Tsab Ntawv ntawm Tus Tswv Cuab
Kev Hloov Pauv Tus Nqi Rau Kev Pabcuam
Txoj cai tshiab ntawm tsoomfwv tebchaws yuav tsum tau kom California hloov pauv txoj kev uas qee tus neeg tsiv teb tsaws chaw tau txais Medi-Cal. Koj tseem yuav muaj Medi-Cal. Qhov no txhais tau tias koj yuav khaws koj cov txiaj ntsig Medi-Cal thiab muaj kev nkag mus rau yuav luag txhua yam kev pabcuam kev noj qab haus huv zoo li yav dhau los. Txhua yam kev pabcuam kho mob uas tsim nyog yuav tseem raug them los ntawm koj li Medi-Cal. Tiamsis txoj kev uas koj tau txais cov txiaj ntsig yuav hloov pauv thiab tej zaum koj yuav tau hloov qhov chaw uas koj tau txais cov kev pabcuam. Qee cov txiaj ntsig kuj tseem yuav hloov pauv.
Dab tsi hloov pauv?
Txij lub Ib Hlis Ntuj hnub tim 1, 2027, koj yuav tsis tau txais kev kho mob los ntawm Medi-Cal txoj kev npaj kho mob lawm. Koj tseem yuav muaj kev pab them nqi los ntawm Medi-Cal, tab sis koj yuav tau txais kev kho mob los ntawm Medi-Cal Fee-for-Service xwb. Tus nqi them rau kev pabcuam yog ib txoj kev uas Medi-Cal them rau cov kws kho mob thiab lwm cov neeg muab kev pabcuam. Nrog Medi-Cal Fee-for-Service, koj tuaj yeem mus rau txhua tus kws kho mob, chaw kho mob, thiab lwm tus neeg muab kev pab uas lees txais Medi-Cal Fee-for-Service.
Cov tswv cuab uas teev hauv qab no yuav raug tsiv tawm ntawm txoj kev npaj kho mob Medi-Cal mus rau Medi-Cal Fee-for-Service pib thaum Lub Ib Hlis 1, 2027:
Saib daim ntawv ceeb toom ntawm koj tus tswv cuab
Pib lub Ib Hlis Ntuj hnub tim 1, 2027:
- Koj txoj kev npaj kho mob Medi-Cal yuav tsis muab lossis sib koom tes nrog koj cov kev pabcuam uas Medi-Cal them lawm.
- Koj yuav tsis siv koj lub network Medi-Cal plan los nrhiav cov kws kho mob.
- Koj yuav raug sau npe rau hauv Medi-Cal Fee-for-Service.
- Koj tseem yuav muaj kev pab them nqi los ntawm Medi-Cal, tab sis koj yuav tau txais kev kho mob los ntawm Medi-Cal Fee-for-Service.
- Koj tsuas tuaj yeem mus ntsib ib tus kws kho mob xws li kws kho mob lossis chaw kho mob uas lees txais Medi-Cal Fee-for-Service xwb.
- Koj tuaj yeem khaws koj tus kws kho mob tam sim no yog tias lawv lees txais Medi-Cal Fee-for-Service.
- Koj tseem siv tau koj daim npav Medi-Cal Benefits Identification Card (BIC) mus ntxiv.
Qee cov kev pabcuam los ntawm koj txoj kev npaj kho mob Medi-Cal tam sim no yuav tsis muaj nyob rau hauv Medi-Cal Fee-for-Service lawm. Medi-Cal Fee-for-Service tsis muab Kev Kho Mob Zoo Dua
Kev Tswj Xyuas (ECM) lossis Kev Txhawb Nqa Hauv Zej Zog. Yog tias koj muaj Tus Thawj Saib Xyuas Kev Saib Xyuas los ntawm ECM uas muab kev txhawb nqa ntxiv rau koj, lossis yog tias koj tau txais cov pluas noj uas kho mob, kev txhawb nqa txog vaj tse, lossis cov kev pabcuam zoo sib xws, cov kev pabcuam no yuav tsis muaj lawm. Tej zaum yuav muaj lwm cov kev pabcuam los pab koj. Tiv tauj koj txoj kev npaj kho mob Medi-Cal tam sim no lossis koj tus kws kho mob ECM lossis Community Supports kom npaj rau qhov kev hloov pauv no.
Koj yuav tsum mus rau cov kws kho mob uas siv Medi-Cal Fee-for-Service, pib txij lub Ib Hlis Ntuj hnub tim 1, 2027
Koj yuav tsum ua dab tsi tam sim no:
- Ua ntej Lub Ib Hlis Ntuj hnub tim 1, 2027, nug koj cov kws kho mob tam sim no xws li koj tus kws kho mob lossis lub tsev kho mob seb lawv puas txais Medi-Cal Fee-for-Service.
- Yog tias koj tus neeg muab kev pab tsis lees txais Medi-Cal Fee-for-Service, koj yuav tsum nrhiav tus neeg muab kev pab tshiab ua ntej Lub Ib Hlis Ntuj hnub tim 1, 2027 los ntawm:
- Hu rau Medi-Cal Helpline ntawm (800) 541-5555.
- Siv cov cuab yeej Nrhiav Tus Kws Kho Mob lossis Kev Pabcuam uas Them Nqi.
- Siv daim ntawv teev cov chaw muab kev pab Medi-Cal FFS hauv online.
Txuas ntxiv siv koj daim npav qhia txog cov txiaj ntsig (BIC)
Nco ntsoov nqa koj daim Medi-Cal BIC mus rau kws kho mob, kws kho hniav, thiab kws muag tshuaj. Koj daim BIC yog daim npav yas. Nws muaj ib lub "paj poppy" los yog xim xiav thiab dawb. "Xeev California" nyob rau ntawm daim npav. Yog koj xav tau daim BIC tshiab, hu rau koj lub chaw ua haujlwm Medi-Cal hauv nroog. Koj tuaj yeem nrhiav tau daim ntawv teev cov chaw ua haujlwm Medi-Cal hauv online.
Yog koj muaj Medicare thiab Medi-Cal thiab koj tau sau npe rau hauv Medi-Medi plan
- Koj yuav raug tsiv tawm ntawm koj txoj kev npaj Medi-Medi pib lub Ib Hlis Ntuj hnub tim 1, 2027. Qhov no yog vim koj yuav tsis tsim nyog koom nrog Medi-Cal txoj kev npaj kho mob lawm.
- Yog koj muaj lus nug txog kev hloov pauv rau koj qhov kev pab them nqi Medicare, hu rau 1-800-MEDICARE lossis (800) 633-4227.
- Koj tuaj yeem hu rau Health Insurance Counseling and Advocacy Program (HICAP) ntawm tus xov tooj (800) 434-0222. Los yog hu rau Medicare thiab Medi-Cal Ombudsperson Program (MMOP) ntawm (855) 501-3077.
Yuav kawm ntxiv qhov twg
Koj tuaj yeem nyeem ntxiv txog qhov kev hloov pauv no hauv Daim Ntawv Ceeb Toom Txog Cov Ntaub Ntawv Ntxiv Txog Koj Cov Cai thiab Cov Txiaj Ntsig (NOAI). NOAI muaj cov ntaub ntawv ntxiv txog Medi-Cal Fee-for-Service. Nws muaj cov peev txheej txog leej twg yuav hu rau yog tias muaj lus nug. Cov peev txheej kuj tau teev nyob rau thaum kawg ntawm tsab ntawv no. Los yog siv koj lub xov tooj ntse los luam theej daim Quick Response (QR) code thaum kawg ntawm tsab ntawv no kom nyeem tau NOAI.
Yog tias koj xav tau daim NOAI uas luam tawm xa tuaj rau koj, hu rau Medi-Cal Health Care Options (HCO) hnub Monday - Friday, 8 sawv ntxov txog 6 tsaus ntuj, ntawm (800) 430-4263 (TTY: (800) 430-7077).
Yog tias koj xav tau daim ntawv ceeb toom no ua lwm hom lus lossis hom ntawv xws li sau ntawv loj, kaw suab, lossis Braille, hu rau Medi-Cal HCO hnub Monday - Friday, 8 teev sawv ntxov txog 6 teev tsaus ntuj, ntawm (800) 430-4263 (TTY: (800) 430-7077).
Cov lus nug?
Yog tias koj muaj lus nug dav dav txog Medi-Cal, hu rau Medi-Cal Helpline hnub Monday - Friday, 8 sawv ntxov txog 5 tsaus ntuj, ntawm (800) 541-5555. Qhov kev hu xov tooj yog pub dawb. Lawv yuav pab koj kawm ntxiv txog cov kev pabcuam uas koj tuaj yeem tau txais los ntawm Medi-Cal.
Yog koj muaj lus nug txog kev kho hniav, hu rau Medi-Cal Dental Telephone Service Center hnub Monday - Friday, 8 sawv ntxov txog 5 tsaus ntuj, ntawm (800) 322-6384. Qhov kev hu xov tooj yog pub dawb. Los yog mus saib www.smilecalifornia.org.
Yog tias koj xav tau kev pab siv koj cov txiaj ntsig Medi-Cal lossis nkag siab txog koj cov cai, hu rau Chaw Haujlwm Ombudsman Medi-Cal hnub Monday - Friday, 8 sawv ntxov txog 5 tsaus ntuj, ntawm
(888) 452-8609 (TTY: 711 rau California State Relay). Qhov kev hu xov tooj yog pub dawb. Los yog xa email rau MMCDOmbudsmanOffice@dhcs.ca.gov.
Yog koj muaj ob qho tib si Medicare thiab Medi-Cal, hu rau Medicare thiab Medi-Cal Ombudsperson Program (MMOP) ntawm (855) 501-3077. Qhov kev hu xov tooj yog pub dawb. Lub MMOP tuaj yeem pab cov tswv cuab uas tsim nyog ob leeg nrog cov lus nug txog kev pov hwm, kev sau npe, thiab kev tau txais kev kho mob.
Yog xav paub ntxiv txog Medi-Cal Medi-Medi cov phiaj xwm, mus saib daim ntawv qhia txog tus neeg muab kev pab Medi-Medi lossis nplooj ntawv Medi-Medi Outreach.
Yog tias koj xav tau daim ntawv NOAI luam tawm xa tuaj rau koj, lossis koj xav tau daim ntawv ceeb toom no ua lwm hom ntawv xws li sau ntawv loj, suab, lossis Braille, hu rau Medi-Cal HCO hnub Monday - Friday, 8 teev sawv ntxov txog 6 teev tsaus ntuj, ntawm (800) 430-4263 (TTY: (800) 430-7077). Qhov kev hu xov tooj yog pub dawb. Los yog mus rau Medi-Cal HCO ntawm www.healthcareoptions.dhcs.ca.gov. HCO yog ib qho kev pabcuam uas pab cov tswv cuab kawm txog Medi-Cal cov phiaj xwm kev noj qab haus huv thiab kev kho hniav.
Kawm ntxiv txog kev hloov pauv ntawm Medi-Cal program.
Yog tias koj muaj lus nug txog kev hloov pauv ntawm Medi-Cal kev pab them nqi raws li qhov xwm txheej kev nkag tebchaws, hu rau Medi-Cal Helpline hnub Monday - Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj, ntawm (800) 541-5555. Qhov kev hu xov tooj yog pub dawb.
Nrhiav koj lub chaw ua haujlwm Medi-Cal hauv zos.
Yog koj muaj lus nug txog koj txoj kev npaj kho mob Medi-Cal, hu rau koj txoj kev npaj kho mob Medi-Cal. Yog xav nrhiav koj txoj kev npaj kho mob Medi-Cal, siv Phau Ntawv Qhia Txog Kev Npaj Kho Mob Medi-Cal Managed Care.
Ua tsaug,
Medi-Cal
Department of Health Care Services