Tsev Cov Ntaub Ntawv & Cov Txheeb Xyuas Cov Tswv Cuab ntawm Medi-Cal​​ 

Medi-Cal Cov Tswv Cuab​​ 

Nkag siab txog Health Data Sharing​​ 

Nplooj ntawv no nyob ntawm no los pab Medi-Cal Cov Tswv Cuab zoo li koj nkag siab txog cov cai qhia koj cov ntaub ntawv kho mob. Qhia koj cov ntaub ntawv nrog koj tus kws kho mob, koj pab neeg saib xyuas, thiab cov phiaj xwm kev noj qab haus huv tuaj yeem txhim kho koj txoj kev saib xyuas thiab muab kev txhawb nqa raws sijhawm.​​ 

Koj Tus Kheej Teebmeem​​ 

Here, you can access information about keeping your health details private. You’ll also learn how your health data can be shared, and how your data is protected.​​  

Txhawb Koj Nrog Kev Paub​​ 

We’re sharing resources below to give you the power to make informed choices about your health data. We want to give you the information you need to choose wisely when sharing your health information.​​ 

Khaws Koj Cov Ntaub Ntawv Kho Mob kom nyab xeeb​​ 

Koj Tus Kheej Teebmeem​​ 

Your health information is protected. Under the Health Insurance Portability and Accountability Act (HIPAA), you have the right to your health data. Sharing your health information with doctors, health plans, and your care team can result in better health outcomes, improve patient safety and coordinated care, and ensure timely access to your services. You can set some limits on who sees information about your health. However, most sharing of information for treatment, payment, and operational needs doesn’t need your consent.​​ 

Koj qhov kev xaiv tseem ceeb​​ 

When you see your provider for the first time, you might get a consent form. This form lets you pick what information is shared, with whom, for how long, and for what purpose. You can deny sharing information in certain circumstances or change who can see your information. If you change your mind about who you want to see your information, that’s okay. Just talk to your provider to learn more about this process.​​ 

Koj Txoj Cai thiab Kev Nkag Mus​​ 

Your health plan has your claims information and will grant you access to all explanation of benefits information. Your providers have your health records. If you want your records, ask your provider. You can also check out “Your Patient Privacy Rights: A Consumer Guide to Health Information Privacy in California” from the Office of the California Attorney General, and the Medi-Cal Notice of Privacy Practices. 
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Yog xav paub ntxiv txog HIPAA mus ntsib:
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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 dhau los thaum Lub Xya Hli 2021 thiab hloov California txoj cai lij choj hauv xeev los txhawb kev sib pauv ntaub ntawv thiab kev sib koom tes saib xyuas rau cov neeg tau txais kev pabcuam hauv CalAIM (saib ntu 3 uas piav qhia txog AB 133 hauv Cov Ntaub Ntawv Kev Tso Cai Qhia Kev Qhia 2.0). Tshwj xeeb, AB 133 tso cai rau kev sib faib cov ntaub ntawv txawm tias nyob rau hauv cov xwm txheej uas lub xeev txoj cai ntiag tug yuav tsis tso cai sib faib cov ntaub ntawv yam tsis tau kos npe pom zoo. Qhov no tau ua rau lub hom phiaj pab tib neeg tau txais kev saib xyuas.
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Tsis Muaj Qhov Rooj Tsis Zoo rau Kev Pabcuam Kev Puas Siab Puas Ntsws​​ 

Data Privacy, Data Sharing, thiab Interoperability:​​ 

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 Txoj Kev Tswj Xyuas Kev Noj Qab Haus Huv Hauv Pej Xeem, DHCS yuav pib ua ib qho Kev Pabcuam Kev Noj Qab Haus Huv Hauv Xeev rau cov tswvcuab Medi-Cal. Kev Pabcuam Kev Noj Qab Haus Huv Pej Xeem yuav muab ntau pab pawg saib xyuas Medi-Cal nrog cov ntaub ntawv nkag mus thiab muaj rau Medi-Cal cov tswvcuab keeb kwm kev noj qab haus huv, kev xav tau, thiab kev pheej hmoo, suav nrog keeb kwm kev tswj hwm, kev kho mob, kev coj cwj pwm, kev kho hniav, cov ntaub ntawv kev pabcuam pej xeem, thiab lwm cov ntaub ntawv kev pab cuam los ntawm qhov chaw sib txawv tam sim no.  Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem yuav txhim kho cov ntaub ntawv raug thiab txhim kho DHCS lub peev xwm nkag siab txog kev noj qab haus huv ntawm pej xeem thiab kev ua tau zoo ntawm ntau yam Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem thiab ntxiv dag zog rau kev saib xyuas.​​  

Thov saib cov​​  Population Health Management pib nplooj ntawv​​  rau cov lus qhia dav dav ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem thiab Kev Pabcuam Kev Noj Qab Haus Huv Pej Xeem.​​ 

Cov ntaub ntawv tseem ceeb thiab cov ntaub ntawv qhia:​​  

Webinars​​ 

PHM Service All Comer Webinar – May 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​​ 

Webinars​​ 

CalAIM Webinar: Data Sharing and Billing for Enhanced Care Management and Community Supports – November 10, 2022​​ 

Overview of Data Exchange and Reporting Requirements for Enhanced Care Management and Community Supports – August 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 qhia rau lwm tus neeg muaj feem cuam tshuam, mus saib:​​