Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Pediatric Integration Question & Answer (Q&A) Document​​ 

Lub Ib Hlis 8, 2025 (supersedes Kaum Ob Hlis Ntuj 23, 2024 version)​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tsim daim ntawv qhia txog Pediatric Integration Q&A raws li cov tswvcuab cov tswvcuab tau txais thaum lub rooj sib tham tsis ntev los no thiab hauv email. Cov lus hloov tshiab los ntawm cov ntawv ua ntej ntawm Q&A cov ntaub ntawv no yog bolded thiab bracketed kom yooj yim ntawm kev tshuaj xyuas. DHCS lees paub tias tsis yog tag nrho cov lus nug thiab/lossis cov xwm txheej yuav raug hais nyob rau hauv daim ntawv Q&A no tab sis yuav ua haujlwm los muab cov ntaub ntawv ntxiv rau hauv cov lus nug uas nquag nug (FAQ) yav tom ntej uas yuav raug tso tawm thiab luam tawm ntawm DHCS 'Medi-Cal Rx lub vev xaib nyob rau nruab nrab Lub Ib Hlis. Txog qhov kawg no, yog tias koj muaj lus nug ntxiv, thov xa lawv mus rau DHCS ntawm email ntawm RxCarveout@dhcs.ca.gov lossis mus rau Medi-Cal Rx Pab Pawg Kev Kawm thiab Kev Tshaj Tawm los ntawm email ntawm MediCalRxEducationOutreach@primetherapeutics.com kom lawv tuaj yeem suav nrog hauv daim ntawv FAQ yav tom ntej.​​ 

Cov Lus Nug​​ 

1. Pediatric Integration yog dab tsi?​​ 

Pediatric Integration yog hais txog qhov kawg ntawm Medi-Cal Rx Txoj Cai Hloov Pauv thiab rov ua haujlwm ntawm kev tswj xyuas kev siv (UM) kho/tswj, suav nrog, tab sis tsis txwv rau, ntau thiab ntau zaus thiab kev tso cai ua ntej (PA) thov rau Medi-Cal cov tswv cuab 21 xyoo thiab qis dua. Pediatric Integration siv rau ob leeg menyuam yaus Medi-Cal thiab California Children's Services (CCS) cov tswvcuab tsim nyog tau txais kev pabcuam los ntawm Medi-Cal thiab CCS. [Pib Lub Ib Hlis Ntuj 31, 2025, cov hauv qab no yuav tshwm sim:]​​ 

» Rau kev pib kho tshiab/cov ntawv sau tshuaj tshiab, txhua daim ntawv thov hauv tsev muag tshuaj yuav rov ua raws li UM kho/tswj thiab PA cov cai, raws li tau teev tseg hauv Medi-Cal Rx thiab CCS cov kev pab cuam lub tsev muag tshuaj.​​ 

» Rau kev kho mob txuas ntxiv / tshuaj noj, rau lub sijhawm tsis pub tsawg tshaj 60 hnub, yog tias qhov kev thov yuav tsis kam lees nrog Reject 75 (PA xav tau) tab sis tus tswv cuab ntawm Medi-Cal muaj keeb kwm thov tsis ntev los no (15-hli saib rov qab), daim ntawv thov yuav them yam tsis tas yuav muaj PA ntxiv. Txoj hauv kev no yog npaj los muab sijhawm rau cov kws kho mob thiab cov kws kho mob ntxiv sijhawm los kho lawv cov txheej txheem sab hauv thiab cov phiaj xwm zoo dua rau PI cov cai, nrog rau xa cov PAs zoo.​​ 

    • Thov nco ntsoov tias kev kho mob txuas ntxiv / tshuaj rau ib tus tswv cuab Medi-Cal tseem yuav raug rau tag nrho lwm yam Medi-Cal Rx txoj cai lij choj, suav nrog tab sis tsis txwv rau UM cov kev hloov kho rau ntau thiab ntau zaus. Cov no yuav ua rau muaj kev tsis lees paub rau lwm qhov laj thawj lossis kev thov PA uas xav tau los tsim kho qhov tsim nyog.​​ 
    • Tag nrho cov PAs tau pom zoo tam sim no yuav nyob twj ywm; cov hnub uas tau pom zoo thiab ua haujlwm PA yuav tsis raug hloov.​​ 
    • Thov nco ntsoov tias DHCS yuav tshaj tawm tsab ntawv ceeb toom 30-hnub ua ntej kev rov ua haujlwm ntawm Kev Tsis lees paub 75 (PA xav tau) rau kev kho mob txuas ntxiv / tshuaj, uas yuav tshwm sim tsis pub dhau lub Peb Hlis 31, 2025.​​ 

2. CCS Panel Provider Authority Policy yog dab tsi?​​ 

Raws li ib feem ntawm Pediatric Integration dag zog, DHCS tau tsim CCS Vaj Huam Sib Luag Tus Tswv Cuab Txoj Cai. Txoj cai no lees paub cov kws tshaj lij thiab kev lees paub ntxiv uas yuav tsum tau muaj los ntawm CCS Panel Providers, ua rau cov kws kho mob uas yog kws kho mob lossis Certified Nurse Practitioners (CNPs) sau ntawv rau txhua tus menyuam yaus Medi-Cal lossis CCS-cov tswvcuab uas muaj hnub nyoog 20 xyoo thiab yau dua yam tsis tau xa daim ntawv PA rau cov tshuaj them, nrog rau cov khoom noj khoom haus, tshwj tsis yog cov khoom noj khoom haus, thiab cov khoom noj khoom haus. Txoj cai no yog npaj los txo qis kev tswj hwm lub nra uas tsis tsim nyog thiab txhim kho kev nkag mus tau raws sijhawm rau cov txiaj ntsig tshuaj.​​ 

3. DHCS tau npaj li cas rau qhov nce PA ntim, thov tsis lees txais, thiab hu rau lub chaw ntim uas cuam tshuam nrog Pediatric Integration?​​ 

Zoo ib yam li cov neeg laus rov qab los, qhov kev tsim ntawm Pediatric Integration yog ib qho kev siv zog ntawm cov ntaub ntawv uas tau pib nrog kev txheeb xyuas cov ntaub ntawv keeb kwm thiab cov ntaub ntawv PA. Hauv kev koom tes nrog cov neeg muaj feem cuam tshuam, DHCS tau txheeb xyuas cov hauv kev los txo cov kev tswj hwm kev ua haujlwm cuam tshuam nrog PA kev xa tawm los ntawm kev ntxiv cov tshuaj tsom rau menyuam yaus thiab cov khoom lag luam rau Daim Ntawv Cog Lus Tshuaj (CDL) thiab Cov Khoom Muag Khoom Muag; ua raws Medi-Cal thiab CCS cov txheej txheem kho mob; thiab pib txoj cai CCS Panel Provider Authority. [Lub Ib Hlis Ntuj thaum ntxov, DHCS tau kho nws txoj cai txoj hauv kev rau kev siv PI, raws li tau piav qhia ntau ntxiv hauv nqe lus nug #1 saum toj no.]​​ 

4. DHCS tau npaj li cas rau cov kws kho mob thiab cov khw muag tshuaj rau Pediatric Integration hloov pauv tshwm sim rau lub Ib Hlis 31, 2025?​​ 

Zoo ib yam li cov neeg laus rov qab los, DHCS tau ua ntau txoj hauv kev rau Pediatric Integration nthuav tawm thiab kev kawm, uas suav nrog cov hauv qab no:​​ 

  • Tshaj tawm peb tsab ntawv ceeb toom ua ntej, raws li hauv qab no:​​ 
    • 90-hnub ceeb toom rau Lub Kaum Hli 31, 2024​​ 
    • 60-hnub ceeb toom rau lub Kaum Ib Hlis 27, 2024​​ 
    • 30-hnub ceeb toom rau lub Kaum Ob Hlis 31, 2024​​ 
  • Tshaj tawm cov ntaub ntawv muab kev koom ua ke rau Pediatric Integration ntawm DHCS 'Medi-Cal Rx lub vev xaib nyob rau hauv "Kev Kawm thiab Kev Tshaj Tawm".​​ 
  • Kev nthuav qhia nyob, sib tham sib tham pib thaum lub Kaum Ib Hlis thiab txuas ntxiv mus txog Lub Ib Hlis mus rau cov koom haum tseem ceeb thiab cov koom haum hauv zej zog cov menyuam yaus sawv cev rau cov tsev kho mob me nyuam yaus, cov phiaj xwm tswj hwm, cov koom haum kws kho mob, cov neeg tawm tswv yim, thiab cov neeg ua haujlwm pab pawg neeg no.​​ 
    • Thov nco ntsoov tias cov lus tawm tswv yim los ntawm cov koom nrog hauv webinars tau siv los ntawm DHCS los qhia txog kev txhim kho cov peev txheej kev kawm.​​ 

  • Kev npaj rau lub webinars txhua lub limtiam uas tuav los ntawm Medi-Cal Rx, pib thaum nruab nrab Lub Ib Hlis, los tshuaj xyuas cov cai thiab cov txheej txheem rau kev xa daim ntawv thov tshuaj thiab PA thov rau cov tswvcuab menyuam yaus.​​ 
  • Npaj los tuav lub sijhawm ua haujlwm rau Medi-Cal Rx Pediatric Integration thaum Lub Ib Hlis 2025 los teb cov lus nug tshwj xeeb uas ua rau mus nyob.​​ 
  • Muab los npaj thiab teem caij rau kev pab cuam/kev txhawb nqa rau tus kheej raws li qhov kev thov ntawm pawg neeg koom tes.​​ 
  • Siv Medi-Cal Rx Cov Neeg Siv Khoom Hauv Chaw Pabcuam (CSC) cov neeg sawv cev ntxiv los pab daws qhov kev hu xov tooj ntau ntxiv thiab teb cov lus nug.​​ 

5. Kuv tuaj yeem kawm ntxiv txog Rx Pediatric Integration nyob qhov twg?​​ 

Yog xav paub ntxiv txog Pediatric Integration, suav nrog yuav ua li cas thiaj li tau txais kev pabcuam / kev txhawb nqa tus kheej, thov mus saib DHCS ' Medi-Cal Rx lub vev xaib. Hauv qab nplooj ntawv Kev Kawm thiab Kev Tshaj Tawm, koj yuav pom Pediatric Integration tab nrog kev txuas mus rau cov ntaub ntawv tseem ceeb thiab cov ntaub ntawv hais txog webinars, kaw video, thiab lwm yam ntaub ntawv txhawb nqa.​​ 

6. Yuav ua li cas cov chaw muag tshuaj yuav them nqi rau Medi-Cal thiab CCS-cov tswv cuab tsim nyog (cov menyuam yug tshiab) uas tseem tsis tau muaj lawv tus kheej Medi-Cal tus lej ID (ID)?​​ 

Rau Medi-Cal thiab CCS-cov tswv cuab tsim nyog (cov menyuam mos) uas tsis muaj lawv tus kheej Medi-Cal tus tswv cuab ID, cov chaw muag tshuaj yuav tsum xa daim ntawv thov rau Medi-Cal Rx cov kev pab cuam hauv khw muag tshuaj raws li Medi-Cal tus tswv cuab (cov me nyuam mos) niam tus lej ID. Qhov no tuaj yeem tshwm sim tau ntev txog 60 hnub tom qab yug me nyuam, thiab tom qab ntawd yuav tsum tau xa cov ntawv thov nrog Medi-Cal tus tswv cuab (cov menyuam yug tshiab) tus kheej Medi-Cal tus tswv cuab ID tus lej.  Kev thov rau cov menyuam yug tshiab yuav raug txheeb xyuas los ntawm Txoj Cai Kev Sib Raug Zoo thiab PA Hom Code (PATC). Tus nqi xa tawm ntawm '03' - Nyob ntawm thiab tus nqi PATC ntawm '8' yuav txheeb xyuas tus tswv cuab yog menyuam yug tshiab ntawm daim ntawv thov. Yog lub tsev muag tshuaj tsim nyog txheeb xyuas qhov kev thov raws li tus menyuam yug tshiab, CCS Txoj Cai Tswjfwm Pabcuam Pabcuam yuav raug siv thiab qhov kev thov yuav raug ua tiav nrog cov hnub nyoog qis dua ib (1) xyoo. Yog tias daim ntawv thov tsis raug txheeb xyuas raws li tus menyuam yug tshiab, daim ntawv thov yuav raug ua tiav siv leej niam lub hnub nyoog.​​ 

Yuav Tsum Tau Tso Cai Ua Ntej​​ 

7. Thaum twg cov chaw muab tshuaj thiab cov kws kho mob tuaj yeem pib xa PAs rau Medi-Cal thiab CCS-cov tswv cuab tsim nyog uas muaj hnub nyoog qis dua 22 xyoos rau Medi-Cal Rx?​​  

Pib txij Lub Ib Hlis 31, cov chaw muag tshuaj tuaj yeem xa tuaj PAs ua haujlwm, txog li 100-hnub ua ntej hnub pib ntawm daim ntawv tshuaj tshiab lossis hnub sau ntawm daim ntawv tshuaj kho dua lossis rov ua dua uas yuav tsum tau muaj PA, tshwj tsis yog rau Medi-Cal thiab CCS-cov tswvcuab tsim nyog muaj hnub nyoog qis dua ib (1) xyoo.​​ 

8. Yog vim li cas PAs proactive thiaj tsis raug txais rau Medi-Cal thiab CCS-cov tswvcuab tsim nyog muaj hnub nyoog qis dua (ib tug) 1 xyoos?​​ 

Vim tias muaj peev xwm hloov pauv sai sai hauv Medi-Cal lossis CCS-tsim nyog tus tswv cuab txoj kev noj qab haus huv, PA thov rau cov tshuaj, cov khoom noj khoom haus nkag mus, thiab cov khoom siv kho mob rau Medi-Cal lossis CCS-cov tswv cuab tsim nyog muaj hnub nyoog qis dua ib (1) xyoo yuav tsum xa tuaj thaum lub sijhawm xav tau tshuaj. CCS-paneled Kws Kho Mob thiab CNPs tsis raug raws li qhov kev txwv hnub nyoog no thiab tej zaum yuav sau ntawv rau Medi-Cal thiab CCS-cov tswv cuab tsim nyog muaj hnub nyoog qis dua ib (1) xyoos yam tsis tas yuav xa daim ntawv PA, raws li CCS Pawg Neeg Saib Xyuas Kev Cai Lij Choj txoj cai. Thov nco ntsoov tias cov tshuaj thiab cov khoom uas tsis suav nrog CCS Pawg Neeg Muab Kev Pabcuam yuav xav tau PA, tsis hais hnub nyoog li cas.​​ 

9. Vim li cas PA cov lus thov thiab UM kho/tswj yuav tsum muaj rau CCS cov tswv cuab tsim nyog yog tias kev kho mob tau tso cai rau CCS qhov tsim nyog?​​ 

UM kev tswj hwm, suav nrog PAs, yog qhov tsim nyog rau Medi-Cal thiab CCS-tsim nyog cov tswv cuab kev nyab xeeb thiab kev ncaj ncees.  DHCS tau mob siab ua haujlwm los txhim kho kev sib koom tes thiab txo cov nra hnyav ntawm kev tswj hwm los ntawm kev ua raws Medi-Cal thiab CCS cov txheej txheem kho mob, ntxiv cov khoom tsom rau menyuam yaus rau CDL thiab Cov Khoom Muag Khoom Muag, thiab ua tiav CCS Vaj Huam Sib Luag Muab Tswv Yim. PA saib xyuas cov tshuaj, khoom siv kho mob thiab cov khoom siv nkag tau muab cov txheej txheem ntxiv ntawm kev nyab xeeb, kev ua tau zoo, kev xav tau tseem ceeb, nqi, thiab kev siv tsis raug, raws li tau teev tseg hauv Welfare and Institutions Code section 14105.39 thiab Title 22, California Code of Regulations, Seem 51313.6, nyob rau hauv cov xwm txheej uas txwv tsis pub siv nrog rau kev poob rau sab nraud, tab sis tsis xav tau kev tswj hwm. cov qauv kev coj ua hauv zej zog.​​ 

10. Yog tias ib tug menyuam yaus Medi-Cal lossis CCS-tus tswvcuab tsim nyog raug tshem tawm hauv tsev kho mob, cov tshuaj puas yuav tsum tau xa daim ntawv PA?​​ 

PA cov kev cai xa mus rau cov menyuam yaus Medi-Cal thiab CCS-cov tswvcuab tsim nyog tau tsav los ntawm ntau yam xws li, tab sis tsis txwv rau, seb tus kws kho mob puas muaj CCS Panel Provider Authority, seb cov tshuaj puas suav nrog hauv Pawg Neeg Saib Xyuas, thiab qhov kev pab cuam qhov kev pab cuam. Lwm yam tseem ceeb xws li UM kho / tswj nrog rau kom muaj nuj nqis thiab kev txwv zaus kuj tuaj yeem cuam tshuam seb puas yuav tsum muaj PA. [Thov saib cov lus teb #1 saum toj no kom paub ntau ntxiv txog DHCS txoj kev hloov kho txoj cai rau kev kho mob txuas ntxiv / tshuaj noj uas tej zaum yuav tsis xav tau PA li ntawm Lub Ib Hlis 31, 2025.]​​ 

11. Daim ntawv teev cov tshuaj thiab cov khoom uas tsis suav nrog CCS Panel Provider Authority nyob qhov twg?​​ 

Cov tshuaj thiab cov khoom uas tsis suav nrog CCS Pawg Neeg Muab Kev Pabcuam raug txheeb xyuas nyob rau hauv Medi-Cal Rx Pom Zoo Cov Tshuaj Hauv Tebchaws (NDC) Daim Ntawv Teev Npe. Thawj qhov kev tshaj tawm nrog cov ntaub ntawv no yuav muaj ua ntej Lub Ib Hlis 31, 2025, nrog cov kev hloov tshiab txhua hli luam tawm thaum pib ntawm txhua lub hlis pib thaum Lub Ob Hlis.​​ 

Qhia​​ 

12. DHCS qhia tias yuav muaj kev saib xyuas sab hauv peb lub hlis twg. DHCS puas tuaj yeem thov qhia meej txog lub hom phiaj thiab tsom mus ntxiv thiab seb cov ntaub ntawv no puas raug tshaj tawm?​​ 

Lub hom phiaj ntawm DHCS' ntxiv kev saib xyuas peb lub hlis twg, uas yuav yog sab hauv nkaus xwb thiab tsis tshaj tawm rau pej xeem, yog kom khaws cov ntaub ntawv thov thiab PA tsis tu ncua. Cov ntaub ntawv no yuav raug siv los ntawm DHCS txhawm rau khaws cov ntaub ntawv thiab ua cov ntaub ntawv hloov pauv, yog tias tsim nyog, mus rau Medi-Cal Rx cov txiaj ntsig ntawm lub khw muag tshuaj thiab CCS Panel Provider Authority txoj cai.​​ 

13. Puas yog DHCS puas yuav tshaj tawm cov ntaub ntawv qhia txog kev cuam tshuam ntawm Pediatric Integration?​​ 

Zoo ib yam li kev tshaj tawm tawm tom qab txhua qhov kev ua tiav rau cov neeg laus rov qab los, DHCS yuav tshaj tawm tsab ntawv tshaj tawm txhua lub limtiam uas suav nrog cov ntaub ntawv ntawm qhov ntim ntawm kev thov, PAs, thiab hu rau Medi-Cal Rx CSC. DHCS txhawb kev pom meej hauv cov txheej txheem no thiab tau cog lus ua haujlwm ze nrog cov neeg muaj feem cuam tshuam uas muaj lus nug tshwj xeeb thiab / lossis kev txhawj xeeb.​​ 

Kev Noj Qab Haus Huv​​ 

14. Pediatric Integration puas cuam tshuam rau cov khoom noj khoom haus?​​ 

Yog lawm, qhov rov qab kho dua ntawm UM kho / tswj, suav nrog kev hloov kho kom muaj nuj nqis thiab PA cov cai, nyob rau hauv Pediatric Integration siv rau txhua qhov kev pab cuam hauv khw muag tshuaj Medi-Cal Rx.​​ 

15. Puas yog CCS Panel Provider Authority siv rau cov khoom noj khoom haus nkag mus?​​ 

CCS Panel Provider Authority siv rau tag nrho cov khoom noj khoom haus uas tau cog lus hauv cov khoom noj uas muaj calorie ntau tshaj txhua hnub. Cov khoom noj khoom haus uas tsis tau cog lus nkag mus rau hauv cov khoom noj khoom haus thiab cov khoom noj khoom haus nkag mus rau sab nraud uas tsim los siv tsis suav nrog Txoj Cai no.​​ 

16. Puas yog tus neeg muab kev pabcuam yuav tsum tau txais PA hloov tshiab rau kev hloov pauv khoom noj khoom haus tsw qab thaum lub tsw qab hauv PA rov qab txiav txim thiab nws yog tib yam khoom?​​ 

Txoj cai tswjfwm kev noj zaub mov nkag mus tso cai rau kev sib pauv ntawm cov khoom noj khoom haus uas tau cog lus rau hauv tib yam khoom / hom. Yog xav paub ntxiv txog cov khoom lag luam tsis txaus thiab kev hloov pauv ntawm cov khoom lag luam, thov mus rau Medi-Cal Rx Tus Kws Kho Mob Phau Ntawv Qhia Ntu 12.8 thiab Medi-Cal Rx Cov Lus Nug Nug Txog Cov Khoom Noj Khoom Noj.​​ 

17. DHCS tau tsim qhov txwv kom muaj nuj nqis rau cov khoom noj khoom haus nkag mus li cas?​​ 

Cov kev txwv tsis pub noj zaub mov nkag mus yog raws li cov lus qhia tau tshaj tawm, suav nrog cov lus pom zoo ntawm Lub Tebchaws Khoom Noj thiab Khoom Noj, uas tau tshuaj xyuas los ntawm DHCS thiab suav nrog hauv Medi-Cal Rx txoj cai. Cov ntaub ntawv xa mus rau qhov ntau tshaj qhov txwv tsis pub tshaj tawm txoj cai tuaj yeem pom zoo nrog daim ntawv thov PA qhia txog kev xav tau kev kho mob. PA cov lus thov raug tshuaj xyuas los ntawm Medi-Cal Rx thiab cov lus teb raug xa mus rau tus neeg xa ntawv hauv 24 teev. Yog tias qhov kev xav tau kho mob tsis tuaj yeem tsim kho raws li qhov xav tau, Medi-Cal Rx yuav muaj peev xwm pom zoo rau daim ntawv thov nrog kev hloov kho uas cuam tshuam txog tus menyuam yaus Medi-Cal lossis CCS-tsim nyog tus tswv cuab cov kev xav tau caloric txhua hnub thiab lwm yam kev txiav txim siab txog kev kho mob uas yuav siv tau. Nyob rau lub sijhawm no, tus kws kho mob Medi-Cal lossis CCS-tus tswvcuab tsim nyog yuav tau txais cov qauv tsim nyog nyob rau hauv cov calories txwv. Cov ntaub ntawv ntxiv ntawm Cov Kev Txwv Tsis Pub Noj Khoom Noj Ntxiv tuaj yeem pom nyob rau hauv Tshooj 12.6 ntawm Medi-Cal Rx Tus Kws Kho Mob Phau Ntawv Qhia. Qhov ntau tshaj qhov txwv rau txhua yam khoom rau 31-hnub muab tau luam tawm nyob rau hauv Daim ntawv cog lus khoom noj khoom haus nkag mus.​​ 

thov​​ 

18. Puas yog 14-hnub kev tshaj tawm xwm txheej kub ntxhov tseem yuav siv tau thaum lub sijhawm Medi-Cal Rx Pediatric Integration?​​ 

Yog lawm, cov chaw muab tshuaj muaj peev xwm siv 14-hnub kev kho mob xwm txheej ceev los xyuas kom meej tias cov neeg mob Medi-Cal lossis CCS-cov tswv cuab tsim nyog tau txais cov nyiaj pab hauv tsev muag tshuaj raws sijhawm. Medi-Cal Rx Pediatric Integration tsis muaj kev cuam tshuam rau txoj cai no.​​ 

CCS Panel Provider Enrollment​​ 

19. Kuv yog CNP thiab CCS Vaj Huam Sib Luag. Kuv tau hais tias kuv yuav tsum xa daim PA rau cov tshuaj uas yuav tsum tsis txhob xav tau PA rau CCS Paneled Providers. Vim li cas thiaj yuav yog li ntawd?​​ 

Yog tias koj tau thov los ua CCS Paneled Provider ua ntej Lub Kaum Hli 2023, koj raug xaiv los ua Tus Kws Saib Xyuas Neeg Mob (RN) thaum lub sijhawm ntawd. Yuav kom tsim nyog rau CCS Vaj Huam Sib Luag Muab Kev Tso Cai ua CNP, koj yuav tsum tau sau npe ua CNP. Txhawm rau txheeb xyuas tus neeg muab kev pabcuam thiab/lossis xa daim ntawv thov CCS tshiab, thov mus saib ntawm CCS Panel Application webpage.​​ 

20. Kuv yog Medi-Cal tus kws kho mob tab sis tam sim no tsis yog CCS Panel Provider.  Kuv puas tuaj yeem thov rau CCS Vaj Huam Sib Luag?​​ 

Yog lawm, cov kws kho mob uas kho CCS cov tswv cuab tsim nyog tau raug txhawb kom thov rau CCS Panel Status. Cov lus nug txog kev tsim nyog thiab cov txheej txheem thov tuaj yeem xa mus rau ProviderPaneling@dhcs.ca.gov. CCS Panel raws li txoj cai tsis txwv rau cov kws kho mob thiab CNPs; Txawm li cas los xij, CCS Pawg Neeg Saib Xyuas Kev Ua Haujlwm uas tso cai rau cov kws sau ntawv sau ntawv rau feem ntau cov tshuaj thiab cov khoom muag tshuaj rau menyuam yaus Medi-Cal lossis CCS cov tswvcuab tsim nyog yam tsis tau xa daim PA yog txwv rau cov kws kho mob thiab CNPs. Yog xav paub ntxiv txog CCS Paneling, thov mus saib ntawm DHCS lub vev xaib Ua Tus Muab CCS.​​ 

21. Kuv puas tuaj yeem tsim nyog rau CCS Panel Provider Authority yog kuv tsis yog CCS Panel Provider?​​ 

Yuav kom tsim nyog rau CCS Panel Provider Authority, cov kws kho mob yuav tsum yog Medi-Cal tus kws kho mob sau npe thiab sau npe CCS Panel Provider. Tam sim no, tsuas yog cov kws kho mob thiab CNPs tsim nyog rau CCS Panel Provider Authority.​​ 

22. Vim li cas CCS Pan Provider Authority tsuas siv tau rau cov neeg mob uas muaj hnub nyoog 20 thiab qis dua?​​ 

Cov neeg laus rov qab los siv rau Medi-Cal cov tswv cuab hnub nyoog 22 xyoos thiab laus dua. Pediatric Integration siv rau menyuam yaus Medi-Cal thiab CCS-cov tswv cuab tsim nyog 21 thiab qis dua. Thaum lub sij hawm rov qab los rau cov neeg laus, lub xyoo kev tshav ntuj ntxiv ib ntus tau ntxiv rau UM kho/tswj rau cov menyuam yaus rau Medi-Cal thiab CCS-cov tswv cuab tsim nyog uas muaj hnub nyoog 21 xyoos. Cov menyuam yaus uas tau teev tseg rau Medi-Cal thiab CCS-cov tswvcuab tsim nyog muaj hnub nyoog qis dua 21 xyoos, ua raws li tsoomfwv cov cai kuaj ntxov ntxov thiab sijhawm sijhawm, kuaj mob, thiab kho (EPSDT).​​  

Hnub hloov tshiab kawg: 1/13/2025 11:16 AM​​