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 kho Medi-Cal los ntawm ntau lub tswv yim los txhawb kev txhim kho kev saib xyuas kom zoo, ua kom yooj yim dua thiab txo qhov nyuaj, thiab txhim kho raws li kev ncaj ncees- tsom ntsoov rau cov ntaub ntawv, thiab kev saib xyuas tag nrho. Lub Chaw Pabcuam Saib Xyuas Kev Txawj Ntse (SNF) Carve-In rau Medi-Cal tau tswj hwm tus qauv tsim cov kev pabcuam SNF suav nrog kev tswj hwm kev saib xyuas thoob plaws lub xeev txhawm rau txhawm rau ua kom muaj kev sib koom ua ke thiab kev sib koom ua ke ntawm kev tswj hwm kev saib xyuas thiab nce kev nkag mus rau kev sib koom tes saib xyuas, kev saib xyuas, thiab ntau yam kev pabcuam rau Medi-Cal cov tswv cuab hauv SNFs.
Carve-In txhais li cas rau Californians
Thaum Lub Ib Hlis 1, 2023, tag nrho cov kev npaj saib xyuas kev tswj hwm (MCPs) tau los ua lub luag haujlwm los them cov kev pab cuam mus sij hawm ntev (LTC) uas tau muab rau hauv SNFs, suav nrog ob qho tib si dawb thiab tsev kho mob SNFs.
MCPs tswj xyuas cov tswv cuab xav tau ob qho tib si hauv SNFs thiab los ntawm lwm tus kws kho mob. MCPs muab cov tswv cuab nrog lub network ntawm cov kws kho mob thiab cov kev pabcuam kev saib xyuas los pab tswj xyuas cov tswvcuab.
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.