CalAIM Cov Ntaub Ntawv Saib Xyuas Lub Sij Hawm Ntev Carve-In Member​​  

Rov qab mus rau CalAIM Long-Term Care Carve-in Homepage​​ 
Rov qab mus rau CalAIM Skilled Nursing Facility Long-Term Care Carve-In​​ 
Rov qab mus rau CalAIM Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In​​ 
Rov qab mus rau CalAIM Subacute Care Long-Term Care Carve-In​​ 

Medi-Cal qhov kev pab them nqi kho mob mus sij hawm ntev (LTC) tau raug “cais rau hauv” (hloov) mus rau Medi-Cal cov kev pab them nqi kho mob thoob plaws lub xeev. Qhov no txhais tau hais tias Medi-Cal cov tswv cuab tau txais lawv lub koom haum LTC los ntawm lawv txoj kev npaj kho mob Medi-Cal es tsis yog los ntawm Medi-Cal Fee-For-Service (FFS). Qhov no suav nrog cov kev pabcuam LTC muab hauv:​​ 

• Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)​​ 
• ICF/DD-Habilitative (ICF/DD-H)​​ 
• ICF/DD-Nursing (ICF/DD-N)​​ 
• Skilled Nursing Facilities (SNFs)​​ 
• Adult Subacute Care Facilities​​ 
• Pediatric Subacute Care Facilities​​ 

Medi-Cal cov kev npaj saib xyuas tau tswj hwm tau pib them rau LTC cov kev pabcuam los ntawm SNFs thaum Lub Ib Hlis 1, 2023. Medi-Cal cov phiaj xwm kev saib xyuas tau tswj hwm tau pib them rau LTC cov kev pab cuam los ntawm Subacute Care DHCS-Contracted Facilities thiab ICF/DD Homes thaum Lub Ib Hlis 1, 2024.​​  

Medi-Cal Managed Care Plan yog dab tsi?​​ 

Ib txoj kev npaj khomob uas tau tswj xyuas Medi-Cal yog ib txoj kev npaj khomob uas:​​ 

• Ua haujlwm nrog kws kho mob, tsev kho mob, thiab lwm tus kws kho mob hauv koj cheeb tsam muab kev pab kho mob rau koj​​ 
• Muab Medi-Cal cov kev kho mob uas koj xav tau​​ 
• Ua haujlwm nrog koj thiab koj tus kws kho mob los koom tes thiab tswj xyuas koj qhov kev saib xyuas​​ 

Thaum koj nyob hauv Medi-Cal txoj kev npaj khomob, koj tseem yuav tau txais qee qhov kev pabcuam los ntawm FFS ("ib txwm") Medi-Cal es tsis yog los ntawm koj qhov kev saib xyuas Medi-Cal. Hauv ntau lub nroog, cov no suav nrog:​​ 

• Tej yam kev pab hauv tsev thiab hauv zej zog​​ 
• Feem ntau cov kev pabcuam Medi-Cal​​ 
• Tshwj xeeb cov kev pab cuam puas hlwb​​ 
• Cov kev pab kho mob siv tshuaj tsis zoo (SUD).​​ 
• Kev kho hniav​​ 

Yog tias koj muaj Medicare, koj qhov Medi-Cal txoj kev npaj khomob tseem tuaj yeem muab cov txiaj ntsig ntxiv rau koj uas Medicare yuav tsis them thiab tuaj yeem pab koj nkag mus rau Medicare cov kev pabcuam xws li:​​ 

• Kev thauj mus los rau kev teem caij kho mob​​ 
• Cov khoom siv kho mob ntev​​ 
• Cov khoom siv kho mob​​ 
• Kev txhawb zej zog​​ 

Yog xav paub ntxiv txog Medi-Cal cov kev pab them nqi kho mob, mus rau Health Care Options website.
​​ 

Qhov twg cov tswv cuab tuaj yeem mus rau cov lus qhia ntxiv thiab kev pab​​ 

Koj tuaj yeem tiv tauj ib pawg hauv qab no nrog cov lus nug txog LTC Carve-In. Txhua tus hu tau dawb.​​ 

Rau cov lus nug lossis kev pab nrog koj cov kev pabcuam Medi-Cal:​​ 

Long-Term Care Ombudsman​​ 

• Hu rau (800) 231-4024. Cov kab no muaj 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam (hu dawb).​​ 
• Lub Tuam Txhab Saib Xyuas Lub Sijhawm Ntev Pabcuam Cov Neeg Ua Haujlwm Pabcuam Tib Neeg uas nyob hauv ib lub tsev laus uas muaj kev txawj ntse, lub chaw saib xyuas nruab nrab, thiab lub chaw saib xyuas subacute nrog cov lus tsis txaus siab thiab paub txog lawv txoj cai thiab lub luag haujlwm.​​  

Medi-Cal Ombudsman Office​​ 

• Hu rau (888) 452-8609 (TTY: California State Relay ntawm 711) (hu dawb), Monday txog Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj PT.​​ 
• Lossis xa email rau lawv ntawm MMCDOmbudsmanOffice@dhcs.ca.gov​​ 
• Ombudsman Office pab cov neeg nrog Medi-Cal siv lawv cov txiaj ntsig thiab nkag siab txog lawv txoj cai thiab lub luag haujlwm.​​ 

Medicare Medi-Cal Ombudsman Program​​ 

• Hu rau (855) 501-3077 (hu dawb).​​ 
• Medicare Medi-Cal Ombudsman pab cov neeg tsis txaus siab thiab teeb meem rau Medicare thiab Medi-Cal.​​ 
  

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Alta California Regional Center​​	Alpine, Colusa, El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yuba, thiab Yolo​​
Central Valley Regional Center​​	Fresno, Vaj, Madera, Mariposa, Merced, thiab Tulare​​
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Frank D. Lanterman Regional Center​​	Los Angeles (Central, Glendale, Hollywood-Wilshire, Pasadena)​​
Golden Gate Regional Center​​	Marin, San Mateo, thiab San Francisco​​
Harbor Regional Center​​	Los Angeles (Bellflower, Harbor, Long Beach, thiab Torrance)​​
Inland Regional Center​​	Riverside thiab San Bernardino​​
Kern Regional Center​​	Inyo, Kern, thiab Mono​​
North Bay Regional Center​​	Napa, Solano, thiab Sonoma​​
North Los Angeles County Regional Center​​	Los Angeles (East Valley, San Fernando, thiab West Valley)​​
Redwood Coast Regional Center​​	Del Norte, Humboldt, Lake, thiab Mendocino​​
Regional Center ntawm East Bay​​	Alameda thiab Contra Costa​​
Regional Center ntawm Orange County​​	Orange County​​
San Andreas Regional Center​​	Monterey, San Benito, Santa Clara, thiab Santa Cruz​​
San Diego Regional Center​​	Imperial thiab San Diego​​
San Gabriel/Pomona Regional Center​​	Los Angeles (El Monte, Glendora, Monrovia, thiab Pomona)​​
South Central Los Angeles Regional Center​​	Los Angeles (Compton, San Antonio, Sab Qab Teb, Sab Hnub Tuaj, thiab Sab Hnub Tuaj)​​
Tri-Counties Regional Center​​	San Luis Obispo, Santa Barbara, thiab Ventura​​
Valley Mountain Regional Center​​	Amador, Calaveras, San Joaquin, Stanislaus, thiab Tuolumne​​
Westside Regional Center​​	Los Angeles (Inglewood thiab Santa Monica-West)​​