Doula Cov Kev Pab Cuam Tshuam Cov Lus Nug
Doula Cov Kws Pab Tswv Yim - Kev them nyiaj rov qab
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) suav nrog cov kev pabcuam doula hauv ob qho tib si tswj kev saib xyuas thiab them nqi-rau-kev pabcuam kev pabcuam rau cov menyuam cev xeeb tub thiab tomqab yug menyuam. Cov kev pabcuam muaj xws li kev pabcuam tsis yog khomob rau kev mus ntsib ua ntej yug menyuam thiab tomqab yug menyuam, thiab thaum lub sijhawm ua haujlwm thiab yug menyuam, nchuav menyuam, thiab rho menyuam tawm.
1. Puas yog Medi-Cal them ob npaug rau lawv cov kev pabcuam? (September 19, 2025)
- Raws li ib feem ntawm Medi-Cal Targeted Rate Ntxiv rau Lub Ib Hlis Ntuj 1, 2024, DHCS tau nce Medi-Cal tus nqi-rau-kev pabcuam (FFS) rau cov kev pabcuam niam txiv, suav nrog cov kev pabcuam doula, mus rau 87.5 feem pua ntawm cov nqi qis tshaj hauv xeev Medicare. Thov saib Doula Rates Chart rau kev sib piv ntawm 2023 tus nqi rau 2024 tus nqi.
- Tam sim no tus nqi-rau-kev pabcuam rau cov kev pabcuam doula yog raws li hauv qab no:
- Thawj zaug mus ntsib (90 feeb): $197.98
- Kev mus ntsib niam txiv: $162.11
- Kev mus ntsib tom qab yug menyuam: $162.11
- Ntxiv kev txhawb nqa tom qab yug menyuam (rau kev mus ntsib peb-teev): $486.36
- Kev them nyiaj yug thaum lub caij yug me nyuam: $685.07
- Kev them nyiaj yug thaum lub sij hawm caesarian: $795.73
- Kev them nyiaj yug thaum lub sij hawm los yog tom qab nchuav menyuam: $ 250.85
- Kev them nyiaj yug thaum lub sij hawm los yog tom qab rho menyuam: $250.85
2. Dab tsi yog 2024 Targeted Provider Rate Nce (TRI)? (hloov kho lub Cuaj Hlis 19, 2025)
- Assembly Bill 119 (Chapter 13, Statutes of 2023) tau tso cai rau lub koom haum saib xyuas kev tswj hwm (MCO) cov se, pib lub Plaub Hlis 1, 2023, txog rau lub Kaum Ob Hlis 31, 2026. Cov nyiaj tau los ntawm MCO tau tsim nyog rau cov hom phiaj tshwj xeeb suav nrog kev pab them nqi nce nqi thiab lwm yam kev nqis peev uas ua rau kev nkag mus tau zoo, kev ua tau zoo, thiab kev ncaj ncees rau Medi-Cal cov tswv cuab thiab txhawb nqa kev koom tes hauv qhov kev pab cuam, suav nrog doulas. Yog xav paub ntxiv txog TRI, thov mus saib hauv DHCS TRI lub vev xaib: Medi-Cal-Targeted-Provider-Rate- Nce.
- Rau kev sib piv ntawm 2023 tus nqi rau TRI tus nqi, thov saib Doula Rates Chart.
3. Kuv puas yuav tsum tau cog lus nrog txoj kev npaj khomob (MCP) kom tau txais 2024 TRI tus nqi rau kev pabcuam rau cov tswvcuab MCP? (hloov kho lub Cuaj Hlis 19, 2025)
- Yog lawm. Cov nqi no siv rau cov kev pabcuam uas tau muab rau lossis tom qab Lub Ib Hlis 1, 2024, rau cov chaw muab kev pabcuam uas tau cog lus nrog MCP. DHCS tau tshaj tawm Txhua Daim Ntawv Npaj 24-007 los muab kev taw qhia rau cov phiaj xwm hais txog TRI thiab lawv yuav tsum tau ua pov thawj los ntawm Lub Kaum Ob Hlis 31, 2024, tias lawv tau them tag nrho cov neeg muab kev pabcuam network tsim nyog rau 2024 TRI tus nqi rau cov kev pabcuam tsim nyog. MCPs tsuas yog them TRI rau cov neeg muab kev pab cuam uas tsim nyog nrog lawv muaj daim ntawv cog lus lossis tsis muaj kev sib cog lus ntawm tus neeg muab kev pab thiab MCP. MCPs tsis tas yuav them TRI rau cov neeg muab kev pabcuam thaum lawv ua haujlwm raws li Daim Ntawv Pom Zoo lossis daim ntawv cog lus ib zaug.
4. Yuav ua li cas cov nqi rau cov kev pab cuam doula ua raws li cov nqi them rau cov kws kho mob uas muaj ntawv tso cai rau kev pab niam txiv?
- Doulas siv tib cov lej them nqi thiab tau them tus nqi tib yam li cov kws kho mob, kws kho mob, thiab tus kws yug menyuam rau kev mus ntsib thawj zaug, kev mus ntsib menyuam yaus, kev mus ntsib tom qab yug menyuam, rho menyuam, thiab rau kev ua haujlwm thiab kev yug menyuam. Doulas yuav tsum tau siv tus hloov kho XP thaum them nqi rau cov kev pabcuam uas muab rau cov nqi-rau-kev pabcuam thiab Medi-Cal MCP cov tswvcuab. XP sau tseg tias qhov kev pabcuam tau muab los ntawm doula es tsis yog tus kws kho mob muaj ntawv tso cai.
5. Dab tsi yog cov lej them nqi rau cov kev pabcuam doula?
6. Puas yog "kev kuaj mob code" xav tau thaum xa daim ntawv thov rau cov kev pabcuam doula? (Hloov kho lub Cuaj Hlis 19, 2025)
- Yog lawm. Doulas yuav tsum suav nrog tus lej kuaj mob ntawm kev thov hauv ob qho tib si tus nqi-rau-kev pabcuam lossis kev saib xyuas kev tswj hwm thiaj li yuav tau them. Qhov no yog ib qho tseem ceeb ntawm tsoom fwv. Txij li thaum doulas tsis yog kws kho mob thiab tsis kuaj cov tswv cuab, DHCS tau txheeb xyuas cov lej dav dav uas doulas yuav siv tau rau txhua tus lej lej, uas yooj yim piav qhia txog dab tsi tshwm sim thaum mus ntsib.
7. Doulas yuav tau txais kev them nqi li cas los ntawm DHCS rau cov kev pab cuam muab rau cov tswv cuab Medi-Cal nrog tus nqi-rau-kev pabcuam?
- Cov menyuam kawm ntawv doulas uas muab kev pabcuam rau cov tswvcuab uas sau npe rau hauv tus nqi-rau-kev pabcuam Medi-Cal yuav xa cov ntaub ntawv thov thiab sau nqi Medi-Cal ncaj qha. Cov ntaub ntawv hais txog kev xa cov ntaub ntawv thov muaj nyob rau ntawm Doula – Training and Medi-Cal Providers webpage.
8. Doulas yuav tau txais kev them nyiaj los ntawm MCPs li cas rau cov kev pabcuam muab rau lawv cov tswvcuab?
- Doulas uas muab kev pabcuam rau Medi-Cal MCP cov tswvcuab yuav tsum nkag mus rau hauv daim ntawv cog lus nrog MCPs kom tau txais cov nyiaj them rov qab rau kev pabcuamkuvces muab rau cov tswvcuab MCP. Doulas yuav tsum ua raws li cov txheej txheem thov thiab them nyiaj rov qab rau MCPs uas lawv tau cog lus.
9. MCPs puas yuav muab kev thov, kev them nqi, lossis kev qhia them nqi rau lawv daim ntawv cog lus Doulas?
- Doulas yuav tsum hu rau MCPs uas tau cog lus nrog rau kev thov tshwj xeeb, kev them nqi, lossis kev cob qhia txog kev them nqi. MCPs yuav tsum muab kev qhia ncaj qha, kev cob qhia, thiab kev pab cuam rau nws cov neeg muab kev pabcuam los txhawb kev xa cov ntaub ntawv thiab kev xa daim ntawv thov huv, suav nrog cov nqi lossis cov nqi xa tuaj los ntawm doulas uas tsis tuaj yeem xa cov ntaub ntawv thov los ntawm cov ntaub ntawv hluav taws xob.
10. Cov peev txheej twg muaj rau doulas uas tab tom cuam tshuam nrog qhov tsis lees paub lossis ncua sijhawm rau kev thov rov qab? (Hloov kho lub Cuaj Hlis 19, 2025)
- DHCS tau tsim cov peev txheej pab tau los pab doulas nrog kev taw qhia cov teeb meem cuam tshuam nrog kev tsis lees paub lossis kev them nyiaj raws sijhawm. Thov saib FAQ rau Kev daws teeb meem daws teeb meem.
11. Puas yog Medi-Cal puas yuav faib nyiaj them rau cov kev pab cuam doula thaum nchuav menyuam, kev yug menyuam ua tsis tiav, rho menyuam tawm, tseem yug menyuam, poob ib nrab (ntxaib / triplet, thiab lwm yam) cev xeeb tub, lossis cov niam txiv uas yuav tsum tso lawv tus menyuam hauv tsev khomob / NICU nyob, thiab lwm yam?
- Doula cov kev pabcuam cuam tshuam txog cov xwm txheej ntawm nchuav menyuam, tseem yug menyuam lossis rho menyuam, suav nrog kev mus ntsib tomqab yug menyuam thiab cov kev pabcuam them nqi. Thov xa mus rau Medi-Cal Kev Pabcuam Phau Ntawv Qhia: Doula Services rau cov ntaub ntawv om cov txheej txheem tsim nyog siv. Doula cov kev pabcuam cuam tshuam txog kev saws me nyuam yuav tsis them.
12. Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) tau siv sijhawm ntev los them rov qab rau cov ntaub ntawv xa tuaj. Kuv tuaj yeem tau txais kev pab cuam li cas txog kev xa ntawv thov thiab kev them nqi? (Hloov kho lub Cuaj Hlis 19, 2025)
- MCPs yuav tsum them rau "kev thov huv" nyob rau lub sijhawm teev tseg hauv Txhua Daim Ntawv Npaj 23-020. Ib qho "kev thov huv" yog ib daim ntawv thov uas tsis tas yuav rov qab mus rau tus kws kho mob kom kho lossis cov ntaub ntawv ntxiv kom tau them. Yog tias koj muaj lus nug thiab xav tham nrog ib tus neeg nrog MCP rau kev pab, thov email rau DoulaBenefit@dhcs.ca.gov thiab suav nrog lub npe ntawm MCP thiab lub ntsiab lus ntawm koj cov lus nug. DHCS yuav ua raws li lub npe thiab cov ntaub ntawv tiv tauj rau MCP.
13. Kuv tuaj yeem tau txais cov ntaub ntawv ntxiv los yog muab cov lus qhia nyob qhov twg?
- Cov ntaub ntawv hais txog qhov txiaj ntsig doula muaj nyob rau ntawm DHCS Doula Services lub vev xaib.
- Thov xa email rau DoulaBenefit@dhcs.ca.gov yog tias koj muaj lus nug ntxiv.
