Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Cov Lus Nug Nquag, Cov Ntawv Qhia Tseeb, & Cov Ntawv Ceeb Toom​​ 

Cov hauv qab no yog cov peev txheej rau Drug Medi-Cal Organized Delivery System (DMC-ODS):​​  

Cov lus nug nquag​​ 

Thov mus saib hauv CalAIM Behavioral Health Initiative Cov Lus Nug Nquag Nug lub vev xaib rau DMC-ODS FAQs tshiab tshaj plaws.
​​ 

Cov ntawv tseeb​​ 

DMC-ODS Daim Ntawv Ceeb Toom Txog Cov Ntaub Ntawv​​ 

Lub hom phiaj ntawm daim ntawv no yog los piav qhia txog DMC-ODS cov ntsiab lus tseem ceeb thiab muab cov npe ntawm cov peev txheej uas cov nroog thiab lwm cov neeg muaj feem tuaj yeem nrhiav cov ntaub ntawv ntxiv. Ntxiv rau cov peev txheej uas tau teev tseg hauv qab no, cov ntaub ntawv ntxiv tuaj yeem nrhiav tau hauv Cov Lus Cog Tseg Tshwj Xeeb thiab Cov Cai thiab Daim Ntawv Pom Zoo Sib Tham. Cov chaw muab kev cog lus nrog cov nroog uas koom nrog hauv DMC-ODS kuj tseem yuav raug ceeb toom ntxiv.​​ 

Rau ib daim ntawv teev tag nrho ntawm Mental Health and Substance Use Disorder Services (MHSUDS) Cov Ntawv Ceeb Toom, thov mus saib hauv MHSUDS Cov Ntaub Ntawv Ceeb Toom Webpage.​​ 

Yog xav paub ntxiv txog kev pab rau cov nroog, thov mus saib nplooj ntawv Resources for Counties .
​​ 

Kev txiav txim siab txog nqi thiab nyiaj txiag​​ 

Tsis Muaj Tshaj Tawm​​ 
 Kawm paub​​ 
 Hnub tim​​ 
19-034​​ 

Overpayment Recovery thiab qhia cov txheej txheem​​ 

7/1/2019​​ 
19-032 Nws​​ 

Tshuaj Kho Mob Medi-Cal Organized Delivery System 837 Institutional (837I) Kev thov rau American Society of Addiction Medicine (ASAM) Level of Care 3.7 thiab 4.0​​ 

 6/17/2019​​ 
19-016 Nws​​ 
 Kev hloov kho rau Lub Nroog-Specific Interim Rate nyob rau hauv Cov Tshuaj Medi-Cal Organized Delivery System​​ 
 3/18/2019​​ 
18-058​​ 
 Nyob rau hauv 16-059. Kev Tiv Thaiv Kev Ua Phem Txhaum Cai thiab Kev Kho Mob Block Grant Funded Chav thiab Pawg Thawj Coj rau Kev Hloov Pauv Vaj Tsev, Rov Qab Qhov Chaw Nyob thiab Kev Pabcuam Kho Vaj Tse​​  12/17/2018​​ 

18-052​​  Kev ncua sij hawm luv luv-Doyle kev thov ua tiav rau Buprenorphine-Naloxone raws li Tshuaj Medi-Cal Organized Delivery System​​  10/25/2018​​ 
18-037​​ 
MHSUDS Cov Nqi Them Nqi Them Nqi Medi-Cal rau Xyoo Nyiaj Txiag 2018-19​​ 
 8/3/2018​​ 
18-036​​ 
Kev Pab Kho Tshuaj Kho Mob Cov Nqi Them Rov Qab rau Xyoo Nyiaj Txiag 2018-19 Raws li Kev Siv Tshuaj Medi-Cal Organized Delivery System​​ 
 8/3/2018​​ 
18-023 : kuv​​  Tshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic​​ 
 5/25/2018​​ 
17-047​​  Medi-Cal Kev Tiv Thaiv Kev Siv Tshuaj Tiv Thaiv thiab Kev Kho Mob Block Grant Coverage Gaps in Drug Medi-Cal and Drug Medi-Cal Organized Delivery System Waiver Substance Use Disorder Services​​  9/20/2017​​ 

17-039 Nws​​  Supersedes IN 17-023: Hloov Cov Nqi Them Ib Nrab Hnub Rau Cov Nroog uas xaiv rau Cov Tshuaj Kho Mob Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Kev Qhia Zam Txim​​  8/18/2017​​ 

17-030​​  Lub Xeev Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv (SHIG) rau Kev Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv hauv California​​  6/26/2017​​ 
17-029​​ 
Medication Assisted Treatment Reimbursement Rates rau Xyoo Nyiaj Txiag 2017-18 Nyob rau hauv Cov Tshuaj Medi-Cal Organized Delivery System​​ 
 6/26/2017​​ 

17-020​​ 
Short-Doyle Medi-Cal (SD/MC) Thov Kev Kho Kom Zoo Li Cas Code thiab Remittance Advice Remark Code rau Cov Tshuaj Medi-Cal Organized Delivery System​​ 
 5/26/2017​​ 
17-011​​  Kev them nyiaj rov qab rau Kev Siv Tshuaj Kho Mob Medi-Cal Organized Delivery System Kev Pov Hwm Zoo thiab Kev Siv Tshuaj Xyuas Cov Nqi​​  4/14/2017​​ 

16-050 Nws​​ 
Tshuaj Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide​​ 
 10/4/2016​​ 
16-035​​  Drug Medi-Cal Organized Delivery System Healthcare Common Procedure Coding System (HCPCS) thiab Modifiers​​  7/20/2016​​ 
16-009 Nws​​  Lub Xeev Cov Nyiaj Pab Nyiaj Txiag Rau Peb Lub Hlis Cov Txheej Txheem rau Cov Tshuaj Medi-Cal Organized Delivery System Cov Neeg Koom Tes​​  3/17/2016​​ 
15-034​​  Tshuaj Medi-Cal Organized Delivery System Pilot Cov Kev Pab Nyiaj Txiag​​  8/20/2015​​ 

 

 Kev Tswj Xyuas Zoo​​ 

Tsis Muaj Tshaj Tawm​​ 
 Kawm paub​​ 
 Hnub tim​​ 
19-024 : kuv​​ 
Federal Out of Network Requirements for Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​ 
 5/8/2019​​ 

18-051​​  Tshuaj Medi-Cal Organized Delivery System Hloov Txoj Cai Kho Mob​​  10/25/2018​​ 
18-032 : kuv​​ 
Tshuaj Medi-Cal Organized Delivery System Treatment Perceptions Survey for Youth​​ 
 7/25/2018​​ 
18-020 Nws​​  Tsoom Fwv Teb Chaws Cov Chaw Pabcuam Cov Lus Cog Tseg rau Cov Kev Npaj Kho Mob Puas Hlwb (MHPs) thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​  4/24/2018​​ 
18-019 Nws​​  Tus Muab Kev Tso Cai Tso Cai thiab Rov Ua Daim Ntawv Pom Zoo rau Mental Health Plans (MHPs) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​  4/24/2018​​ 

18-010E​​ 
Tsoom Fwv Teb Chaws Kev Tsis Txaus Siab thiab Kev Thov Kev Txiav Txim Plaub Ntug nrog Cov Ntawv Ceeb Toom Kho Cov Neeg Tau Txais Kev Pab​​ 
Enclosure 1 Daim Ntawv Ceeb Toom Txog Kev Tsis Txaus Siab (NGR)​​ 
Enclosure 2 Denial Notice (NOABD)​​ 
Daim Ntawv Ceeb Toom 3 Them Nyiaj Tsis Pom Zoo (NOABD)​​ 
Enclosure 4 Daim Ntawv Ceeb Toom Txog Kev Xa Khoom (NOABD)​​ 
Enclosure 5 Modification Notice (NOABD)​​ 
Enclosure 6 Termination Notice (NOABD)​​ 
Enclosure 7 Daim Ntawv Ceeb Toom Txog Sijhawm Nkag Sijhawm (NOABD)​​ 
Enclosure 8 Daim Ntawv Ceeb Toom Txog Nyiaj Txiag (NOABD)​​ 
Enclosure 9 NOABD Koj Cov Cai Txuas Ntxiv​​ 
Enclosure 10 Adverse Benefit Determination Upheld (NAR)​​ 
Enclosure 11 NAR Koj Cov Cai Txuas Ntxiv​​ 
Enclosure 12 Adverse Benefit Determination Overturned (NAR)​​ 
Daim Ntawv Ceeb Toom 13 Daim Ntawv Ceeb Toom Tsis Muaj Kev Sib Cais Tus Neeg Tau Txais Kev Pab​​ 
Enclosure 14 Language Assistance Taglines​​ 
Enclosure 15 Daim Ntawv Tso Cai ncua ncua​​ 
Daim Ntawv Ceeb Toom 16 NABD Kev Tsis Txaus Siab thiab Daim Ntawv Ceeb Toom Txog Kev Txiav Txim Siab​​ 
 3/27/2018​​ 
17-046​​ 
Kev Qhia Txog Cov Cai Hais Txog Tus Muab Kev Tiv Thaiv Kev Tiv Thaiv hauv DMC-ODS Pilot Counties​​ 
 9/20/2017​​ 
17-036​​  Medi-Cal County of Responsibility Transition​​  7/28/2017​​ 
17-030​​  Lub Xeev Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv (SHIG) rau Kev Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv hauv California​​  6/26/2017​​ 
17-026​​ 
Drug Medi-Cal Organized Delivery System (DMC-ODS) Kev Tshawb Fawb Kev Pom Zoo​​ 
 6/9/2017​​ 
17-011​​  Kev them nyiaj rov qab rau Kev Siv Tshuaj Kho Mob Medi-Cal Organized Delivery System Kev Pov Hwm Zoo thiab Kev Siv Tshuaj Xyuas Cov Nqi​​  4/14/2017​​ 

 

Qib Kev Kho Mob​​ 

Tsis Muaj Tshaj Tawm​​ 
 Kawm paub​​ 
 Hnub tim​​ 
18-058​​  Nyob rau hauv 16-059. Kev Tiv Thaiv Kev Ua Phem Txhaum Cai thiab Kev Kho Mob Block Grant Funded Chav thiab Pawg Thawj Coj rau Kev Hloov Pauv Vaj Tsev, Rov Qab Qhov Chaw Nyob thiab Kev Pabcuam Kho Vaj Tse​​  12/17/2018​​ 
18-046 : kuv​​  Tom ntej tsab xov xwm 17-035. American Society of Addiction Medicine (ASAM) Qib Ntawm Kev Kho Mob (LOC) Cov Ntaub Ntawv Sau rau Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Waiver​​  10/1/2018​​ 
18-042​​  Perinatal Practice Guidelines​​  9/20/2018​​ 
18-023 : kuv​​  Tshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic​​  5/25/2018​​ 
18-021​​  Cov poj niam thiab Perinatal Zej Zog Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv Kab Mob​​  4/24/2018​​ 

16-063 : kuv​​  Kev Pabcuam Kev Siv Tshuaj Yeeb (SUD) Kev Kho Mob rau Cov Hluas hauv California​​  12/21/2016​​ 

16-037 Nws​​ 
 Kev Saib Xyuas Kev Kho Mob thiab Kev Tswj Xyuas Kev Kho Mob Detoxification / Kev Tshem Tawm Kev Tswj Xyuas thiab Kev Pabcuam Kev Khomob Hauv Tsev hauv DMC-ODS Pilot Program​​ 
 7/20/2016​​ 
15-048​​  Ntxiv ntawm Kev Tswj Nyiaj Them Nqi (Detox).​​  10/12/2015​​ 
15-035 Nws​​  American Society of Addiction Medicine (ASAM) Kev Tsim Nyog Rau Cov Chaw Nyob​​  8/26/2015​​ 
15-033​​ 
 Cov tshuaj siv rau kev kho mob ntawm kev siv tshuaj tsis zoo nyob rau hauv ib qho chaw kho mob sab nraud​​ 
 8/14/2015​​ 
 
Hnub hloov tshiab kawg: 3/27/2025 10:40 AM​​