Tsoom Fwv Teb Chaws Tswj Kev Tswj Xyuas Kev Tswj Xyuas
Keeb kwm
Thaum Lub Plaub Hlis 25, 2016, Lub Chaw rau Medicare & Medicaid Services (CMS) tau tshaj tawm Medicaid thiab CHIP Managed Care Final Rule (2016 Final Rule), uas ua raws li Medicaid tswj kev pab cuam nrog rau lwm cov kev pab them nqi kho mob hauv ntau qhov tseem ceeb:
- Modernizes li cas lub xeev yuav tswj kev saib xyuas rau cov neeg tau txais txiaj ntsig;
- Ntxiv kev tiv thaiv cov neeg siv khoom tseem ceeb los txhim kho kev saib xyuas zoo thiab kev paub txog cov neeg tau txais txiaj ntsig; thiab
- Txhim kho lub xeev lav ris thiab pob tshab.
Txoj Cai Kawg 2016 yog thawj qhov kev hloov kho tseem ceeb ntawm tsoomfwv Medicaid tswj kev saib xyuas txij li xyoo 2002, thiab yog cov lus teb rau kev hloov pauv tseem ceeb rau Medicaid tswj kev saib xyuas kev noj qab haus huv tshwm sim thoob tebchaws. Txoj Cai Kawg 2016 tau siv rau Lub Xya Hli 5, 2016 nrog rau kev ua tiav ntau xyoo.
Hauv California, Txoj Cai Lij Choj Kawg 2016 muaj feem xyuam rau Medi-Cal Managed Care Plans, County Mental Health Plans, Drug Medi-Cal Organized Delivery System, thiab Dental Managed Care Plans. Nplooj ntawv no muaj cov kev xav tau tshaj tawm rau Txoj Cai Zoo, Kev Tsim Nyog Network, thiab Mental Health Parity Cheebtsam ntawm 2016 Txoj Cai Kawg.
Thaum Lub Kaum Ib Hlis 14, 2018, CMS tau tshaj tawm tsab ntawv ceeb toom ntawm kev tsim cai lij choj (NPRM) hu ua "Medicaid Program; Medicaid thiab Children's Health Insurance Plan (CHIP) Managed Care." Thaum Lub Ib Hlis 14, 2019, DHCS tau xa tsab ntawv tawm tswv yim rau CMS ntawm NPRM.