Tsev CalAIM: Hloov Medi-Cal CalAIM ASCMI Kev Pib Ua Haujlwm ​​ 

CalAIM ASCMI Initiative​​  

Rov qab mus rau CalAIM Homepage​​ 

Txheej txheem cej luam​​ 

Qhov Kev Tso Cai Qhia Txog Tus Tswv Cuab Cov Ntaub Ntawv Pov Thawj (ASCMI) Txoj Haujlwm yog kev siv zog thoob plaws xeev los txhawb thiab ua qauv sib pauv ntawm Cov Neeg Siv Khoom 'cov ntaub ntawv rhiab, suav nrog qee yam kev noj qab haus huv ntawm lub cev, kev coj tus cwj pwm, thiab cov ntaub ntawv pabcuam kev sib raug zoo (HSSI), ntawm Cov Neeg Kho Mob xws li cov kws kho mob, cov phiaj xwm kev noj qab haus huv, cov koom haum hauv nroog, thiab cov koom haum pabcuam kev noj qab haus huv.​​  

Daim Ntawv ASCMI yog cov cuab yeej tsim qauv tsim los kov yeej cov teeb meem tsis tu ncua uas txwv kev nkag mus rau cov ntaub ntawv rhiab heev. Cov no suav nrog cov kev cai ntiag tug nyuaj tswj kev pom zoo thiab kev sib pauv ntaub ntawv, thev naus laus zis thev naus laus zis thiab cov txheej txheem ntawv, thiab cov txheej txheem sib faib, tsis tiav cov ntaub ntawv sib qhia. Los ntawm kev hais daws cov teeb meem no, ASCMI Daim Ntawv Pabcuam pab tsim lub hauv paus rau kev sib txuas thiab kev saib xyuas tib neeg.​​ 

Raws li ASCMI txoj hauv kev, Cov Neeg Koom Tes Saib Xyuas tuaj yeem siv daim ntawv ASCMI kom tau txais ib tus neeg pom zoo rau kev sib faib cov ntaub ntawv hauv lub sijhawm ntawm Cov Neeg Koom Tes Saib Xyuas thiab txhawb kev sib koom tes saib xyuas. Txawm hais tias daim ntawv ASCMI tau pib siv rau Medi-Cal Cov Tswv Cuab, nws yog tsim los siv los ntawm txhua tus neeg hauv California.​​  

ASCMI Initiative nthuav qhia lub sijhawm los nqis peev hauv thiab ntxiv dag zog rau kev sib koom ua ke ntawm kev sib koom tes, txo qis kev tswj hwm lub luag haujlwm thoob plaws lub xeev, thiab txhawb nqa CalAIM cov haujlwm tseem ceeb xws li Kev Tswj Xyuas Kev Kho Mob thiab Kev Txhawb Zej Zog, pab txhawm rau rhuav tshem cov phab ntsa ntawm kev saib xyuas kev noj qab haus huv thiab kev txhawb nqa kev sib koom ua ke, kev saib xyuas tib neeg.​​ 

Hloov tshiab tseem ceeb​​ 

Tsim kom muaj kev vam meej ntawm 2023 ASCMI Pilot Program, DHCS tab tom tshaj tawm daim ntawv ASCMI zaum kawg, uas qhia txog cov ntaub ntawv uas tus neeg siv khoom pom zoo lossis tsis pom zoo los qhia, nrog rau yuav ua li cas nws yuav raug muab qhia thiab siv nrog lwm tus neeg koom tes. Daim ntawv no tau raug kho kom zoo nyob rau hauv cov lus, qauv, thiab formatting raws li stakeholder tawm tswv yim zoo, kom ua raws li lub xeev thiab tsoom fwv txoj cai. Txhawm rau txhawb kev sib koom tes saib xyuas ob sab hauv thiab sab nraud ntawm CalAIM cov ntsiab lus, DHCS tau tsim ob lub qauv ntawm ASCMI Form, ib qho ua raws li AB 133 thiab ib qho rau kev siv dav dua; ib daim foos tshem tawm kuj suav nrog.​​ 

Kev hloov kho ntxiv rau daim ntawv ASCMI, hais txog FERPA, kev tso cai rau cov menyuam yaus thiab cov tib neeg nyob rau hauv kev saib xyuas, thiab nthuav dav siv cov ntaub ntawv raug npaj rau kev tso tawm xyoo 2026.​​  

Cov ntaub ntawv tseem ceeb​​ 

ASCMI Form: The ASCMI Form is a standardized consent form used by Care Partners to obtain authorization to share sensitive information from their Clients.
ASCMI Form: AB 133
English
Language translations
ASCMI Form: Non-AB 133
English
Language translations
ASCMI Revocation Form
English
Language translations
ASCMI FAQs (Client Facing & Care Partner): These documents include a list of Frequently Asked Questions (FAQs) for Clients signing the ASCMI Form and a list of FAQs for Care Partners administering the ASCMI Form. ASCMI FAQs
ASCMI Pilot Evaluation White Paper: Evaluation of the 2023 ASCMI pilot, including a summary of the preliminary ASCMI design, pilot implementation process, and key findings. ASCMI White Paper​​ 

Cov ntaub ntawv Webinars​​ 

All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar – Lub Xya hli ntuj 29, 2025​​ 

CalAIM Consent Management Pilot Webinar – Kaum Ib Hlis Ntuj 2, 2022​​  

Cov peev txheej ntxiv​​ 

CalAIM Cov Ntaub Ntawv Qhia Txog Kev Tso Cai​​ 

California Data Exchange Framework​​ 

Kev hloov pauv ntawm Medi-Cal​​ 

Lus nug thiab lus pom​​ 

Contact DHCS with questions or comments on the ASCMI Initiative at DHCSDataSharing@dhcs.ca.gov​​