Network txaus
Rov qab mus rau Managed Care Final Rule Homepage
Txhawm rau ntxiv dag zog rau kev nkag mus rau cov kev pabcuam hauv lub network tswj hwm, Txoj Cai Kawg xav kom cov xeev tsim cov qauv tsim nyog hauv lub network hauv Medicaid tswj kev saib xyuas rau cov neeg muab kev pabcuam tseem ceeb, thaum tawm hauv lub xeev kom hloov tau cov qauv tseeb. Txoj Cai Kawg yuav tsum hais tias:
- Tsim thiab siv sijhawm thiab nyob deb cov qauv rau kev saib xyuas thawj zaug thiab tshwj xeeb (tus neeg laus thiab menyuam yaus), kev noj qab haus huv ntawm tus neeg laus thiab menyuam yaus), OB/GYN, kho hniav rau menyuam yaus, tsev kho mob, thiab chaw muag tshuaj;
- Tsim thiab ua raws li cov qauv kev nkag mus raws sij hawm rau cov kev pab cuam mus sij hawm ntev thiab kev txhawb nqa (LTSS) cov neeg muab kev pab uas mus rau cov neeg tau txais txiaj ntsig los muab kev pabcuam; thiab
- Txheeb xyuas thiab ua pov thawj qhov txaus ntawm cov phiaj xwm kev tswj hwm tus neeg muab kev pab cuam network tsawg kawg ib xyoos ib zaug.
Txoj Cai Kawg Kev Tsim Nyog Kev Tsim Nyog tau txais txiaj ntsig hauv Lub Xya Hli 1, 2018 xyoo daim ntawv cog lus kev noj qab haus huv.
Daim Ntawv Qhia Txog Kev Txaus Siab Network qhia txog txoj hauv kev uas DHCS tau ua los tsim cov qauv thiab piav qhia txog kev saib xyuas cov dej num rau kev ua raws li niaj hnub no.
Pib txij xyoo 2022, CMS tau thov DHCS xa ib Daim Ntawv Pov Thawj Network Txhua Xyoo rau Medi-Cal Managed Care Health Plans (MCPs), Medi-Cal Dental Managed Care (Dental MC), county Drug Medi-Cal Organized Delivery System (DMC- ODS) cov phiaj xwm, thiab lub nroog Mental Health Plans (MHPs).
Daim ntawv pov thawj Network Txhua Xyoo (ANC)
Managed Care Plans
Subcontractor Network Certification (SNC) kom tau raws li 1915(b) STC A4 yuav tsum tau
Daim ntawv pov thawj Network Txhua Xyoo
Archived Network Certification Reports txhua xyoo
Tseem ceeb Hloov Network Certifications
Tag nrho Cov Kev Npaj Noj Qab Haus Huv (MHPs & DMC-ODS Plans)
Mental Health Plans (MHPs)
2023 Kev xa tawm:
2022 Kev xa tawm:
Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Plans
2023 Kev xa tawm:
2022 Kev xa tawm:
De ntal Managed Care (DMC) Plans
2022 Kev xa tawm:
