Welfare thiab Institutions Code 14131.11, Ib yam nkaus li Title 42 ntawm Txoj Cai Tswjfwm Ntiag Tug, ntu 447, 434 thiab 438, xav kom txhua tus kws kho mob Medi-Cal ceeb toom cov neeg muab kev pabcuam tiv thaiv (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. Cov kws kho mob tsis tas yuav tsum tau tshaj tawm PPCs uas muaj nyob ua ntej pib kho cov neeg tau txais txiaj ntsig los ntawm tus kws kho mob.​​ 

Cov kws kho mob saib xyuas cov neeg mob uas muaj Fee-For-Service (FFS) lossis kev tswj hwm kev saib xyuas Medi-Cal yuav tsum tshaj tawm PPC rau Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS) tom qab tshawb pom PPC thiab lees paub tias tus neeg mob yog Medi-Cal tau txais txiaj ntsig.​​    

Ruaj ntseg online tshaj tawm portal​​ 

Providers should use the DHCS’ new secure online reporting portal to report PPCs to DHCS. Please see the instructions about using the portal, which includes the link to the online portal. Managed Care Plan network providers should also report the PPC to the beneficiary’s plan. Please see All Plan Letter 17-009 for more information for managed care plans. Providers may fax PPC reports to DHCS at (916) 440-5060 until June 30, 2017. DHCS stopped accepting paper copies of form DHCS 7107 on July 1, 2017.​​ 

Thov nco ntsoov tias kev tshaj tawm PPCs rau cov neeg tau txais txiaj ntsig Medi-Cal rau DHCS tsis tshem tawm qhov yuav tsum tau tshaj tawm txog cov xwm txheej tsis zoo thiab kev noj qab haus huv cuam tshuam nrog kab mob (HAI) mus rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, raws li Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb Tshooj 1279.1 thiab 1288.55.​​ 

Kev hloov pauv nyiaj​​ 

Medi-Cal yuav txiav nyiaj los ntawm cov kws kho mob rau kev kho mob cuam tshuam nrog PPCs tau txais. DHCS yuav tshawb xyuas tag nrho cov ntawv ceeb toom ntawm PPCs, suav nrog cov nrhiav pom los ntawm ib qho twg, los txiav txim seb qhov kev them nyiaj puas tsim nyog. Thov saib Cov Lus Nug Nquag txog kev hloov pauv nyiaj.
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Lus txhais​​ 

PPCs muaj xws li kev kho mob tau txais kev kho mob (HCAC) thaum lawv tshwm sim hauv cov chaw kho mob hauv tsev kho mob nkaus xwb thiab lwm yam kev tiv thaiv tus kws kho mob (OPPC) thaum lawv tshwm sim hauv txhua qhov chaw kho mob. HCACs yog tib yam li cov mob hauv tsev kho mob tau txais (HAC) rau Medicare, tshwj tsis yog tias Medi-Cal tsis xav kom cov kws kho mob qhia txog cov hlab ntsha sib sib zog nqus / pulmonary embolism rau cov poj niam cev xeeb tub thiab cov menyuam yaus hnub nyoog qis dua 21 xyoos. Thov saib PPC cov lus txhais ntu ntawm Cov Lus Nug Nquag lossis cov lus qhia qhia rau cov npe ntawm HCACs thiab OPPCs.​​  

Cov peev txheej:​​ 

Cov lus nug nquag nug txog PPCs (hloov kho lub Plaub Hlis 3, 2017)​​ 

Providers may email questions about PPCs to PPCHCAC@dhcs.ca.gov.​​  

CEEB TOOM: Qhov no yog PUBLIC MAILBOX. Thov TSIS TXHOB muab cov ntaub ntawv ntiag tug lossis ntiag tug ntawm koj tus kheej lossis lwm tus hauv koj tus email. DHCS tsis muaj peev xwm tiv thaiv cov ntaub ntawv xa tawm los ntawm lub thawv xa ntawv pej xeem no. Cov ntaub ntawv ntiag tug thiab / lossis cov ntaub ntawv ntiag tug suav nrog lub npe, chaw nyob, tus lej Xaus Saus, thiab lwm yam ntaub ntawv uas pab txheeb xyuas tus neeg mob. Piv txwv suav nrog thaj chaw uas tus neeg mob nyob, tus xov tooj, email chaw nyob, hnub yug, tus lej nyiaj, tus mob lossis kev kuaj mob, thiab cov ntaub ntawv hais txog hom kev saib xyuas tus neeg mob tau txais yav dhau los thiab qhov twg thiab thaum twg lawv tau txais kev saib xyuas no.​​ 

Hloov tshiab Plaub Hlis Ntuj 3, 2017​​