Managed Care Plans thiab Behavioral Health Plans/Counties
California Txoj Cai Sib Pauv Cov Ntaub Ntawv
- California Data Exchange Framework
- CalHHS Center for Data Insights and Innovation Data Exchange Framework Guideing Principles
- CalHHS Data Exchange Framework Executive Summary
- CalHHS Data Exchange Framework Ib Daim Ntawv Pom Zoo Sib Koom Tes
- CalHHS Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv Hauv Xeev (SHIG).
CalAIM Cov Ntaub Ntawv Qhia Txog Kev Tso Cai
Cov Lus Qhia Txog Kev Tso Cai Sib Koom Cov Ntaub Ntawv CalAIM kawg Medi-Cal Housing Support Services thiab Reentry Initiative Toolkits tau luam tawm thaum Lub Plaub Hlis 2025, thiab Daim Ntawv ASCMI kawg tau luam tawm thaum Lub Xya Hli 2025. Thov mus saib nplooj ntawv ASCMI Initiative kom nkag mus rau daim ntawv thiab cov lus nug nquag nug. Yog xav paub ntxiv, thov saib cov txuas hauv qab no:
All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar (Lub Xya Hli 2025)
All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar Presentation Slides (Lub Xya Hli 2025)
CalAIM Data Sharing Authorization Guidance Version 2.0 hloov kho qhov version dhau los uas tau tso tawm thaum Lub Peb Hlis 2022 thiab tau luam tawm thaum Lub Kaum Hli 2023. Yog xav paub ntxiv, thov saib cov txuas hauv qab no:
CalAIM DSAG All-Comer Webinar (Lub Kaum Hli Ntuj xyoo 2023)
CalAIM DSAG All Comer webinar Cov Slides Nthuav Qhia (Lub Kaum Hli Ntuj xyoo 2023)
Daim Ntawv Pom Zoo thiab Kev Tswj Xyuas Kev Pom Zoo
- 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. Thov mus saib nplooj ntawv ASCMI Initiative yog xav paub ntxiv.
Webinars
CalAIM Consent Management Pilot Webinar – Kaum Ib Hlis Ntuj 2, 2022
- Slides
- CalAIM Repository of Data Sharing Forms thiab Daim Ntawv Pom Zoo
- Daim Ntawv Pom Zoo Yuav Tsum Tau: Thov xa mus rau Tshooj 4 ntawm Daim Ntawv Pom Zoo Qhia Kev Pom Zoo rau daim ntawv tso cai.
Cov ntaub ntawv xa tuaj
- Managed Care Encounter Data Reporting
- Medi-Cal Managed Care Letters
- Medi-Cal Managed Care Boilerplate Contracts
- Daim ntawv cog lus sib koom ntawm Medi-Cal Managed Care Contracts
Xeev Cov Cai, Cov Cai, thiab Kev Qhia
Tshooj lus no muab cov ntaub ntawv qhia txog lub xeev thiab tseem fwv rau koj uas qhia txog qhov tseem ceeb ntawm kev sib faib cov ntaub ntawv.
- AB 133 yog ib txoj cai lij choj uas tau pom zoo rau lub Xya Hli 2021 thiab tau hloov txoj cai lij choj hauv xeev California los txhawb kev sib pauv cov ntaub ntawv thiab kev sib koom tes saib xyuas cov neeg tau txais kev pabcuam raws li CalAIM (saib ntu 3 uas piav qhia txog AB 133 hauv Cov Lus Qhia Txog Kev Tso Cai Sib Koom Cov Ntaub Ntawv 2.0). Tshwj xeeb, AB 133 tso cai rau kev sib qhia cov ntaub ntawv txawm tias nyob rau hauv cov xwm txheej uas cov kev cai lij choj ntiag tug ntawm lub xeev yuav tsis tso cai rau kev sib qhia cov ntaub ntawv yam tsis tau kos npe pom zoo. Qhov no tau ua tiav rau lub hom phiaj ntawm kev pab tib neeg kom tau txais kev saib xyuas.
Tsis Muaj Qhov Rooj Tsis Zoo rau Kev Pabcuam Kev Puas Siab Puas Ntsws
- BHIN 22-011 Tsis Muaj Qhov Rooj Yuam Kev Rau Txoj Cai Pabcuam Kev Noj Qab Haus Huv Lub Siab (Lub Peb Hlis Ntuj Xyoo 2022)
- APL 22-005 Tsis Muaj Qhov Rooj Yuam Kev Rau Txoj Cai Pabcuam Kev Noj Qab Haus Huv Lub Siab (Lub Peb Hlis Ntuj Xyoo 2022)
- Tsis Muaj Qhov Rooj Yuam Kev Rau Txoj Cai Kev Pabcuam Kev Noj Qab Haus Huv Lub Siab Cov Lus Nug Feem Ntau (Lub Ob Hlis 2023)
Data Privacy, Data Sharing, thiab Interoperability
- BHIN 22-068: Txoj Cai Kawg ntawm Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob (Lub Kaum Ob Hlis Ntuj xyoo 2022)
- BHIN 23-032: Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob Cov Txheej Txheem Saib Xyuas Kev Ua Raws Cai Zaum Kawg (Lub Xya Hli 2023)
- APL 22-026 Txoj Cai Kawg ntawm Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob (Kaum Ib Hlis 2022)
- ACWDL 19-16 2019 Medi-Cal Daim Ntawv Cog Lus Txog Kev Ceev Ntaub Ntiag Tug thiab Kev Ruaj Ntseg (Lub Rau Hli 2019)
Tsoom Fwv Teb Chaws Txoj Cai
Cov ntaub ntawv thaiv
- Cov ntaub ntawv thaiv
- CURES Act Txoj Cai Kawg: Cov Ntaub Ntawv Thaiv Cov Cai
- 21st Century Cures Act: Interoperability, Information Blocking, thiab ONC Health IT Certification Program Kawg Txoj Cai
- 45 Txoj Cai Federal Regulations Part 71
Data Privacy, Data Sharing, thiab Interoperability
- CMS Kev Sib Koom Tes thiab Txoj Cai Kawg ntawm Kev Tso Cai Ua Ntej
- Interoperability Final Rule Fact Sheet
- Interoperability kawg Txoj Cai FAQs
HIPAA
- HIPAA Kev Tso Cai thiab Kev Sib Pauv Kev Noj Qab Haus Huv Hauv Hluav Taws Xob
- HIPAA thiab Third Party Referrals
Kev Siv Tshuaj Tsis Zoo thiab 42 CFR Part 2
- Kev Cai Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv
- Kev Tshaj Tawm Txog Kev Siv Tshuaj Tsis Txaus Siab Cov Ntaub Ntawv Tus Neeg Mob: Ntu 2 puas siv rau kuv?
- FAQs: Siv Cov Khoom Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv rau Kev Tshawb Fawb Txog Kev Noj Qab Haus Huv
- 42 CFR Part 2 Revised Rule Fact Sheet
- Kev saib xyuas, kev sib koom tes, thiab kev ceev ntiag tug ntawm tus neeg mob
CalAIM Kev Tswj Xyuas Pej Xeem Kev Noj Qab Haus Huv
CalAIM’s Population Health Management program helps members like you access a comprehensive set of services based on your needs and preferences, which leads to improved health outcomes and health equity.
Txhawb nqa kev siv Population Health Management, DHCS yuav tsim ib qho kev pabcuam Population Health Management thoob plaws lub xeev rau cov tswv cuab Medi-Cal. Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Pej Xeem yuav muab kev nkag mus rau thiab muaj cov ntaub ntawv rau ntau pab pawg saib xyuas Medi-Cal txog keeb kwm kev noj qab haus huv, kev xav tau, thiab kev pheej hmoo ntawm cov tswv cuab Medi-Cal, suav nrog cov ntaub ntawv keeb kwm kev tswj hwm, kev kho mob, kev coj cwj pwm, kev kho hniav, kev pabcuam hauv zej zog, thiab lwm yam ntaub ntawv ntawm cov kev pab cuam los ntawm cov chaw sib txawv tam sim no. Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Pej Xeem yuav txhim kho qhov tseeb ntawm cov ntaub ntawv thiab txhim kho DHCS lub peev xwm los nkag siab txog cov qauv kev noj qab haus huv ntawm cov pej xeem thiab kev ua tau zoo ntawm ntau yam kev cuam tshuam ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Pej Xeem thiab txhawb kev saib xyuas.
Thov mus saib nplooj ntawv pib ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv rau cov ntaub ntawv dav dav txog Kev Tswj Xyuas Kev Noj Qab Haus Huv rau Cov Neeg thiab Kev Pabcuam PHM.
Cov ntaub ntawv tseem ceeb thiab cov ntaub ntawv qhia
- APL 21-009 Kev Sau Cov Ntaub Ntawv Txog Kev Noj Qab Haus Huv Hauv Zej Zog (Lub Ob Hlis Ntuj xyoo 2022)
Webinars
Kev Sib Tham Hauv Is Taws Nem Txog Kev Pabcuam PHM Txhua Tus Neeg Tuaj Koom - Tsib Hlis 23, 2022
Txhim kho Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Txhawb Zej Zog
Medi-Cal cov kev pab them nqi kho mob muab kev pab tshiab hu ua Enhanced Care Management (ECM). Cov txiaj ntsig no hais txog koj qhov kev xav tau kho mob thiab tsis yog kho mob, yog tias koj tsim nyog rau txoj haujlwm. Qhov kev zov me nyuam suav nrog kev nkag mus rau ib tus Thawj Coj Saib Xyuas Kev Noj Qab Haus Huv uas tswj hwm tag nrho koj cov kev pabcuam kev noj qab haus huv thiab kev noj qab haus huv.
Koj tseem tuaj yeem nkag mus rau Cov Kev Pabcuam Zej Zog kom ua tau raws li koj qhov kev xav tau. Kev Pabcuam Hauv Zej Zog yog cov kev pabcuam uas txhawb nqa koj cov kev xav tau kev khomob thiab pab koj noj qab haus huv, suav nrog kev noj zaub mov zoo lossis kev txhawb nqa kom muaj kev nyab xeeb thiab tswj vaj tsev. Medi-Cal cov kev pab them nqi kho mob muab kev pab cuam hauv zej zog raws li qhov pheej yig dua rau cov kev pab kho mob ib txwm muaj lossis chaw teeb tsa.
Thov mus saib nplooj ntawv Enhanced Care Management thiab Community Support teg num rau cov lus qhia dav dav ntawm qhov pib.
Cov ntaub ntawv tseem ceeb thiab cov ntaub ntawv qhia
Phau Ntawv Qhia Txog Txoj CaiTxhawb Nqa Hauv Zej Zog (HloovKho Lub Xya Hli
2023) Phau
Ntawv Qhia Txog Txoj Cai ECM (Hloov
Kho Lub Xya Hli 2023) Cov Lus Qhia Txog Daim Ntawv Qhia Txog Kev
Soj Ntsuam Kev Siv Txhua Peb Lub Hlis Tam Sim No (rau xyoo 2022 thiab Q1 & Q2 2023
Cov Ntawv Xa Mus) Cov
Lus Qhia Txog Daim Ntawv Qhia Txog Kev Soj Ntsuam Kev
Siv Txhua Peb Lub Hlis (Thawj Tau Tso Tawm Xyoo 2022; Hloov Kho Lub Plaub
Hlis 2023) Cov
Lus Qhia Txog Daim Ntawv Qhia Txog Kev Soj Ntsuam Kev Siv Txhua Peb Lub Hlis Tom Ntej (rau Q3 2023 thiab tom qab ntawd) Cov Lus Qhia Txog Daim Ntawv Qhia Txog Kev Soj Ntsuam Kev Siv Txhua Peb Lub Hlis (Hloov Kho Lub Plaub Hlis 2023) Cov Lus Qhia Txog Kev Them Nqi thiab Kev Them Nqi ntawm ECM thiab Kev Txhawb Nqa Hauv Zej Zog (Hloov Kho Lub Plaub Hlis 2023) } Cov Kev Xaiv Coding rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog (Lub Peb Hlis 2022) {cph0} CalAIM ECM thiab Kev Txhawb Nqa Hauv Zej Zog Cov Ntawv Tso Cai Sib Koom Cov Ntaub Ntawv
thiab Cov Lus Cog Tseg (Kaum Ib Hlis 2021) Kev Sib Koom Cov Ntaub Ntawv Qib Tswv Cuab Ntawm MCPs thiab Cov Neeg Muab Kev Pabcuam ECM (Hloov Kho Lub Plaub Hlis 2023) Cov Lus Qhia Txog Kev Sib Koom Cov Ntaub Ntawv ntawm Cov Tswv Cuab Hauv Zej Zog (Lub Plaub Hlis Ntuj xyoo 2023) Kev Txheeb Xyuas Txog Lub Plaub Hlis Ntuj xyoo 2023 Cov Kev Hloov Kho Tshiab rau Cov Kev Txhawb Nqa Hauv Zej Zog thiab Cov Ntaub Ntawv Qhia Txog ECM (Lub Plaub Hlis Ntuj xyoo 2023) Cov Lus Qhia Txog Kev Sib Pauv Cov Ntaub Ntawv ntawm CalAIM ECM thiab ILOS (2021)
Webinars
CalAIM Webinar: Kev Sib Koom Cov Ntaub Ntawv thiab Kev Them Nqi rau Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog - Kaum Ib Hlis 10, 2022
Kev Txheeb Xyuas Txog Kev Sib Pauv Cov Ntaub Ntawv thiab Kev Tshaj Tawm Cov Kev Cai rau Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog - Lub Yim Hli 4, 2022
Cov tswvcuab yuav tsum hu rau lawv tus kws khomob lossis lawv qhov Kev Pabcuam Kev Tswjhwm Saib Xyuas Kev Pabcuam rau cov ntaub ntawv hais txog yuav tshem tawm Cov Ntaub Ntawv Tso Tawm (ROI) thiab/los yog nkag mus rau lawv cov ntaub ntawv kho mob li cas.
Yog xav paub ntxiv txog cov ntaub ntawv uas tau muab qhia rau lwm tus neeg koom nrog, mus saib: