Kev sib koom tes
Ua raws li txoj cai lij choj ntawm tsoomfwv thiab lub xeev, Qhov Kev Sib Koom Tes Ua Haujlwm ua kom Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ua raws li txoj cai; nrog cov cai; pab txhawb kev nkag mus rau cov ntaub ntawv ntawm tus neeg mob, kev sib pauv cov ntaub ntawv ntawm tus neeg them nqi, thiab kev hloov kho cov npe ntawm cov kws kho mob. Kev sib koom tes ua ke ua rau muaj kev sib koom ua ke ntawm cov ntaub ntawv neeg mob ntawm cov kab ke kev noj qab haus huv, txhawb kev sib koom tes kho mob thiab txhim kho cov txiaj ntsig. DHCS cog lus rau kev tsim cov kev sib txuas lus ruaj ntseg (APIs) kom cov neeg California nkag mus tau yooj yim rau lawv cov ntaub ntawv kev noj qab haus huv thiab lub hom phiaj yog txhawb kom cov tib neeg muaj peev xwm tswj hwm lawv txoj kev noj qab haus huv thiab txhawb kom muaj kev sib txuas lus hauv kev kho mob rau California kom muaj kev noj qab haus huv zoo dua.
Kev Tshaj Tawm Txog Kev Tso Cai Ua Ntej Rau Medi-Cal Tus Nqi Rau Kev Pabcuam
DHCS yuav tsum tau tshaj tawm txhua xyoo txog Medi-Cal thiab Children's Health Insurance Program (CHIP) fee-for-service (FFS) cov kev ntsuas kev tso cai ua ntej kom ua raws li CMS Interoperability thiab Prior Authorization Final Rule (CMS-0057-F). Kev tshaj tawm cov ntsuas no rau pej xeem txhawb nqa kev pob tshab thiab kev lav ris, pab cov tswv cuab Medi-Cal thiab CHIP FFS nkag siab txog cov txheej txheem kev tso cai ua ntej, thiab ua rau cov neeg muab kev pabcuam thiab cov neeg koom nrog tuaj yeem soj ntsuam kev ua tau zoo ntawm tus neeg them nqi thiab kev ua haujlwm zoo ntawm kev tswj hwm. Daim ntawv tshaj tawm suav nrog kev nkag mus rau cov ntaub ntawv rau txhua yam khoom thiab cov kev pabcuam Medi-Cal thiab CHIP FFS (tsis suav nrog cov tshuaj) uas xav tau kev tso cai ua ntej, nrog rau cov ntaub ntawv ntawm cov kev thov kev tso cai ua ntej rau cov khoom thiab cov kev pabcuam ntawd dhau xyoo dhau los.
Thov hu rau pab pawg DHCS Interoperability yog tias muaj lus nug lossis lus tawm tswv yim txog cov ntawv qhia txog kev tso cai ua ntej ntawm interoperability@dhcs.ca.gov.
Cov Ntawv Qhia Txog Kev Ntsuas Kev Tso Cai Ua Ntej Xyoo 2025
- Medi-Cal - 2025 Cov Kev Ntsuas Kev Tso Cai Ua Ntej rau Medi-Cal Cov Khoom Siv Kho Mob thiab Kev Noj Qab Haus Huv Tus cwj pwm thiab Cov Kev Pabcuam
- Medi-Cal Dental - 2025 Cov Kev Ntsuas Kev Tso Cai Ua Ntej rau Cov Khoom Siv Kho Hniav thiab Cov Kev Pabcuam uas Them Nqi rau Medi-Cal
- Cov Kev Pabcuam Menyuam Yaus hauv California - Xyoo 2025 Cov Kev Ntsuas Kev Tso Cai Ua Ntej rau Cov Khoom thiab Cov Kev Pabcuam Menyuam Yaus hauv California (CCS)
Cov Neeg Tsim Kho Daim Ntawv Thov Sab Nraud
Cov neeg tsim daim ntawv thov sab nraud uas xav muab cov ntaub ntawv kev noj qab haus huv los ntawm Patient Access API yuav tsum sau npe thiab tau txais daim ntawv pov thawj los ntawm DHCS.
Thov xa email rau interop-api@dhcs.ca.gov kom thov sau npe.
Tsoom Fwv Teb Chaws Kev taw qhia
- Lub Chaw rau Medicare thiab Medicaid (CMS): Kev Sib Koom Tes
- CMS Interoperability thiab Patient Access Txoj Cai Kawg (CMS-9115-F)
- CMS Interoperability thiab Patient Access Final Rule Fact Sheet
- CMS Interoperability thiab Kev Tso Cai Ua Ntej Kawg Txoj Cai (CMS-0057-F)
- CMS Kev Sib Koom Tes thiab Kev Tso Cai Ua Ntej Cov Cai Kawg Nkaus
- CMS Implementation Guides and Standards
- CMS Blue Button 2.0
Kev taw qhia rau Managed Care Plans
- All Plan Letter 22-026: Interoperability and Patient Access Final Rule This All Plan Letter (APL) notifies all Medi-Cal managed care health plans (MCPs) of the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule requirements as required by federal law.
- All Plan Letter 22-013: Interoperability and Patient Access Final Rule This APL notified all Dental Managed Care (DMC) Plans about the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule requirements.
Kev taw qhia rau Mental Health Plans
- Behavioral Health Information Notice No: 22-068 This Behavioral Health Information Notice was used to notify all Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) counties about the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule requirements.
Kev taw qhia rau Managed Care Plans & Behavioral Health Plans/Counties
- Managed Care Plans and Behavioral Health Plans/Counties This site provides additional information for Managed Care Plans and Behavioral Health Plans/Counties regarding California’s Data Exchange Framework, CalAIM Data Sharing Authorization Guidance, Consent Forms and Consent Management, Data Submission Requirements, and other topics.
Xeev Kev taw qhia
- Data Exchange Framework – CDII (ca.gov) California’s Data Exchange Framework (DxF) is the first-ever, statewide data-sharing agreement that will accelerate and expand the exchange of information among healthcare entities across the state. Beginning in January 2024, the DxF includes a single data sharing agreement and a common set of policies and procedures to govern and require the exchange of health and human services information in California. The DxF builds upon the federal Trusted Exchange Framework and Common Agreement (TEFCA), which establishes a foundation for nationwide interoperability.
- State Health Information Guidance (SHIG) The SHIG is a collaboration of the Center for Data Insights and Innovation with various organizations to develop specific materials to help clarify federal and state laws that affect disclosure and sharing of health information.
- Data Exchange and Sharing The Department of Health Care Services (DHCS) is advancing health information exchange and data sharing to improve the care and outcomes for Medi-Cal Members as California continues its journey into data-driven, value-based health care. Data sharing is foundational to care coordination and is essential to supporting whole-person care programs such as Enhanced Care Management, Community Supports, Population Health management, and other Medi-Cal initiatives.
Precursor Programs
- State Medicaid Health Information Plan (March 2022) The final State Medicaid Health Information Technology Plan (SMHP) presents the impact of the Medi-Cal Promoting Interoperability Program, formerly known as the Medi-Cal Electronic Health Record Incentive Program. The SMHP includes the findings of a health information technology assessment completed by researchers at the University of California, San Francisco in February 2022.
- Medi-Cal Promoting Interoperability Program The Health Information Management Division (HIMD), formerly the Office of Health Information Technolgy, was established in DHCS to develop goals and metrics for for the program, establish policies and procedures, and to implement systems to disburse, track, and report the incentive payments. The Promoting Interoperability Program officially ended in December 2021.
- California Health Information Exchange Onboarding Program (Cal-HOP) All Cal-HOP project activity concluded effective September 30, 2021. Cal-HOP provided up to $50 million in state and federal funding to Qualified Health Information Organizations (QHIOs) to support Medi-Cal providers’ access and use health information exchange (HIE) technology to improve the quality and effectiveness of care for Medi-Cal beneficiaries.
- California Technical Assistance Program In November 2015, the California Technical Assistance Program (CTAP) was launched with $37.5 million in federal and state funds. This program was designed to provide assistance to professionals in adopting, implementing, upgrading and meaningfully using certified electronic health record technology. CTAP concluded in November 2020.