Kev Saib Xyuas Mus Ntev ntawm CalAIM Carve-In
Rov qab mus rau CalAIM Homepage
California tab tom hloov Medi-Cal los ntawm ntau txoj kev pib los txuas ntxiv tsav kev txhim kho qhov zoo ntawm kev saib xyuas, ua kom yooj yim thiab txo qhov nyuaj, thiab tsim kom muaj kev ncaj ncees, kev tsav tsheb ntawm cov ntaub ntawv, thiab kev saib xyuas tus neeg tag nrho. Txhawm rau txhawb nqa CalAIM lub hom phiaj los ua kom muaj tus qauv thiab txo qhov sib txawv ntawm lub nroog mus rau lub nroog, Medi-Cal cov phiaj xwm kev saib xyuas kev noj qab haus huv (MCPs) tau pib npog thiab sib koom tes Medi-Cal kev saib xyuas mus sij hawm ntev (LTC) hauv txhua lub nroog hauv xyoo 2023 hauv txoj hauv kev uas tau muab faib ua ntu zus los ntawm hom txiaj ntsig. Lub LTC uas raug tswj hwm thoob plaws lub xeev muab kev saib xyuas zoo dua thoob plaws cov tsev kho mob thiab cov tsev thiab hauv zej zog.
Carve-In txhais li cas rau Californians
Thaum Lub Ib Hlis 1, 2023, txhua tus MCPs tau los ua lub luag haujlwm los them cov txiaj ntsig LTC hauv qab no:
- Skilled Nursing Facility (SNF), ob qho tib si pub dawb thiab hauv tsev kho mob SNFs
Thaum Lub Ib Hlis 1, 2024, txhua tus MCPs tau los ua lub luag haujlwm los them cov txiaj ntsig LTC hauv qab no:
- Intermediate Care Facility for Developmentally Disabled (ICF/DD) Tsev
- Intermediate Care Facility for the Developmentally Disabled – Habilitative (ICF/DD-H) Tsev
- Lub Tsev Kho Mob Nruab Nrab rau Cov Neeg Tsis Taus Kev Loj Hlob - Nursing (ICF/DD-N) Lub Tsev
- Kev Saib Xyuas Neeg Laus Subacute
- Pediatric Subacute Care
Nco tseg: ICF/DD-Continuous Nursing Care (ICF/DD-CN) Cov tsev tsis raug rau LTC Carve-In txoj cai.
More information for members can be found on the LTC Carve-In Member Information webpage.
Cov ntaub ntawv los ntawm LTC Facility/Home
Yog xav paub ntxiv thiab cov peev txheej ntawm LTC Carve-In los ntawm qhov chaw / hom tsev, mus saib cov nplooj ntawv hauv qab no:
- Skilled Nursing Facility (SNF) Long-Term Care Carve-In
- Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In
- Subacute Care Long-Term Care Carve-In
Cov ntaub ntawv Webinars
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tuav lub vev xaib kev kawm los txhawb cov neeg muaj feem nrog LTC Carve-In kev coj ua. Cov ntsiab lus thiab cov ntaub ntawv rau webinars tuaj yeem pom ntawm qhov txuas hauv qab no:
Managed Care Resources rau LTC muab kev pab
Txhawm rau txhawb nqa cov neeg muaj feem nrog Carve-In kev siv, DHCS tau tsim cov txheej txheem rau cov neeg muab kev pabcuam LTC tsom rau cov chaw saib xyuas tseem ceeb hauv kev ua haujlwm los pab txhawb kev nkag siab tag nrho ntawm Medi-Cal kev saib xyuas.
- Medi-Cal Authorizations LTC Resources
- Medi-Cal Billing and Payment LTC Resource
- Medi-Cal Kev Tsim Nyog thiab MCP Kev Sau Npe LTC Kev Pabcuam
Cov peev txheej ntxiv
- CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa & Duals Stakeholder Integration Workgroup
- California Kev Pabcuam Sijhawm Ntev thiab Txhawb Dashboard
- Transitional Care Services rau cov tswv cuab nrog cov kev pab mus sij hawm ntev thiab kev txhawb nqa
- Automated Eligibility Verification System (AEVS) ntawm DHCS Tus Muab Kev Pabcuam Portal - qhov chaw muab kev pabcuam tuaj yeem nrhiav MCP cov ntaub ntawv rau npe rau cov tswvcuab
Cov lus nug
Tiv tauj DHCS yog tias muaj lus nug txog CalAIM LTC Carve-In ntawm LTCTransition@dhcs.ca.gov.