Medi-Cal Managed Care Boilerplate Contracts
Cov hauv qab no yog daim ntawv cog lus tswj hwm kev saib xyuas tam sim no rau txhua tus qauv ntawm kev tswj hwm kev saib xyuas pib txij li CY 2024, suav nrog Lub Nroog Cov Txheej Txheem Kev Noj Qab Haus Huv, Kev Tswj Xyuas Thaj Chaw, Cheeb Tsam, Ib Txoj Kev Npaj, thiab Ob Txoj Kev Npaj. *Thov nco ntsoov: Txhua daim ntawv cog lus ntawm Managed Care Plan tau raug hloov kho kom txuas lub sijhawm mus txog rau lub Kaum Ob Hlis 31, 2026.
Cov hauv qab no yog yav dhau los Ob-Plan Model tswj xyuas daim ntawv cog lus boilerplate, rau kev siv.
Txhua daim ntawv cog lus Managed Care Plan (MCP) muaj cov kev cai tshwj xeeb rau daim ntawv cog lus, uas tau piav qhia meej hauv Daim Ntawv Qhia L ntawm txhua daim ntawv cog lus MCP. Daim duab qhia kev hla kev hauv qab no qhia txog cov kev cai no, nrog rau cov kev sib txuas mus rau cov piv txwv tam sim no ntawm Daim Ntawv Qhia L rau txhua MCP.
Lub vas sab hauv internet no thiab nws cov ntaub ntawv txuas nrog muab cov ntaub ntawv txog kev txaus siab rau pej xeem txog Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau ua cov kev hloov kho rau Medi-Cal Managed Care Boilerplate Contracts (Amendments). Cov ntaub ntawv no suav nrog ob qho kev hloov kho uas tau raug tshuaj xyuas thiab pom zoo los ntawm tsoomfwv Meskas Lub Chaw rau Medicare thiab Medicaid Services (CMS) nrog rau Kev Hloov Kho uas tam sim no tos kev tshuaj xyuas thiab kev pom zoo los ntawm CMS. DHCS tab tom tshaj tawm Cov Kev Hloov Kho rau lub hom phiaj nkaus xwb los qhia rau cov neeg koom nrog thiab pej xeem txog kev hloov pauv rau Medi-Cal Managed Care Contracts. Yog tias CMS tsis tau txais kev pom zoo, cov ntaub ntawv txuas rau ntawm nplooj ntawv web no tsis tsim kom muaj kev lav phib xaub rau DHCS lossis Managed Care Plans kom ua raws li cov kev cai ntawm Cov Kev Hloov Kho uas CMS tsis tau pom zoo. Daim ntawv tsis lees paub no yuav tsum tsis txhob txhais hais tias txwv, lossis zam txim rau Medi-Cal Managed Care Plans ntawm lawv cov luag haujlwm los ua raws li cov lus cog tseg thiab cov cai ntawm Medi-Cal Managed Care Contract thiab nws cov kev hloov kho.