Tus kws kho mob-Kev tiv thaiv tsis tau - Qhia
Rov qab mus rau PPC FAQ Home Page
Kev ceeb toom puas yuav tsum tau ua?
Thaum twg kuv yuav tsum tshaj tawm PPC?
Cov kws kho mob yuav tsum ceeb toom rau PPC tom qab tshawb pom thiab lees paub tias tus neeg mob yog Medi-Cal tau txais txiaj ntsig.
Thaum twg yog "discovery?" Yuav ua li cas yog tias PPC raug tshawb pom tom qab tus neeg mob raug tso tawm?
"Discovery" yog hais txog thaum tus kws kho mob thawj zaug paub tias tus neeg mob muaj PPC thiab lees paub tias tus neeg mob yog tus tau txais Medi-Cal. DHCS nkag siab tias kev tshawb pom tej zaum yuav yog tom qab tus neeg mob raug tso tawm, suav nrog kev tshawb pom thaum lub sijhawm coding thiab them nqi.
Kuv puas yuav tsum tau tshaj tawm PPC rau tus neeg mob uas Medi-Cal kev pom zoo tseem tab tom tos?
Yog tias tus neeg mob qhov kev tsim nyog tau txais Medi-Cal tseem tab tom tos thaum lub sijhawm tshawb pom, tus kws kho mob yuav tsum ceeb toom rau PPC tom qab lees paub qhov tsim nyog Medi-Cal.
Cov chaw muab kev pab qhia PPC li cas?
Cov kws kho mob yuav tsum ceeb toom rau PPCs los ntawm kev sau daim foos siv qhov
chaw ruaj ntseg online ntawm DHCS PPC lub vev xaib. Cov ntawv ceeb toom tau nkag mus rau hauv cov ntaub ntawv ruaj ntseg.
Cov kws kho mob hauv cov phiaj xwm tswj hwm (MCP) qhia PPC li cas?
Cov kws kho mob uas ua haujlwm rau MCP yuav tsum siv lub
vev xaib online ruaj ntseg thiab ceeb toom rau tus neeg mob MCP txog PPC. Thov mus saib
Daim Ntawv Npaj Txhua Lub Hom Phiaj 17-009 kom paub ntau ntxiv txog kev tshaj tawm cov kev xav tau rau cov phiaj xwm saib xyuas. Lub vev xaib online yuav tso cai rau cov neeg muab kev pabcuam luam tawm lawv daim ntawv tshaj tawm tom qab lawv xa daim ntawv tshaj tawm yog tias lawv tseem xav tau xa daim ntawv tshaj tawm mus rau MCP.
Yog tias kuv tshaj tawm cov xwm txheej tsis zoo lossis muaj kab mob kev noj qab haus huv (HAI) rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH), raws li txoj cai hauv xeev, kuv puas tseem yuav tsum tau tshaj tawm tib lub PPC rau DHCS?
Yog lawm. Cov kws kho mob yuav tsum tau ceeb toom rau ob lub tuam tsev yog tias tus neeg mob yog Medi-Cal tau txais txiaj ntsig thiab tus mob ua tau raws li qhov yuav tsum tau tshaj tawm rau CDPH. Kev tshaj tawm cov cai rau PPCs txawv dua li cov xwm txheej tsis zoo thiab HAIs rau CDPH. Qhov sib txawv ntawm kev tshaj tawm yuav tsum muaj xws li 1) hom xwm txheej cov chaw muab kev pab yuav tsum tshaj tawm, 2) qhov hnyav ntawm cov xwm txheej tau tshaj tawm, 3) qhov tshwm sim ntawm cov xwm txheej, thiab 4) lub sijhawm rau kev tshaj tawm HAIs rau CDPH.
Yog tias kuv tus neeg mob twb muaj PPC thaum kuv pib kho nws, kuv puas tseem yuav tsum tau tshaj tawm nws?
Tsis yog. Cov kws kho mob yuav tsum tsis txhob tshaj tawm txog PPC uas muaj ua ntej pib kho los ntawm tus kws kho mob.
Dab tsi yog qhov pib ntawm qhov hnyav rau thaum kuv xav tau tshaj tawm PPC?
Cov kws kho mob yuav tsum tau tshaj tawm tag nrho cov PPCs uas cuam tshuam nrog kev thov rau Medi-Cal kev them nyiaj lossis nrog cov kev kho mob uas tau muab rau tus neeg mob Medi-Cal uas yuav muaj lwm yam kev them nyiaj.
Lub Chaw Saib Xyuas Lub Sij Hawm Ntev (LTC) puas yuav tsum tau tshaj tawm PPCs?
LTC cov chaw tsuas yog xav tau tshaj tawm
OPPCs.
Cov tsev kho mob LTC suav nrog cov hauv qab no:
• Cov chaw tu neeg mob uas muaj peev xwm ua haujlwm pub dawb
• Cov chaw tu neeg laus lossis ib feem ntawm cov chaw zov me nyuam nruab nrab
• Cov chaw zov me nyuam nruab nrab / cov neeg xiam oob khab - cov neeg xiam oob khab
cph0} • Cov chaw zov me nyuam nruab nrab / cov neeg xiam oob khab loj hlob
• Cov tsev kho mob nruab nrab/developmentally disabled
• Cov chaw pub dawb thiab qhov sib txawv ntawm cov chaw subacute (cov neeg laus thiab cov menyuam yaus)
• Cov chaw tu neeg mob tshwj xeeb
LTC cov chaw yuav tsum tau tshaj tawm OPPCs uas tshwm sim thaum xa cov kev pabcuam uas tau them rov qab los ntawm cov hauv qab no: lub txaj viav vias nyob deb nroog, kev pabcuam tsev kho mob, chaw pw tuav hnub thiab hnub tshwj xeeb kev kho mob.
Kuv lub tsev kho mob muaj ob chav tsev kho mob mob hnyav thiab cov chaw tu neeg mob txawj ntse (SNF). PPCs twg uas kuv yuav tsum tau tshaj tawm?
Cov tsev kho mob mob nkeeg hauv tsev kho mob yuav tsum tshaj tawm tag nrho
HCACs thiab
OPPCs, thaum tag nrho lwm qhov chaw tsuas yog tshaj tawm OPPCs
Yog tias lub tsev kho mob muaj ob lub tsev kho mob hauv tsev kho mob hnyav thiab SNF, lub tsev yuav tsum siv daim ntawv tso cai hauv txaj los txiav txim siab tshaj tawm cov cai rau txhua chav.
Cov txheej txheem rau kev tshaj tawm PPC rau cov neeg mob California Children's Services (CCS) yog dab tsi?
Puas yog PPC ceeb toom cov cai thiab kev hloov pauv nyiaj siv rau cov chaw muab kev pabcuam sab nraud rau cov neeg tau txais Medi-Cal?
Yog lawm.
DHCS ua li cas nrog cov ntawv ceeb toom ntawm PPCs?
DHCS siv PPC cov ntaub ntawv los txiav txim seb qhov kev hloov pauv nyiaj puas tsim nyog. DHCS ua raws li Health Insurance Portability and Accountability Act (HIPAA) cov cai rau kev ceev ntiag tug thiab tseem yuav soj ntsuam cov ntaub ntawv ntawm PPCs tshaj tawm los tsim cov kev pab cuam txhim kho kom zoo.
Yuav ua li cas peb thim daim ntawv tshaj tawm uas peb tau xa tawm yog tias peb nkag mus rau cov ntaub ntawv tsis raug lossis tom qab txiav txim siab tias nws tsis ua raws li cov txheej txheem rau kev tshaj tawm?
Yog tias koj ntseeg tias koj yuav tsum tsis txhob tshaj tawm PPC lossis xa tsab ntawv ceeb toom ua yuam kev, thov xa cov ntaub ntawv hais txog qhov xwm txheej thiab kev kho lossis vim li cas koj ntseeg tias nws yuav tsum tsis txhob tshaj tawm rau
PPCHCAC@dhcs.ca.gov thiab khaws ib daim qauv ntawm email rau koj cov ntaub ntawv. A&I yuav ua raws li cov kev txhawj xeeb rau tus nqi-rau-kev pabcuam nrog cov ntaub ntawv xa tawm yav dhau los rau nws qhov kev tshuaj xyuas thiab muaj cov ntaub ntawv ntawm koj qhov kev thov kom thim lossis kho daim ntawv tshaj tawm thaum nws ua kev tshuaj xyuas.
