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 is transforming Medi-Cal through several initiatives to continue to drive quality of care improvements, streamline and reduce complexity, and build upon equity-focused, data-driven, and whole-person care. The Skilled Nursing Facility (SNF) Carve-In to Medi-Cal managed care standardizes SNF services covered under managed care statewide in order to advance a more consistent and integrated system of managed care and increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal members in SNFs.
Carve-In txhais li cas rau Californians
On January 1, 2023, all managed care plans (MCPs) became responsible for covering the long-term care (LTC) services provided in SNFs, including both freestanding and hospital-based SNFs.
MCPs coordinate the care members require both within SNFs as well as from other providers. MCPs provide members with a network of health care providers and care coordination services to help manage member care.
Xav paub ntau ntxiv rau cov tswv cuab tuaj yeem nrhiav tau 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)
- SNF Carve-In Cov Lus Nug Nquag (Hloov Kho Lub Kaum Hli 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 nrog rau cov lus nug txog SNF LTC Carve-In ntawm LTCTransition@dhcs.ca.gov.