Cal MediConnect Transition
Rov qab mus rau Coordinated Care Initiative Overview
Rov qab mus rau Integrated Care rau Dual Tsim Nyog tau txais txiaj ntsig
Mus rau Cov Ntaub Ntawv Qhia Txog Kev Tshaj Tawm Txog Medicare Medi-Cal Plans
Cov ntaub ntawv rau cov neeg tau txais txiaj ntsig
Thaum Lub Ib Hlis 1, 2023, Cal MediConnect cov phiaj xwm hloov mus rau Medicare Medi-Cal cov kev npaj (MMPs lossis Medi-Medi cov phiaj xwm) muab los ntawm tib lub tuam txhab uas muab Cal MediConnect cov phiaj xwm. Cov phiaj xwm Medi-Medi no yog tsim los pab saib xyuas cov neeg uas muaj Medicare thiab Medi-Cal.
Medi-Medi Plans
Medi-Medi cov kev pab them nqi kho mob muaj kev sib koom ua ke rau kev saib xyuas thiab kev saib xyuas uas zoo li Cal MediConnect. Medi-Medi cov phiaj xwm xa tag nrho cov kev pab them nqi kho mob rau lawv cov tswv cuab, suav nrog kev kho mob thiab kev pab cuam hauv tsev thiab hauv zej zog, nrog rau cov khoom siv kho mob thiab tshuaj. Cov tswv cuab tau txais cov ntaub ntawv koom ua ke, xws li ib daim npav ID ua tswv cuab.
Lub Ib Hlis 2023 kev hloov pauv tau tshwm sim hauv txhua lub nroog Coordinated Care Initiative (CCI) - Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, thiab Santa Clara. Rau cov npe ntawm Medi-Medi cov phiaj xwm muaj nyob hauv California xyoo 2023, mus saib hauv
2023 Medicare Medi-Cal Plan List lub vev xaib.
Daim ntawv ceeb toom rau npe
Cov neeg tau txais txiaj ntsig tau txais ntawv ceeb toom los ntawm lawv txoj kev npaj CMC txog kev hloov pauv thaum Lub Kaum Hli 2022.
90 Hnub Ceeb Toom
CMC Plans nyob rau hauv xya lub nroog tau xa ib daim ntawv xa tuaj uas muaj 90 Hnub ceeb toom thiab ob lub ntsiab lus: cov lus nug uas nquag nug, hu ua Daim Ntawv Ceeb Toom Ntxiv (NOAI) thiab cov npe ntawm lwm cov kev xaiv kev saib xyuas kev noj qab haus huv (xws li kev koom ua ke D-SNPs thiab PACE).
45 Hnub Ceeb Toom
Thaum Lub Kaum Ib Hlis 2022, CMC Plans tau xa tsab ntawv ceeb toom 45 hnub ua ntej ntawm kev hloov pauv, nrog rau NOAI.
Koom nrog
Xeev
Cov neeg muaj feem cuam tshuam tuaj yeem koom nrog
Cal MediConnect mus rau MMP hloov pauv los ntawm kev koom nrog
CalAIM Managed Long-Term Services thiab Supports thiab Duals Integration Workgroup txhua hli, uas yog qhib rau pej xeem. Pawg neeg ua haujlwm yog lub chaw sib koom tes uas cov neeg koom nrog tuaj yeem tawm tswv yim rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) thiab koom nrog kev sib tham txog txoj cai, kev ua haujlwm, thiab lub tswv yim rau kev hloov pauv D-SNP.
Yog xav paub ntxiv txog pawg neeg ua haujlwm, thov hu rau peb ntawm
info@calduals.org.
Hauv zos
Cov neeg muaj feem cuam tshuam kuj tuaj yeem koom nrog hauv county-based Communications Workgroups. Kev Sib Txuas Lus Workgroups muab lub platform nruab nrab rau cov neeg koom nrog los tham txog Cal MediConnect kev hloov pauv thiab D-SNP nthuav dav. Tam sim no lawv muaj nyob rau hauv rau ntawm lub nroog CCI:
- Los Angeles
- Orange
- San Diego
- Inland Empire (Riverside & San Bernardino)
- Santa Clara
Yog tias koj xav koom nrog ib qho ntawm Pawg Neeg Ua Haujlwm Sib Txuas Hauv Zos, thov xa email rau Cassidy Acosta ntawm
Cassidy@AurreraHealth.com yog xav paub ntxiv.
