (xws li, kev kuaj mob, cov ntsiab lus tshuaj, cov ntaub ntawv kho mob).
  • Cov Ntaub Ntawv Siv Tshuaj Tiv Thaiv Tsis Tiv Thaiv los ntawm 42 CFR Part 2.
  • Cov ntaub ntawv txog vaj tse uas tsis suav nrog hauv Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm Ntiag Tug ntawm Continuum of Care (piv txwv li, kev ntsuam xyuas vaj tse uas ua tiav los ntawm Coordinated Entry). Saib lo lus nug 4 kom paub meej ntxiv.
  • Cov ntaub ntawv kho mob puas hlwb (xws li, cov ntaub ntawv kho mob, kev ntsuam xyuas).
  • Cov ntaub ntawv qhia txog kev xiam oob qhab kev txawj ntse thiab kev loj hlob (xws li, cov ntaub ntawv kev pabcuam kev loj hlob, Kev Npaj Pabcuam Tib Neeg, kev ntsuam xyuas qhov tsim nyog hauv cheeb tsam).
  • Cov Txiaj Ntsig Kev Kuaj Mob HIV (lus ceeb toom - thaum daim ntawv ASCMI raug sau los ntawm digital los ntawm Consent Management Portal (CMP), cov txiaj ntsig kev kuaj mob HIV yuav tsis suav nrog, vim tias Health & Safety Code § 120980 (g) xav tau kev tso cai tshiab rau txhua qhov kev tshaj tawm cov txiaj ntsig kev kuaj mob HIV thiab CMP tsis tuaj yeem taug qab seb puas muaj kev tshaj tawm thaum lub sijhawm nug txog kev nyiam kev pom zoo ntawm Tus Neeg Siv Khoom. Hloov chaw, cov neeg muab kev pabcuam yuav tsum tau vam khom cov cai thiab cov txheej txheem hauv zos kom ntseeg tau tias ua raws li txoj cai. Saib lo lus nug 42 kom paub ntxiv).
  • Cov txiaj ntsig ntawm kev ntsuam xyuas caj ces.
10. Kuv tus Neeg Siv Khoom puas xaiv tau cov ntaub ntawv twg uas lawv xav qhia?

Yog, lawv tuaj yeem xaiv siv cov thawv kos hauv Tshooj 2.3: "Koj Txoj Kev Pom Zoo." Cov thawv kos npe sawv cev rau lawv cov kev nyiam tso cai rau txhua hom ntaub ntawv uas xav tau lawv txoj kev tso cai tshwj xeeb los qhia.

Yog tias lawv xaiv "Yog " rau ib qho ntawm cov ntaub ntawv no, koj tuaj yeem qhia cov ntaub ntawv ntawd rau lawv cov Neeg Koom Tes Saib Xyuas Lwm Tus kom sib koom tes saib xyuas lawv txoj kev saib xyuas.

Yog tias lawv xaiv "Tsis yog," koj yuav tsis tuaj yeem qhia cov ntaub ntawv ntawd rau lawv cov Neeg Koom Tes Saib Xyuas Lwm Tus.

11. Daim Ntawv puas txwv tsis pub qhia lwm yam ntaub ntawv txog kev noj qab haus huv thiab kev pabcuam hauv zej zog?

Tsis yog. Daim ntawv no yog siv los ua kom tau kev tso cai rau kev sib qhia cov ntaub ntawv thaum txoj cai lij choj ntawm tsoomfwv lossis lub xeev xav tau. Txawm hais tias Tus Neeg Siv Khoom kos npe rau Daim Ntawv los xij, Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob yuav txuas ntxiv qhia qee cov ntaub ntawv txog kev noj qab haus huv lub cev, kev noj qab haus huv tus cwj pwm, thiab kev pabcuam hauv zej zog rau cov hom phiaj uas tau tso cai raws li Txoj Cai Kev Pov Hwm Kev Noj Qab Haus Huv thiab Kev Lav Ris (HIPAA), suav nrog kev kho mob, kev them nyiaj, thiab kev ua haujlwm kho mob. Raws li HIPAA, cov ntaub ntawv kuj tseem siv tau rau lwm lub hom phiaj txwv, xws li kev tshawb fawb lossis kev ua ub no kev noj qab haus huv pej xeem.

Koj tuaj yeem saib cov Lus Qhia Txog Kev Tso Cai Sib Koom Cov Ntaub Ntawv kom paub txog kev sib koom cov ntaub ntawv uas tau tso cai raws li AB 133 (2021). Cov Neeg Koom Tes Saib Xyuas uas pabcuam Cov Neeg Siv Khoom uas AB 133 (2021) tsis siv rau yuav xa mus rau Cov Lus Qhia Txog Kev Noj Qab Haus Huv Hauv Xeev uas tau tsim los ntawm California Health and Human Services Agency (CalHHS) kom tau cov ntaub ntawv ntxiv.

12. Cov kev cai lij choj lossis cov qauv kev ceev ntiag tug twg siv rau cov kev tso cai tshwj xeeb hauv Tshooj 2.1?

Cov kev cai lij choj lossis cov qauv uas siv rau cov kev tso cai tshwj xeeb hauv ob qho tib si AB 133 thiab Non-AB 133 Versions suav nrog cov hauv qab no:
42 CFR Ntu 2, uas yog txoj cai lij choj hauv tebchaws uas tsim los tiv thaiv kev ceev ntiag tug ntawm cov ntaub ntawv kho mob kev siv tshuaj yeeb thiab kom ntseeg tau tias cov ntaub ntawv no tsis raug siv tawm tsam ib tus neeg hauv kev ua txhaum cai, kev saib xyuas menyuam, kev sib nrauj, kev ua haujlwm, lossis lwm yam kev foob tawm tsam tus neeg ntawd. Yog xav paub ntxiv, mus saib tag nrho cov cai lij choj hauv tsoomfwv thiab HHS Fact Sheet.

Kev sau thiab pauv cov ntaub ntawv ntawm Lub Tshuab Tswj Xyuas Cov Neeg Tsis Muaj Tsev Nyob (HMIS). Cov koom haum vaj tse thiab CoCs uas raug tswj hwm los ntawm US Department of Housing and Urban Development (HUD) uas sau, siv, lossis ua cov ntaub ntawv hauv HMIS yuav tsum sau cov laj thawj rau kev sau cov ntaub ntawv ntawm Cov Neeg Siv Khoom hauv lawv Daim Ntawv Ceeb Toom Txog Kev Ceev Ntaub Ntiag Tug. Cov kev siv thiab kev tshaj tawm uas tsis suav nrog hauv Daim Ntawv Ceeb Toom Txog Kev Ceev Ntiag Tug yuav tsum tau kev tso cai ua ntawv sau. Yog xav paub ntxiv, mus saib daim qauv ntawm Daim Ntawv Ceeb Toom Txog Kev Ceev Ntiag Tug thiab cov kev cai ntawm HMIS uas tau tsim los ntawm US Department of Housing and Urban Development (HUD). Saib FAQ #4 kom paub ntxiv txog thaum twg xav tau kev tso cai los qhia cov ntaub ntawv txog vaj tse.

AB 133 (2021) txwv tsis pub siv qee txoj cai tswjfwm ntiag tug kom cov neeg koom tes saib xyuas kev noj qab haus huv sib pauv cov ntaub ntawv yam tsis tau kev tso cai los ntawm tus neeg mob rau lub hom phiaj ntawm kev sib koom tes saib xyuas kev noj qab haus huv rau qee cov pej xeem. Saib FAQ #3 kom paub cov npe ntawm cov pej xeem uas AB 133 (2021) siv rau. Koj tuaj yeem xa mus rau Tshooj 3 ntawm CalAIM Data Sharing Authorization Guidance (DSAG) kom paub txog kev sib qhia cov ntaub ntawv uas tau tso cai raws li AB 133 (2021).

Cov kev cai lij choj uas tsuas yog siv rau Non-AB 133 Version suav nrog cov hauv qab no:

Nco ntsoov tias qee cov kev cai lij choj no yuav muaj cov kev cai ntxiv uas yuav tsum tau kev tso cai, thiab koj yuav tsum sab laj nrog koj tus kws lij choj thiab/lossis chaw ua haujlwm ntiag tug kom nkag siab tag nrho txog lawv. Piv txwv li, tsab cai Lanterman-Petris-Short yuav tsum tau kev pom zoo los ntawm tus kws kho mob thiab kws phais mob, tus kws kho mob hlwb uas muaj ntawv tso cai, tus neeg ua haujlwm pabcuam zej zog uas muaj daim ntawv kawm tiav qib master hauv kev pabcuam zej zog, tus kws kho mob sib yuav thiab tsev neeg uas muaj ntawv tso cai, lossis tus kws pab tswv yim kev kho mob uas muaj ntawv tso cai uas yog tus saib xyuas tus neeg mob thaum qhia cov ntaub ntawv uas tau npog rau tus neeg uas tus neeg mob tau xaiv.

13. Kuv puas muaj cai nkag mus saib txhua cov ntaub ntawv uas kuv tus Neeg Siv Khoom tau pom zoo qhia rau ntawm Daim Ntawv?

Tsis yog. Koj yuav muaj kev nkag mus rau cov ntaub ntawv tsawg kawg nkaus uas koj xav tau kom muab kev saib xyuas lossis kev pabcuam rau koj cov Neeg Siv Khoom. Koj yuav tsis muaj cai nkag mus saib cov ntaub ntawv uas lawv tau pom zoo qhia tsuas yog tias nws tsim nyog rau kev saib xyuas lossis cov kev pabcuam uas koj xav muab. Cov Neeg Koom Tes Saib Xyuas yuav tsum tau qhia thiab thov cov ntaub ntawv raws li cov qauv tsawg kawg nkaus uas tsim nyog raws li Txoj Cai Tswjfwm Ntiag Tug HIPAA.

14. Yog tias kuv tau txais kev tso cai (los ntawm Daim Ntawv) kom nkag mus saib cov ntaub ntawv ntawm kuv tus Neeg Siv Khoom, kuv puas tuaj yeem tshaj tawm dua rau lwm tus Neeg Koom Tes Saib Xyuas yav tom ntej?

Kev tso cai rov qhib dua nws txawv ntawm hom ntaub ntawv thiab nyob ntawm seb koj yog hom twg. Piv txwv li, yog tias koj yog ib lub koom haum HIPAA-them los yog koom tes ua lag luam, koj tuaj yeem rov nthuav tawm txhua yam ntaub ntawv koj tau txais raws li ASCMI Daim Ntawv Qhia, suav nrog Cov Ntaub Ntawv Ntu 2, tsuav koj ua raws li HIPAA (xws li, rau lub hom phiaj ntawm kev kho mob, kev them nyiaj, thiab kev sib koom tes saib xyuas). Yog tias koj tsis yog ib lub koomhaum lossis cov koom tes ua lag luam, cov hom phiaj uas koj tuaj yeem nthuav tawm tau raug txwv ntau dua. Cov Neeg Koom Tes Saib Xyuas yuav tsum sab laj nrog lawv cov tub ceev xwm ntiag tug nrog cov lus nug txog kev nthuav tawm rov qab. Saib ntxiv kev txiav txim siab rov nthuav tawm hauv FAQ #12.

15. Ib lub koom haum uas raug them los ntawm HIPAA puas siv tau daim ntawv ASCMI los qhia cov ntaub ntawv kev noj qab haus huv uas raug tiv thaiv (PHI) nrog cov koom haum uas tsis raug them los ntawm HIPAA?

Yog, daim ntawv ASCMI siv tau los tso cai rau kev tshaj tawm cov ntaub ntawv tiv thaiv rau cov chaw tsis raug them.

Feem ntau, HIPAA tso cai rau ib lub koom haum uas tau them nqi los qhia cov ntaub ntawv kev noj qab haus huv uas tau tiv thaiv (PHI) yam tsis tau kev tso cai rau tus kheej rau lub hom phiaj ntawm kev kho mob, kev them nyiaj, lossis kev ua haujlwm kho mob, txawm tias thaum tus neeg tau txais tsis yog lub koom haum uas tau them nqi los ntawm HIPAA (45 CFR Tshooj 164.506(c)(1)).

Txawm li cas los xij, qee zaum, yuav tsum tau kev tso cai los qhia PHI

  • Qee yam kev kho mob (piv txwv li, kev kuaj noob caj noob ces thiab kev kuaj HIV)
  • Cov ntaub ntawv kev noj qab haus huv ntawm lub hlwb uas raug tiv thaiv los ntawm Lanterman-Petris-Short Act (LPSA)
  • Cov ntaub ntawv txog kev siv tshuaj yeeb tsis zoo (SUD) thiab kev kho mob
  • Cov ntaub ntawv pov hwm kev noj qab haus huv
  • Cov xwm txheej ntawm tsev nyob thiab cov nyiaj tau los, keeb kwm, thiab kev txhawb nqa uas los ntawm Continuum of Care thaum tsis tau tso cai los ntawm Continuum of Care's Notice of Practices.
  • Cov ntaub ntawv raug cai lij choj txwv, suav nrog cov ntaub ntawv teem sijhawm, hnub thiab qhov chaw kaw neeg, thiab xwm txheej tso tawm hauv tsev loj cuj).

Hauv cov rooj plaub no, Cov Neeg Koom Tes Saib Xyuas tuaj yeem siv Daim Ntawv ASCMI los ntes cov kev nyiam ntawm Tus Neeg Siv Khoom los tso cai rau kev tshaj tawm ntawd.

Kev tswj hwm daim ntawv ASCMI

16. Kuv tus Neeg Siv Khoom yuav tsum kos npe rau daim ntawv twg?

Daim Ntawv AB 133 siv tau rau txhua tus Tswv Cuab ntawm Medi-Cal Managed Care uas tam sim no tau txais cov kev pabcuam raws li CalAIM (piv txwv li, Medi-Cal cov kev pabcuam kev noj qab haus huv tus cwj pwm, Enhanced Care Management (ECM), Kev Txhawb Nqa Hauv Zej Zog, Kev Koom Tes Rov Qab Los Ntawm Kev Ncaj Ncees) (Saib W&I Code Seem 14184.102(a) piav qhia txog cov khoom ntawm CalAIM). AB 133 (2021) tsis siv rau Medi-Cal Fee-for-Service, tsuas yog cov kev pabcuam kev noj qab haus huv ntawm tus cwj pwm xwb (Saib W&I Code Seem 14184.402(b)).

Daim Ntawv uas tsis yog AB 133 siv tau los ntawm txhua tus neeg—xws li cov Tswv Cuab Medi-Cal uas tau txais cov kev pabcuam CalAIM—thaum lawv thov lossis thaum lawv cov neeg muab kev pabcuam xaiv siv Daim Ntawv uas tsis yog AB 133.

17. Puas muaj lus qhia txog kev siv daim ntawv no? Thaum twg kuv yuav tsum hais kom kuv tus neeg siv khoom kos npe rau daim ntawv no?

DHCS ncua mus rau Care Partners txog kev txiav txim siab thaum twg los tswj daim ntawv foos raws li koj lub koom haum txoj haujlwm thiab cov ntsiab lus tshwj xeeb uas koj tab tom muab kev pabcuam rau ib tus neeg. Qee qhov xwm txheej, Cov Neeg Koom Tes Saib Xyuas tuaj yeem tswj hwm Daim Ntawv Foos thaum lub sijhawm nkag / tso npe lossis thaum lub sijhawm muab kev pabcuam rau Cov Neeg Siv Khoom. Lwm Cov Neeg Koom Tes Saib Xyuas tuaj yeem tswj hwm daim ntawv foos thaum tus neeg siv khoom cov ntaub ntawv yuav tsum tau muab faib.

18. Kuv puas siv tau daim ntawv no thaum mus ntsib kws kho mob hauv xov tooj?

Yog. Daim Ntawv ASCMI siv tau thaum mus ntsib kws kho mob hauv xov tooj. Nws yuav tsum tau kos npe rau ntawm daim ntawv lossis kos npe hluav taws xob. Ib daim ntawv kos npe hluav taws xob tuaj yeem suav nrog kev kaw lus thiab lub sijhawm uas ua tau raws li lwm yam kev cai ntawm cov cai kos npe hluav taws xob.

Koj tuaj yeem xa daim ntawv theej hluav taws xob rau koj tus Neeg Siv Khoom kom kos npe lossis nyeem Daim Ntawv ASCMI rau lawv thiab sau lawv qhov kev pom zoo hais lus.

19. Kuv puas hloov tau daim ntawv no los ntawm kev hloov cov ntu uas tsis cuam tshuam rau cov kev pabcuam uas kuv muab?

Cov Neeg Koom Tes Saib Xyuas tuaj yeem ntxiv Daim Ntawv nrog cov ntaub ntawv ntxiv txog cov kev pabcuam uas lawv muab tab sis tsis tuaj yeem tawm tsam / hloov kho ib ntu twg.

20. Puas muaj txiaj ntsig dab tsi los ntawm kev muab Daim Ntawv rau kuv Tus Neeg Siv Khoom yog tias tsis muaj "kev tso cai tshwj xeeb" siv rau lawv?

Yog lawm. Yog tias "kev tso cai tshwj xeeb" siv rau koj tus neeg siv khoom yav tom ntej, tau txais kev tso cai thaum tswj hwm daim ntawv tuaj yeem tso cai rau koj hloov lawv cov ntaub ntawv thaum xav tau.

21. Puas yog kuv tus Neeg Siv Khoom tseem yuav tsum kos npe rau daim ntawv, txawm tias lawv tsis pub kev tso cai los qhia cov ntaub ntawv uas xav tau lawv txoj kev tso cai tshwj xeeb?

Yog lawm. Koj tseem yuav tsum sau koj tus neeg siv khoom qhov kev pom zoo nyiam, txawm tias lawv tsis kam tshaj tawm cov ntaub ntawv tso cai los ntawm Daim Ntawv Teev Npe los ntawm kev xaiv "Tsis yog" checkbox. Qhov no txwv tsis pub rov thov koj tus neeg siv khoom tso cai los qhia lawv cov ntaub ntawv thiab sau lawv qhov kev thov kom tsis txhob muab cov ntaub ntawv ntawd.

Txawm li cas los xij, kos npe rau daim ntawv yog xaiv tau, thiab koj tus neeg siv khoom yuav tsis kam ua kom tiav Daim Ntawv. Cov Neeg Koom Tes Saib Xyuas yuav tsum ua kom Cov Neeg Siv Khoom paub tias qee yam ntawm lawv cov ntaub ntawv tseem yuav raug muab faib (saib FAQ #11) thiab lawv yuav raug nug dua kom ua tiav Daim Ntawv Thov yav tom ntej.

22. Yuav ua li cas yog tias kuv tus Neeg Siv Khoom tsis kos npe rau daim ntawv ASCMI?

Kos npe rau daim ntawv yog xaiv tau. Yog tias koj tus Neeg Siv Khoom muaj lus nug txog daim ntawv, koj tuaj yeem xa lawv mus rau Cov Lus Nug Txog Daim Ntawv ASCMI uas Cov Neeg Siv Khoom Siv.

Xa mus rau tshooj FAQs ntawm Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv nyob rau hauv cov ntaub ntawv no rau kev taw qhia ntxiv yog tias koj yog Tus Muab Kev Siv Tshuaj Tsis Txaus Siab Ntu 2 thiab koj cov neeg siv khoom tsis kam kos npe rau daim ntawv ASCMI.

23. Puas yog kuv tus Neeg Mob yuav tsum tau kos npe rau daim ntawv ASCMI thiaj li tau txais kev kho mob?

Tsis yog, Cov Neeg Mob tsis tas yuav kos npe rau Daim Ntawv ASCMI kom tau txais kev kho mob. Daim Ntawv ASCMI tso cai rau kev tshaj tawm cov ntaub ntawv thiab tsis tso cai rau kev kho mob. Rau qee cov kev pabcuam, yuav tsum tau kev tso cai los qhia cov ntaub ntawv tiv thaiv rau lub hom phiaj them nqi (piv txwv li, kev kho mob siv tshuaj yeeb dej cawv). Hauv cov rooj plaub no, yog tias Tus Neeg Siv Khoom tsis kos npe rau Daim Ntawv ASCMI, lawv tseem tuaj yeem tau txais kev kho mob, tab sis lawv tus neeg muab kev pab yuav tsis tuaj yeem xa daim ntawv thov rau qhov kev pabcuam rau lawv lub tuam txhab pov hwm, tshwj tsis yog tias lawv kos npe rau daim ntawv tso cai sib cais rau lub hom phiaj them nyiaj xwb.

24. Kuv tus Neeg Siv Khoom puas tuaj yeem qhia meej tias hom chaw muab kev pab twg tau tso cai txais lawv cov ntaub ntawv los ntawm Daim Ntawv ASCMI?

Daim Ntawv ASCMI tsis pub Cov Neeg Siv Khoom txwv tsis pub qhia tawm rau cov hom chaw muab kev pab tshwj xeeb. Daim Ntawv no yog tsim los ua kev tso cai dav dav rau kev kho mob, kev them nyiaj, thiab kev ua haujlwm kho mob (TPO) - raws li txoj cai lij choj, suav nrog 42 CFR Ntu 2 Txoj Cai Kawg uas tau hloov kho tshiab - es tsis yog kev pom zoo tshwj xeeb ntawm tus kws kho mob. Thaum ib tug Neeg Siv Khoom kos npe rau Daim Ntawv ASCMI, lawv tau tso cai rau kev tshaj tawm cov ntaub ntawv tshwj xeeb rau TPO lub hom phiaj nrog lawv pab neeg saib xyuas (cov neeg uas tam sim no muaj kev sib raug zoo nrog tus neeg siv khoom txog kev kho mob, kev them nyiaj, lossis kev sib koom tes saib xyuas). Qhov no suav nrog kev tshaj tawm cov ntaub ntawv tsawg kawg nkaus uas xav tau los sib koom tes kho mob, txhawb kev txuas ntxiv ntawm kev kho mob, ua cov txheej txheem them nyiaj, thiab ua cov haujlwm kev tswj hwm thiab kev ua haujlwm. Daim ntawv tso cai siv raws li lub hom phiaj thiab hom ntaub ntawv, tsis yog rau ntawm daim ntawv teev cov neeg muab kev pabcuam lossis pawg neeg muab kev pabcuam uas tau xaiv ua ntej.

25. Kuv puas yuav tsum muaj kuv tus lej National Provider Identifier (NPI) thiab kuv lub koom haum tus lej Taxpayer Identification (TIN)?

Tsis yog, Cov Neeg Koom Tes Saib Xyuas tsuas yog yuav tsum muaj ib qho ntawm cov cim qhia no - ib qho NPI lossis TIN - rau ntawm Daim Ntawv ASCMI. Qhov no tso cai rau lwm hom Tus Khub Saib Xyuas uas feem ntau tsis muaj NPI, xws li cov neeg muab kev pab vaj tse, siv Daim Ntawv ASCMI.

26. Yog tias kuv tus Neeg Siv Khoom kos npe rau daim ntawv ASCMI, yuav muaj dab tsi tshwm sim tom ntej?

Koj yuav tsum muab ib daim qauv ntawm lawv daim ntawv uas tau kos npe rau lawv. Ntxiv mus, raws li California Confidentiality of Medical Information Act (CMIA), koj yuav tsum muab cov lus qhia rau koj tus Neeg Siv Khoom txog seb lawv yuav nkag mus saib cov ntawv theej ntxiv lossis cov ntawv digital li cas. DHCS ua raws li Care Partners cov txheej txheem rau kev khaws cov ntawv lossis cov ntawv digital.

Xa mus rau tshooj FAQs ntawm Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv nyob rau hauv cov ntaub ntawv no rau kev taw qhia ntxiv yog tias koj yog Tus Muab Kev Siv Tshuaj Tsis Txaus Siab Ntu 2 thiab koj cov neeg siv khoom tsis kam kos npe rau daim ntawv ASCMI.

Cov menyuam yaus thiab cov neeg siv khoom nrog cov neeg sawv cev raug cai

28. Leej twg suav tias yog menyuam yaus?

Hauv California, tus menyuam yaus feem ntau yog tus neeg uas tsis tau txais kev ywj pheej hnub nyoog qis dua 18 xyoo. Muaj peb qho kev zam tseem ceeb uas ib tug neeg hnub nyoog qis dua 18 xyoo tsis raug suav tias yog menyuam yaus:

  1. Cov Menyuam Yaus Uas Muaj Kev Ywj Pheej: Ib tug menyuam yaus uas muaj kev ywj pheej yog ib tug neeg hnub nyoog qis dua 18 xyoo uas tau tso lawv tus kheej dim ntawm kev saib xyuas thiab kev tswj hwm ntawm lawv niam lawv txiv lossis tus neeg saib xyuas raws li txoj cai. Yog li ntawd, lawv yog cov uas raug cai lav ris rau lawv cov kev txiav txim siab thiab kev ua raws li txoj cai. Yog tias tus menyuam yaus tsis tau txais kev ywj pheej, nws txhais tau tias lawv niam lawv txiv lossis tus saib xyuas tseem yog tus lav ris rau lawv txoj cai thiab kev saib xyuas lub cev.
  2. Cov menyuam yaus uas tsis tau muaj hnub nyoog sib yuav: Cov tib neeg uas hnub nyoog qis dua 18 xyoo uas tau txais kev tso cai los ntawm niam txiv lossis tus saib xyuas thiab kev tso cai los ntawm lub tsev hais plaub kom sib yuav.
  3. Cov tub rog uas tseem ua tub rog hauv Teb Chaws Asmeskas: Cov tib neeg uas muaj hnub nyoog qis dua 18 xyoo uas tau kev tso cai los ntawm niam txiv lossis tus saib xyuas kom koom nrog tub rog.

Xav paub ntxiv txog kev tso cai rau cov menyuam yaus hauv California muaj nyob rau ntawm: https://selfhelp.courts.ca.gov/emancipation.

29. Rau cov menyuam yaus, thaum twg yuav tsum tau kev tso cai los ntawm niam txiv, lossis kev tso cai ntawm tus neeg saib xyuas, rau kev sib qhia cov ntaub ntawv?

Feem ntau, niam txiv/tus saib xyuas muaj cai pom zoo rau kev qhia lawv tus menyuam txoj kev noj qab haus huv thiab lwm yam ntaub ntawv tus kheej. Raws li HIPAA, niam txiv/tus saib xyuas ntawm tus menyuam yaus uas tsis tau txais kev ywj pheej muaj cai tso cai rau kev tso tawm cov ntaub ntawv kev noj qab haus huv uas raug tiv thaiv yog tias niam txiv/tus saib xyuas muaj cai ua haujlwm sawv cev rau tus menyuam yaus hauv kev txiav txim siab txog kev kho mob.

Txawm li cas los xij, thaum tus menyuam yaus muaj cai lij choj los pom zoo txais kev pabcuam tshwj xeeb, ywj pheej ntawm lawv niam lawv txiv, feem ntau nws yog tus menyuam yaus, tsis yog niam txiv/tus saib xyuas, uas yuav kos npe rau txhua daim ntawv tso cai uas tso cai rau kev tshaj tawm cov ntaub ntawv hais txog kev pabcuam ntawd.

30. Rau cov menyuam yaus, puas muaj tej lub sijhawm uas tsis tas yuav tsum tau niam txiv lossis tus saib xyuas kev tso cai?

Yog. Yog tias koj tau muab kev saib xyuas lossis kev pabcuam rau ib tug menyuam yaus yam tsis tau kev tso cai los ntawm lawv niam txiv lossis tus saib xyuas, vim tias tus menyuam yaus tau raug cai tso cai rau kev pabcuam ntawd, nws yog tus menyuam yaus uas muaj cai tso cai rau kev tshaj tawm lawv cov ntaub ntawv kev noj qab haus huv. Hauv cov xwm txheej zoo li no, lawv niam lawv txiv lossis tus saib xyuas yuav tsis muaj cai nkag mus saib cov ntaub ntawv ntawd.

31. Tus neeg sawv cev raws li txoj cai yog dab tsi?

Ib tug neeg sawv cev raws li txoj cai yog ib tus neeg uas muaj cai ua haujlwm sawv cev rau lwm tus. Qhov no yuav yog niam txiv yog tias tus menyuam yaus tsis tau muaj hnub nyoog, ib tus neeg uas lub tsev hais plaub xaiv los ua tus saib xyuas, lossis ib tus neeg uas tau tso cai ua haujlwm sawv cev rau tus neeg laus uas tsis muaj peev xwm.

Cwj pwm kev saib xyuas kev noj qab haus huv Partners

32. Kuv puas tuaj yeem muab cov ntawv qhia txog kev siv tshuaj yeeb ntawm kuv tus Neeg Mob nrog daim ntawv kos npe?

Tsis yog. Kev tshaj tawm cov ntawv qhia txog kev pab tswv yim txog kev siv tshuaj yeeb tsis yog nyob sab nraud ntawm Daim Ntawv no. Kev pom zoo qhia cov ntaub ntawv no yuav tsum tau kev pom zoo cais. Sab laj nrog koj lub koom haum tus kws lij choj thiab/lossis chaw ua haujlwm ntiag tug kom txiav txim siab seb daim ntawv tso cai tso tawm cov ntaub ntawv siv tau li cas.

33. Kuv puas tuaj yeem muab cov ntawv sau txog kev kho mob hlwb ntawm kuv tus Neeg Mob nrog daim ntawv kos npe?

Tsis yog. Kev tshaj tawm cov ntawv sau txog kev kho mob hlwb tsis yog nyob sab nraud ntawm daim ntawv no. Txoj Cai Tswjfwm Ntiag Tug HIPAA txhais cov ntawv sau txog kev kho mob hlwb ua cov ntawv sau los ntawm tus kws kho mob uas yog tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb uas sau lossis tshuaj xyuas cov ntsiab lus ntawm kev sib tham thaum lub sijhawm sib tham ntiag tug lossis kev sib tham ua pab pawg, sib koom ua ke, lossis tsev neeg thiab uas sib cais los ntawm lwm cov ntaub ntawv kho mob ntawm tus neeg mob. HIPAA xav tau kev tso cai sib cais, tshwj xeeb rau kev tso tawm cov ntaub ntawv hom no.

34. (Rau Cov Qauv Tsis Yog AB 133 xwb) Cov ntaub ntawv hom twg raug tiv thaiv los ntawm Lanterman-Petris-Short Act (LPSA)?

Txoj Cai Lanterman-Petris-Short (LPSA) tiv thaiv cov ntaub ntawv kho mob hlwb uas tau txais thaum lub sijhawm tos kev kho mob uas tsis yog kev txiav txim siab ntawm Tus Neeg Mob. Koj tuaj yeem saib CalAIM Data Sharing Authorization Guidance kom paub ntxiv (saib Ntu 2).

35. Puas yog kuv lub koom haum yog ib qho kev pab cuam Tshooj 2?

Koj tuaj yeem siv cov ntoo txiav txim siab theem siab no los txiav txim siab seb koj lub koom haum puas yog ib qho kev pab cuam Ntu 2. Muaj cov ntaub ntawv ntxiv txog Ntu 2 thiab nws cov kev cai nyob rau hauv Cov Cai Tswjfwm Kev Ceev Ntaub Ntiag Tug Txog Kev Siv Tshuaj Yeeb. Koj tuaj yeem saib Tshooj 2 ntawm CalAIM Data Sharing Authorization Guidance kom paub txog Tshooj 2.

Puas yog tus kws kho mob / chaw (1) tuav nws tus kheej los muab kev pabcuam tshuaj siv tshuaj (SUD) thiab muab SUD kuaj mob, kho, lossis xa mus AND (2) puas tau txais kev pabcuam tseemfwv qibsiab?

  • Yog tias yog,
    • Lawv yog Tus Muab Kev Pab 2
  • If no,
    • Lawv tsis yog Tus Muab Kev Pab 2
36. Yog tias kuv yog tus muab kev pab cuam Ntu 2 thiab kuv tus Neeg Siv Khoom tsis kam kos npe rau Daim Ntawv, kuv yuav ua li cas thiaj tau kev tso cai los qhia kuv tus Neeg Siv Khoom Ntu 2 cov ntaub ntawv txog Kev Siv Tshuaj Yeeb rau lub hom phiaj them nqi?

Yog tias koj xav tau kev tso cai kom tau txais kev them nyiaj rau cov kev pabcuam uas koj muab, koj muaj cai tsis lees txais cov kev pabcuam kom txog thaum koj tus neeg siv khoom kos npe rau daim ntawv ASCMI lossis lwm daim ntawv tso cai them nyiaj.

Cov koom haum kho mob kho qhov chaw kho mob

37. Rau cov tib neeg uas raug kaw lossis nyuam qhuav raug kaw, vim li cas qee hom ntaub ntawv txhaum cai lij choj thiaj li tuaj yeem sib qhia yam tsis tau kev tso cai?

Cov Neeg Koom Tes Saib Xyuas uas pab cov tib neeg uas raug kaw lossis nyuam qhuav raug kaw yuav tsum qhia qee cov ntaub ntawv txog kev ua txhaum cai lij choj kom lawv thiaj li sau npe rau hauv cov kev pabcuam.

Koj tuaj yeem xa mus rau CalAIM DSAG Toolkit rau Reentry Initiative kom paub ntau ntxiv, suav nrog cov xwm txheej siv thaum twg xav tau kev tso cai los ntawm Tus Neeg Siv Khoom rau kev sib qhia cov ntaub ntawv.

38. Kuv puas siv tau daim ntawv ASCMI los qhia cov ntaub ntawv rau cov tub ceev xwm?

Nws nyob ntawm lub hom phiaj ntawm kev tshaj tawm, thiab cov ntaub ntawv yuav raug tshaj tawm rau leej twg.

Yog tias lub hom phiaj ntawm kev tshaj tawm yog rau kev kho mob, kev them nyiaj, thiab kev ua haujlwm, cov ntaub ntawv tuaj yeem tshaj tawm nrog Daim Ntawv ASCMI txawm tias rau Cov Neeg Koom Tes Saib Xyuas hauv kev ua txhaum cai / kev cai lij choj (piv txwv li, CalAIM Justice-Involved Reentry cov neeg muab kev pabcuam).

Yog tias lub hom phiaj ntawm kev tshaj tawm yog rau kev txiav txim plaub ntug:

Daim Ntawv ASCMI siv tsis tau los tso cai rau kev tshaj tawm rau kev txiav txim plaub ntug. Rau cov hom phiaj no, yuav tsum muaj kev txiav txim plaub ntug.

39. Kuv puas siv tau daim ntawv ASCMI los qhia cov ntaub ntawv rau cov tub ceev xwm nkag tebchaws?

DHCS mloog cov kws lij choj ntawm Care Partners rau cov lus nug txog kev siv Daim Ntawv ASCMI los sib qhia cov ntaub ntawv los txhawb kev sib koom tes saib xyuas nrog Care Partners uas ua haujlwm hauv cov chaw nkag tebchaws.

Cov Neeg Saib Xyuas Vaj Tsev

40. Daim Ntawv ASCMI puas hloov tau kuv lub koom haum qhov Homelessness Management Information System (HMIS) ROI? Puas yog kuv cov neeg siv khoom yuav tsum kos npe rau ob qho tib si?

Saib Cov Lus Nug Feem Ntau #4. Koj tuaj yeem xa mus rau CalAIM DSAG Toolkit rau Medi-Cal Housing Supports kom paub ntau ntxiv, suav nrog cov xwm txheej siv thaum twg xav tau kev tso cai los ntawm Tus Neeg Siv Khoom rau kev sib qhia cov ntaub ntawv.

41. Daim Ntawv ASCMI hais txog cov ntaub ntawv txog vaj tse hom twg?

Daim Ntawv ASCMI npog cov ntaub ntawv vaj tse uas los ntawm Continuum of Care (CoC) thiab lub hom phiaj ntawm kev tshaj tawm tsis tau tso cai hauv CoC's NPP. Cov ntaub ntawv no yuav muaj xws li:

  • Kev soj ntsuam xyuas uas koj tau ua tiav thaum sau npe Cov Neeg Siv Khoom hauv cov kev pabcuam.
  • vaj tse nyob.
  • Txhim Kho Kev Tswj Xyuas & Zej Zog Txhawb cov ntaub ntawv nyiaj pab.

Lwm Cov Neeg Saib Xyuas Kev Noj Qab Haus Huv

42. (Rau Cov Qauv Tsis Yog AB 133 xwb) Kuv puas yuav tsum tau daim ntawv tshiab rau txhua qhov kev kuaj HIV uas kuv ua?

Yog. Txoj cai lij choj hauv California yuav tsum tau txais kev tso cai sib cais txhua zaus uas muaj kev tshaj tawm cov txiaj ntsig ntawm kev kuaj mob HIV. Daim ntawv ntawm daim ntawv ASCMI siv tau los sau daim ntawv tso cai HIV txhua zaus xav tau kev tshaj tawm. Thaum daim ntawv ASCMI raug sau los ntawm digital los ntawm Consent Management Portal (CMP), cov txiaj ntsig ntawm kev kuaj mob HIV yuav tsis raug suav nrog vim CMP tsis tuaj yeem taug qab seb puas muaj kev tshaj tawm thaum lub sijhawm nug txog kev nyiam kev pom zoo ntawm Tus Neeg Siv Khoom. Hloov chaw, cov neeg muab kev pabcuam yuav tsum tau vam khom cov cai thiab cov txheej txheem hauv zos kom ntseeg tau tias ua raws li txoj cai.

Cov neeg siv khoom

Lub hom phiaj

Lub hom phiaj ntawm daim ntawv no yog muab cov ntaub ntawv ntxiv rau koj los pab koj nkag siab txog ASCMI Form. Nws piav qhia:

  • Vim li cas koj thiaj xav tso cai rau koj cov neeg muab kev pab qhia koj cov ntaub ntawv rau ib leeg.
  • Hom ntaub ntawv twg lawv tuaj yeem qhia tau.
  • Leej twg yuav pom koj cov ntaub ntawv.

Los ntawm kev kos npe rau daim foos no, koj cov kws kho mob tuaj yeem tswj xyuas koj qhov kev saib xyuas zoo dua thiab txuas koj nrog cov kev pabcuam koj xav tau. Koj tuaj yeem siv cov ntaub ntawv no los pab koj txiav txim siab seb puas yuav kos npe rau Daim Ntawv Foos. Yog tias koj muaj lus nug ntxiv txog Daim Ntawv Foos lossis cov ntaub ntawv hauv qab no, thov nug tus neeg uas muab Daim Ntawv Qhia rau koj.

Cov ntaub ntawv dav dav txog daim ntawv ASCMI

1. Daim Ntawv ASCMI yog dab tsi?

Daim ntawv ASCMI yog ib daim ntawv thov koj tso cai tso cai rau koj Cov Neeg Koom Tes Saib Xyuas (saib FAQ #2 hauv qab no) los qhia koj cov ntaub ntawv rau ib leeg. Qhov no tuaj yeem pab koj kom tsis txhob muab cov ntaub ntawv qub sib qhia ntau zaus lossis kos npe rau daim ntawv tso cai tshiab txhua zaus koj Cov Neeg Koom Tes Saib Xyuas xav tau qhia koj cov ntaub ntawv. Nws tseem tuaj yeem ua rau kev xa mus thiab teem caij rau koj qhov kev xav tau kev saib xyuas tsis tu ncua nrog lwm tus kws kho mob sai thiab yooj yim dua.

2. Leej twg yog kuv cov "Khub Saib Xyuas?"

Koj Cov Neeg Koom Tes Saib Xyuas Kev Kho Mob yog cov chaw muab kev pab lossis cov koom haum uas yuav xav tau los qhia lossis tau txais koj cov ntaub ntawv thaum lawv tab tom muab kev pabcuam rau koj. Qhov no suav nrog, tab sis tsis txwv rau:

  • Cov kws kho mob, suav nrog cov kws kho mob thawj zaug thiab cov kws kho mob hlwb.
  • Cov tshuaj siv tshuaj tsis haum, xws li cov kev kho mob opioid thiab cov kev kho mob hauv tsev.
  • Cov koom haum hauv zej zog thiab cov chaw pabcuam vaj tse.
  • Cov kws kho qhov chaw kho mob thiab cov neeg saib xyuas cov ntaub ntawv (saib FAQ #22 kom paub meej).
  • Cov phiaj xwm pov hwm kev noj qab haus huv, suav nrog Medi-Cal cov phiaj xwm saib xyuas thiab cov phiaj xwm kev coj tus cwj pwm.
  • Cov koom haum paub txog kev noj qab haus huv tsim nyog (saib FAQ #26 kom paub meej).
  • County Health and Human Services Agency.
  • Lub koom haum saib xyuas kev noj qab haus huv thiab tib neeg.
3. Lo lus "AB 133 Version" los yog "Non-AB 133 Version" txhais li cas?

Tsab Cai Lij Choj Sib Tham (AB) 133 yog txoj cai lij choj hauv California uas tso cai rau koj cov Neeg Koom Tes Saib Xyuas (cov tswv cuab ntawm koj pab neeg saib xyuas) qhia qee cov ntaub ntawv ntawm koj yam tsis tas koj kos npe tso cai kom yooj yim rau lawv los muab cov kev pabcuam rau koj thiab los sib koom tes saib xyuas koj. Cov cai sib qhia cov ntaub ntawv ntawm AB 133 (2021) siv tau yog tias ib qho ntawm cov hauv qab no cuam tshuam rau koj:

  • Koj tau cuv npe hauv Medi-Cal kev saib xyuas.
  • Koj tau txais kev pabcuam kev coj tus cwj pwm nyob rau hauv Medi-Cal.
  • Koj tab tom tau txais cov kev pab cuam tso tawm ua ntej thaum nyob hauv tsev kaw neeg los tswj kev tso npe nkag hauv Medi-Cal thiab muab kev txhawb nqa kom ntseeg tau tias muaj kev pabcuam thaum raug tso tawm hauv tsev kaw neeg.

Yog tias peb txoj kev xaiv saum toj no tsis muaj ib qho twg siv tau rau koj, koj yuav raug hais kom kos npe rau Daim Ntawv Tsis Yog AB 133. Txhua tus neeg tuaj yeem xaiv kos npe rau daim ntawv tsis yog AB 133, suav nrog seb peb txoj kev xaiv saum toj no puas siv tau rau koj. Koj tus khub saib xyuas yuav muab daim ntawv uas koj yuav tsum kos npe rau.

4. Vim li cas kuv thiaj raug hais kom kos npe rau daim ntawv?

Kev kos npe rau daim ntawv yuav pab koj cov neeg koom tes saib xyuas kom pom zoo cov kev pabcuam thiab kev txhawb nqa kom pab tau koj txoj kev kho mob lossis lwm yam kev xav tau zoo dua. Lawv kuj tseem yuav muaj peev xwm xa koj mus rau cov kev pabcuam no thiab pab sib koom tes ua ke.

Piv txwv li, yog tias koj xav tau kev pab txog kev nrhiav vaj tse, thiab koj tau kos npe rau daim ntawv ASCMI, koj tus kws kho mob tuaj yeem qhia cov ntaub ntawv ntxiv txog koj rau tus neeg muab vaj tse. Qhov no tuaj yeem pab tus neeg muab kev pab vaj tse nrhiav tau lub tsev uas zoo tshaj plaws rau koj thiab koj cov kev xav tau.

5. Vim li cas kuv thiaj yuav tsum kos npe rau daim ntawv?

Kev kos npe rau daim ntawv txhais tau tias koj cov Neeg Koom Tes Saib Xyuas tuaj yeem qhia ntau cov ntaub ntawv ntxiv txog koj rau lwm tus Neeg Koom Tes Saib Xyuas uas muab cov kev pabcuam rau koj. Nws tuaj yeem pab tiv thaiv kev ncua sijhawm hauv kev txuas koj rau lwm cov kev pabcuam. Piv txwv li, yog tias koj muaj teeb meem siv tshuaj yeeb dej cawv, koj tus neeg muab kev pab tuaj yeem qhia cov ntaub ntawv nrog tus neeg muab kev pab vaj tse los pab koj nrhiav vaj tse uas yuav pab koj nrog koj txoj kev kho mob siv tshuaj yeeb dej cawv.

6. Kuv puas yuav tsum tau kos npe rau daim ntawv?

Tsis yog. Kev kos npe rau daim ntawv yog xaiv tau. Yog koj kos npe rau daim ntawv, koj cov neeg koom tes saib xyuas tuaj yeem qhia cov ntaub ntawv ntxiv txog koj rau lwm cov neeg koom tes saib xyuas uas muab cov kev pabcuam rau koj.

7. Yog tias kuv tsis kos npe rau daim ntawv no, yuav ua li cas? Kuv puas yuav raug tsis kam txais kev pab yog tias kuv tsis kos npe rau daim ntawv no?

Feem ntau, koj yuav tsis raug tsis kam lees kev saib xyuas lossis kev pabcuam yog tias koj tsis kos npe rau Daim Ntawv. Tiam sis kev kos npe rau Daim Ntawv yuav ua rau nws yooj yim dua rau koj cov Neeg Koom Tes Saib Xyuas los muab kev saib xyuas rau koj thiab sib koom tes cov kev pabcuam rau koj, xws li kev xa mus rau lwm tus neeg muab kev pabcuam.

Muaj tej lub sij hawm, cov neeg koom tes saib xyuas yuav tsum muaj peev xwm qhia koj cov ntaub ntawv kom tau txais kev them nyiaj rau cov kev pabcuam uas lawv muab. Yog tias lawv tsis tuaj yeem qhia koj cov ntaub ntawv rau lub hom phiaj no, lawv yuav hais kom koj them rau koj cov kev pabcuam koj tus kheej. Koj yuav tsum nug koj tus khub saib xyuas txog lwm txoj kev xaiv yog tias koj nyob rau hauv qhov xwm txheej no.

8. Puas yog kev kos npe rau Daim Ntawv no ua rau kuv sau npe rau hauv Medi-Cal lossis lwm cov kev pab cuam thiab kev pabcuam?

Tsis yog. Kev kos npe rau daim ntawv no tsis yog koj sau npe rau hauv Medi-Cal lossis lwm cov kev pab cuam thiab kev pabcuam. Txawm li cas los xij, kev kos npe rau Daim Ntawv txhais tau tias koj cov Neeg Koom Tes Saib Xyuas yuav muaj peev xwm txheeb xyuas cov kev pab cuam thiab cov kev pabcuam uas koj tsim nyog tau txais thiab txuas koj mus rau lawv.

9. Tom qab kuv kos npe rau daim ntawv lawm, yuav muaj dab tsi tshwm sim?

Koj tus khub saib xyuas yuav khaws cov ntaub ntawv ntawm koj daim ntawv kos npe. Lawv kuj tseem yuav muab daim ntawv theej ntawm Daim Ntawv no rau koj lwm tus Neeg Koom Tes Saib Xyuas kom paub tseeb tias koj cov ntaub ntawv tsuas yog muab qhia yog tias koj tau tso cai. Yog tias koj xav hloov koj qhov kev nyiam tso cai yav tom ntej, thov hu rau Tus Khub Saib Xyuas uas tau sau koj daim ntawv.

10. Kuv puas xav tau ib tug neeg sawv cev (niam txiv, tus saib xyuas, lossis tus neeg sawv cev raws li txoj cai) los kos npe rau daim ntawv no rau kuv?

Yog koj muaj hnub nyoog 17 xyoo lossis yau dua, koj thiab koj niam koj txiv lossis tus saib xyuas raws li txoj cai (lossis tus neeg sawv cev) yuav tsum kos npe rau Daim Ntawv. Rau qee hom kev kho mob, tsuas yog koj kos npe xwb thiaj li yuav tsum muaj thiab tsis yog koj niam koj txiv, tus saib xyuas, lossis tus sawv cev kos npe. Tus Khub Saib Xyuas uas muab Daim Ntawv rau koj yuav pab piav qhia cov rooj plaub ntawd thiab leej twg yuav tsum kos npe rau daim ntawv.

Yog koj muaj hnub nyoog 18 xyoo lossis laus dua, koj yog tib tug neeg uas yuav tsum tau kos npe rau daim ntawv no, tshwj tsis yog tias koj muaj lwm tus neeg (tus neeg sawv cev raws li txoj cai) uas tau tso cai ua haujlwm rau koj.

11. Tus neeg sawv cev raws li txoj cai yog dab tsi?

Tus neeg sawv cev raws li txoj cai yog ib tus neeg uas raug cai lij choj tso cai los ua haujlwm sawv cev rau Tus Neeg Siv Khoom hauv kev txiav txim siab txog kev kho mob thiab tswj hwm lawv cov ntaub ntawv kev noj qab haus huv. Qhov no suav nrog, tab sis tsis txwv rau, niam txiv lossis tus saib xyuas ntawm tus menyuam yaus, ib tus neeg uas muaj hwj chim ntawm tus kws lij choj saib xyuas kev noj qab haus huv, tus neeg saib xyuas uas lub tsev hais plaub xaiv, lossis tus neeg saib xyuas.

Ib tug neeg sawv cev raws li txoj cai yuav kos npe rau daim ntawv, xws li daim ntawv ASCMI, thaum lawv muaj cai raws li txoj cai los ua li ntawd.

12. Rau cov menyuam yaus, thaum twg yuav tsum tau kev tso cai los ntawm niam txiv, lossis kev tso cai ntawm tus neeg saib xyuas, rau kev sib qhia cov ntaub ntawv?

Feem ntau, niam txiv/tus saib xyuas muaj cai pom zoo rau kev qhia lawv tus menyuam txoj kev noj qab haus huv thiab lwm yam ntaub ntawv tus kheej. Raws li HIPAA, niam txiv/tus saib xyuas ntawm tus menyuam yaus uas tsis tau txais kev ywj pheej muaj cai tso cai rau kev tso tawm cov ntaub ntawv kev noj qab haus huv uas raug tiv thaiv yog tias niam txiv/tus saib xyuas muaj cai ua haujlwm sawv cev rau tus menyuam yaus hauv kev txiav txim siab txog kev kho mob.

Txawm li cas los xij, thaum tus menyuam yaus muaj cai raug cai los pom zoo txais kev pabcuam tshwj xeeb, ywj pheej ntawm lawv niam lawv txiv, nws yog tus menyuam yaus, tsis yog niam txiv/tus saib xyuas, uas yuav kos npe rau txhua daim ntawv tso cai uas tso cai rau kev tshaj tawm cov ntaub ntawv hais txog kev pabcuam ntawd. Yog xav paub ntxiv, mus saib Cov Lus Qhia Txog Kev Tso Cai Sib Koom Cov Ntaub Ntawv 2.1.

Piv txwv li, txoj cai lij choj hauv xeev tso cai rau tus menyuam yaus kom pom zoo rau kev kho mob ntsig txog kev kuaj mob, kev kho mob, thiab kev tiv thaiv cov kab mob sib kis los ntawm kev sib deev, thiab cov kab mob sib kis, sib kis tau, lossis sib kis tau. Vim tias tus menyuam yaus tuaj yeem pom zoo rau qhov kev kho mob no, lawv yuav muaj lub luag haujlwm kos npe rau txhua daim ntawv tso cai uas tso cai rau kev tshaj tawm cov ntaub ntawv hais txog cov kev pabcuam no, thiab niam txiv lossis tus saib xyuas yuav tsis muaj cai nkag mus rau cov ntaub ntawv no.

Lub hom phiaj ntawm kev sib qhia cov ntaub ntawv

13. Vim li cas kuv cov ntaub ntawv thiaj li yuav tsum tau qhia?

Koj Cov Neeg Koom Tes Saib Xyuas yuav tsum qhia koj cov ntaub ntawv rau:

  • Koom tes nrog koj txoj kev saib xyuas.
  • Muab koj cov kev kho mob, kho hniav, kev noj qab haus huv ntawm lub hlwb, thiab kev siv tshuaj yeeb tshuaj thiab kev pabcuam.
  • Tau txais cov nyiaj them los ntawm koj lub tuam txhab tuav pov hwm kev noj qab haus huv rau kev kho mob thiab kev pabcuam rau koj.
  • Txuas koj mus rau cov kev pab cuam, kev pabcuam, thiab cov peev txheej uas tuaj yeem pab txhim kho koj txoj kev noj qab haus huv thiab kev noj qab haus huv.

Koj Cov Neeg Koom Tes Saib Xyuas tsuas tuaj yeem sib qhia lossis thov koj cov ntaub ntawv rau lub hom phiaj tshwj xeeb, xws li cov teev saum toj no. Raws li txoj cai, lawv tsuas tuaj yeem faib cov ntaub ntawv tsawg tshaj plaws uas xav tau vim li ntawd. Feem ntau, lawv tsis tuaj yeem nkag lossis faib koj cov ntaub ntawv tag nrho.

14. Kuv puas tso cai rau kuv cov Neeg Koom Tes Saib Xyuas qhia kuv cov ntaub ntawv rau kev them nyiaj xwb thiab tsis yog rau lwm lub hom phiaj?

Tsis yog lub sijhawm no. Koj txoj kev tso cai nrog daim ntawv ASCMI siv rau txhua lub hom phiaj teev saum toj no. Txawm li cas los xij, koj tuaj yeem tham nrog koj tus khub saib xyuas txog lwm txoj kev xaiv yog tias koj xav tso cai rau kev sib koom tsuas yog rau qee lub hom phiaj, xws li kev them nyiaj.

Hom ntaub ntawv

15. Cov ntaub ntawv twg txog kuv yuav raug qhia txawm tias kuv tsis kos npe rau Daim Ntawv no?

Koj cov Neeg Koom Tes Saib Xyuas raws li txoj cai tuaj yeem thiab yuav qhia qee yam ntawm koj cov ntaub ntawv txawm tias koj tsis kos npe rau Daim Ntawv los xij. Lawv tuaj yeem qhia koj cov ntaub ntawv los muab kev saib xyuas lossis sib koom tes nrog koj txoj kev kho mob thiab cov kev pabcuam, tau txais kev them nyiaj rau cov kev pabcuam, thiab khiav lawv cov koom haum los muab kev saib xyuas zoo.

Piv txwv ntawm cov ntaub ntawv uas tuaj yeem qhia tawm yam tsis tau koj kos npe tso cai suav nrog:

  • Qee cov ntaub ntawv kho mob thiab kev puas siab puas ntsws.
  • (AB 133 Version nkaus xwb) Cov ntaub ntawv siv tshuaj tsis raug cai tsis muaj kev tiv thaiv los ntawm tsoomfwv txoj cai lij choj 42 CFR Part 2 (feem ntau hu ua Part 2). Xa mus rau FAQ #14 kom paub meej ntxiv txog cov ntaub ntawv siv tshuaj tiv thaiv los ntawm Ntu 2.
  • Cov ntaub ntawv pov hwm kev noj qab haus huv
  • (AB 133 Version nkaus xwb) Txwv tsis pub cov ntaub ntawv raug cai txhaum cai, suav nrog cov ntaub ntawv sau npe, hnub tim thiab qhov chaw raug kaw, thiab raug kaw.
16. Cov ntaub ntawv twg txog kuv yuav raug qhia yog tias kuv kos npe rau daim ntawv no?

Care Partners xav tau koj kev tso cai los qhia lwm yam ntaub ntawv txog koj. Yog tias koj kos npe rau daim foos no, koj Cov Neeg Koom Tes Saib Xyuas tuaj yeem qhia cov hom ntaub ntawv uas koj tau kuaj xyuas "Yog" nyob ib sab ntawm tshooj 2.3 ntawm Daim Ntawv. Cov hom ntaub ntawv uas koj tuaj yeem txiav txim siab qhia yog:

AB 133 Version:

  • Cov ntaub ntawv kho mob kev siv tshuaj yeeb dej cawv
  • Qee cov ntaub ntawv txog vaj tse uas koj lub koom haum Continuum of Care tau sau (xws li kev ntsuam xyuas kev txais neeg los ntawm lub koom haum Continuum of Care).

Non-AB 133 Version:

  • Cov ntaub ntawv kho mob kev siv tshuaj yeeb dej cawv
  • Qee cov ntaub ntawv txog vaj tse uas koj lub koom haum Continuum of Care tau sau (xws li kev ntsuam xyuas kev txais neeg los ntawm lub koom haum Continuum of Care).
  • Cov ntaub ntawv txog kev noj qab haus huv ntawm lub hlwb (xws li cov ntaub ntawv kho mob, kev ntsuam xyuas).
  • Cov ntaub ntawv txog kev xiam oob qhab ntawm kev txawj ntse thiab kev loj hlob (xws li cov ntaub ntawv kev pabcuam kev loj hlob, Txoj Kev Npaj Pabcuam Tus Kheej, kev ntsuam xyuas kev tsim nyog ntawm Chaw Pabcuam Hauv Cheeb Tsam).
  • Cov Txiaj Ntsig Kev Kuaj Mob HIV (lus ceeb toom - txhawm rau qhia cov txiaj ntsig kev kuaj mob HIV koj yuav tsum kos npe rau daim ntawv tso cai tshiab txhua zaus uas cov ntaub ntawv yuav tsum tau qhia)
  • Cov txiaj ntsig ntawm kev ntsuam xyuas caj ces.
17. Kuv puas xaiv tau hom ntaub ntawv twg txog kuv uas yuav muab qhia?

Yog. Koj tuaj yeem xaiv cov pawg ntaub ntawv tshwj xeeb uas koj xav kom qhia los ntawm kev siv cov thawv cim hauv Ntu 2.3, hu ua "Koj Qhov Kev Pom Zoo." Cov thawv cim qhia cov ntaub ntawv uas koj pom zoo qhia.

Yog koj kos "Yog" rau ib qho ntawm cov ntaub ntawv no, koj cov Neeg Koom Tes Saib Xyuas tuaj yeem sib qhia cov ntaub ntawv ntawd rau ib leeg los pab sib koom tes saib xyuas koj txoj kev saib xyuas.

Yog koj kos "Tsis yog," tej zaum yuav thov kom koj tso cai qhia cov ntaub ntawv ntawd dua yav tom ntej yog tias koj cov Neeg Koom Tes Saib Xyuas xav tau nws kom muab kev saib xyuas zoo tshaj plaws rau koj.

18. 42 CFR Ntu 2 yog dab tsi? Kuv yuav paub li cas yog tias kuv cov ntaub ntawv txog kev siv tshuaj yeeb dej cawv raug tiv thaiv los ntawm txoj cai no?

42 CFR Ntu 2 yog txoj cai lij choj hauv tebchaws uas tiv thaiv kev ceev ntiag tug ntawm cov neeg uas raug kho rau kev siv tshuaj yeeb dej cawv. Nws tsuas yog siv rau cov ntaub ntawv txog kev siv tshuaj yeeb uas ib hom neeg muab kev pab lossis lub koom haum tshwj xeeb sau los xwb. Cov neeg muab kev pab no yog cov uas muab kev kuaj mob, kev kho mob, lossis kev xa mus rau cov neeg muaj teeb meem kev siv tshuaj yeeb thiab tau txais nyiaj txiag los ntawm tsoomfwv los txhawb lawv lub koom haum.

Yog tias koj cov ntaub ntawv txog kev siv tshuaj yeeb dej cawv raug tiv thaiv los ntawm txoj cai no, koj cov neeg koom tes saib xyuas tsuas yog tuaj yeem qhia cov ntaub ntawv no nrog koj daim ntawv tso cai sau ntawv xwb. Koj tus khub saib xyuas tuaj yeem pab koj txiav txim siab seb koj cov ntaub ntawv hais txog kev siv tshuaj yeeb dej cawv puas raug tiv thaiv los ntawm txoj cai no.

19. Puas yog kev pom zoo qhia kuv cov ntaub ntawv Ntu 2 hauv Daim Ntawv no txhais tau tias kuv cov ntawv qhia txog kev siv tshuaj yeeb dej cawv yuav raug qhia?

Tsis yog. Cov ntawv qhia txog kev siv tshuaj tsis zoo yog tus kws kho mob cov ntawv sau rau ntawm lawv cov kev sib tham nrog tus neeg mob thaum lub sij hawm kev sab laj, uas tau muab cais los ntawm lwm qhov 2 cov ntaub ntawv hais txog kev siv yeeb tshuaj. Kev tso cai los qhia hom ntaub ntawv no yuav tsum muaj kev tso cai tshwj xeeb.

20. Puas yog kev pom zoo qhia kuv cov ntaub ntawv kev noj qab haus huv ntawm lub hlwb hauv Daim Ntawv no txhais tau tias kuv cov ntawv sau txog kev kho mob hlwb yuav raug qhia?

Tsis yog. Cov ntawv sau txog kev puas siab puas ntsws yog cov ntawv sau los ntawm tus kws kho mob hlwb ntawm kev sib tham thaum lub sij hawm kev sab laj tus kheej lossis ib pab pawg, sib koom ua ke, lossis kev sib tham hauv tsev neeg. Cov no tau muab cais tawm ntawm tus neeg mob cov ntaub ntawv kho mob thiab yuav tsum muaj kev tso cai tshwj xeeb.

21. Yog tias kuv tsis kos npe rau daim ntawv no, puas yuav muaj ib qho ntawm kuv cov ntaub ntawv raug qhia tawm?

Yog tias koj xaiv tsis kos npe rau daim foos, koj Cov Neeg Koom Tes Saib Xyuas yuav tsis qhia cov ntaub ntawv tau piav qhia hauv Tshooj 2.3. Tab sis qee cov ntaub ntawv, raws li tau piav qhia hauv Tshooj 1.3 ntawm Daim Ntawv thiab hauv FAQ #14, tseem tuaj yeem muab faib.

22. Lub Tshuab Tswj Xyuas Cov Ntaub Ntawv Txog Cov Neeg Tsis Muaj Tsev Nyob yog dab tsi?

Lub Tsev Haujlwm Saib Xyuas Kev Tsis Muaj Tsev Nyob yog siv los ntawm cov chaw muab kev pabcuam vaj tse los tswj cov ntaub ntawv hais txog cov neeg uas tau txais kev pabcuam vaj tsev thiab kev txhawb nqa. Piv txwv li: Txoj Kev Tswj Xyuas Cov Neeg Tsis Muaj Tsev Nyob tuaj yeem siv los sau thiab khaws cov ntaub ntawv txheeb xyuas vaj tse kom tso cov neeg mus rau hauv vaj tse zoo raws li lawv cov kev xav tau. Koj Cov Neeg Koom Tes Saib Xyuas Tej zaum yuav xav tau muab cov ntaub ntawv qhia rau cov neeg muab vaj tsev nyob uas siv Txoj Cai Tswj Xyuas Tsis Muaj Tsev Nyob.

Leej twg tuaj yeem faib thiab tau txais kuv cov ntaub ntawv?

23. Yog tias kuv kos npe rau daim ntawv no, kuv cov ntaub ntawv yuav raug qhia rau leej twg?

Yog koj kos npe rau daim ntawv, cov ntaub ntawv uas koj tso cai rau qhia hauv Ntu 2.3 ntawm daim ntawv tsuas yog yuav qhia rau koj cov Neeg Koom Tes Saib Xyuas xwb. Daim Ntawv no tsis pub cov tib neeg thiab cov koom haum uas tsis muab kev kho mob thiab kev pabcuam rau koj tau txais koj cov ntaub ntawv. Saib FAQ #2 rau cov piv txwv ntawm Cov Neeg Koom Tes Saib Xyuas.

24. Kuv cov Neeg Koom Tes Saib Xyuas puas tuaj yeem rov qhia kuv cov ntaub ntawv tus kheej dua?

Yog. Koj cov neeg koom tes saib xyuas tuaj yeem rov qhia koj cov ntaub ntawv tus kheej rau cov tib neeg thiab cov koom haum uas koom nrog koj txoj kev saib xyuas, tab sis tsuas yog raws li txoj cai lij choj lawv thiaj li ua tau li ntawd.

Piv txwv li, yog tias koj tso cai qhia cov ntaub ntawv txog kev siv tshuaj yeeb uas tau tiv thaiv los ntawm 42 CFR Ntu 2, koj txoj kev npaj kho mob, tus neeg muab kev pov hwm, lossis tus neeg muab kev kho mob tuaj yeem qhia nws dua rau lub hom phiaj ntawm kev muab kev kho mob rau koj, tau txais kev them nyiaj rau cov kev pabcuam uas tau muab rau koj, thiab los muab kev saib xyuas zoo.

25. Kuv puas tuaj yeem zam cov neeg lossis cov koom haum tshwj xeeb kom tsis txhob qhia thiab txais kuv cov ntaub ntawv yog tias kuv kos npe rau Daim Ntawv no?

Tsis yog lub sijhawm no. Yog koj tso cai rau koj qhia koj cov ntaub ntawv rau daim ntawv no, txhua tus neeg lossis cov koom haum uas muab kev saib xyuas koj yuav pom thiab siv daim ntawv no los qhia thiab txais koj cov ntaub ntawv yog tias lawv xav tau. Yog tias koj muaj kev txhawj xeeb txog cov tib neeg lossis cov koom haum tshwj xeeb uas koom nrog koj txoj kev saib xyuas nkag mus rau koj cov ntaub ntawv, sab laj nrog koj tus khub saib xyuas.

26. Yog tias kuv kos npe rau daim ntawv no, tub ceev xwm lossis cov tub ceev xwm nkag tebchaws puas yuav nkag mus saib kuv cov ntaub ntawv zais cia?

Tsis yog. Kev kos npe rau daim ntawv ASCMI tsis tau txhais hais tias tub ceev xwm lossis cov tub ceev xwm nkag tebchaws tuaj yeem nkag mus lossis tau txais koj cov ntaub ntawv zais cia. Txawm li cas los xij, muaj ntau txoj hauv kev rau tub ceev xwm lossis cov tub ceev xwm nkag tebchaws kom nkag mus saib koj cov ntaub ntawv, piv txwv li, nrog rau kev txiav txim plaub ntug. Cov ntaub ntawv txog kev siv tshuaj yeeb dej cawv uas tau piav qhia hauv FAQ #17 tsis tuaj yeem muab qhia rau kev siv rau hauv kev tshawb nrhiav pej xeem, kev tswj hwm, lossis kev ua txhaum cai, kev txiav txim, kev ua raws li kev nkag tebchaws, lossis kev foob hauv tsev neeg tawm tsam koj yam tsis muaj kev txiav txim los ntawm tsev hais plaub.

27. Lub Koom Haum Qhia Txog Kev Noj Qab Haus Huv Uas Tau Txais Kev Tso Cai Yog Dab Tsi?

Ib lub koom haum qhia txog kev noj qab haus huv uas tsim nyog yog ib lub koom haum uas pab cov neeg koom tes saib xyuas kev noj qab haus huv sib pauv cov ntaub ntawv hais txog lawv cov neeg siv khoom. Lawv xyuas kom meej tias cov ntaub ntawv tau muab qhia kom ruaj ntseg raws li lawv cov Neeg Siv Khoom nyiam.

Hloov kho kuv cov ntaub ntawv tso cai

28. Kuv yuav tau daim ntawv no li cas?

Koj tuaj yeem nug koj tus khub saib xyuas uas tau sau daim ntawv ntawm koj kom muab ib daim qauv.

29. Kuv daim ntawv tso cai siv tau ntev npaum li cas?

Koj daim ntawv kos npe yuav siv tau ib xyoos, tsuas yog cov hauv qab no xwb:

Yog koj muaj hnub nyoog 17 xyoo thiab muaj hnub nyoog 18 xyoo hauv ib xyoos tom qab koj kos npe rau daim ntawv no, koj yuav raug hais kom kos npe rau daim ntawv tshiab.

Thov nco ntsoov tias koj tuaj yeem hloov koj qhov kev nyiam tso cai rau cov ntaub ntawv tshwj xeeb lossis thim rov qab koj qhov kev tso cai tag nrho ua ntej nws tas sij hawm (saib FAQ #30 hauv qab no).

30. Kuv puas hloov tau kuv qhov kev nyiam tso cai? Yog tias tau, yuav ua li cas?

Yog. Hu rau koj tus khub saib xyuas yog tias koj xav hloov koj qhov kev nyiam tso cai. Lawv yuav muab daim ntawv rho tawm rau koj kom ua tiav kom rho tawm kev tso cai rau txhua hom ntaub ntawv. Tom qab koj ua tiav daim ntawv rho tawm, koj tus khub saib xyuas yuav hais kom koj ua tiav daim ntawv ASCMI tshiab nrog koj cov kev nyiam tshiab. Tsis pub rho tawm ib feem ntawm cov ntaub ntawv tshwj xeeb los ntawm Daim Ntawv Rho Tawm.

31. Thaum kuv daim ntawv tso cai tas sij hawm, yuav muaj li cas?

Thaum koj qhov kev tso cai tas sij hawm, koj Tus Neeg Koom Tes Saib Xyuas yuav hais kom koj kos npe rau Daim Ntawv Foos ASCMI tshiab yog tias lawv xav tau koj qhov kev tso cai tshwj xeeb los qhia cov hom ntaub ntawv hauv Tshooj 2.3 ntawm Daim Ntawv Foos.

32. Yog tias kuv hloov cov phiaj xwm kho mob lossis tsiv mus rau lwm lub nroog ua ntej kuv daim ntawv tso cai tas sij hawm, puas yuav ua raws li kuv daim ntawv tso cai?

Koj qhov kev tso cai tsis hloov yog tias koj hloov cov phiaj xwm kev noj qab haus huv lossis txav mus rau lwm lub nroog ua ntej koj qhov kev tso cai yuav tas sijhawm. Koj tuaj yeem thov kom koj Tus Neeg Saib Xyuas Kev Noj Qab Haus Huv uas tau sau koj Daim Ntawv Teev Npe uas tau kos npe qhia daim ntawv no rau lwm tus hauv koj lub nroog tshiab. Daim foos yuav tsis ua raws li koj yog tias koj yuav tsiv mus rau lwm lub xeev.

33. Yog tias kuv txoj cai tsim nyog Medi-Cal hloov ua ntej kuv daim ntawv tso cai tas sij hawm, kuv daim ntawv tso cai puas tseem siv tau?

Tsis yog. Kev tsim nyog tau txais Medi-Cal cuam tshuam txog seb koj puas yuav kos npe rau AB 133 lossis Non-AB 133 Version ntawm daim ntawv. Yog tias koj qhov kev tsim nyog tau txais Medi-Cal hloov pauv, koj Tus Neeg Koom Tes Saib Xyuas yuav hais kom koj kos npe rau daim foos tshiab.