Tus kws kho mob uas tsis yog kws kho mob kws kho mob ntxiv qhov kev pab nyiaj rov qab
PNPP Program Overview
Tus Kws Kho Mob Tsis Muaj Tus Kws Kho Mob Tus Kws Kho Mob Ntxiv Qhov Kev Pab Them Nyiaj Rov Qab (PNPP) yog Certified Public Expenditure (CPE) program, uas muab nyiaj rov qab ntxiv rau cov tsev kho mob uas tsim nyog tau txais los ntawm tsoomfwv lossis tsoomfwv cov koom haum, uas lawv koom nrog, rau cov nqi kho mob tsis tau them nqi kho mob thiab Cov kws kho mob tsis yog kws kho mob cov kev pabcuam rau cov neeg tau txais txiaj ntsig Medicaid.
California State Plan Amendment (SPA) No. 05-023, pib lub Xya hli ntuj 1, 2005, thiab tau pom zoo los ntawm Centers for Medicare & Medicaid Services (CMS) nyob rau lub Kaum Ob Hlis 21, 2007, piav qhia txog cov txheej txheem them rov qab ntxiv rau tus kws kho mob thiab cov kws kho mob uas tsis yog kws kho mob. cov nqi tshaj lij.
SPA 16-020, pib lub Xya hli ntuj 1, 2016, thiab tau pom zoo los ntawm CMS thaum lub Kaum Ob Hlis Ntuj 6, 2016, tau hloov kho State Plan hom lus kom muaj kev cuam tshuam cov npe tam sim no ntawm Cov Neeg Koom Tes Hauv Tsev Kho Mob (DPH) thiab suav rau kev hloov pauv lub npe tsev kho mob yav tom ntej.
SPA 24-0026, pib lub Plaub Hlis 1, 2024, thiab tau pom zoo los ntawm CMS thaum Lub Kaum Ob Hlis 16, 2024, hloov pauv SPAs 05-023 thiab 16-020 nrog cov kev hloov kho rau cov txheej txheem them nyiaj ntxiv rau tus nqi ntawm tsoomfwv cov tsev kho mob sab nraud cov kev pabcuam kws tshaj lij.
State Plan Attachment 4.19-B, nplooj 52-63 (SPAs 05-023, 16-020, thiab 24-0026) qhia txog cov kev xav tau ntawm kev them nyiaj rov qab, DPHs tsim nyog, thiab cov txheej txheem them rov qab. Lub Xeev Lub Hom Phiaj tso cai rau Lub Sijhawm Kawm Ua Haujlwm Npaj Ua Haujlwm, uas piav qhia txog lub sijhawm kawm txheej txheem hauv kev nthuav dav ntxiv.
Kev tshawb fawb sij hawm yuav tsum tau suav rau 100% ntawm cov kws kho mob lub sijhawm ntawm cov kws kho mob hauv qab no hauv cov chaw hauv qab no suav nrog txog li 4 tus nqi sib cais:
University of California (UC) kev teeb tsa (tus kws kho mob)
Kev teeb tsa UC (cov kws kho mob tsis yog kws kho mob)
Kev teeb tsa tsis yog UC (cov kws kho mob tsis yog kws kho mob)
Kev teeb tsa tsis yog UC (Medicare pom zoo tshawb xyuas tus kws kho mob lub sijhawm)
PNPP Txoj Haujlwm Pabcuam Kev Tsim Nyog
Tus kws kho mob thiab tus kws kho mob tsis yog tus kws kho mob cov nqi raug txwv rau cov nqi kev tshaj lij uas tshwm sim los ntawm DPHs teev nyob rau hauv Cov Ntawv Ntxiv 1 ntawm Daim Ntawv Txuas 4.19-A ntawm Lub Xeev Txoj Kev Npaj, suav nrog ib tus neeg ua tiav lossis txawv lub tsev kho mob, raws li tsim nyog, thiab lawv cov koom tes hauv tsoomfwv cov kws kho mob ua haujlwm pab pawg (piv txwv li, pab pawg xyaum ua haujlwm uas yog tus tswv thiab ua haujlwm los ntawm tsoomfwv). Cov nqi kws tshaj lij no tau tshaj tawm rau ntawm DPHs 'Medi-Cal 2552 daim ntawv tshaj tawm tus nqi thiab, nyob rau hauv cov tsev kho mob UC, UC Lub Tsev Kawm Ntawv Tshuaj Kho Mob / tus kws kho mob tsis yog tus kws kho mob daim ntawv ceeb toom raws li kev pom zoo los ntawm CMS.
Kev them nyiaj rov qab PNPP
PNPP cov nyiaj pab ntxiv yog kwv yees qhov sib txawv ntawm Kev Them Nqi rau Kev Pabcuam (FFS) thiab cov nqi Medicaid tso cai muaj feem xyuam rau cov kws kho mob lossis cov kws kho mob tsis yog kws kho mob cov kev pabcuam tsim nyog rau Tsoom Fwv Nyiaj Txiag Koom Tes (FFP). Kev them nyiaj ntxiv rau PNPP yog ua txhua xyoo raws li tau piav qhia hauv Lub Xeev Txoj Haujlwm Txuas Ntxiv 4.19-B, nplooj 52-63 (SPAs 05-023, 16-020, thiab 24-0026) thiab Lub Sijhawm Kawm Ua Haujlwm Npaj Ua Haujlwm.
Yuav tiv tauj peb li cas
Txuas
California State Plan Attachment 4.19-B, nplooj 52-63 (SPAs 05-023, 16-020, thiab 24-0026)
Lub Sijhawm Kawm Ua Haujlwm Npaj Ua Haujlwm 