CalAIM Subacute Care Facility Long-Term Care Carve-In: Cov Ntaub Ntawv Cov Tswv Cuab
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Pib txij lub Ib Hlis Ntuj Tim 1, 2024, Medi-Cal cov tswv cuab uas nyob hauv Subacute Care Facilities yuav raug tso npe rau hauv Medi-Cal Managed Care Plan. Qhov no txhais tau hais tias cov tswv cuab hauv Subacute Care Facility tau txais cov kev pab cuam saib xyuas neeg laus lossis menyuam yaus yuav tau txais lawv cov kev pab them nqi los ntawm lawv qhov Managed Care Plan.
Cov Phiaj Xwm Kev Kho Mob uas Tswj Xyuas yuav muaj lub luag haujlwm los xyuas kom meej tias cov tswv cuab cov kev xav tau kev kho mob tau raug ua tiav thiab lawv txuas ntxiv tau txais cov kev pabcuam hauv Chaw Kho Mob Subacute.
Hauv qab no yog cov peev txheej ntxiv rau cov tswv cuab thiab Cov Ntawv Ceeb Toom Rau Npe Nkag Mus Rau Chaw Kho Mob Subacute Care Facility txog kev hloov pauv tom ntej. Yog xav paub ntxiv txog cov kev pab kho mob subacute, thov mus saib: https://www.dhcs.ca.gov/provgovpart/Pages/SubacuteCare.aspx.
Subacute Care Facility Long-Term Care (LTC) Daim Ntawv Ceeb Toom Rau Npe
DHCS yuav xa txhua tus tswvcuab Medi-Cal hauv Subacute Care Facility Notices 60 hnub thiab 30 hnub ua ntej Lub Ib Hlis 1, 2024. DHCS tseem yuav xa cov ntawv ceeb toom rau Cov Tswv Cuab rau cov neeg sawv cev tso cai sau tseg hauv Medi-Cal Cov Ntaub Ntawv Tsim Nyog Muaj Cai (MEDS).
Cov ntawv ceeb toom no txawv nyob ntawm lub nroog uas tus tswv cuab nyob thiab seb tus tswv cuab puas yog ib feem ntawm txoj cai npaj sib phim Medi-Cal.
- Cov tswvcuab hauv Subacute Care Facilities 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 ua ke 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.
- Cov tswvcuab hauv Subacute Care Facilities 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 cai tswjfwm kev sib koom tes 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.
- Cov tswvcuab hauv Subacute Care Facilities hauv County Organized Health System (COHS) thiab ib lub nroog nthuav dav ib leeg uas yog ib feem ntawm Medi-Cal txoj cai txoj kev npaj yuav tau txais cov ntawv ceeb toom nrog Managed Care Plan lawv yuav cia li tso npe kawm uas phim lawv cov phiaj xwm Medicare Advantage.
- Cov tswvcuab hauv Subacute Care Facilities hauv COHS thiab ib cheeb tsam nthuav dav ib leeg, tab sis tsis yog ib feem ntawm Medi-Cal txoj cai txoj kev npaj yuav tau txais ntawv ceeb toom nrog Managed Care Plan lawv yuav raug tso npe rau hauv.
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Ceeb Toom 2A (COHS/Single) (English)
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Ceeb Toom 2A (COHS/Single) (Spanish)
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Daim Ntawv Ceeb Toom 2A – Tsis Kaiser Sau Npe (COHS/Single) (English)
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Daim Ntawv Ceeb Toom 2A – Tsis Kaiser Sau Npe (COHS/Single) (Spanish)
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Daim Ntawv Ceeb Toom 2A – Kaiser Enrolled (COHS/Single) (English)
- LTC Subacute Care Facility Daim Ntawv Ceeb Toom 60/30 Hnub Daim Ntawv Ceeb Toom 2A – Kaiser Enrolled (COHS/Single) (Spanish)
LTC Subacute Care Facility Notice of Additional Information (NOAI)
Subacute Care Facility LTC Daim Ntawv Ceeb Toom Txog Cov Ntaub Ntawv Ntxiv (NOAI) kuj yog hauv qab no. NOAI muaj cov ntaub ntawv ntau ntxiv txog qhov kev hloov pauv rau Medi-Cal Managed Care thiab nws txhais li cas rau cov tswv cuab Medi-Cal tau txais kev pab kho mob subacute.
- LTC Subacute Care Facility NOAI (English)
- LTC Subacute Care Facility NOAI (Spanish)
- LTC Subacute Care Facility NOAI (Arabic)
- LTC Subacute Care Facility NOAI (Armenian)
- LTC Subacute Care Facility NOAI (Cambodian)
- LTC Subacute Care Facility NOAI (Farsi)
- LTC Subacute Care Facility NOAI (Hindi)
- LTC Subacute Care Facility NOAI (Hmong)
- LTC Subacute Care Facility NOAI (Japanese)
- LTC Subacute Care Facility NOAI (Korean)
- LTC Subacute Care Facility NOAI (Lao)
- LTC Subacute Care Facility NOAI (Mien)
- LTC Subacute Care Facility NOAI (Punjabi)
- LTC Subacute Care Facility NOAI (Lus Lavxias teb sab)
- LTC Subacute Care Facility NOAI (Suav yooj yim)
- Chaw Saib Xyuas Mob Subacute LTC NOAI (Suav Ib Txwm)
- LTC Subacute Care Facility NOAI (Tagalog)
- LTC Subacute Care Facility NOAI (Thaib teb)
- LTC Subacute Care Facility NOAI (Ukranian)
- LTC Subacute Care Facility NOAI (Nyab Laj)
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 cov lus nug txog Subacute Care 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.
- Los yog 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 saib 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.