Cov Lus Nug thiab Cov Lus Teb los ntawm lub rooj sib hais ntawm Cov Neeg Muaj Feem Xyuam rau lub Kaum Ib Hlis 17, 2023​​ 

Puas muaj qhov txuas mus rau cov ntawv tshaj tawm?​​ 

Cov ntawv xov xwm muab lub npe hu ua, “Medi-Cal Cov Lus Cog Tseg Rau Kev Sau Npe thiab Cov Txheej Txheem rau Cov Koom Haum Hauv Zej Zos thiab Kev Noj Qab Haus Huv Hauv Zos” tam sim no muaj.​​ 

Puas yuav muaj cov ntaubntawv povthawj siv webinar thiab slides?​​ 

Lub webinar tuaj yeem pom ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) nplooj ntawv YouTube .​​ 

Lub sijhawm ua ntawv thov yog dab tsi?​​ 

Lub xeev txoj cai lij choj feem ntau xav kom DHCS ua ib qho kev thov rau npe rau tus kws kho mob hauv 180 hnub. Yog tias daim ntawv thov raug xa rov qab mus rau tus kws kho mob kom kho, tus kws kho mob muaj 60 hnub los xa daim ntawv thov rov qab. DHCS yuav muaj 60 hnub ntxiv los tshuaj xyuas daim ntawv thov thaum nws tau xa rov qab. Yog tias daim ntawv thov raug xa mus rau kev tshuaj xyuas zoo, lub sijhawm tshuaj xyuas yuav raug ncua. Kev xa daim ntawv thov kom tiav thiab raug yuav txo DHCS lub sijhawm ua daim ntawv thov tag nrho.​​ 

Cov txheej txheem rau npe rau "Kev Ncaj Ncees-Kev Koom Tes" yog dab tsi?​​ 

DHCS is in the process of implementing a CalAIM initiative to assist Justice-Involved individuals including people who have spent time in jails, youth correctional facilities, or prisons and who are at higher risk for injury and death than the general public. The CalAIM Justice-Involved initiative will implement October 1, 2024, and CBOs will be able to update their application to receive a Category of Service that will allow them to bill for Justice-Involved services provided on or after that date. The qualifications for a CBO to enroll as a Medi-Cal provider to bill for Justice-Involved services are the same as enrolling to provide community health worker (CHW) or asthma preventive (AP) services. To contact DHCS directly regarding Justice-Involved provider enrollment and participation, please email: CalAIMJusticeAdvisoryGroup@dhcs.ca.gov. ​​ 

Yuav kuaj CBOs thiab LHJ li cas?​​ 

CBOs thiab LHJs yuav raug tshuaj xyuas nyob rau theem txwv. Cov kws kho mob tau tshuaj xyuas nyob rau theem txwv yuav tsum tau ua pov thawj ntawm cov kws kho mob cov ntawv tso cai, raws li tsim nyog, thiab tsoomfwv cov ntaub ntawv txheeb xyuas. Yog xav paub ntxiv, thov mus saib hauv phau ntawv xov xwm muab lub npe hu ua, “Medi-Cal Kev Ntsuam Xyuas Qib Qhov Yuav Tsum Tau Ua Raws Li 42 Code of Federal Regulations Section 455.450.”​​ 

Puas yuav muaj ib daim ntawv txheeb xyuas los pab cov kws kho mob npaj txhij?​​ 

Cov Koom Haum Hauv Zej Zog, Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos, thiab Lub Nroog Cov Menyuam Yaus thiab Tsev Neeg Daim Ntawv Thov Cov Ntaub Ntawv Lub vev xaib qhia txog kev tso npe nkag rau CBOs thiab LHJs.​​ 

Puas yog cov chaw saib xyuas kev noj qab haus huv hauv tsev lossis tsev kho mob suav tias yog CBO cov chaw kho mob?​​ 

Home health and hospice agencies may apply for enrollment as a CBO if they meet the requirements set forth in the provider bulletin titled, “Medi-Cal Enrollment Requirements and Procedures for Community-Based Organizations and Local Health Jurisdictions.”​​ 

Puas yog qhov no rau cov neeg muab kev pabcuam tshiab nkaus xwb lossis cov kws kho mob Medi-Cal (DMC) tam sim no yuav tsum rov thov dua ua ntej Lub Ib Hlis 9? Qhov no puas txawv ntawm DMC rau npe hauv PAVE?​​ 

Cov kev tso npe nkag tau teev tseg tsuas yog siv rau CBOs thiab LHJs. Tam sim no rau npe DMC cov chaw muab kev pab lossis lwm tus neeg muab kev pabcuam saib xyuas CHWs lossis AP cov chaw pabcuam tsis tas yuav rov thov dua. Thov mus saib lub vev xaib Cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog rau qhov kev hloov tshiab tshiab ntawm CHWs.​​ 

Daim ntawv thov yuav dav npaum li cas? Puas yog txhua qhov kev npaj muaj lawv tus kheej cov txheej txheem rau npe rau npe thiab? Los yog muaj txheej txheem txheej txheem rau txhua qhov kev npaj ua raws?​​ 

Daim ntawv thov Medi-Cal ua raws li Xeev thiab tseem fwv cov cai rau txhua hom kws kho mob. Thov mus saib PAVE Provider Portal qhov chaw kom paub ntau ntxiv txog cov txheej txheem thov. Ntawm no yog qhov txuas mus rau Daim Ntawv Thov los ntawm Chaw Pabcuam Hom nplooj ntawv.​​ 

Thov saib DHCS'Managed Care All Plan tsab ntawv rau cov ntaub ntawv tshiab txog CBO thiab LHJ cov cai.​​ 

Puas yuav muaj kev pab los ntawm DHCS rau cov CBOs me me uas tsis muaj kev paub dhau los ua Medi-Cal tus kws kho mob?​​ 

DHCS tau tshaj tawm ntau hom kev qhia kev cob qhia los pab cov kws kho mob thaum xa daim ntawv thov uas suav nrog cov ntaub ntawv muaj txiaj ntsig rau CBOs me.​​ 

Dab tsi tsim nyog ua CBO? Puas yog 501(c)(3) pab pawg tsis muaj txiaj ntsig kev noj qab haus huv puas tsim nyog ua CBO?​​ 

Lub CBO ua haujlwm nyuaj rau cov neeg mus cuag tau, cov neeg tsis txaus ntseeg Medi-Cal thiab ua ntau yam haujlwm los txuas nrog cov neeg no. Raws li ib lub koom haum txhawb nqa nyiaj txiag, CBO koom nrog ua 501(c)(3) tsim nyog rau npe.​​ 

Puas muaj txoj hauv kev rau npe rau cov tsis muaj txiaj ntsig vim qhov hloov tshiab no?​​ 

Cov koom haum tsis muaj txiaj ntsig muaj cai tso npe rau ntau hom Medi-Cal sib txawv. Txawm li cas los xij, daim ntawv tshaj tawm no tsis tsim txoj hauv kev tshiab rau cov pab pawg ntawm cov kws kho mob hlwb uas tau teeb tsa ua cov koom haum tsis muaj txiaj ntsig. Thov nco ntsoov, pawg neeg muab kev pabcuam ntawm cov kws kho mob puas siab puas ntsws muaj ntawv tso cai yuav tsum yog cov koom haum tshaj lij thiab feem ntau tsis tsim nyog rau npe.​​ 

Raws li kev pom zoo, qhov no puas yuav tso cai rau peb sau nqi Managed Care Plans rau cov kev pab cuam uas muab ua pab pawg?​​ 

Cov CBOs thiab LHJs yuav tsum ncav tes ncaj qha mus rau Lub Koom Haum Tswj Xyuas Kev Kho Mob uas lawv xav cog lus nrog. Thov nco ntsoov, raws li tsab ntawv xov xwm ntawm tus neeg muab kev pab uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem rau Kev Sau Npe Medi-Cal rau Cov Koom Haum Hauv Zej Zog thiab Cov Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zos," CBOs thiab LHJs yuav tsis raug sau npe ua pawg neeg muab kev pab.​​