CalAIM Subacute Care Facility Long-Term Care Carve-In
Rov qab mus rau CalAIM Long-Term Care Carve-In Transition 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. Subacute Care Carve-In to Medi-Cal tswj kev saib xyuas tus qauv ua qauv rau cov neeg laus thiab menyuam yaus subacute care thoob plaws lub xeev 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 tswj xyuas, thiab ntau yam kev pab cuam rau Medi-Cal cov tswv cuab tau txais kev saib xyuas subacute.
For more information on subacute care services, please visit the Subacute Care webpage.
Carve-In txhais li cas rau Californians
Thaum Lub Ib Hlis Ntuj 1, 2024, tag nrho Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) tau los ua lub luag haujlwm rau kev them nyiaj rau kev saib xyuas mus sij hawm ntev (LTC) rau cov neeg laus thiab menyuam yaus.
MCPs tswj xyuas cov tswv cuab xav tau los ntawm cov kws kho mob ntawm cov kev pabcuam subacute nrog rau 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.
More information for members can be found on the LTC Carve-In Member Information webpage.
Contracting with DHCS’ Subacute Care Unit
MCPs must ensure that if a Medi-Cal member needs adult or pediatric subacute care services, they are placed in a health care facility that is under contract for subacute care with the Department of Health Care Services’ (DHCS) Subacute Contracting Unit (SCU) or is actively in the process of applying for a contract with DHCS’ SCU. A list of approved and active contracted facilities can be found on the DHCS SCU website. More information for facilities can be found on the Medi-Cal Subacute Care Contracting: Application Information for Facilities Fact Sheet under Key Documents.
Key Carve-In Documents
Txoj Cai Qhia
- All Plan Letter 24-010 Subacute Care Facilities – LTC Benefit Standardization and Transition of Members to Managed Care (Updated September 16, 2024)
- Subacute Care Facility Carve-In Frequently Asked Questions (Updated October 25, 2024)
Ntxiv Carve-In Resources
- Medi-Cal Subacute Care Contracting: Daim Ntawv Thov Kev Pabcuam
- Kev Pabcuam Saib Xyuas Neeg Mob thiab Chaw Kho Mob Subacute Carve-In: Cov Kev Pabcuam rau Kev Npaj Kho Mob
- Subacute Care Tso Cai Txoj Cai thiab Cov Kev Cai Zoo Tshaj Plaws
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
DHCS tuav kev kawm webinars los txhawb cov neeg muaj feem nrog LTC Carve-In kev siv. 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
Contact DHCS with any questions about the Subacute Care LTC Carve-In at LTCTransition@dhcs.ca.gov.