Kev Pabcuam Tshwj Xeeb rau Cov Neeg Sib Tham ntawm Medi-Cal - Cov Lus Nug Feem Ntau
Lub vas sab hauv internet no muab cov lus teb rau cov lus nug feem ntau hais txog Medi-Cal Peer Support Specialist Program. Thov hu rau lub thawv xa ntawv ntawm Lub Nroog Kev Pabcuam los ntawm kev xa email rau CountySupport@dhcs.ca.gov yog tias koj nrhiav tsis tau cov lus teb rau koj cov lus nug hauv qab no.
Cov lus nug txog California Mental Health Services Authority (CalMHSA) lub luag haujlwm hauv daim ntawv pov thawj Medi-Cal Peer Support Specialist, suav nrog cov lus nug txog kev cob qhia, kev xeem, thiab daim ntawv pov thawj Medi-Cal Peer Support Specialist, yuav raug xa mus rau CalMHSA los ntawm kev xa email rau PeerCertification@calmhsa.org.
Cov FAQ hauv qab no tau muab faib ua pawg hauv qab no:
- Medi-Cal Peer Support Specialist Certification Standards
- Cov cheeb tsam tshwj xeeb
- Medi-Cal Peer Support Specialist saib xyuas
- Medi-Cal Peer Support Specialist Certification Programs
- Xaiv rau Medi-Cal Peer Support Services Benefit
- Muab Medi-Cal Peer Support Services
- Kev them nqi rau Medi-Cal Peer Support Services
- Lwm yam
Medi-Cal Peer Support Specialist Certification Standards
1. Cov tib neeg yuav ua li cas thiaj tau daim ntawv pov thawj los ua Medi-Cal Peer Support Specialists?
Cov ntaub ntawv: BHIN 25-010
Cov tib neeg uas xav ua tus kws tshwj xeeb txhawb nqa Medi-Cal uas tau ntawv pov thawj yuav tsum thov los ntawm qhov kev pab cuam pov thawj uas tau pom zoo. Tam sim no, tsuas muaj daim ntawv pov thawj Medi-Cal Peer Support Specialist los ntawm California Mental Health Services Authority (CalMHSA). Thov mus saib nplooj ntawv web CalMHSA Peer Certification lossis tiv tauj CalMHSA los ntawm kev xa email rau PeerCertification@calmhsa.org kom paub cov ntaub ntawv hais txog daim ntawv pov thawj.
2. Tus nqi ntawm Medi-Cal Peer Support Specialist daim ntawv pov thawj yog dab tsi?
Cov ntaub ntawv: BHIN 25-010
Cov nqi rau cov tib neeg uas thov daim ntawv pov thawj Medi-Cal Peer Support Specialist yog teem los ntawm cov nroog lossis cov kev pab cuam ntawv pov thawj uas lub nroog xaiv. Tam sim no, California Mental Health Services Authority (CalMHSA) yog tib qho kev pab cuam pov thawj rau txhua lub nroog uas xaiv los muab Medi-Cal Peer Support Services hauv California. Cov nqi ntawm CalMHSA tau muab tso rau hauv lub vev xaib CalMHSA.
3. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) puas tuaj yeem zam qhov Medi-Cal Peer Support Specialist daim ntawv pov thawj kev kuaj mob thiab/lossis pom zoo ib daim ntawv pov thawj uas tsis tau xeem tiav rau lwm tus neeg thov kev pabcuam?
Siv: BHIN 25-010, W&I Code 14045.15
Tsis yog. Cov neeg thov yuav tsum xeem dhau daim ntawv pov thawj uas tau pom zoo los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) kom tau txais daim ntawv pov thawj Medi-Cal Peer Support Specialist raws li cov cai hauv txoj cai lij choj hauv xeev (W&I Code 14045.15).
4. Puas siv tau qhov kev paub dhau los hauv lub neej lossis kev ua haujlwm los hloov qhov yuav tsum tau muaj GED lossis qib kawm sib npaug?
Siv: BHIN 25-010, W&I Code14045.15(a)
Tus lej ib ntawm W&I Code14045.15(a), cov neeg thov yuav tsum muaj Daim Ntawv Pov Thawj Kev Kawm Txuj Ci Dav Dav (GED) lossis daim ntawv kawm tiav qib siab sib npaug kom tsim nyog rau daim ntawv pov thawj Medi-Cal Peer Support Specialist.
5. Dab tsi yog qhov yuav tsum tau muaj ntawv pov thawj los ntawm cov txheej txheem tawm ntawm lub xeev?
Cov ntaub ntawv: BHIN 25-010
Cov neeg thov tsim nyog yuav tsum muaj:
- Ua tiav 1550 teev ua ib tus neeg ua haujlwm txhawb nqa hauv peb xyoos lossis tsawg dua, nrog 500 teev ua tiav hauv 12 lub hlis dhau los;
- Ua tiav 20 teev ntawm cov chav kawm txuas ntxiv (CEUs), suav nrog rau 6 teev ntawm kev cai lij choj thiab kev coj ncaj ncees;
- Cov CEUs tuaj yeem muaj peev xwm ua haujlwm tau los ntawm kev kawm hauv xeev, sab nraud xeev, lossis lub tebchaws;
- Has peer support worker certification in good standing issued in a state or territory outside of California;
- Dhau qhov kev xeem ntawv pov thawj;
- Pom zoo ua raws li Txoj Cai ntawm Kev Ncaj Ncees rau Medi-Cal Cov Neeg Pabcuam Pabcuam Peer hauv California;
- Muab cov ntaub ntawv ntawm kev ua tiav tsawg kawg ib qho kev cob qhia ua phooj ywg; thiab
- Muab peb Tsab Ntawv Pom Zoo:
- Ib tug los ntawm tus thawj saib xyuas yav dhau los lossis tam sim no;
- Ib tug los ntawm ib tug npoj yaig / kws tshaj lij; thiab
- Ib qho kev pom zoo rau tus kheej piav qhia txog lawv lub luag haujlwm tam sim no thiab lub luag haujlwm raws li ib tus neeg ua haujlwm txhawb nqa
Tsis muaj hnub kawg ntawm kev ua haujlwm lossis hnub poob rau cov neeg ua haujlwm txhawb nqa nrog cov ntawv pov thawj tawm ntawm lub xeev los thov kev sib raug zoo.
6. Thaum twg yog lub sijhawm kawg kom tsim nyog los ua Medi-Cal Peer Support Specialist uas tau lees paub los ntawm cov txheej txheem niam txiv?
Cov ntaub ntawv: BHIN 25-010
Hnub kawg rau niam tais yawm txiv yog Lub Rau Hli 30, 2023. Txoj kev niam tais yawm txiv tsis muaj lawm.
7. Dab tsi yog cov kev xav tau kev kawm txuas ntxiv rau Medi-Cal Peer Support Specialist?
Cov ntaub ntawv: BHIN 25-010
Medi-Cal Peer Support Specialists must complete 20 hours of continuing education, including six hours of continuing education on law and ethics, every two years. The continuing education must include updates on applicable laws and evidence-based best practices. Information on continuing education requirements is available on CAPeerCertification.org.
8. Puas yog kev cob qhia ua tiav hauv ib cheeb tsam tshwj xeeb suav nrog rau kev kawm txuas ntxiv?
Cov ntaub ntawv: BHIN 25-010
Yog lawm. Cheeb tsam ntawm cov sij hawm kev cob qhia tshwj xeeb ua tiav los ntawm Medi-Cal Cov Neeg Pab Txhawb Kev Pabcuam Tshwj Xeeb hauv ob xyoos ua ntej kev lees paub ob xyoos tuaj yeem suav rau 20 teev ntawm kev kawm txuas ntxiv uas yuav tsum tau ua kom tiav daim ntawv pov thawj biennial.
9. Dab tsi yog txheej txheem rau kev rov ua dua daim ntawv pov thawj lapsed?
Cov ntaub ntawv: BHIN 25-010
Cov xwm txheej thiab cov txheej txheem rau kev rov ua dua tshiab yog raws li hauv qab no:
Lapsed: A certification is considered lapsed if it is not renewed by the renewal due date. The certification will remain lapsed for up to one year after the renewal due date if it is not renewed within this period.
- Txheej txheem nqa daim ntawv pov thawj tam sim no:
- Ua kom tiav 20 teev ntawm kev kawm txuas ntxiv
- Rov lees paub Code of Ethics
- Them tus nqi txuas ntxiv ob xyoos thiab tus nqi lig, yog tias muaj
Tas Sij Hawm: Daim ntawv pov thawj raug suav tias tas sij hawm yog tias nws tsis tau rov ua dua tshiab hauv ib xyoos ntawm hnub kawg rov ua dua tshiab. Daim ntawv pov thawj yuav tas sij hawm mus txog plaub xyoos tom qab hnub kawg rau kev rov ua dua tshiab yog tias nws tsis raug rov qab los rau lub sijhawm no.
- Txheej txheem nqa daim ntawv pov thawj tam sim no:
- Ua kom tiav 80-teev cov ntawv pov thawj thawj zaug rov ua dua tshiab lossis xeem dhau daim ntawv pov thawj
- Ua kom tiav 20 teev ntawm kev kawm txuas ntxiv
- Rov lees paub Code of Ethics
- Them tus nqi rov qab thiab tus nqi lig, yog tias muaj
Tshem Tawm: Daim ntawv pov thawj raug suav hais tias tshem tawm yog tias nws tsis tau rov ua dua tshiab hauv plaub xyoos ntawm hnub kawg rov ua dua tshiab.
- Txheej txheem nqa daim ntawv pov thawj tam sim no:
- Rov ua ntaub ntawv pov thawj
- Ua kom tiav 80-teev cov ntaub ntawv pov thawj thawj zaug
- Kev xeem ntawv pov thawj
- Them nqi daim ntawv thov, nqi kawm, thiab nqi kuaj
10. Puas muaj hnub nyoog tsawg kawg nkaus kom dhau los ua Medi-Cal Peer Support Specialist?
Siv: BHIN 25-010, W&I Code 14045.15
Yog lawm. Raws li W&I Code 14045.15, Cov neeg thov yuav tsum muaj hnub nyoog tsawg kawg yog 18 xyoo thiaj li tau lees paub tias yog Medi-Cal Peer Support Specialist. Qhov no tsis txwv Medi-Cal Peer Support Specialists los ntawm kev ua haujlwm nrog cov hluas lossis cov hluas uas muaj hnub nyoog hloov pauv.
11. Puas yog ib tug phooj ywg uas tsis ua hauj lwm nrog Medi-Cal cov tswv cuab yuav tsum tau ntawv pov thawj?
Cov ntaub ntawv: BHIN 25-010
No. The Medi-Cal Peer Support Specialist certification is only a specific certification requirement if the Medi-Cal behavioral health delivery system would like to be reimbursed by Medi-Cal for the provision of covered Medi-Cal Peer Support Services to Medi-Cal members.
Cov cheeb tsam tshwj xeeb
12. Cov Kws Tshwj Xeeb Pabcuam Sib Tham ntawm Medi-Cal puas tuaj yeem ua tiav ntau tshaj ib qho kev tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Yog lawm. Medi-Cal Peer Support Specialists tuaj yeem ua tiav kev cob qhia rau ntau yam tshwj xeeb.
13. Cov neeg raug kaw yav tas los puas tuaj yeem ua tiav qhov kev ua txhaum cai (kev ncaj ncees koom nrog) tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Yog lawm. Cov neeg raug kaw yav dhau los tuaj yeem ua tiav qhov kev cai lij choj (kev ncaj ncees koom nrog) tshwj xeeb.
14. Kev cob qhia hauv ib cheeb tsam tshwj xeeb tuaj yeem suav rau 80 teev ntawm kev cob qhia rau kev lees paub thawj zaug?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. Cov cheeb tsam ntawm cov sij hawm kev cob qhia tshwj xeeb tsis suav rau 80 teev ntawm kev cob qhia uas yuav tsum tau ua kom tau txais ntawv pov thawj thawj zaug.
15. Puas yog Medi-Cal Peer Support Specialists yuav tsum ua kom tiav cov kev cob qhia tshwj xeeb kom muaj peev xwm ua hauj lwm hauv qhov tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. DHCS tsis xav kom Medi-Cal Peer Support Specialists ua tiav kev cob qhia hauv ib cheeb tsam tshwj xeeb ua ntej muaj peev xwm muab Medi-Cal Peer Support Services rau cov tswv cuab. Kev cob qhia hauv thaj chaw tshwj xeeb yog xaiv tau.
16. Leej twg tsim cov ntaub ntawv kawm rau txhua qhov chaw tshwj xeeb?
Cov ntaub ntawv: BHIN 25-010
Lub Xeev-pom zoo Medi-Cal Cov Kev Pabcuam Ntawv Pov Thawj yog lub luag haujlwm tsim thiab xa lawv cov ntaub ntawv kawm rau txhua qhov chaw tshwj xeeb rau Department of Health Care Services (DHCS) kom pom zoo.
17. Cov Kev Pab Cuam Muab Daim Ntawv Pov Thawj puas muaj peev xwm muab cov kev kawm tshwj xeeb ntxiv rau cov kev kawm tshwj xeeb uas tau teev tseg hauv BHIN 25-010?
Cov ntaub ntawv: BHIN 25-010
Cov nroog, lossis cov Kev Pabcuam Daim Ntawv Pov Thawj uas lub nroog xaiv, tuaj yeem thov cov cheeb tsam tshwj xeeb ntxiv los ntawm kev xa daim ntawv qhia kev kawm mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ntawm CountySupport@dhcs.ca.gov. Cov chaw tshwj xeeb ntxiv uas tau muab los ntawm Cov Kev Pabcuam Kev Pov Thawj yuav raug DHCS tshuaj xyuas thiab pom zoo.
Medi-Cal Peer Support Specialist saib xyuas
18. Cov kws kho mob dab tsi tau tso cai los muab kev taw qhia rau Medi-Cal Peer Support Specialists?
Cov ntaub ntawv: BHIN 25-010
Rau Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam yog muab raws li Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS), cov kws tshaj lij kev noj qab haus huv hauv qab no raug tso cai los muab kev taw qhia rau Medi-Cal Peer Support Specialist: tus kws kho mob; ib tug kws kho mob uas muaj ntawv tso cai los yog zam; ib tug muaj ntawv tso cai, zam los yog sau npe rau social worker; tus neeg muaj ntawv tso cai, zam lossis sau npe sib yuav thiab tus kws kho mob hauv tsev neeg; daim ntawv tso cai, zam lossis sau npe tus kws pab tswv yim kho mob, tus kws saib xyuas neeg mob sau npe (nrog rau tus kws saib xyuas neeg mob tau ntawv pov thawj, lossis tus kws saib xyuas neeg mob), thiab cov kws kho mob muaj ntawv tso cai.
Rau Medi-Cal Peer Support Services uas muab los ua Drug Medi-Cal (DMC)/ Drug Medi-Cal Organized Delivery System (DMC-ODS), cov Behavioral Health Professionals hauv qab no tau tso cai los muab kev taw qhia rau Medi-Cal Peer Support Specialist: tus kws kho mob; tus kws saib mob; tus kws saib mob uas tau sau npe; tus kws kho mob hlwb uas tau tso cai; tus neeg ua haujlwm pabcuam hauv tsev kho mob uas tau tso cai lossis sau npe; tus kws pab tswv yim hauv tsev kho mob uas tau tso cai lossis sau npe; tus kws kho mob sib yuav thiab tsev neeg uas tau tso cai lossis sau npe; thiab cov kws kho mob ua haujlwm uas tau tso cai.
19. Puas yog Medi-Cal Peer Support Specialist Supervisors yuav tsum yog cov kws tshaj lij kev noj qab haus huv?
Cov ntaub ntawv: BHIN 25-010
Cov Kws Saib Xyuas Kev Txhawb Nqa Medi-Cal Peer Support Specialist tsis tas yuav yog Cov Kws Tshaj Lij Kev Noj Qab Haus Huv. Raws li tau hais hauv BHIN 25-010, Medi-Cal Peer Support Specialist Supervisors yuav tsum ua tau raws li tsawg kawg yog ib qho ntawm cov kev tsim nyog hauv qab no:
· Muaj daim ntawv pov thawj Medi-Cal Peer Support Specialist; ob xyoos ntawm kev paub dhau los muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom; thiab ua tiav daim ntawv qhia kev cob qhia Medi-Cal Peer Support Specialist Supervisor uas tau pom zoo los ntawm Department of Health Care Services (DHCS) raws li subdivision (b) ntawm Seem 7 ntawm BHIN 25-010.
LOSSIS
- Ua Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv raws li subdivision (a)(2) ntawm Tshooj 7 ntawm BHIN 25-010; muaj ob xyoos ntawm kev paub muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom; thiab ua tiav DHCS pom zoo Medi-Cal Peer Support Specialist Supervisor cov ntaub ntawv qhia kev cob qhia raws li subdivision (b) ntawm Tshooj 7 ntawm BHIN 25-010.
LOSSIS
- Muaj daim ntawv kawm tiav high school lossis GED, plaub xyoos ntawm kev paub muab kev pabcuam kev noj qab haus huv ncaj qha rau cov neeg siv khoom (uas yuav suav nrog kev pabcuam Medi-Cal Peer Support Services), thiab ua tiav DHCS-pom zoo Medi-Cal Peer Support Specialist Supervisor cov kev qhia qhia raws li subdivision (b) ntawm Tshooj 7 ntawm BHIN 25-010.
Yog tias tus thawj saib xyuas ntawm Medi-Cal Peer Support Specialist tsis yog ib tug Behavioral Health Professional raws li tau txhais hauv BHIN 25-010, Medi-Cal Peer Support Specialist kuj yuav tsum muab cov kev pabcuam raws li kev coj ntawm Behavioral Health Professional uas ua tau raws li cov kev tsim nyog tau piav qhia hauv BHIN 25-010, ntu 6 subdivision (e).
20. Puas yog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tsim kom muaj cov lus qhia rau cov ntaub ntawv qhia kev saib xyuas?
Cov ntaub ntawv: BHIN 25-010
DHCS piav qhia txog cov kev cai rau Medi-Cal Peer Support Specialist Supervisors hauv BHIN 25-010. Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Lub Siab hauv California (CalMHSA), ua qhov kev pab cuam pov thawj uas lub nroog xaiv tam sim no, tau tsim cov ntawv qhia kev cob qhia uas DHCS tau pom zoo. DHCS txhawb kom cov nroog txhawb nqa Medi-Cal Peer Support Specialists ua tus saib xyuas lawv cov neeg ua haujlwm nrog lawv.
21. Muaj pes tsawg Medi-Cal Peer Support Specialists muaj peev xwm Medi-Cal Peer Support Specialist Supervisor saib xyuas?
Cov ntaub ntawv: BHIN 25-010
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis tau teeb tsa tus qauv kev ua haujlwm rau Medi-Cal Peer Support Specialist Supervisors thiab Medi-Cal Peer Support Specialists.
Medi-Cal Peer Support Specialist Certification Programs
22. Leej twg yog tus tuav tswj Medi-Cal Peer Support Specialist certification programs?
Cov ntaub ntawv: BHIN 25-010
Cov nroog, lossis ib lub koom haum sawv cev rau lub nroog, uas yuav tsum tau kev pom zoo los ntawm Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS), muaj lub luag haujlwm los tsim, saib xyuas, thiab ua kom muaj kev pab cuam pov thawj Medi-Cal Peer Support Specialist raws li W&I Code 14045.14 qhov no txhais tau tias thaum DHCS muaj lub luag haujlwm los teeb tsa cov qauv thoob plaws lub xeev rau cov kev pab cuam pov thawj Medi-Cal Peer Support Specialist, txhua lub nroog, lossis ib lub koom haum sawv cev rau lub nroog, muaj lub luag haujlwm los tsim ib qho kev pab cuam uas sib haum nrog cov qauv ntawd thiab xyuas kom meej tias nws tau tswj hwm kom raug.
23. California Mental Health Services Authority (CalMHSA) ua lub luag haujlwm li cas hauv Medi-Cal Pe er Support Specialist certification process?
Cov ntaub ntawv: BHIN 25-010
Cov kev pab cuam pov thawj Medi-Cal Peer Support Specialist tuaj yeem tsim los ntawm cov nroog lossis cov chaw ua haujlwm xaiv los ntawm lub nroog. Sawv cev rau txhua lub nroog uas xaiv koom, California Behavioral Health Directors’ Association tau txheeb xyuas CalMHSA ua tus kws tshaj lij pabcuam Medi-Cal Peer Support Specialist uas tau txais daim ntawv pov thawj los txhawb kev sib xws thoob plaws lub xeev. CalMHSA, sawv cev rau cov nroog uas lawv sawv cev, yuav tsum ua raws li cov qauv ntawm lub xeev teev tseg hauv BHIN 25-010.
Xaiv rau Medi-Cal Peer Support Services Benefit
24. Yog hais tias ib lub nroog xaiv los muab Medi-Cal Peer Support Services, nws puas yuav tsum ua rau ob qho tib si xa khoom (Tshwj xeeb Mental Health thiab Tshuaj Medi-Cal/Drug Medi-Cal Organized Delivery System)
Cov ntaub ntawv: BHIN 25-010
Tsis muaj. Raws li DHCS txoj cai tam sim no, cov nroog uas tau xaiv xaiv tuaj yeem ua rau ib lossis ob qho tib si xa khoom. Piv txwv li, ib lub nroog tuaj yeem pib siv cov kev pabcuam hauv Specialty Mental Health Services (SMHS) kev xa khoom, thiab tom qab ntawd xaiv los muab cov txiaj ntsig hauv Drug Medi-Cal (DMC) lossis Drug Medi-Cal Organized Delivery System (DMC-ODS), raws li muaj.
25. Lub nroog pov thawj cov chaw muab Medi-Cal Peer Support Services li cas?
Lub nroog yuav tsum xa cov ntawv ua tiav Tus Muab Kev Pab Cuam Hloov Kho (PFU) cov ntaub ntawv thiab Medi-Cal Certification and Transmittal forms (Transmittal forms) ntxiv Medi-Cal Peer Support Services rau txhua lub koom haum muab kev pab cuam Medi-Cal Peer Support Services. Txog thaum hloov kho tshiab rau hauv daim ntawv Transmittal, cov nroog tuaj yeem sau ntawv txhais tes rau Peer Support Services Hom Kev Pabcuam 15/Service Function 20 ua ke ntawm Transmittal daim ntawv xa.
26. Puas yog lub nroog uas xaiv los muab Medi-Cal Cov Kev Pabcuam Peer hauv Kev Siv Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) yuav tsum muab rau hauv Opioid Treatment Programs (OTPs)?
Cov ntaub ntawv: BHIN 25-010
Tsis tau. Lub nroog tsis tas yuav muab Medi-Cal Kev Pabcuam Peer Kev Pabcuam los ntawm OTPs.
27. Cov koom haum hauv zej zog thiab cov koom haum sib koom ua ke tuaj yeem muab thiab sau nqi rau Medi-Cal Peer Support Services li cas?
Cov ntaub ntawv: BHIN 25-010
Txhua lub nroog xaiv tsa tswj hwm nws tus kheej lub network ntawm Medi-Cal Peer Support Specialists. Cov koom haum xav muab Medi-Cal Peer Support Services yuav tsum hu rau lub nroog lossis lub nroog uas lawv txaus siab muab cov kev pabcuam los tham txog kev cog lus thiab cov cai.
Muab Medi-Cal Peer Support Services
28. Are counties required to provide medically necessary Medi-Cal Peer Support Services to members under age 21 in order to meet the counties’ obligation under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) mandate?
Cov ntaub ntawv: BHIN 25-010
Yog. Raws li tau piav qhia hauv BHIN 25-010 raws li EPSDT txoj cai raws li Tshooj 1905 (r) ntawm Social Security Act, vim tias Medi-Cal Peer Support Services them tau raws li Tshooj 1905 (a) ntawm Social Security Act, txhua lub nroog, tsis hais lawv xaiv los muab Medi-Cal Peer Support Services, yuav tsum xyuas kom meej tias txhua tus tswv cuab hnub nyoog qis dua 21 xyoo tau txais Medi-Cal Peer Support Services los kho lossis txhim kho cov mob uas pom. DHCS txoj kev siv Medi-Cal Peer Support Services ua ib qho kev pabcuam Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), thiab Specialty Mental Health Services (SMHS) tsis txwv lossis hloov pauv qhov dav ntawm EPSDT txoj cai.
29. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DH CS) puas xav tau kev kuaj keeb kwm yav dhau los rau Medi-Cal Peer Support Specialists uas muab Medi-Cal Peer Support Services?
Cov ntaub ntawv: BHIN 25-010
Tsis yog. DHCS tsis xav tau kev kuaj xyuas keeb kwm txhaum cai rau Medi-Cal Peer Support Specialists vim lawv tsis muaj Txoj Kev Them Nqi rau Kev Pabcuam (FFS) hauv DHCS lub kaw lus sau npe rau cov neeg muab kev pabcuam. Cov nroog, lossis ib lub koom haum sawv cev rau lub nroog, yuav tsim cov kev cai kuaj keeb kwm yav dhau los rau Medi-Cal Peer Support Specialists. Cov Kws Tshwj Xeeb Pabcuam Medi-Cal Peer yuav tsum ua raws li cov cai uas siv tau txog cov neeg muab kev pabcuam uas raug ncua thiab tsis tsim nyog raws li 14043.6 thiab 14123, thiab ua raws li cov cai uas siv tau hauv daim ntawv cog lus Mental Health Plan (MHP).14123, thiab ua raws li cov cai uas siv tau hauv daim ntawv cog lus Kev Npaj Kho Mob Hlwb (MHP).
30. Medi-Cal Peer Support Specialists puas tuaj yeem xa cov kev pab cuam hauv xov tooj?
Siv tau: BHIN 23-018, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Yog. Cov Kev Pabcuam Txhawb Nqa Medi-Cal Peer yuav muab tau rau ntawm lub ntsej muag, los ntawm kev hu xov tooj, lossis los ntawm kev kho mob hauv xov tooj nrog tus tswv cuab lossis tus neeg txhawb nqa tseem ceeb thiab yuav muab tau rau txhua qhov chaw hauv zej zog. Cov tswv cuab muaj cai thov thiab tau txais cov kev pabcuam ntawm tus kheej. Yog xav paub ntxiv, mus saib BHIN 23-018 thiab MedCCC Library kom paub cov phau ntawv qhia txog kev them nqi tshiab rau Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), thiab Drug Medi-Cal-Organized Delivery System (DMC-ODS).
31. Puas yog Medi-Cal Peer Support Specialists muaj peev xwm ua hauj lwm raws li Community Health Workers (CHWs)?
Reference: Community Health Worker Phau Ntawv Qhia
Medi-Cal Peer Support Specialists uas ua tau raws li cov qauv tsim nyog rau Community Health Workers (CHWs) tuaj yeem ua haujlwm li CHWs. Thov mus saib CHW Tus Muab Kev Pab Cuam rau cov ntaub ntawv hais txog qhov tsawg kawg nkaus tsim nyog rau CHWs thiab CHW cov lej them nqi. Cov kev pab cuam muab los ntawm Medi-Cal Peer Support Specialist raws li CHW, yuav tsum siv CHW taxonomy code. CHW cov kev pabcuam tsis suav nrog Medi-Cal Cov Kev Pabcuam Peer Raws li kev pabcuam raws li Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal, Tshuaj Medi-Cal Organized Delivery System, thiab Cov Kev Pabcuam Tshwj Xeeb Mental Health Services. CHW cov kev pabcuam yog txawv thiab cais los ntawm Medi-Cal Peer Support Services.
32. Dab tsi yog suav tias yog "kev npaj kho mob uas tau pom zoo" rau Medi-Cal Peer Support Services?
Siv: BHIN 23-068, CMS State Medicaid Directors Letter 07-011
Per CMS State Medicaid Directors Letter 07-011, Peer Support Services, “must be coordinated within the context of a comprehensive, individualized plan of care that includes specific individualized goals.” A plan of care for Medi-Cal Peer Support Services must include engaging the member to ensure it reflects the needs and preferences of the member.
Ib daim phiaj xwm kho mob uas tau pom zoo yuav tsum tau sau tseg rau hauv cov ntaub ntawv kho mob ntawm tus tswv cuab thiab tau txais kev pom zoo los ntawm tus kws kho mob uas tuaj yeem muab cov kev pabcuam Medi-Cal uas them rov qab tau. Thov saib BHIN 23-068 (lossis cov lus qhia hloov pauv) kom paub meej ntxiv txog cov kev cai sau ntawv qhia txog kev nce qib rau txhua qhov kev pabcuam Kev Noj Qab Haus Huv Lub Siab Tshwj Xeeb (SMH), Tshuaj Medi-Cal (DMC), thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS).
33. Cov ntaub ntawv yuav tsum muaj rau Medi-Cal Peer Support Services yog dab tsi?
Reference: BHIN 23-068, W&Code §14045.13
Per W&I Code §14045.13, documentation skills and standards are a required core competency for Medi-Cal Peer Support Specialist certification programs to include in their curriculum. Please refer to BHIN 23-068 (or superseding guidance) for additional information for documentation requirements for Medi-Cal Behavioral Health services, including Medi-Cal Peer Support Services.
34. Puas yog cov kev npaj kho mob rau Targeted Case Management (TCM) thiab Intensive Care Coordination (ICC) puas zoo ib yam li cov kev pab cuam rau Medi-Cal Peer Support Services?
Daim ntawv pov thawj: 42 CFR § 440.169(d)(2)
Medi-Cal Cov Kev Pabcuam Peer yog txawv ntawm Kev Tswj Xyuas Cov Cai thiab Kev Sib Koom Tes Ua Haujlwm hnyav, uas muaj lawv tus kheej cov kev xav tau kev npaj khomob. Yog xav paub ntxiv, saib 42 CFR § 440.169(d)(2).
35. Cov "collaterals" txhais li cas hauv cov ntsiab lus ntawm Medi-Cal Peer Support Services?
Siv: BHIN 25-010, Ntxiv 3 rau Daim Ntawv Cuam Tshuam 3.1-A ntawm California State Plan
Raws li tau piav qhia hauv Cov Lus Qhia Ntxiv 3 rau Cov Lus Qhia Ntxiv 3.1-A ntawm California State Plan thiab BHIN 25-010, Medi-Cal Peer Support Services tuaj yeem suav nrog kev sib cuag nrog cov tswv cuab hauv tsev neeg lossis lwm yam khoom siv (cov tswv cuab hauv tsev neeg lossis lwm tus neeg txhawb nqa tus neeg tau txais txiaj ntsig). Cov kev pabcuam no feem ntau yog tsom mus rau kev pab cov neeg tseem ceeb hauv lub neej ntawm tus tswv cuab, xws li cov tswv cuab hauv tsev neeg lossis cov neeg txhawb nqa ze, kom pab tus tswv cuab kom ua tiav lawv lub hom phiaj kev noj qab haus huv ntawm lub hlwb lossis kev siv tshuaj yeeb dej cawv. Cov kev pab cuam ntxiv yuav suav nrog kev sab laj, kev kawm, thiab lwm yam kev koom tes uas tsom mus rau kev muab kev paub lossis cov cuab yeej tsim nyog rau tus tswv cuab lub cev txhawb nqa los txhawb kom tus neeg rov zoo thiab muaj zog. Tej zaum yuav muaj tej lub sij hawm, raws li kev txiav txim siab ntawm tus kws kho mob, tus tswv cuab tsis nyob ntawd thaum lub sij hawm muab kev pab, tab sis tseem yog qhov tseem ceeb ntawm kev pab.
Kev them nqi rau Medi-Cal Peer Support Services
36. Cov txheej txheem twg yuav tsum tau siv rau Medi-Cal Peer Support Specialist pab pawg pab pawg thiab dab tsi yog pawg loj?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Raws li BHIN 25-010, cov kev pabcuam pab pawg neeg tshwj xeeb ntawm Medi-Cal Peer Support Specialist raug them rau hauv "Pawg Tsim Kev Txawj Ntse Kev Kawm" thiab yuav tsum tau thov raws li tus lej "Kev Pabcuam Kev Kawm Tiv Thaiv Kev Noj Qab Haus Huv Tus cwj pwm" (H0025). Qhov loj ntawm pawg neeg tsuas yog txwv rau tsis pub tsawg dua ob thiab tsis pub ntau tshaj kaum ob tus tswv cuab tib lub sijhawm. Cov kws kho mob uas ua haujlwm hauv Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) yuav tsum xa mus rau phau ntawv qhia txog kev them nqi Medi-Cal rau cov txheej txheem thov nyiaj pab pawg. (Saib DHCS MedCCC Library kom paub cov phau ntawv qhia txog kev them nqi tshiab rau SMHS, DMC, thiab DMC-ODS.)
37. Nyob rau hauv ib pab pawg uas ob tus kws kho mob tshwj xeeb ntawm Medi-Cal Peer Support Specialist thiab lwm tus kws kho mob tab tom xa cov kev pabcuam, puas yog txhua tus neeg muab kev pabcuam raug tso cai sau nqi rau cov kev pabcuam sib txawv uas lawv tau muab?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Cov Ntawv Qhia Txog Kev Them Nqi
Raws li BHIN 25-010, Cov Kev Pabcuam Txhawb Nqa Cov Phooj Ywg tuaj yeem xa thiab thov ua ib qho kev pabcuam ib leeg lossis muab ua ke nrog lwm cov kev pabcuam SMHS, DMC, lossis DMC-ODS. Cov Kev Pabcuam Txhawb Nqa Medi-Cal Peer yuav tsum tau sib koom tes kom tsis txhob muaj cov kev pabcuam zoo sib xws. Yog li ntawd, thaum muaj ntau tus kws kho mob muab kev pabcuam rau tib tus tswv cuab tib lub sijhawm, txhua tus kws kho mob yuav tsum xa daim ntawv thov sib cais rau qhov kev pabcuam sib txawv uas txhua tus kws kho mob tau muab kom tsim nyog tau txais kev them rov qab Medi-Cal thaum sau tseg thiab them nqi kom raug. Nco ntsoov tias Medi-Cal Peer Support Specialists yog tib hom kws kho mob uas tsim nyog rau cov lej H0038 thiab H0025, thiab cov kws kho mob koom tes tsis raug tso cai rau hauv DMC thiab DMC-ODS cov txheej txheem xa khoom.
Cov lus qhia txog kev them nqi rau Peer Support Specialist rau kev xa cov kev pabcuam Peer Support tau teev tseg hauv BHIN 25-010. Cov lus qhia ntxiv rau kev them nqi rau SMHS, DMC, thiab DMC-ODS cov kev pabcuam tuaj yeem pom hauv DHCS MedCCC Library.
38. Medi-Cal Peer Support Specialists puas tuaj yeem thov rau cov kev pabcuam uas tsis yog Medi-Cal Peer Support muab rau cov tswvcuab Medi-Cal siv cov lej pabcuam uas tsis yog H0025, H0038, thiab H0050?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Certified Medi-Cal Peer Support Specialists tsuas yog xa mus rau Short Doyle Medi-Cal (SD/MC) rau Medi-Cal Peer Support Services (H0038 thiab H0025) thiab Contingency Management (H0050) raws li Peer taxonomy. Yog tias Medi-Cal Peer Support Specialist ua tau raws li qhov tsim nyog rau lwm hom kws kho mob (piv txwv li, Lwm Tus Kws Pab Tswv Yim Tsim Nyog), Medi-Cal Peer Support Specialist tuaj yeem xa ib daim ntawv thov cais raws li tus lej se sib txawv rau cov kev pabcuam uas tsis yog Medi-Cal Peer Support Services uas tsis sib npaug ntawm Peer Support Services tau thov. Medi-Cal Peer Support Specialists yuav tsum xa mus rau BHIN 25-010, ntu 11 kom paub meej cov lus qhia txog kev thov kev pab.
39. Puas muaj cov lej sau nqi cais kom paub qhov txawv ntawm Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam muab rau cov tib neeg thiab Medi-Cal Cov Kev Pabcuam Peer muab rau cov neeg hauv tsev neeg lossis lwm tus neeg saib xyuas?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Tsis muaj. Tsis muaj tus lej txheej txheem sib txawv lossis tus hloov kho kom paub qhov txawv ntawm Medi-Cal Peer Support Specialist cov kev pabcuam muab rau cov tib neeg los ntawm cov kev pabcuam muab rau cov neeg hauv tsev neeg lossis cov neeg saib xyuas.
40. Medi-Cal Cov Kev Pabcuam Peer puas tuaj yeem xa thiab thov thoob plaws tag nrho Cov Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) qib kev saib xyuas?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Yog lawm. Medi-Cal Peer Support Services tej zaum yuav raug xa thiab thov raws li ib qho kev pabcuam ib leeg, lossis ib qho kev pabcuam xa los ua ib feem ntawm ASAM qib kev saib xyuas raws li kev pabcuam DMC-ODS.
41. Cov lej hom thiab cov kev pabcuam rau Medi-Cal Peer Support Services yog dab tsi (piv txwv li "Kev Pab Qhia Txog Kev Tiv Thaiv Kev Noj Qab Haus Huv Tus Cwj Pwm" thiab "Kev Pab Tus Kheej/Kev Pab Cuam Los Ntawm Cov Phooj Ywg")?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Siv Hom 15, Kev Pabcuam Kev Ua Haujlwm 20 thaum qhia txog cov kev pabcuam thiab cov nqi rau Medi-Cal Peer Support Services ntawm Daim Ntawv Qhia Txog Tus Nqi Kho Mob Tshwj Xeeb.
42. Cov Kev Pabcuam Medi-Cal puas tuaj yeem xa thiab thov raws li ib qho kev pabcuam ib leeg lossis muab nrog rau lwm cov Kev Pabcuam Kev Puas Siab Puas Hlwb Tshwj Xeeb (SMHS), Tshuaj Medi-Cal (DMC), lossis Tshuaj Khomob Medi-Cal Organized Delivery System (DMC-ODS) cov kev pabcuam, suav nrog kev pabcuam hauv tsev khomob thiab chaw nyob?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, 42 CFR § 438.208(b)(4)
Cov Kev Pabcuam Txhawb Nqa Medi-Cal Peer yuav raug xa thiab thov ua ib qho kev pabcuam ib leeg los ntawm Medi-Cal Peer Support Specialist - tus tswv cuab yuav tau txais Medi-Cal Peer Support Services txawm tias lawv tsis koom nrog lwm cov kev pabcuam sab nraud. Ib tug tswv cuab kuj tseem yuav tau txais Medi-Cal Peer Support Services uas muab ua ke nrog lwm cov kev pabcuam SMHS, DMC, lossis DMC-ODS, suav nrog, piv txwv li, Narcotic Treatment Program cov kev pabcuam - hauv cov rooj plaub no, Medi-Cal Peer Support Services yuav tsum tau thov ntxiv rau cov kev pabcuam no. Rau cov kev pab kho mob hauv tsev kho mob thiab cov kev pab kho mob hauv tsev kho mob, Medi-Cal Peer Support Services yuav raug thov ntxiv rau, lossis ua ke nrog, cov kev pab kho mob hauv tsev kho mob lossis cov kev pab kho mob hauv tsev kho mob uas tau thov ntawm tus nqi them txhua hnub, raws li tau piav qhia hauv BHIN 25-010. Raws li tau teev tseg hauv BHIN 25-010, rau cov kev thov kom raug txiav txim siab, SMHS cov nroog, DMC cov nroog, thiab/lossis DMC-ODS cov phiaj xwm yuav tsum xa cov kev thov uas suav nrog Healthcare Common Procedure Coding System (HCPCS) thiab cov kev sib xyaw ua ke. Tsuas yog cov phiaj xwm DMC-ODS yuav tsum qhia meej txog qib kev saib xyuas hauv daim ntawv thov, txawm tias tus tswv cuab xaiv tsis txais cov kev pabcuam los xij. Cov Kev Pabcuam Tshwj Xeeb rau Cov Neeg Sib Tham ntawm Medi-Cal tsis raug tso cai ua ntej los ntawm Medi-Cal cov txheej txheem kev noj qab haus huv tus cwj pwm. Raws li phau ntawv qhia txog kev them nqi ntawm SMHS, DMC, thiab DMC-ODS, tsis muaj kev txwv tsis pub siv Medi-Cal Peer Support Services. (Saib DHCS MedCCC Library kom paub cov phau ntawv qhia txog kev them nqi tshiab rau SMHS, DMC, thiab DMC-ODS.)
Medi-Cal Peer Support Services tej zaum yuav raug xa los ntawm Medi-Cal Peer Support Specialist uas koom tes nrog ib lub koom haum uas tau cog lus nrog Medi-Cal kev coj tus cwj pwm kev noj qab haus huv los muab Medi-Cal Peer Support Services. Raws li tau piav qhia hauv 42 CFR § 438.208(b)(4), Medi-Cal Peer Support Services yuav tsum tau sib koom ua ke kom tsis txhob muaj cov kev pab cuam sib npaug.
43. Medi-Cal Peer Support Specialists puas tuaj yeem muab cov kev kho mob puas siab puas ntsws uas tau piav qhia hauv Xeev Txoj Kev Npaj, suav nrog kev ntsuam xyuas, kev kho puas siab puas ntsws, kev xa mus thiab kev sib txuas, kev kho mob, thiab/lossis kev npaj kho mob?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, Supplement 3 to Attachment 3.1-A of the California State Plan
Cheebtsam ntawm tag nrho cov kev pabcuam hauv qab no yog ua raws li Medi-Cal Peer Support Specialist scope of services: Kev soj ntsuam, kev kho puas siab puas ntsws, kev xa mus thiab kev sib txuas, thiab kev npaj kho mob. Medi-Cal Peer Support Specialists tuaj yeem siv Medi-Cal Peer Support Procedure Codes (H0025 thiab H0038), raws li qhov tsim nyog, los muab cov kev pab cuam nyob rau hauv. Medi-Cal Peer Support Specialists yuav tsum tsis txhob muab cov kev pab cuam dua thiab yuav tsum ua raws li tag nrho cov kev qhia txog kev them nqi thiab cov ntaub ntawv.
Piv txwv li: Nws yog nyob rau hauv lub Scope ntawm Medi-Cal Peer Support Services los muab cov khoom ntawm kev xa mus thiab kev sib txuas cov kev pabcuam, suav nrog kev txheeb xyuas cov peev txheej tsim nyog, teem caij, thiab pab tus neeg txais txiaj ntsig nrog kev sov so kom tau txais cov kev pabcuam txuas mus ntxiv. Medi-Cal Peer Support Specialist yuav them nqi H0025 lossis H0038, raws li qhov tsim nyog, rau kev muab cov kev pabcuam no.
Medi-Cal Peer Support Specialists tsis muaj peev xwm ua SMHS lossis SUD kev soj ntsuam kuaj mob. Txawm li cas los xij, nws nyob hauv thaj tsam ntawm Medi-Cal Peer Support Services los pab txhawb cov ntaub ntawv rau SMHS lossis SUD kev ntsuas. Hauv qhov no, Medi-Cal Peer Support Specialist yuav them nqi H0038, yog tias tsim nyog.
44. Cov Kws Pabcuam Medi-Cal puas tuaj yeem muab cov kev pabcuam tsis zoo rau kev siv tshuaj yeeb tshuaj thiab/lossis cov kev pabcuam teebmeem kev siv yeeb tshuaj uas tau piav qhia hauv Lub Xeev Txoj Haujlwm, suav nrog kev sojntsuam, kev sab laj tus kheej, kev pabcuam pab pawg, kev pabcuam rau tus neeg mob, SUD kev pabcuam teebmeem, kev pabcuam saib xyuas, saib xyuas, thiab/lossis kev pabcuam rov qab los?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Billing Manuals, Supplement 3 to Attachment 3.1-A of the California State Plan
Cov ntsiab lus ntawm cov kev pabcuam hauv qab no yog ua raws li Medi-Cal Peer Support Specialist scope of services: Patient Education, SUD kev pab cuam cuam tshuam txog kev kub ntxhov, kev sib koom tes saib xyuas, thiab kev pabcuam rov qab los. Medi-Cal Peer Support Specialists tuaj yeem siv Medi-Cal Peer Support Procedure Codes (H0025 thiab H0038), raws li qhov tsim nyog, los muab cov kev pab cuam nyob rau hauv. Medi-Cal Peer Support Specialists yuav tsum tsis txhob muab cov kev pab cuam dua thiab yuav tsum ua raws li tag nrho cov kev qhia txog kev them nqi thiab cov ntaub ntawv.
Piv txwv li:
- Cov kev pab cuam rov qab los: Cov peev txheej uas twb muaj lawm ntawm Medi-Cal Cov Kev Pabcuam Peer Kev Pabcuam yog zoo ib yam ntawm cov kev pabcuam rov qab los tau piav qhia hauv Xeev Txoj Kev Npaj, suav nrog kev saib xyuas, kev saib xyuas rov qab, thiab kev tiv thaiv rov qab los. Hauv qhov no, Medi-Cal Peer Support Specialist tuaj yeem sau nqi H0025 lossis H0038, raws li qhov tsim nyog.
- Kev sib koom tes saib xyuas: Cov Kws Tshwj Xeeb Txhawb Nqa Medi-Cal Peer Support yuav siv cov kev pabcuam koom tes los txhawb kev sib txuas lus nrog cov kws kho mob thiab cov haujlwm kho mob los tawm tswv yim rau cov neeg siv khoom xa mus, raws li cov khoom ntawm kev sib koom tes saib xyuas, raws li tau txhais hauv Txoj Kev Npaj ntawm Lub Xeev. Hauv qhov xwm txheej no, tus kws tshwj xeeb pabcuam Medi-Cal Peer Support yuav xa daim nqi rau H0038, raws li qhov tsim nyog.
45. Can providers who billed under “Other Qualified Providers” prior to Medi-Cal Peer Support Services continue billing under service codes available to “Other Qualified Providers”?
Siv: BHIN 25-010, SMHS, DMC, DMC-ODS Phau Ntawv Teev Nqi
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis tshem tawm cov lej them nqi, cov kev pabcuam, lossis cov hom kws kho mob uas twb muaj lawm hauv Cov Kev Pabcuam Kev Noj Qab Haus Huv Lub Siab Tshwj Xeeb (SMHS), Tshuaj Medi-Cal (DMC), lossis Tshuaj Medi-Cal Organized Delivery System (DMC-ODS), suav nrog hom "Lwm Tus Kws Muab Kev Pabcuam Tsim Nyog". "Lwm Cov Chaw Muab Kev Pabcuam Tsim Nyog" tuaj yeem txuas ntxiv thov rau lwm cov kev pabcuam siv cov lej taxonomy "Lwm Cov Chaw Muab Kev Pabcuam Tsim Nyog". Cov Kws Tshwj Xeeb Txhawb Nqa Medi-Cal Peer tsuas yog xa cov ntawv thov rau Short Doyle Medi-Cal rau Medi-Cal Peer Support Services thiab Contingency Management (H0038, H0025 thiab H0050) raws li Peer taxonomy.
46. Cov nqi them rau Medi-Cal Peer Support Services nyob qhov twg?
Siv: SMHS, DMC, DMC-ODS phau ntawv qhia txog nqi
Cov nqi Medi-Cal uas lub nroog txoj kev npaj kho mob tus cwj pwm tau thov tau muab tso tawm rau ntawm lub vev xaib ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS), tshwj xeeb tshaj yog nyob rau ntawm nplooj ntawv teem sijhawm them nqi kho mob tus cwj pwm . Cov nqi Medi-Cal uas lub nroog teev tseg tsis yog cov nqi them rau cov kws tshwj xeeb Medi-Cal Peer Support Specialists ib leeg. Kev them nyiaj rau Medi-Cal Peer Support Specialists yog txiav txim los ntawm lub koom haum uas ntiav Medi-Cal Peer Support Specialist.
47. Cov kws kho mob uas muaj ntawv pov thawj Medi-Cal puas tuaj yeem siv Medi-Cal Peer Support Services cov lis dej num (piv txwv li, H0038 & H0025) thaum muab kev pab cuam cuam tshuam rau hauv xov tooj los yog kev tswj xyuas qhov xwm txheej?
Reference: BHIN 25-010, BHIN 23-025, BHIN 24-031
No. Medi-Cal Peer Support Specialists may not use Medi-Cal Peer Support Services billing codes while delivering services under the mobile crisis or contingency management benefits. See BHIN 25-010 for guidance related to Medi-Cal Peer Support Services, BHIN 23-025 for guidance related to Mobile Crisis Services, and BHIN 24-031 for guidance related to Contingency Management Services.
Lwm yam
48. Medi-Cal Pe er Cov Kws Kho Mob puas tuaj yeem muab cov kev pab cuam rov qab los thiab/lossis koom nrog cov kev kho mob txuas mus ntxiv?
Tsis muaj qhov yuav tsum tau ua hauv txoj cai lij choj, kev cai lij choj, kev zam, lossis Daim Ntawv Cog Lus Sib Koom Tes uas cov tib neeg ua haujlwm ua Medi-Cal Peer Support Specialists tsis tuaj yeem muab kev pabcuam rau txhua lub sijhawm tom qab rov qab mob lossis koom nrog kev pabcuam kho mob.
49. Cov nyiaj hli lossis tus nqi them raws sijhawm ntawm Medi-Cal Peer Support Specialists raug tsim li cas?
Cov ntaub ntawv: BHIN 25-010
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tsis raug tso cai raws li txoj cai los tsim kom tau ib qho kev them nyiaj rau Medi-Cal Peer Support Specialists. Lub nroog teeb tsa cov nqi them rau county-ua hauj lwm Medi-Cal Peer Support Specialists. Lub nroog kuj sib tham txog kev them nqi thiab cov nqe lus cog lus nrog cov koom haum hauv zej zog uas ntiav Medi-Cal Cov Neeg Pabcuam Pabcuam Tshwjxeeb thiab cog lus nrog lub nroog los muab Medi-Cal kev pabcuam kev noj qab haus huv. Yog li ntawd, cov nyiaj them rau Medi-Cal Peer Support Specialists yuav txawv ntawm cov nroog thiab lwm lub koom haum uas ntiav cov phooj ywg.
50. Puas muaj txoj hauv kev rau kev nce qib kev tshaj lij rau Medi-Cal Peer Support Specialists?
Cov ntaub ntawv: BHIN 25-010
Cov Kws Tshwj Xeeb Txhawb Nqa Medi-Cal Peer Support yuav dhau los ua Cov Kws Saib Xyuas Kev Tshwj Xeeb Txhawb Nqa Medi-Cal Peer Support yog tias lawv ua tau raws li qhov tsim nyog thiab cov kev cai cob qhia uas tau teev tseg hauv BHIN 25-010 thiab tau muab txoj haujlwm ntawd los ntawm lawv tus tswv ntiav haujlwm.
Lub nroog thiab cov koom haum sib cog lus muab Medi-Cal Cov Kev Pabcuam Peer tuaj yeem tsim txoj hauv kev ua haujlwm ntxiv, lub luag haujlwm, thiab cov npe rau cov neeg ua haujlwm.