Cov Lus Qhia Txog Kev Thov Kev Pabcuam Raws li Chaw Pabcuam
Kev tsim nyog
Hom kev sau npe no yog rau cov kws kho mob ib leeg thiab cov pab pawg ntawm cov kws kho mob uas muab kev pabcuam kho mob tshwj xeeb hauv ib lossis ntau lub Tsev Kho Mob Muaj Ntawv Tso Cai uas kuj tau sau npe rau hauv Medi-Cal. Cov Chaw Kho Mob Uas Muaj Ntawv Tso Cai uas suav nrog hauv hom kev sau npe no yog cov uas tau txhais hauv California Health & Safety Code Sections 1250 -1250.3.
Raws li tsab cai lij choj ntawm Provider Bulletin uas tau luam tawm hauv Medi-Cal Update thaum Lub Ob Hlis 2005, DHCS tau tsim cov txheej txheem rau kev sau npe ntawm cov kws kho mob uas muaj ntawv tso cai lossis daim ntawv pov thawj, lossis cov neeg thov uas yog cov tuam txhab tshaj lij, uas muab kev pabcuam rau cov neeg tau txais Medi-Cal tsuas yog hauv ib lossis ntau lub chaw kho mob uas tau tso cai uas tau sau npe rau hauv Medi-Cal program. Daim ntawv tshaj tawm no hais txog cov neeg lossis cov koom haum tshaj lij xws li "cov chaw muab kev pabcuam raws li qhov chaw". Yuav kom paub tseeb tias koj puas tsim nyog rau hom kev sau npe no, thov nyeem cov ntaub ntawv qhia txog Tus Muab Kev Pabcuam "Cov Cai thiab Cov Txheej Txheem rau Kev Sau Npe Ua Tus Muab Kev Pabcuam Hauv Chaw Kho Mob".
Yog tias koj tsim nyog rau npe ua Tus Muab Kev Pabcuam lossis Pawg Neeg Muab Kev Pabcuam Hauv Chaw: Cov neeg muab kev pabcuam hauv chaw yuav tsum xa lawv daim ntawv thov tus kheej thiab/lossis daim ntawv thov ua pab pawg los ntawm PAVE (Daim Ntawv Thov Kev Pabcuam thiab Kev Txheeb Xyuas Kev Sau Npe). Yog tias koj xa daim ntawv thov ua pab pawg, thov xyuas kom koj xa tsawg kawg yog ob daim ntawv thov ua haujlwm hauv PAVE txhawm rau tsim koj pawg.
Cov Ntawv Pov Thawj Yuav Tsum Tau muab tso rau hauv PAVE rau Kev Nkag Mus Rau Qhov Chaw Pabcuam Rau Npe:
- Tsab Ntawv Qhia Txog Chaw Kho Mob yuav tsum muaj nyob rau ntawm tsab ntawv sau ntawm chaw kho mob, los ntawm txhua lub chaw kho mob uas tau sau npe thiab tau txais daim ntawv tso cai Medi-Cal uas koj muab kev pabcuam rau cov neeg tau txais Medi-Cal. Cov kev cai rau cov ntaub ntawv xav tau thiab hom ntawv pom zoo rau tsab ntawv no tuaj yeem pom ntawm nplooj ntawv ob thiab plaub ntawm "Facility-Based Provider Bulletin". N.B. Tsab ntawv no tsis tas yuav tsum muaj rau cov kws kho mob uas muaj tshuaj loog hauv chaw kho mob uas tsis muaj daim ntawv cog lus nrog lub chaw kho mob/chaw kho mob uas tau tso cai.
- Tsab Ntawv Qhia Txog Tus Kws Muab Kev Pab, ib tsab ntawv los ntawm koj, tus kws muab kev pab lossis pawg kws muab kev pab, uas teev txhua lub chaw kho mob uas tau sau npe thiab tau txais daim ntawv tso cai los ntawm Medi-Cal uas koj muab kev pab rau cov neeg tau txais Medi-Cal. Cov kev cai rau tsab ntawv no thiab hom ntawv pom zoo rau tsab ntawv no tuaj yeem pom ntawm nplooj ntawv ob thiab tsib ntawm "Facility-Based Provider Bulletin".
- Tsab ntawv no tsis tas yuav tsum muaj rau cov kws kho mob uas muaj tshuaj loog hauv chaw kho mob uas tsis muaj daim ntawv cog lus nrog lub chaw kho mob/chaw kho mob uas tau tso cai.
- Tsab Ntawv Qhia Txog Tus Kws Kho Mob rau tus kws kho mob siv tshuaj loog lossis pab pawg kws kho mob siv tshuaj loog uas tsis muaj daim ntawv cog lus nrog ib lub chaw kho mob uas muaj ntawv tso cai, ib tsab ntawv uas teev tag nrho cov chaw kho mob uas tau sau npe thiab tau txais daim ntawv tso cai Medi-Cal uas koj muab kev pabcuam rau cov neeg tau txais Medi-Cal. Cov kev cai rau tsab ntawv no thiab hom ntawv pom zoo rau tsab ntawv no tuaj yeem pom ntawm nplooj ntawv peb thiab rau ntawm "Facility-Based Provider Bulletin".
PAUB Portal
Mus rau PAVE portal.