Tshem tawm Lub Xeev Txoj Kev Hloov Kho
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Cov hauv qab no yog cov txuas mus rau Lub Xeev Txoj Kev Hloov Kho (SPA) uas tau xa mus rau Lub Chaw rau Medicare thiab Medicaid Services (CMS) rau kev tshuaj xyuas thiab txij li ntawd tau raug tshem tawm los ntawm DHCS. Cov SPAs no tsis raug tshuaj xyuas los ntawm CMS lawm.
Cov lus nug thiab/lossis kev txhawj xeeb txog ib qho SPA tuaj yeem xa los ntawm e-mail mus rau Publicinput@dhcs.ca.gov . Thov siv tus lej SPA hauv nqe lus nug.
- 09-021A 2009 Budget Act Changes to Billing Requirements and Reimbursement of Drugs. (November 10, 2016)
- 10-025 Cost Reimbursement for Sales Tax Liability for Personal Care Services Providers
- 11-010A Reduced Payment Rates As Mandated by Assembly Bill 97 (Withdrawn on April 12, 2013)
- 11-013 Implementation of Physician Office and Clinic Visit Limits (Withdrawn on May 28, 2013)
- 12-010 Twenty Percent Reduction in Authorized Hours for Personal Care Services Program and IHHS Plus Option
- 12-024 A-C Non-Designated Public Hospitals Reimbursement Methodology to Certified Public Expenditure (CPE). (Withdrawn on July 17, 2013)
- 13-016 Covering New Qualified Immigrant and Lawfully Present Pregnant Women and Children. (Withdrawn on August 14, 2013)
- 14-011 Therapeutic Foster Care Services As A Rehabilitative Mental Health Service
- 16-003 Updates current policies and procedures utilized for the investigation of complaints and onsite monitoring.
- 16-044 Allows supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries.
- 16-045 Tso cai them nyiaj rov qab ntxiv rau tsev kho mob rau kev muab kev pab kho mob sab nraud rau cov neeg tau txais txiaj ntsig Medi-Cal.
- 16-046 Txuas ntxiv ntawm tseem hwv txoj cai los kho Medi-Cal Fee-For-Service (FFS) tus nqi kho mob sab nraud rau Kev Pabcuam Radiology.
- 17-003 Cov Kev Pabcuam Hauv Tsev Khomob Hauv Tsev Khomob mob hnyav rov qab los
- 17-042 Proposed to add a fixed percentage recovery option for Medi-Cal members with non-workers’ compensation injury-related third-party settlements totaling $25,000 or less. (Withdrawn on December 21, 2017)
- 18-043 Proposed to allow supplemental reimbursement to hospitals up to the aggregate upper payment limit (UPL) without supplanting specified existing levels of payments for the provision of inpatient services to Medi-Cal beneficiaries. (Withdrawn on March 13, 2020)
- 18-044 Proposed to allow supplemental reimbursement to hospitals up to the aggregate UPL without supplanting specified existing levels of payments for the provision of outpatient services to Medi-Cal beneficiaries. (Withdrawn on March 13, 2020)
- 19-0009 New School-Based Vision Care Service nyob rau hauv lub Local Educational Agency Medi-Cal Billing Option Program (LEA BOP). (Tau thaum lub Plaub Hlis 22, 2022)
- 20-0006 Npaj kom hloov kho Cov Kev Pab Cuam Tsis Zoo (SUD) hauv Txoj Kev Kho Mob Medi-Cal (DMC), pib txij lub Xya Hli 1, 2020. (Tau thaum Lub Ib Hlis 26, 2022)
- 20-0008 Pom zoo kom hloov kho California Medicaid 1915(i) Lub Xeev Txoj Kev Npaj rau Kev Txhim Kho Cov Neeg Tsis Muaj Peev Xwm los muab cov nqi nce raws sij hawm rau cov chaw muab kev pabcuam. (Tau thaum Lub Rau Hli 9, 2021)
- 20-0012 Npaj kom hloov kho California Medicaid 1915(i) Lub Xeev Lub Hom Phiaj rau Kev Txhim Kho Cov Neeg Tsis Muaj Peev Xwm ntxiv kom ntxiv hom kws kho mob thiab cov txheej txheem tshiab. (Tau thaum Lub Rau Hli 9, 2021)
- 20-0032 Npaj kom hloov kho California Medicaid 1915(i) Lub Xeev Lub Hom Phiaj rau Cov Neeg Tsis Taus Kev Loj Hlob los ntxiv ib qho kev pabcuam tshiab thiab cov neeg muab kev pabcuam rau cov kev pabcuam rau cov neeg xiam oob khab. (Tau thaum Lub Rau Hli 9, 2021)
- 20-0046 Npaj kom them nyiaj rov qab rau kev kuaj COVID-19 hauv tsev kawm ntawv. (Tau thaum Lub Ob Hlis 25, 2021)
- 21-0003 Pom zoo kom tso cai rau ncua sij hawm nyob rau hauv cov kev kub ntxhov ruaj khov nyob rau hauv kev cuam tshuam rau COVID-19 kev noj qab haus huv pej xeem xwm txheej ceev (PHE). (Tau thaum Lub Ob Hlis 22, 2022)
- 21-0011 Npaj kom nce tus nqi ncua sij hawm rau Independent Living Program cov chaw muab kev pab, raws li Tsab Cai Sib Koom Tes 79 (2020). (Tau thaum lub Tsib Hlis 26, 2021)
- 21-0035 Proposed to implement the provisions of the American Rescue Plan Act of 2021. (Withdrawn on November 22, 2021)
- 21-0023 and 21-0024 proposed to update the geographic area offering Targeted Case Management (TCM) services for the “Target population 15: Medically Fragile Individuals” and “Target population 16: Individuals at Risk for Institutionalization. (Withdrawn on December 13, 2021)
- 19-0016 Proposed to align the ABP with SPA 19-0009 to provide comprehensive vision services and eyeglasses as a new service to the LEA BOP. (Withdrawn on November 2, 2022)
- 23-0023 Proposed to continue augmentation payments for Medi-Cal FFS emergency medical air transportation services from July 1, 2023, through December 31, 2023, in accordance with the provisions of the Emergency Medical Air Transportation Act. (Withdrawn on March 22, 2024)
- 24-0006 Proposed to implement the next round of rate reform adjustments, effective July 1, 2024, and to add group homes for children with special health care needs as a new service provider and add participant-directed as a service delivery method for Self-directed Support Services. (Withdrawn on March 22, 2024)
- 24-0020, 24-0021, 24-0022, 24-0023, and 24-0024 Proposed to offer TCM Services – Children under 21, medically fragile individuals, individuals at risk of institutionalization, individuals in jeopardy of negative psychosocial outcomes, and individuals with a communicable disease. (Withdrawn on October 29, 2024)
- 23-0041 Proposed technical edits to clarify that Intermediate Care Facilities are also known as Nursing Facilities Level A, and to change “Intermediate Care Facility for Developmentally Disabled” to “Intermediate Care Facility for Individuals with Intellectual Disabilities.” (Withdrawn on November 22, 2024)
- 18-0007 Npaj kom nthuav dav lub ntsiab lus ntawm kev tso cai hauv av Emergency Medical Transportation (GEMT) cov nqi kom suav nrog cov kev pabcuam ua ntej kev ruaj ntseg uas tau muab los ntawm cov neeg ua haujlwm tuaj txog thawj zaug hauv cov tsheb tua hluav taws, categorized li Shared Direct Costs. (Tau thaum lub Plaub Hlis 2, 2025)
- 25-0001 Pom zoo kom zam txhua qhov yuav tsum tau kos npe rau kev xa tshuaj thaum lub caij Southern California Wildfires PHE. (Tau thaum lub Plaub Hlis 11, 2025)
- 20-0042 Proposed additional supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries for SFY 2020-21. (Withdrawn on September 30, 2025)
- 21-0038 Proposed additional supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries for SFY 2021-22. (Withdrawn on September 30, 2025)