Cov Ntawv Qhia Txog Kev Tswj Xyuas Kev Kho Mob Txhua Txoj Kev Npaj & Txoj Cai - Cov Npe Kawm
Txhua Tsab Ntawv Qhia Txog Kev Npaj (APLs) thiab Tsab Ntawv Txoj Cai (PLs) raug muab faib ua pawg raws li cov npe thiab cov npe me hauv qab no.
Lus Cim: Cov ntawv tshiab raug ntxiv tsis tu ncua. Cov PLs tsis tau muab tawm ntawm xyoo 2003 thiab 2006, thiab tsis tau muab tawm txij li xyoo 2014 los.
| Nyiaj Txiag | Lub Luag Haujlwm | Cov txiaj ntsig |
|---|---|---|
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Aid Codes
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 11-005 (PDF) | Aid Codes 4H thiab 4L: Qhia Txog Kev Saib Xyuas Menyuam Yaus hauv California Txoj Haujlwm Ua Haujlwm thiab Lub Luag Haujlwm rau Cov Menyuam (CalWORKS) lossis 1931(b) Cov Haujlwm |
| APL 11-008 (PDF) | Aid Code 4T: Aid Code los txheeb xyuas cov menyuam yaus hauv Tsoom Fwv Teb Chaws Tshiab KIN-GAP Program |
| APL 11-022 (PDF) | Six New Derivative Foster Care Aid Codes |
| APL 11-023 (PDF) | Aid Code 0W |
| APL 09-002 (PDF) | Tus lej pab 06 thiab 46 |
| APL 09-004 (PDF) | Aid Code 6G |
| APL 09-010 (PDF) | Aid Code 2 H |
| APL 98-009 (PDF) | AID Code 38 |
Kev tshuaj xyuas
| Tsab ntawv naj npawb | Title |
|---|---|
| PL 01-001 (PDF) | Kho kom raug Action Plan (CAP) Standardized Format |
| APL 05-008 (PDF) | Kev tshuaj xyuas thiab txheeb xyuas cov xwm txheej nyiaj txiag ntawm cov phiaj xwm Kev Noj Qab Haus Huv tau thov kev thov nyiaj txiag augmentations |
Kev them nqi
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 17-003 (PDF) | Kev Kho Mob Rau Cov Nyiaj Rov Qab Los Ntawm Managed Care Health Plan ntawm Kev Them Nyiaj Ntau Dhau Rau Cov Kws Muab Kev Pab |
| APL 16-007 (PDF) | Cov Tsev Kho Mob Pej Xeem Uas Tau Xaiv Tseg: Kev Them Nqi Rau Cov Neeg Tau Txais Txiaj Ntsig Nrog California Children's Services Cov Cai Tsim Nyog thiab/lossis Medi-Cal Managed Care |
| APL 15-008 (PDF) | Cov Nqi Tshaj Lij Tshaj Lij rau Chaw Ua Haujlwm Kev Sib Tham Nrog Cawv thiab Tshuaj Siv Tshuaj Kho Mob |
| APL 15-009 (PDF) | Kev Siv thiab Kev Them Nqi Kom Zoo rau Makena |
| PL 08-002 (PDF) | Kev Them Nyiaj Them Nqi Tshaj Lij Tshaj Lij Rau Rau Ib Hlis |
| APL 07-001 (PDF) | Hloov mus rau Electronic Cov Ntaub Ntawv Qhia Txog Nyiaj Txiag |
| APL 07-005 (PDF) | Implementation of NPI Update |
| APL 07-020 (PDF) | Medi-Cal txwv kev siv tus lej Social Security |
Kev dag
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 15-026 (PDF) | Cov Kev Ua Uas Yuav Tsum Tau Ua Tom Qab Daim Ntawv Ceeb Toom Txog Kev Dag Ntxias Uas Muaj Kev Ntseeg Tau |
| APL 03-011 (PDF) | Cov txheej txheem xa mus tsis ncaj ncees rau Kev Tshawb Fawb thiab Kev Tshawb Fawb (A&I) |
Tus nqi
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 18-010 (PDF) | Tsab Cai 56 Kev Siv Nyiaj Them Nqi Rau Cov Kev Pabcuam Tshwj Xeeb Rau Xyoo Nyiaj Txiag Xeev 2017-18 |
| APL 16-016 (PDF) | Kev Hloov Tus Nqi Rau Cov Kev Pabcuam Xwm Ceev Thiab Tom Qab Kev Ruaj Ntseg Uas Muab Los Ntawm Cov Tsev Kho Mob "Ciam Teb" Sab Nraud Network Uas Raug Kev Kuaj Mob Txoj Kev Them Nyiaj Pab Pawg Txheeb Ze |
| APL 15-010 (PDF – 3.6MB) | Affordable Care Act Tshooj 1202 Kev Them Nyiaj Ntxiv rau Medi-Cal Cov Kev Pabcuam Kev Khomob Ntiag Tug - Hloov Kho Cov Lus Qhia thiab Cov Lus Cog Tseg |
| APL 13-004 (PDF) | Cov Nqi Rau Kev Pabcuam Thaum Muaj Xwm Ceev Thiab Tom Qab Ruaj Kho Mob Mob Hnyav Hauv Tsev Kho Mob Uas Muab Los Ntawm Cov Tsev Kho Mob Hnyav Dav Dav Sab Nraud Network Raws Li Kev Kuaj Mob Cov Pab Pawg Sib Txuas Lus Siv Tau Lub Xya Hli 1, 2013 |
| APL 13-009 (PDF) | Affordable Care Act (ACA) Tshooj 1202 Txoj Cai Kawg ntawm Kev Them Nyiaj Ntxiv rau Medi-Cal Cov Kev Pabcuam Hauv Tsev Kho Mob |
| APL 13-010 (PDF) | Kev Tswj Xyuas Kev Ua Raws Li Txoj Cai Tswjfwm Ntiag Tug rau Tshooj 1202 ntawm Txoj Cai Saib Xyuas Nqis Nqis |
| APL 12-003 (PDF) | Xyoo 2012-13 Cov Nqi Rau Cov Kev Pabcuam Thaum Muaj Xwm Ceev Hauv Tsev Kho Mob Uas Muab Los Ntawm Cov Tsev Kho Mob Acute Care Uas Tsis Yog Hauv Network |
| APL 12-004 (PDF) | 2012-13 Tus Nqi Rau Cov Kev Pabcuam Tom Qab Kev Kho Mob Hauv Tsev Kho Mob tau muab los ntawm Cov Tsev Kho Mob Kho Mob Mob Nkeeg |
| APL 11-006 (PDF) | Tshaj tawm ntawm Kev Xaiv Tus Muab Kev Pab Cuam Tshuam Tus Nqi Them Nqi |
| APL 11-015 (PDF) | Rate Setting: Nce feem pua ntawm Cov Nqi Hauv Nroog |
| APL 11-016 (PDF) | 2011-2012 Tus Nqi rau Kev Pabcuam Rau Tus Neeg Mob Kub Ntxhov Thaum Muaj Xwm Ceev |
| APL 11-017 (PDF) | 2011-2012 Tus Nqi rau Cov Kev Pabcuam Hauv Tsev Kho Mob Tom Qab Muaj Kev Ruaj Ntseg Muab los ntawm Cov Tsev Kho Mob Mob Mob Tsis Txaus Siab |
| APL 10-003 (PDF) | Kev them nyiaj rov qab rau cov kev pabcuam Family Planning |
| APL 10-007 (PDF) | 2010-11 Tus Nqi rau Cov Kev Pabcuam Neeg Mob Kub Ntxhov los ntawm Cov Tsev Kho Mob Mob Mob Nkeeg |
| APL 10-008 (PDF) | Xyoo 2010-11 Cov Nqi Rau Cov Kev Pabcuam Tom Qab Kev Ruaj Ntseg Hauv Tsev Kho Mob Uas Muab Los Ntawm Cov Tsev Kho Mob Acute Care Uas Tsis Yog Hauv Network |
| APL 09-003 (PDF) | Medi-Cal Managed Care Capitation Report |
| APL 09-012 (PDF) | 2009-10 Tus Nqi Rau Tsev Kho Mob Tsis Muaj Ntawv Cog Tseg Kev Pabcuam Thaum Muaj Xwm Ceev |
| APL 09-013 (PDF) | 2009-10 Tus Nqi Rau Tsev Kho Mob Them Nqi rau Medi-Cal Post-Stabilization Services |
| APL 08-004 (PDF) | Kev Tswj Xyuas Tus Nqi txo qis rau FY 2008-09 |
| APL 08-005 (PDF) | Kev Txo Tus Nqi Kho Mob Tswj rau Xyoo 2008-09; Tsab Ntawv Qhia Txog Kev Siv Tshuab rau Txhua Tus Neeg Txoj Kev Npaj NO. 08-004 |
| APL 03-013 (PDF) | Lub Sijhawm Tsis Muaj Ntawv Pov Thawj Tus Nqi Them Nqi Kho Mob |
Kev them nyiaj rov qab
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 13-003 (PDF) | Kev sib koom tes ntawm Cov Nyiaj Pab: Medicare thiab Medi-Cal |
| APL 13-022 (PDF) | Medi-Cal Managed Care Health Plan Kev Ua Haujlwm Kev Pabcuam Kev Khomob Ntiag Tug thiab Kev Them Nyiaj Them Rov Qab rau Cov Neeg Laus Tshiab Tshiab |
| APL 10-014 (PDF) | Kho rau Txhua Daim Ntawv Npaj 10-003 Hais Txog Kev Them Nyiaj Rov Qab Los Rau Tsev Neeg Kev Pabcuam |
| APL 08-008 (PDF) | Kev them nyiaj rov qab rau Tsev Kho Mob Tsis muaj ntawv cog lus Emergency Inpatient Services |
| APL 08-010 (PDF) | Kev them nyiaj hauv tsev kho mob rau Post Medi-Cal Post-Stabilization Services |
| APL 07-003 (PDF) | Federal Deficit Reduction Act of 2005 (Reimbursement for Non-Contracted Emergency Services Providers) |
| APL 06-011 (PDF) | Tib hnub Banking |
| APL 04-002 (PDF – 4.1MB) | Rov qab los ntawm Capitation Them rau Cov Kev Npaj Khomob rau cov neeg tau txais txiaj ntsig tuag |
| PL 98-008 (PDF) | Tus Nqi-Rau-Service Reimbursement Rate Assistance |
Kev nplua
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 18-003 (PDF) | Txoj Cai Tswjfwm thiab Nyiaj Txiag |
| APL 04-003 (PDF – 7.6MB) | Cov kws kho mob Medi-Cal nyob rau ntawm Kev Txiav Txim Siab |
| APL 03-012 (PDF) | Cov kws kho mob Medi-Cal nyob rau ntawm Kev Txiav Txim Siab |
Cov ntaub ntawv
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 17-005 (PDF) | Daim ntawv pov thawj ntawm cov ntaub ntawv thiab cov ntaub ntawv xa tawm |
| APL 16-005 (PDF) | Cov Kev Cai rau Kev Siv Cov Nyiaj Pab Txhawb Nqa Uas Tsis Yog Nyiaj Txiag Rau Cov Kev Pabcuam Txhawb Nqa, Cov Pab Pawg Sib Tham, thiab Cov Kev Ntsuam Xyuas Cov Tswv Cuab |
| APL 16-019 (PDF) | Cov Kev Cai Rau Cov Ntaub Ntawv ntawm Tus Kws Muab Kev Saib Xyuas |
| APL 15-005 (PDF) | Cov Kev Cai Thov Cov Ntaub Ntawv rau Daim Ntawv Qhia Txog Kev Tiv Thaiv Kev Tsis Taus ntawm Menyuam Yaus Muaj Nyob Hauv Tsab Ntawv Txoj Cai 10-013 |
| APL 14-019 (PDF) | Cov Kev Cai Rau Cov Ntaub Ntawv Sib Tham |
| APL 14-009 (PDF) | Kev Hloov Pauv ntawm Kev Xa Cov Ntaub Ntawv Sib Tham mus rau National Standard Transactions (ASC X12 837 5010, NCPDP 2.2 lossis 4.2) |
| APL 14-020 (PDF) | Kev Ntsuas Zoo rau Cov Ntaub Ntawv Sib Tham APL 14-020 Cov Ntaub Ntawv Ntxiv: DHCS Kev Ntsuas Zoo rau Cov Ntaub Ntawv Sib Tham (PDF) |
| APL 13-019 (PDF) | Kev siv cov ntaub ntawv yuav tsum muab rau Medi-Cal Managed Care Plans Health Plans for Transitioning Low-Income Health Program Benficiaries |
| APL 13-020 (PDF) | Qhib Kev Tso Cai thiab Daim Ntawv Qhia Txog Kev Pabcuam rau Cov Neeg Tau Txais Kev Pab Tshiab Hloov los ntawm Txoj Haujlwm Pabcuam Nyiaj Tau Los Tsawg |
| APL 10-002 (PDF) | Rogers Hloov Cov Ntaub Ntawv Thov |
| APL 10-009 (PDF) | Kev siv thiab kev them nyiaj cov ntaub ntawv rau Safety-Net muab kev pab |
| APL 07-012 (PDF) | Kev txheeb xyuas ntawm Regional Center Consumers |
| APL 06-009 (PDF) | Daim Ntawv Thov Cov Ntaub Ntawv Ntxiv 06-009
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| APL 05-002 (PDF – 2.1MB) | Cov txheej txheem tshiab rau kev xa cov ntaub ntawv sau npe / rho npe |
| APL 02-004 (PDF) | Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv (Health Plan Employer Data and Information Set) (HEDIS) thiab Consumer Assessment of Health Plans (CAHPS) Reports are now available on DHCS Internet Site |
| APL 01-005 (PDF – 6.2MB) | Kev siv tus txheej txheem tshiab uas yuav tsis lees txais cov ntaub ntawv ntsib ntawm cov ntaub ntawv qib |
| APL 99-003 (PDF) | Xyoo 2000 Daim Ntawv Pov Thawj Npaj Ua Lag Luam thiab Kev Npaj Ua Lag Luam txuas ntxiv |
| APL 99-006 (PDF) | Encounter Data Work Group |
| APL 99-010 (PDF) | Cov xwm txheej ntawm kev hloov pauv mus rau Kev Siv Nyiaj Txiag Intermediary nkag mus rau Medi-Cal Kev Tsim Nyog |
| APL 99-016 (PDF) | Xyoo 2000 Kev Hloov Kho Kev Npaj Kho Mob |
| PL 14-001 (PDF) | Kev Hloov Pauv rau Cov Ntaub Ntawv Siv Keeb Kwm uas Muab rau Medi-Cal Managed Care Health Plans rau Cov Neeg Laus thiab Cov Neeg Muaj Kev Tsis Taus Siv Tau Txij Lub Ob Hlis Ntuj 1, 2014 |
| PL 01-002 (PDF) | Hloov ntawm MESH mus rau Medi-Cal Lub Vev Xaib |
| PL 01-002Rev (PDF) | Yuam Kev ntawm Tsab Ntawv Txoj Cai 01-001 Hnub Tim Lub Kaum Hli 30, 2001 |
| PL 00-004 (PDF) | Daim phiaj them nyiaj tshaj tawm txuas ntxiv mus txog Lub Ib Hlis 31, 2001 |
| PL 99-006 (PDF) | Hnub hloov mus rau Cov Nyiaj Txiag Nruab Nrab Kev nkag mus rau Medi-Cal Cov Ntaub Ntawv Kev Tsim Nyog |
Lub Txheej Txheem Ntaub Ntawv Txog Kev Tsim Nyog Medi-Cal (MEDS)
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 18-002 (PDF) | 2018-2019 Medi-Cal Managed Care Health Plan MEDS/834 Kev txiav tawm thiab ua tiav |
| APL 17-001 (PDF) | Xyoo 2017-2018 Medi-Cal Managed Care Health Plan Meds/834 Cutoff Thiab Processing Teem Caij |
| APL 16-002 (PDF) | 2016-2017 Medi-Cal Managed Care Health Plan MEDS/834 Kev txiav tawm thiab ua tiav |
| APL 14-001 (PDF) | Xyoo 2014-2015 Medi-Cal Managed Care Health Plan Meds/834 Cutoff Thiab Processing Teem Caij |
| APL 14-018 (PDF) | 015-2016 Medi-Cal Managed Care Health Plan MEDS/834 Lub Sijhawm Txiav thiab Ua Haujlwm |
| APL 12-005 (PDF) | 2013-2014 Managed Care Plan MEDS/834 Cutoff and Processing Schedule |
| APL 11-024 (PDF) | 2012-2013 Managed Care Plan MEDS/FAME/5010 834 Kev txiav tawm thiab ua tiav |
| APL 10-015 (PDF) | 2011-2012 Managed Care Plans MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule |
| APL 09-015 (PDF – 2MB) | 2010-2011 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule |
| APL 08-012 (PDF) | 2009-2010 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule |
| APL 07-019 (PDF) | 2008-2009 Managed Care Plan MEDS/FAME/834+ Supplemental Cutoff and Processing Schedule |
| APL 06-012 (PDF) | 2007-2008 Managed Care Plan MEDS/FAME Cutoff and Processing Schedule |
| APL 05-011 (PDF – 2.3MB) | 2005-2006 Managed Care Plan (MCP) MEDS/FAME Cutoff and Processing Schedule |
| APL 05-013 (PDF) | Medicare Modernization Act; Medicare Tshooj D Kev Hloov Kho Kev Ua Haujlwm |
| APL 04-001 (PDF) | 2004 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 04-008 (PDF) | 2004-2005 Managed Care Plan (MCP) MEDS/FAME Cut-off and Processing Schedule |
| APL 02-009 (PDF) | 2003 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 01-006 (PDF) | 2002 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 00-001 (PDF – 10.1MB) | 2000 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 99-002 (PDF) | 1999 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 00-014 (PDF) | 2001 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
| APL 98-003 (PDF) | 1998 Managed Care Plan (MCP) MEDS/FAME Kev txiav tawm thiab ua tiav |
Qhia
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 17-009 (PDF) | Cov Kev Cai Qhia Txog Cov Mob Uas Tus Kws Muab Kev Pab Tiv Thaiv Tau |
| APL 17-021 (PDF) | Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm - Daim Ntawv Ceeb Toom Txog Kev Hloov Pauv rau Kev Pab Nyiaj Rau Cov Neeg Ua Haujlwm; Kev Tshaj Tawm thiab Lwm Yam Yuav Tsum Tau Ua |
| APL 11-012 (PDF) | Qhia txog lub luag hauj lwm hais txog tus neeg thib peb Tort Liability |
| APL 10-005 (PDF) | Kev Qhia Txog Nyiaj Txiag |
| APL 09-011 (PDF) | Daim ntawv cog lus tsev kho mob thiab hnub pw |
| APL 07-009 (PDF) | Kev Qhia Txog Nyiaj Txiag Tshiab |
| APL 05-006 (PDF) | HIPAA Requirements: Plans' Reporting Responsibilities |
| APL 03-015 (PDF) | Kev Siv Cov Kev Pabcuam |
| APL 01-002 (PDF – 7.9MB) | Kev Qhia thiab Lwm Yam Yuav Tsum Tau Hais Txog Cov Neeg Ua Haujlwm Cov Nyiaj Pov Hwm Rov Qab |
| PL 99-005 (PDF – 3.0MB) | Cov Lus Qhia Ntxiv rau Tsab Ntawv Txoj Cai 98-03-Kev Hloov Mus Rau Lub Txheej Txheem Tshaj Tawm Txog Kev Tsim Nyog Tshiab |
| PL 98-003 (PDF) | Kev Hloov Mus Rau Lub Txheej Txheem Tshaj Tawm Txog Kev Tsim Nyog Tshiab |
Kev Kawm Kev Noj Qab Haus Huv
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 16-014 (PDF) | Kev Pab Tiv Thaiv thiab Txiav Luam Yeeb Rau Cov Neeg Tau Txais Medi-Cal |
| APL 13-017 (PDF) | Kev Ntsuam Xyuas Kev Noj Qab Haus Huv/Kev Kawm Txog Kev Noj Qab Haus Huv Tus Kheej Kev Ntsuam Xyuas Tus cwj pwm rau Cov Neeg Sau Npe los ntawm Qhov Kev Pab Cuam Kev Noj Qab Haus Huv Rau Cov Neeg Muaj Nyiaj Tsawg |
| APL 11-018 (PDF) | Readability thiab Suitability ntawm Sau Cov Ntaub Ntawv Kev Kawm Kev Noj Qab Haus Huv |
| APL 99-007 (PDF) | Medi-Cal Managed Care Health Education Work Group thiab Pawg Neeg Saib Xyuas Kev Noj Qab Nyob Zoo |
| APL 99-008 (PDF) | Hloov tshiab rau Managed Care Data Dictionary |
| PL 13-001 (PDF) | Cov Kev Cai rau Kev Ntsuam Xyuas Kev Noj Qab Haus Huv / Kev Ntsuam Xyuas Kev Kawm Txog Kev Noj Qab Haus Huv Tus Kheej |
| PL 02-004 (PDF) | Kev Kawm Kev Noj Qab Haus Huv |
Kev Tshuaj Xyuas Qhov Chaw
| Tsab ntawv naj npawb | Title |
|---|---|
| APL 15-023 (PDF) | Cov cuab yeej tshuaj xyuas qhov chaw rau Chaw Pabcuam Ntxiv thiab Cov Chaw Pabcuam Rau Cov Neeg Laus Hauv Zej Zog |
| APL 03-006 (PDF) | Lub Chaw Saib Xyuas Qhov Chaw Tshaj Tawm #2 |
| APL 03-007 (PDF) | Certified Quality Provider Site Certificate |
| APL 02-006 (PDF) | Kev Siv Txoj Cai Tswjfwm Kev Kho Mob Medi-Cal Tsab Ntawv 02-02 |
| PL 14-004 (PDF) | Kev Tshuaj Xyuas Qhov Chaw: Kev Tshuaj Xyuas Qhov Chaw thiab Kev Tshuaj Xyuas Cov Ntaub Ntawv Kho Mob |
| PL 12-006 (PDF) | Hloov Kho Qhov Chaw Tshawb Xyuas Qhov Chaw |
| PL 10-016 (PDF) | Hloov Kho Qhov Chaw Tshawb Xyuas Qhov Chaw |
| PIB 03-002 | Daim ntawv pov thawj ntawm Managed Care Plan Cov neeg ua haujlwm muaj lub luag haujlwm rau kev coj ua ntawm Chaw Pabcuam Thawj Saib Xyuas Kev Khomob |