Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes CalAIM Chaw Saib Xyuas Qib Nruab Nrab rau Kev Saib Xyuas Mus Ntev uas Muaj Kev Tsis Taus: Cov Ntaub Ntawv Txog Cov Tswv Cuab

CalAIM Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In: Cov Tswv Cuab Cov Ntaub Ntawv

Rov qab mus rau CalAIM Homepage
Rov qab mus rau CalAIM Long-Term Care Carve-in Transition Homepage
Rov qab mus rau CalAIM Intermediate Care Facility For Developmentally Disabled Long-Term Care Carve-In Homepage

Txij li thaum Lub Ib Hlis Ntuj hnub tim 1, 2024, cov tswv cuab Medi-Cal uas nyob hauv Cov Chaw Saib Xyuas Qib Nruab Nrab rau Cov Neeg Muaj Kev Tsis Taus (ICF/DD) (hu ua Tsev) yuav raug sau npe rau hauv Medi-Cal Managed Care Plan. "Chaw" thiab "Tsev" yog cov lus sib pauv tau rau Chaw Saib Xyuas Qib Nruab Nrab rau Cov Neeg Muaj Kev Tsis Taus (ICF/DD). Cov tswv cuab nyob hauv cov hom Tsev hauv qab no yuav tau txais lawv cov kev pabcuam them los ntawm lawv Txoj Kev Npaj Saib Xyuas Kev Kho Mob:

Intermediate Care Facility for the Developmentally Disabled, (ICF/DD);
Intermediate Care Facility for the Developmentally Disabled-Habilitative (ICF/DD-H); thiab
Intermediate Care Facility for the Developmentally Disabled-Nursing (ICF/DD-N).

Kev sau npe rau hauv txoj kev npaj kho mob uas tswj hwm yuav tsis hloov pauv tus tswv cuab txoj kev sib raug zoo nrog lawv Lub Chaw Haujlwm Hauv Cheeb Tsam. Cov Chaw Hauv Cheeb Tsam yuav txuas ntxiv pab cov tswv cuab hauv cov hauv qab no:

Intake thiab kev ntsuam xyuas
Kev txiav txim siab tsim nyog
Case Management
Txoj Kev Npaj Rau Tus Kheej (IPP) kev txhim kho
Kev yuav cov kev pabcuam tsim nyog thiab kev txhawb nqa

Hauv qab no yog cov peev txheej ntxiv rau cov tswv cuab thiab ICF / DD Daim Ntawv Ceeb Toom Txog Kev Nkag Mus Rau Cov Tswv Cuab ntawm kev hloov pauv yav tom ntej.

ICF/DD Transition Fact Sheet (Plain Language)

Daim ntawv qhia tseeb no muab cov tswv cuab uas nyob hauv ICF/DD Home cov ntsiab lus ntawm qhov lawv tuaj yeem xav tau thaum koom nrog Medi-Cal Managed Care. Nws suav nrog cov ntsiab lus tseem ceeb, cov tswv cuab cov kauj ruam yuav tsum tau ua, thiab leej twg yuav tiv tauj nrog cov lus nug txog kev hloov pauv.

ICF/DD Long-Term Care (LTC) Daim Ntawv Ceeb Toom Txog Npe Rau Cov Tswv Cuab

Txhua tus tswv cuab Medi-Cal uas nyob hauv ICF/DD Lub Tsev yuav tau txais Daim Ntawv Ceeb Toom Txog Kev Sau Npe 60 hnub thiab 30 hnub ua ntej Lub Ib Hlis 1, 2024. Cov ntawv ceeb toom cov tswv cuab tseem yuav raug xa mus rau cov neeg sawv cev tso cai sau tseg hauv Medi-Cal Kev Tsim Nyog Cov Ntaub Ntawv (MEDS).

Cov ntawv ceeb toom no txawv nyob ntawm lub nroog uas tus tswvcuab nyob hauv thiab seb tus tswvcuab puas yog ib feem ntawm Medi-Cal txoj cai tswjfwm kev sib koom ua ke.

Cov tswvcuab uas nyob hauv ICF/DD Cov Tsev Nyob Hauv Geographic Managed Care (GMC), Ob Txoj Kev Npaj, lossis Lub Nroog Hauv Cheeb Tsam uas yog ib feem ntawm Medi-Cal txoj kev npaj sib koom yuav tau txais cov ntawv ceeb toom nrog Managed Care Plan uas lawv yuav tsum koom nrog raws li lawv txoj kev npaj Medicare Advantage. Cov tswvcuab no yuav cia li tso npe rau hauv Managed Care Plan uas phim lawv cov phiaj xwm Medicare Advantage.
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2B (Non-COHS) (English)
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2B (Non-COHS) (Spanish)
Cov tswv cuab nyob hauv ICF/DD Cov Tsev Nyob Hauv Geographic Managed Care (GMC), Ob Txoj Kev Npaj, lossis Lub Nroog Hauv Cheeb Tsam, tab sis tsis yog ib feem ntawm Medi-Cal txoj kev npaj sib tw yuav tau txais cov ntawv ceeb toom uas suav nrog Medi-Cal Kev Tswj Xyuas Kev Kho Mob uas lawv yuav raug rau npe yog tias lawv tsis xaiv ib qho los ntawm lub sijhawm xaiv. Cov tswvcuab no tseem yuav tau txais ib pob ntawv My Medi-Cal Choice cais los xaiv Medi-Cal Managed Care Plan nyob rau lub Kaum Ib Hlis.
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2A (Non-COHS) (English)
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2A (Non-COHS) (Spanish)

Cov tswvcuab nyob hauv ICF/DD Cov Tsev Nyob Hauv Lub Nroog Lub Tsev Khomob Khomob (COHS) thiab Lub Nroog Ib Txoj Haujlwm Kev Npaj Ib Leeg uas yog ib feem ntawm Medi-Cal txoj kev npaj sib koom ua ke yuav tau txais cov ntawv ceeb toom nrog Managed Care Plan lawv yuav tau txais kev tso npe uas haum rau lawv txoj kev npaj Medicare Advantage.
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2B (COHS/Single) (English)
- LTC ICF/DD Daim Ntawv Ceeb Toom Tus Tswv Cuab 60/30 Hnub Daim Ntawv Ceeb Toom 2B (COHS/Single) (Spanish)

Cov tswvcuab uas nyob hauv ICF/DD Cov Tsev Nyob hauv COHS thiab Ib Lub Tuam Txhab Kev Npaj Ib Leeg, tab sis tsis yog ib feem ntawm Medi-Cal txoj kev npaj sib koom yuav tau txais cov ntawv ceeb toom nrog Txoj Kev Npaj Khomob uas lawv yuav raug tso npe rau hauv.

LTC ICF/DD Notice of Additional Information (NOAI)

ICF/DD LTC Daim Ntawv Ceeb Toom Txog Cov Ntaub Ntawv Ntxiv (NOAI) kuj yog hauv qab no. NOAI muaj cov ntaub ntawv ntau ntxiv txog kev hloov pauv rau Medi-Cal Managed Care thiab nws txhais li cas rau cov tswv cuab Medi-Cal tau txais kev pabcuam ICF/DD.

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

Cov tswv cuab tuaj yeem tiv tauj ib pawg hauv qab no nrog rau cov lus nug txog ICF/DD hloov mus rau kev tswj hwm. Txhua tus hu tau dawb.

Rau cov lus nug txog vim li cas koj cov kev pabcuam Medi-Cal hloov pauv:

DHCS 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).
Medi-Cal Ombudsman pab cov neeg tsis txaus siab thiab teeb meem rau Medicare thiab 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.

Xav paub ntau ntxiv txog Kev Npaj Khomob thiab Kev Xaiv Tus Kws Khomob:

Kev xaiv kho mob

Hu rau (800) 430-4263 (TTY: (800) 430-7077), Hnub Monday txog Friday, 8 teev sawv ntxov txog 6 teev tsaus ntuj
Los yog mus rau lub vev xaib Health Care Options ntawm www.healthcareoptions.dhcs.ca.gov
Health Care Options pab cov neeg muaj kev xaiv txoj kev npaj thiab xaiv tus kws kho mob lossis tsev kho mob.

Rau cov lus nug txog Medi-Cal:

DHCS Medi-Cal Helpline

Hu rau (800) 541-5555 (hu dawb), Hnub Monday txog Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj PT.

Nrhiav Koj Lub Chaw Hauv Cheeb Tsam Hauv Zos:

Mus saib lub vev xaib ntawm Lub Chaw Haujlwm Saib Xyuas Kev Txhim Kho ntawm https://www.dds.ca.gov/rc/lookup-rcs-by-county/.
Lossis hu rau Department of Developmental Services ntawm (833) 421-0061.
Cov nroog uas tau txais kev pab los ntawm txhua lub Regional Center tuaj yeem pom hauv qab no:

Regional Center	Lub nroog
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
Eastern Lost Angeles Regional Center	Los Angeles (Alhambra, East Los Angeles, Northeast, Whittier)
Far Northern Regional Center	Butte, Glenn, Lassen, Modoc, Plumas, Shasta, Siskiyou, Tehama, Trinity
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)

CalAIM Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In: Cov Tswv Cuab Cov Ntaub Ntawv​​

ICF/DD Transition Fact Sheet (Plain Language)​​

ICF/DD Long-Term Care (LTC) Daim Ntawv Ceeb Toom Txog Npe Rau Cov Tswv Cuab​​

LTC ICF/DD Notice of Additional Information (NOAI)​​

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

Rau cov lus nug txog vim li cas koj cov kev pabcuam Medi-Cal hloov pauv:​​

Xav paub ntau ntxiv txog Kev Npaj Khomob thiab Kev Xaiv Tus Kws Khomob:​​

Rau cov lus nug txog Medi-Cal:​​

Nrhiav Koj Lub Chaw Hauv Cheeb Tsam Hauv Zos:​​