Kev ua haujlwm sib koom ua ke

Ua raws li txoj cai lij choj ntawm tsoomfwv thiab lub xeev, Qhov Kev Sib Koom Tes Ua Haujlwm ua kom Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ua raws li txoj cai; nrog cov cai; pab txhawb kev nkag mus rau cov ntaub ntawv ntawm tus neeg mob, kev sib pauv cov ntaub ntawv ntawm tus neeg them nqi, thiab kev hloov kho cov npe ntawm cov kws kho mob. Kev sib koom tes ua ke ua rau muaj kev sib koom ua ke ntawm cov ntaub ntawv neeg mob ntawm cov kab ke kev noj qab haus huv, txhawb kev sib koom tes kho mob thiab txhim kho cov txiaj ntsig. DHCS cog lus rau kev tsim cov kev sib txuas lus ruaj ntseg (APIs) kom cov neeg California nkag mus tau yooj yim rau lawv cov ntaub ntawv kev noj qab haus huv thiab lub hom phiaj yog txhawb kom cov tib neeg muaj peev xwm tswj hwm lawv txoj kev noj qab haus huv thiab txhawb kom muaj kev sib txuas lus hauv kev kho mob rau California kom muaj kev noj qab haus huv zoo dua.

Kev Tshaj Tawm Txog Kev Tso Cai Ua Ntej Rau Medi-Cal Tus Nqi Rau Kev Pabcuam

DHCS yuav tsum tau tshaj tawm txhua xyoo txog Medi-Cal thiab Children's Health Insurance Program (CHIP) fee-for-service (FFS) cov kev ntsuas kev tso cai ua ntej kom ua raws li CMS Interoperability thiab Prior Authorization Final Rule (CMS-0057-F). Kev tshaj tawm cov ntsuas no rau pej xeem txhawb nqa kev pob tshab thiab kev lav ris, pab cov tswv cuab Medi-Cal thiab CHIP FFS nkag siab txog cov txheej txheem kev tso cai ua ntej, thiab ua rau cov neeg muab kev pabcuam thiab cov neeg koom nrog tuaj yeem soj ntsuam kev ua tau zoo ntawm tus neeg them nqi thiab kev ua haujlwm zoo ntawm kev tswj hwm. Daim ntawv tshaj tawm suav nrog kev nkag mus rau cov ntaub ntawv rau txhua yam khoom thiab cov kev pabcuam Medi-Cal thiab CHIP FFS (tsis suav nrog cov tshuaj) uas xav tau kev tso cai ua ntej, nrog rau cov ntaub ntawv ntawm cov kev thov kev tso cai ua ntej rau cov khoom thiab cov kev pabcuam ntawd dhau xyoo dhau los.

Thov hu rau pab pawg DHCS Interoperability yog tias muaj lus nug lossis lus tawm tswv yim txog cov ntawv qhia txog kev tso cai ua ntej ntawm interoperability@dhcs.ca.gov.

Cov Ntawv Qhia Txog Kev Ntsuas Kev Tso Cai Ua Ntej Xyoo 2025

Cov Neeg Tsim Kho Daim Ntawv Thov Sab Nraud

Cov neeg tsim daim ntawv thov sab nraud uas xav muab cov ntaub ntawv kev noj qab haus huv los ntawm Patient Access API yuav tsum sau npe thiab tau txais daim ntawv pov thawj los ntawm DHCS.

Thov xa email rau interop-api@dhcs.ca.gov kom tau sau npe.

Tsoom Fwv Teb Chaws Kev taw qhia

Kev taw qhia rau Managed Care Plans

Txhua Daim Ntawv Npaj 22-026: Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob Thaum Kawg
Tsab Ntawv Qhia Tag Nrho (APL) no ceeb toom rau tag nrho Medi-Cal cov phiaj xwm kev noj qab haus huv tswj hwm (MCPs) ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS) Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob zaum kawg raws li txoj cai lij choj ntawm tsoomfwv txoj cai lij choj.
Txhua Daim Ntawv Npaj 22-013: Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob Kawg
Qhov APL no tau ceeb toom rau txhua qhov Kev Kho Hniav Tswjhwm Saib Xyuas Kev Kho Hniav (DMC) txog Lub Chaw Rau Medicare thiab Medicaid Services (CMS) Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob zaum kawg cov cai.

Kev taw qhia rau Mental Health Plans

Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm No: 22-068
Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm no tau siv los ceeb toom rau txhua qhov Kev Npaj Kho Mob Puas Hlwb (MHPs) thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) counties txog Lub Chaw Pabcuam Medicare thiab Medicaid (CMS) Kev Sib Koom Tes thiab Kev Nkag Mus Rau Tus Neeg Mob zaum kawg.

Kev taw qhia rau Managed Care Plans & Behavioral Health Plans/Counties

Managed Care Plans thiab Behavioral Health Plans/Counties
Lub vev xaib no muab cov ntaub ntawv ntxiv rau Managed Care Plans and Behavioral Health Plans/Counties about California's Data Exchange Framework, CalAIM Data Sharing Authorization Guide, Consent Forms and Consent Management, Data Submission Requirements, and other topics.

Xeev Kev taw qhia

Data Exchange Framework - CDII (ca.gov)
California's Data Exchange Framework (DxF) yog thawj zaug, thoob plaws lub xeev daim ntawv cog lus sib qhia uas yuav ua kom nrawm thiab nthuav dav kev sib pauv ntaub ntawv ntawm cov chaw kho mob thoob plaws lub xeev. Pib txij Lub Ib Hlis Ntuj xyoo 2024, DxF suav nrog ib daim ntawv cog lus sib qhia cov ntaub ntawv thiab cov txheej txheem kev cai thiab cov txheej txheem los tswj hwm thiab xav kom muaj kev sib pauv ntaub ntawv kev noj qab haus huv thiab kev pabcuam tib neeg hauv California. Lub DxF tsim raws li tsoom fwv Trusted Exchange Framework thiab Common Agreement (TEFCA), uas tsim ib lub hauv paus rau kev sib koom tes thoob plaws hauv lub tebchaws.
State Health Information Guidance (SHIG)
SHIG yog kev sib koom tes ntawm Lub Chaw rau Cov Ntaub Ntawv Kev Pom Zoo thiab Kev Tsim Kho Tshiab nrog ntau lub koom haum los tsim cov ntaub ntawv tshwj xeeb los pab qhia meej txog tsoomfwv thiab xeev cov cai uas cuam tshuam rau kev nthuav tawm thiab sib qhia cov ntaub ntawv kev noj qab haus huv.
Cov ntaub ntawv sib pauv thiab sib qhia
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom txhawb nqa kev sib pauv ntaub ntawv kho mob thiab sib qhia cov ntaub ntawv txhawm rau txhim kho kev saib xyuas thiab cov txiaj ntsig tau zoo rau Medi-Cal Cov Tswvcuab raws li California txuas ntxiv nws txoj kev mus rau cov ntaub ntawv uas tau tsav los ntawm kev saib xyuas kev noj qab haus huv muaj txiaj ntsig. Kev sib faib cov ntaub ntawv yog lub hauv paus rau kev saib xyuas kev sib koom tes thiab yog qhov tseem ceeb rau kev txhawb nqa tag nrho cov kev zov me nyuam xws li Kev Tswj Xyuas Kev Txhim Kho, Kev Txhawb Zej Zog, Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem, thiab lwm yam kev pib Medi-Cal.

Precursor Programs

Lub Xeev Medicaid Kev Npaj Qhia Txog Kev Noj Qab Haus Huv (Lub Peb Hlis 2022)
Qhov kawg State Medicaid Health Information Technology Plan (SMHP) qhia txog qhov cuam tshuam ntawm Medi-Cal Kev Txhawb Kev Sib Koom Tes, yav tas los hu ua Medi-Cal Electronic Health Record Incentive Program. SMHP suav nrog cov kev tshawb pom ntawm kev ntsuas kev noj qab haus huv cov ntaub ntawv thev naus laus zis ua tiav los ntawm cov kws tshawb fawb hauv University of California, San Francisco thaum Lub Ob Hlis 2022.
Medi-Cal Kev Txhawb Kev Sib Koom Tes
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (HIMD), yav dhau los yog Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (Office of Health Information Technolgy), tau tsim tsa hauv DHCS los tsim cov hom phiaj thiab kev ntsuas rau qhov kev zov me nyuam, tsim cov cai thiab cov txheej txheem, thiab siv cov txheej txheem los faib nyiaj, taug qab, thiab tshaj tawm cov nyiaj txhawb siab. . Txoj Haujlwm Txhawb Kev Sib Koom Tes tau ua tiav thaum Lub Kaum Ob Hlis 2021.
California Health Information Exchange Onboarding Program (Cal-HOP)
Txhua qhov haujlwm ntawm Cal-HOP tau xaus rau lub Cuaj Hlis 30, 2021. Cal-HOP muab nyiaj txog li $50 lab hauv lub xeev thiab tseemfwv qib siab rau cov Koom Haum Saib Xyuas Kev Noj Qab Haus Huv (QHIOs) los txhawb Medi-Cal cov neeg muab kev pab nkag mus thiab siv cov cuab yeej siv kho mob sib pauv (HIE) thev naus laus zis txhawm rau txhim kho kev saib xyuas zoo thiab muaj txiaj ntsig ntawm Medi-Cal cov neeg tau txais txiaj ntsig.
California Technical Assistance Program
Thaum Lub Kaum Ib Hlis 2015, California Technical Assistance Program (CTAP) tau pib nrog $ 37.5 lab hauv tsoomfwv thiab lub xeev cov nyiaj. Qhov kev pabcuam no tau tsim los muab kev pabcuam rau cov kws tshaj lij hauv kev siv, siv, kho dua tshiab thiab muaj txiaj ntsig zoo siv cov ntaub ntawv pov thawj hluav taws xob kho mob uas muaj ntawv pov thawj. CTAP tau xaus rau lub Kaum Ib Hlis 2020.

Hnub hloov tshiab kawg: 3/30/2026 10:34 AM

Kev ua haujlwm sib koom ua ke​​

Kev Tshaj Tawm Txog Kev Tso Cai Ua Ntej Rau Medi-Cal Tus Nqi Rau Kev Pabcuam​​

Cov Ntawv Qhia Txog Kev Ntsuas Kev Tso Cai Ua Ntej Xyoo 2025​​

Cov Neeg Tsim Kho Daim Ntawv Thov Sab Nraud​​

Kev ua haujlwm sib koom ua ke

Kev Tshaj Tawm Txog Kev Tso Cai Ua Ntej Rau Medi-Cal Tus Nqi Rau Kev Pabcuam

Cov Ntawv Qhia Txog Kev Ntsuas Kev Tso Cai Ua Ntej Xyoo 2025

Cov Neeg Tsim Kho Daim Ntawv Thov Sab Nraud