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
Ntawm no, koj tuaj yeem nkag mus rau cov ntaub ntawv hais txog kev khaws koj cov ntaub ntawv kev noj qab haus huv kom ntiag tug. Koj tseem yuav kawm paub yuav ua li cas qhia koj cov ntaub ntawv kev noj qab haus huv, thiab yuav ua li cas tiv thaiv koj cov ntaub ntawv.
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
Thaum koj mus ntsib koj tus kws kho mob thawj zaug, koj yuav tau txais daim ntawv tso cai. Daim foos no cia koj xaiv seb cov ntaub ntawv twg yuav qhia, nrog leej twg, ntev npaum li cas, thiab rau lub hom phiaj dab tsi. Koj tuaj yeem tsis kam qhia cov ntaub ntawv hauv qee qhov xwm txheej lossis hloov tus neeg uas tuaj yeem pom koj cov ntaub ntawv. Yog koj hloov siab txog leej twg koj xav pom koj cov ntaub ntawv, qhov ntawd tsis ua li cas. Tsuas yog tham nrog koj tus neeg muab kev pab kom paub ntau ntxiv txog cov txheej txheem no.
Koj Txoj Cai thiab Kev Nkag Mus
Koj txoj kev npaj kho mob muaj koj cov ntaub ntawv thov thiab yuav pub rau koj nkag mus rau txhua cov lus piav qhia txog cov txiaj ntsig. Koj cov kws kho mob muaj koj cov ntaub ntawv kho mob. Yog koj xav tau koj cov ntaub ntawv, nug koj tus kws kho mob. Koj tuaj yeem tshawb xyuas "Koj Cov Cai Tswjfwm Kev Ceev Ntaub Ntiag Tug ntawm Tus Neeg Mob: Ib Phau Ntawv Qhia rau Cov Neeg Siv Khoom txog Kev Ceev Ntaub Ntiag Tug ntawm Cov Ntaub Ntawv Kev Noj Qab Haus Huv hauv California" los ntawm Chaw Haujlwm ntawm California Attorney General, thiab Medi-Cal Notice of Practices Practices.
Yog xav paub ntxiv txog HIPAA mus ntsib:
- HIPAA rau cov tib neeg
- Koj Cov Cai Hauv HIPAA
- Cov Cai Tswjfwm Kev Ceev Ntaub Ntiag Tug Txog Kev Siv Tshuaj Tsis Zoo
- Koj Cov Ntaub Ntawv Kho Mob, Koj Txoj Cai
- DHCS Daim Ntawv Ceeb Toom Txog Kev Tiv Thaiv Tus Kheej
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.
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 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 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 Txog 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)
- Medi-Cal Managed Care Letters
- Medi-Cal Managed Care
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 saib cov Population Health Management pib nplooj ntawv rau cov ntaub ntawv dav dav txog Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg thiab Kev Pabcuam Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg.
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 (ca.gov) (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 Cai Txhawb Nqa Hauv Zej Zog (Hloov Kho Tshiab Lub Xya Hli 2023)
- Cov Lus Qhia Txog Txoj CaiECM (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 Tshiab Thaum Lub Plaub Hlis Ntuj Xyoo 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 Ntuj Xyoo 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 Tshiab Thaum Lub Plaub Hlis Ntuj Xyoo 2023)
- ECM thiab Lub Zej Zog Txhawb Nqa Cov Lus Qhia Txog Kev Them Nqi thiab Kev Sau Nqi (Hloov Kho Lub Plaub Hlis Ntuj Xyoo 2023)
- Cov Kev Xaiv Coding rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog (Lub Peb Hlis Ntuj xyoo 2022)
- CalAIM ECM thiab Lub Zej Zog Txhawb Nqa Cov Ntawv Tso Cai thiab Cov Lus Cog Tseg rau Chaw Khaws Cov Ntaub Ntawv Sib Koom (Kaum Ib Hlis 2021)
- Kev Sib Koom Cov Ntaub Ntawv Qib Tswv Cuab Ntawm MCPs thiab Cov Chaw Muab Kev Pabcuam ECM (Hloov Kho Lub Plaub Hlis Ntuj Xyoo 2023)
- Kev Txhawb Nqa Hauv Zej Zog Cov Lus Qhia Txog Kev Sib Koom Cov Ntaub Ntawv Rau Cov Tswv Cuab (Plaub Hlis Ntuj Xyoo 2023)
- Kev Txheeb Xyuas Txog Lub Plaub Hlis Ntuj Xyoo 2023 Cov Kev Hloov Kho Tshiab rau Kev Txhawb Nqa Hauv Zej Zog thiab Cov Ntaub Ntawv Qhia Txog ECM (Lub Plaub Hlis Ntuj Xyoo 2023)
- Kev Txheeb Xyuas 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: