Txoj Kev Ntsuas Tus Nqi Khoom Siv Kho Mob Siv Tau Ntev
Rate Methodology
Raws li Txoj Cai Welfare & Institutions (WIC) 14105.48, Lub Chaw Haujlwm yuav tsum teeb tsa tus nqi them rov qab rau Medi-Cal FFS Durable Medical Equipment (DME) tsis pub tshaj 100% ntawm tus nqi Medicare sib xws rau lub rooj zaum muaj log thiab cov khoom siv rau lub rooj zaum muaj log, cov khoom siv hais lus, cov thev naus laus zis thiab cov kev pabcuam kho mob nyuaj, thiab cov khoom siv oxygen thiab ua pa, thiab tsis pub tshaj 80% ntawm tus nqi Medicare hauv nroog rau txhua lwm yam DME.
Txhawm rau ua raws li qhov yuav tsum tau ua ntawm DME tus nqi, Lub Chaw Haujlwm ua qhov kev tshuaj xyuas txhua xyoo ntawm cov nqi thiab kho cov nqi uas tshaj 80 lossis 100 feem pua ntawm Medicare qhov yuav tsum tau ua, raws li qhov siv tau.
Lub Chaw Haujlwm tau txais kev pom zoo ntawm Txoj Cai Hloov Kho Txoj Kev Npaj ntawm Lub Xeev 22-0039 kom zam txhua yam khoom thiab cov kev pabcuam DME los ntawm AB 97 10% kev txo nqi them rau hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2022.
Lub Ib Hlis Ntuj 1, 2023 Kev Tshuaj Xyuas Tus Nqi:
Vim yog qhov kev tshuaj xyuas tus nqi, pom tias tsis muaj tus nqi DME uas yuav tsum tau hloov kho tus nqi.
Thaum Lub Rau Hli 12, 2023, Lub Tsev Haujlwm tau txais kev pom zoo ntawm Txoj Cai Hloov Kho Txoj Kev Npaj Xeev 23-0003 los hloov kho txoj kev them rov qab rau Cov Khoom Siv Kho Mob Siv Tau Ntev, uas hais tias siv tau txij Lub Ib Hlis 1, 2023, thiab rau Lub Ib Hlis 1 txhua xyoo tom qab ntawd, cov nqi rau lub rooj zaum muaj log, cov khoom siv rau lub rooj zaum muaj log, thiab cov khoom siv hais lus thiab cov khoom siv cuam tshuam, uas tshaj 100 feem pua ntawm tus nqi Medicare tam sim no, raws li tau muab tso rau hauv daim ntawv teev nqi Medicare hauv nroog rau Cov Khoom Siv Kho Mob Siv Tau Ntev, Cov Khoom Siv Kho Mob Tes Taw, Cov Khoom Siv Kho Mob Orthotics, thiab Cov Khoom Siv, yuav raug txo kom txog 100 feem pua ntawm tus nqi Medicare sib xws, thiab cov nqi rau txhua lwm yam DME uas tshaj 80 feem pua ntawm tus nqi Medicare sib xws, raws li tau muab tso rau hauv daim ntawv teev nqi Medicare hauv nroog rau Cov Khoom Siv Kho Mob Siv Tau Ntev, Cov Khoom Siv Kho Mob Tes Taw, Cov Khoom Siv Kho Mob Orthotics, thiab Cov Khoom Siv, yuav raug txo kom txog 80 feem pua ntawm tus nqi Medicare sib xws.
Lub Ib Hlis Ntuj 1, 2022 Kev Tshuaj Xyuas Tus Nqi:
Vim yog qhov kev tshuaj xyuas tus nqi, pom tias tsis muaj tus nqi DME uas yuav tsum tau hloov kho tus nqi.
DHCS yuav tsis xa daim ntawv thov hloov kho Txoj Kev Npaj Xeev 22-0008 los kho cov nqi DME, siv tau rau lub Ib Hlis 1, 2022.
Lub Plaub Hlis Ntuj hnub tim 1, 2021 Kev Tshuaj Xyuas Tus Nqi:
Lub Chaw Haujlwm tau txais kev pom zoo ntawm Txoj Cai Hloov Kho Txoj Kev Npaj ntawm Lub Xeev (SPA) 21-0016 rau lub Peb Hlis 26, 2021, nrog rau hnub siv tau rau lub Peb Hlis 1, 2020 thiab Lub Ib Hlis 1, 2021, tso cai rau kev nce rov qab ntawm cov nqi them rov qab thiab kev zam ib ntus ntawm DME cov lej oxygen thiab cov khoom siv ua pa los ntawm AB 97 10% kev txo nqi them thaum muaj xwm txheej ceev hauv kev noj qab haus huv pej xeem (PHE).
Lub Ib Hlis Ntuj 1, 2021 Kev Tshuaj Xyuas Tus Nqi:
Vim yog qhov kev tshuaj xyuas tus nqi, pom tias tsis muaj tus nqi DME uas yuav tsum tau hloov kho tus nqi.
DHCS yuav tsis xa Daim Ntawv Hloov Kho Txoj Kev Npaj ntawm Lub Xeev los kho cov nqi DME, siv tau rau lub Ib Hlis Ntuj hnub tim 1, 2021.
Lub Ib Hlis Ntuj 1, 2020 Kev Tshuaj Xyuas Tus Nqi:
Vim yog qhov kev tshuaj xyuas tus nqi, pom tias tsis muaj tus nqi DME uas yuav tsum tau hloov kho tus nqi.
Txoj Cai Hloov Kho Txoj Kev Npaj Hauv Xeev DHCS (SPA) 20-0005 los kho cov nqi DME, siv tau rau Lub Ib Hlis 1, 2020, raws li tau piav qhia hauv Daim Ntawv Ceeb Toom Rau Pej Xeem (PN) uas tau tshaj tawm rau lub Plaub Hlis 23, 2020, yuav tsis ua rau muaj kev hloov kho tus nqi.
Lub Ib Hlis Ntuj 1, 2019 Kev Tshuaj Xyuas Tus Nqi:
Vim yog qhov kev tshuaj xyuas tus nqi, cov nqi them rov qab DME uas tau txheeb xyuas hauv qhov txuas hauv qab no tau raug kho, raws li tau tso cai hauv SPA 19-0005.