CalAIM Cov Kws Pabcuam Saib Xyuas Kev Noj Qab Haus Huv Ntev Ntev Carve-In
Rov qab mus rau CalAIM Long-Term Care Carve-in 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. Lub Chaw Saib Xyuas Neeg Mob Txawj (SNF) Carve-In rau Medi-Cal managed care ua kom cov kev pabcuam SNF uas them rau hauv managed care thoob plaws lub xeev zoo ib yam li qub kom thiaj li ua kom muaj kev tswj hwm kev saib xyuas zoo dua thiab sib koom ua ke thiab nce kev nkag mus rau kev sib koom tes saib xyuas, kev tswj hwm kev saib xyuas, thiab ntau yam kev pabcuam rau cov tswv cuab Medi-Cal hauv SNFs.
Carve-In txhais li cas rau Californians
Thaum Lub Ib Hlis 1, 2023, txhua txoj kev npaj kho mob uas tswj hwm (MCPs) tau los ua lub luag haujlwm los them rau cov kev pabcuam kho mob mus sij hawm ntev (LTC) uas muab rau hauv SNFs, suav nrog ob qho tib si freestanding thiab hauv tsev kho mob SNFs.
MCPs sib koom tes nrog cov tswv cuab saib xyuas xav tau ob qho tib si hauv SNFs thiab los ntawm lwm tus neeg muab kev pabcuam. Cov MCPs muab kev sib koom tes ntawm cov kws kho mob thiab cov kev pabcuam sib koom tes saib xyuas cov tswv cuab los pab tswj kev saib xyuas cov tswv cuab.
Koj tuaj yeem nrhiav tau cov ntaub ntawv ntxiv rau cov tswv cuab ntawm LTC Carve-In Member Information webpage.
Key Carve-In Documents
Txoj Cai Qhia
- Txhua Tsab Ntawv Npaj 24-009 SNF-LTC Kev Pabcuam Kev Pabcuam thiab Kev Hloov Pauv ntawm Cov Tswvcuab rau Kev Saib Xyuas (Hloov Kho Lub Cuaj Hli 16, 2024)
- Cov Lus Nug Feem Ntau Txog SNF Carve-In (Hloov Kho Lub Kaum Hli Ntuj 25, 2024)
- MCP LTC QAPI Letter
Ntxiv Carve-In Resources
- SNF LTC Carve-In Member Fact Sheet
- SNF thiab Subacute Care Facility Carve-In: Resources for Managed Care Plans
Managed Care Resources rau LTC muab kev pab
- 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 ntaub ntawv Webinars
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tuav cov kev kawm hauv webinars los txhawb cov neeg muaj feem nrog kev siv Carve-In. Cov ntsiab lus thiab cov ntaub ntawv rau webinars tuaj yeem pom ntawm qhov txuas hauv qab no:
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
Hu rau DHCS yog tias muaj lus nug txog SNF LTC Carve-In ntawm LTCTransition@dhcs.ca.gov.