Medi-Cal Cov Tsev Kho Mob Tsab Cai
Clinic Policy Letters (CPLs) convey information, and/or interprets changes in policy or procedures at the federal or state levels and provides guidance to Federally Qualified Health Centers (FQHC)s and Rural Health Clinics (RHCs) as described in sections 1396(a)(2)(B) and 1396 (a)(2)(C) of Title 42 of the United State Code (USC) on how to implement changes on an operational basis.
Raws li seem (r) ntawm Welfare & Institutions Code (WIC) 14132.100, DHCS Tus Thawj Coj tuaj yeem, yam tsis muaj kev tswj hwm, raws li Tshooj 3.5 (pib nrog Tshooj 11340) ntawm Tshooj 1 ntawm Division 3 lossis Title 2 ntawm Tsoom Fwv Txoj Cai, siv, txhais, lossis ua cov lus qhia tshwj xeeb hauv nqe lus no. DHCS yuav tsum ceeb toom thiab sab laj nrog cov neeg txaus siab thiab cov neeg muaj feem tsim nyog hauv kev siv, txhais lus, lossis ua cov kev cai tshwj xeeb ntawm ntu no, suav nrog tag nrho cov hauv qab no:
- Ceeb toom rau cov neeg sawv cev hauv kev sau ntawv txog qhov kev txiav txim lossis kev hloov pauv. Daim ntawv ceeb toom yuav tshwm sim, thiab cov ntawv xov xwm uas siv tau los yog cov lus qhia zoo sib xws, yuav tsum tau ua tsawg kawg 10 hnub ua ntej lub rooj sib tham raws li tau piav qhia saum toj no.
- Teem sijhawm tsawg kawg yog ib lub rooj sib tham nrog cov neeg txaus siab thiab cov neeg muaj feem tsim nyog los tham txog qhov kev txiav txim siab lossis hloov pauv.
- Tso cai rau kev sau ntawv hais txog qhov kev txiav txim siab lossis kev hloov pauv, uas lub tuam tsev yuav tsum muab cov lus teb sau luv luv ua ke nrog kev tshaj tawm cov ntawv tshaj tawm uas muab kev pabcuam zaum kawg lossis cov lus qhia zoo sib xws.
- Muab daim ntawv ceeb toom tsawg kawg 60 hnub ua ntej ntawm hnub pib ua haujlwm lossis hloov pauv.
Note: CPLs were not issued prior to January 1, 2025. DHCS now issues guidance to FQHCs and RHCs exclusively through CPLs. If you have questions concerning a specific CPL or require additional policy clarification, please email: FQHCBenefitsandRates@dhcs.ca.gov.
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Qhov kev pabcuam email no (ListServ) tau tsim muaj cov neeg muaj feem txaus siab, xws li cov neeg tawm tswv yim, cov neeg siv khoom, cov nroog, cov neeg ua haujlwm tsim cai, cov chaw muab kev pabcuam, thiab cov koom haum hauv lub xeev tuaj yeem tau txais cov kev hloov tshiab ntawm CPLs uas xav tau cov tswvcuab koom nrog.
Cov Ntawv Cai ntawm Chaw Kho Mob
- CPL 26-001 (Draft): CPL 26-001 yuav tsim kom muaj txoj cai them rov qab Medi-Cal rau cov kev pabcuam hauv xeev nkaus xwb uas muab los ntawm Federally Qualified Health Centers (FQHCs) thiab Rural Health Clinics (RHCs) rau cov tswv cuab Medi-Cal uas tau sau npe rau hauv Managed Care Plans uas siv tau rau hnub ntawm cov kev pabcuam rau thiab tom qab Lub Xya Hli 1, 2026
Pursuant to WIC section 14132.100 subdivision (r), a meeting with interested parties and appropriate stakeholders was held on Wednesday, June 17, 2026 from 10:00 a.m. to 11:00 a.m. to discuss the proposed clinic policy letter. The meeting was held by webinar. Please see the PowerPoint slides in the link below:
Tom qab FQHC RHC SOS MCP Webinar rau lub Rau Hli 17, 2026, DHCS tau muaj Q&A webina rau hnub Wednesday, Lub Rau Hli 24, 2026, txij thaum 10:30 sawv ntxov. – 11:00 sawv ntxov
DHCS tau thov cov lus taw qhia thiab cov tswv yim los ntawm cov neeg koom nrog thiab cov neeg koom nrog tsim nyog txog cov kev hloov pauv uas tau thov los ntawm kev xa cov lus taw qhia mus rau FQHCBenefitsandRates@dhcs.ca.gov thaum hnub Friday, Lub Rau Hli 19, 2026 siv cov ntaub ntawv tawm tswv yim ntawm cov neeg koom nrog.
Raws li tsab cai lij choj Senate (SB) 164, kev tshem tawm PPS rau cov kev pabcuam hauv Xeev nkaus xwb tau raug ncua mus rau Lub Xya Hli 1, 2026. Cov lus qhia txog txoj cai tshiab thiab kev hloov kho tshiab ntawm kev siv uas cuam tshuam txog lub sijhawm tshiab yuav tshwm sim.