Public Provider Ground Emergency Medical Transportation Intergovernmental Transfer Program - Assembly Bill 1705
Keeb kwm
Raws li tsab cai Assembly Bill (AB) 1705 (Tshooj 544, Txoj Cai ntawm 2019), Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tsim Cov Kev Pabcuam Pej Xeem Kev Pabcuam Kev Khomob Kub Ceev (PP-GEMT) txhawm rau muab cov nyiaj them rov qab ntau dua, los ntawm kev thov kev nce ntxiv, rau kev thauj mus los thaum muaj xwm txheej ceev (GEMT) uas tsis tsim nyog rau pej xeem. Qhov tsis yog tsoomfwv cov nyiaj tau los yuav raug siv los muab kev nce ntxiv rau cov nqi them nqi-rau-kev pabcuam (FFS) tus nqi sijhawm rau cov lej GEMT cuam tshuam thiab qhov kev ntsuas nce ntxiv uas yuav raug siv rau thawj tus nqi them rau kev cog lus Medi-Cal Plans.
PP-GEMT Ntxiv-On:
Qhov Kev Pabcuam PP-GEMT yuav muab kev nce ntxiv rau Medi-Cal FFS tus nqi sijhawm ntawm GEMT thauj cov nqi nrog cov txheej txheem hauv qab no:
A0225
| Neonatal Emergency Transport | $ 179.92
| $ 1,049.98
| $ 1,229.90
|
| A0427 | ALS1-Kev kub ntxhov
| $ 118.20 | $ 1,049.98 | $ 1,168.18
|
A0429
| BLS-Kev kub ntxhov
| $ 118.20
| $ 1,049.98
| $ 1,168.18
|
A0433
| ALS 2
| $ 118.20
| $ 1,049.98
| $ 1,168.18
|
A0434
| Kev Thauj Khoom Tshwj Xeeb
| $ 118.20
| $ 1,049.98
| $ 1,168.18
|
DHCS yuav suav tus nqi pib ntxiv thoob plaws lub xeev raws li qhov sib txawv ntawm: (a) qhov hnyav nruab nrab cov nyiaj them rov qab uas tau them raws li lub hauv paus uas siv tau Medi-Cal FFS cov nqi them rau kev thauj mus los thaum muaj xwm txheej ceev, thiab (b) tus nqi nruab nrab hnyav uas cuam tshuam ncaj qha rau kev muab Medi-Cal kev thauj mus los thaum muaj xwm txheej ceev raws li Medi-Cal qhov kev pab cuam los ntawm tus kws kho mob tsim nyog. Cov ntaub ntawv tus nqi nruab nrab yuav raug rho tawm los ntawm cov ntaub ntawv tshaj tawm tus nqi tam sim no ntawm cov neeg muab kev pabcuam tsim nyog muaj nyob rau lub sijhawm tsim cov nyiaj ntxiv. Qhov kev nce ntxiv yuav raug tso cai los ntawm tsoomfwv pom zoo los ntawm Lub Xeev Txoj Kev Npaj Khomob (SPA) los ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS). Txhawm rau saib SPA Daim Ntawv Ceeb Toom Tshaj Tawm tsis ntev los no, thov mus saib:
SPA Public Notices.
Yog xav paub ntaub ntawv hais txog cov ntaub ntawv SPA tsis ntev los no thov mus saib Pending SPAs.
Txhawm rau saib SPA Kev Pom Zoo tsis ntev los no, thov mus saib: Pom Zoo SPAs
Pib txij Lub Ib Hlis Ntuj Tim 1, 2023, cov chaw muab kev pabcuam pej xeem yuav tsis raug ntsuas tus Nqi Them Nqi Zoo (QAF) ntxiv lawm thiab yuav tsis tsim nyog tau txais cov khoom txuas ntxiv raws li GEMT QAF Program, tab sis yuav tsim nyog tau txais ib qho Kev them nyiaj rov qab ntxiv rau hauv PP-GEMT Program. Tsis tas li ntawd, cov neeg muab kev pabcuam GEMT pej xeem yuav tsis tsim nyog koom nrog GEMT Certified Public Expenditures Program.
Yog xav paub ntxiv txog GEMT QAF Program kaw, thov mus saib hauv GEMT QAF lub vev xaib: https://www.dhcs.ca.gov/provgovpart/Pages/GEMTQAF.aspx.
Yog tias koj muaj lus nug, thov hu rau GEMT QAF ntawm: GEMTQAF@dhcs.ca.gov.
Kev Tsim Nyog Kev Tsim Nyog Reimbursement
Cov kws kho mob tuaj yeem tsim nyog tau txais PP-GEMT add-on yog tias tus kws kho mob ua tau raws li tag nrho cov kev cai hauv qab no thaum lub sij hawm tag nrho ntawm Medi-Cal tswj xyuas kev saib xyuas lub sij hawm. Yog xav paub ntxiv txog kev tsim nyog, thov mus saib hauv Welfare and Institutions Code (WIC) seem 14105.945.
- Muab cov kev pabcuam GEMT uas tsis tau cog lus rau Medi-Cal cov neeg tau txais txiaj ntsig.
- Tau cuv npe ua Medi-Cal tus kws kho mob rau lub sijhawm thov.
- Muaj lossis ua haujlwm los ntawm lub xeev, ib lub nroog, lub nroog, lub nroog thiab lub nroog, kev tiv thaiv hluav taws, cheeb tsam tshwj xeeb, cheeb tsam kev pabcuam hauv zej zog, cheeb tsam saib xyuas kev noj qab haus huv, lossis tsoomfwv tau lees paub txog haiv neeg Indian.
Tus nqi-rau-kev pabcuam kev xa khoom:
- PP-GEMT add-on yuav muab nyob rau hauv ib qho kev thauj mus los thaum lub sij hawm cov chaw muab kev pab tau txais cov nyiaj them rov qab rau lub hauv paus thauj mus los ntawm DHCS 'Medi-Cal Fiscal Intermediary.
Managed care delivery system:
- Managed care plan (MCPs) yuav tsum tau them rov qab cov ntaub ntawv tsim nyog ntawm FFS tus nqi suav nrog FFS "cov nyiaj ntxiv" (piv txwv li, "Rogers Rates") raws li tau hais hauv cov lus saum toj no.
Thov nco ntsoov: Kev tsim nyog tau txais kev them rov qab yog qhov sib txawv ntawm kev tsim nyog raws li lub koom haum nyiaj txiag, vim tias txhua lub koomhaum tseemfwv yuav tsim nyog tau txais kev pabcuam PP-GEMT Program los ntawm kev hloov pauv hauv tsoomfwv (IGT). Thov mus saib daim ntawv pov thawj IGT hauv qab no kom paub meej ntxiv.
Cov npe ntawm CA Public GEMT Cov Chaw Kho Mob (Hloov Kho Lub Yim Hli 13, 2025)*
* Daim ntawv teev npe no yog tus sawv cev ntawm cov koom haum uas tuaj yeem ua rau feem ntau ntawm Cov Neeg Muab Kev Pabcuam rau pej xeem, tab sis nws tsis suav nrog txhua tus thiab tej zaum yuav suav nrog qee Cov Chaw Pabcuam uas tsis yog, lossis tsis yog, muab kev pabcuam GEMT.
Yog li ntawd, daim ntawv teev npe no yog npaj los ua ib feem ntawm cov txheej txheem qhia tus neeg muab kev pab pej xeem kom paub tseeb tias Cov Chaw Pabcuam tau txais cov nyiaj them rov qab raws sijhawm ntawm PP-GEMT add-on. Daim ntawv teev npe no yuav tsum tau siv los ua ib qho kev siv tab sis yuav tsum tsis txhob hloov MCP's P&Ps siv los xyuas kom meej tias cov neeg muab kev pabcuam pej xeem tsim nyog raug txheeb xyuas thiab them rov qab kom tsim nyog. Thaum kawg, nws yog MCP lub luag haujlwm los txheeb xyuas tus neeg muab kev pabcuam "txoj cai pej xeem".
Yog tias muaj ib tus neeg muab kev pabcuam pej xeem paub uas tsis suav nrog hauv Daim Ntawv Ntxiv Ntxiv no, lossis ib tus neeg muab kev pabcuam hauv daim ntawv txuas ntxiv no uas tsis yog Cov Kev Pabcuam rau pej xeem, thov ceeb toom rau AB1705@dhcs.ca.gov los ntawm kev xa tus kws kho mob lub npe, Tus Kws Kho Mob Hauv Tebchaws, thiab tiv tauj cov ntaub ntawv (yog paub).
Daim Ntawv Qhia Xyoo 2025 Kev Ntsuas Lub Sijhawm Invoice thiab Hnub Kawg Ua Haujlwm:
CY 2025 Invoice #1
| Invoice Packets xa | Tuesday, Kaum Ob Hlis Ntuj 3, 2024 |
IGT Daim Ntawv Pov Thawj Yuav Tsum Tau
| Hnub Friday, Lub Ib Hlis 3, 2025
|
Them Nqi
| Hnub Friday, Lub Ib Hlis 17, 2025 |
CY 2025 Invoice #2
| Invoice Packets xa | Tuesday, Peb Hlis 4, 2025
|
IGT Daim Ntawv Pov Thawj Yuav Tsum Tau
| Friday, Plaub Hlis Ntuj 4, 2025
|
Them Nqi
| Friday, Plaub Hlis Ntuj 18, 2025 |
CY 2025 Invoice #3
| Invoice Packets xa | Tuesday, June 3, 2025
|
IGT Daim Ntawv Pov Thawj Yuav Tsum Tau
| Hnub Friday, Lub Xya Hli 4, 2025
|
Them Nqi
| Hnub Friday, Lub Xya Hli 18, 2025
|
CY 2023 FFS Reconciliation #1
| Jan - Jun 2023 (Date of Service)
|
CY 2025 Invoice #4
Invoice Packets xa
| Tuesday, Cuaj hlis 2, 2025
|
IGT Daim Ntawv Pov Thawj Yuav Tsum Tau
| Friday, Kaum Hli Ntuj 3, 2025
|
Them Nqi
| Friday, Kaum Hli Ntuj 17, 2025
|
CY 2023 FFS Reconciliation #2
| Lub Xya Hli - Kaum Ob Hlis 2023 (Date of Service)
|
CY 2024 MC Reconciliation #2
| Lub Xya Hli - Kaum Ob Hlis 2024 (Date of Service)
|
* Daim ntawv pov thawj IGT raug xa tawm 45 hnub ua ntej hnub kawg sau.
* Daim ntawv pov thawj IGT yuav tsum tau them ob lub lis piam ua ntej hnub kawg sau.
IGT tsis txaus:
Yog tias DHCS txiav txim siab tias qhov kev xav tau ntawm cov nyiaj pab dawb tsis txaus los txhawb kev ua tiav ntawm Txoj Haujlwm, Txoj Haujlwm yuav xaus. Qhov Kev Pabcuam PP-GEMT yuav tsum tsis ua haujlwm nyob rau thawj hnub ntawm Medi-Cal tswj kev saib xyuas lub sijhawm pib los yog tom qab hnub uas tau txiav txim siab. Cov neeg muab kev pabcuam pej xeem yuav rov qab mus rau cov nyiaj them rov qab raws li cov kev pabcuam uas twb muaj lawm.
Daim ntawv:
PP-GEMT Muab Kev Pabcuam
Hu rau DHCS:
Txhawm rau koom nrog AB1705 ListServe, xa cov lus nug lossis cov lus pom, lossis rau hauv lub koom haum uas koom nrog cov peev nyiaj, thov xa email rau DHCS PP-GEMT Program inbox: AB1705@dhcs.ca.gov.
Txoj cai:
PP-GEMT Program Txhua Daim Ntawv Npaj
- MCPs tau txais PP-GEMT Kev Qhia Ib ntus hais txog kev them nyiaj rau lub Kaum Ob Hlis 30, 2022. MCPs tau qhia kom tshaj tawm PP-GEMT add-on pib txij lub Ib Hlis 1, 2024, thaum lawv tos tag nrho Daim Ntawv Npaj Ua Haujlwm (APL).
- Kev taw qhia ib ntus
