Cov Lus Nug Feem Ntau (PED)
1. Cov neeg tau txais Medi-Cal yuav tau daim ntawv teev cov kws kho mob Medi-Cal qhov twg? Cov neeg tau txais Medi-Cal yuav tsum tiv tauj lawv lub chaw ua haujlwm hauv nroog ntawm Kev Noj Qab Haus Huv thiab Kev Pabcuam Tib Neeg kom tau daim ntawv teev cov chaw muab kev pabcuam Medi-Cal hauv lawv lub nroog. Cov npe ntawm cov chaw ua haujlwm hauv nroog tuaj yeem pom ntawm lub vev xaib DHCS.
2. Cov kws kho mob hloov chaw puas yuav tsum tau thov ua tus kws kho mob Medi-Cal? Cov kws kho mob Locum tenens uas hloov cov kws kho mob Medi-Cal uas tau sau npe ua tus kws kho mob tsis tas yuav tsum tau sau npe ua cov kws kho mob Medi-Cal thaum muab cov kev pabcuam locum tenens rau cov neeg tau txais Medi-Cal.
Cov Ntaub Ntawv Tso Tawm Medicaid MA01-19, Cov Txheej Txheem rau Locum Tenens thiab Reciprocal Billing, siv tau rau Lub Yim Hli 1, 2001, tso cai rau cov kws kho mob them nqi rau locum tenens siv cov lus qhia hauv qab no:
• Locum tenens yog kev coj ua rau cov kws kho mob ntiav cov kws kho mob hloov los ua lawv cov kev coj ua haujlwm thaum cov kws kho mob ib txwm tsis tuaj vim muaj mob, cev xeeb tub, so haujlwm, lossis kawm ntxiv txog kev kho mob, thiab rau cov kws kho mob ib txwm them nqi thiab tau txais kev them nyiaj rau cov kev pabcuam ntawm tus kws kho mob hloov ib yam li nws tau ua lawv. Cov kws kho mob hloov no feem ntau hu ua cov kws kho mob "locum tenens". Cov kev pabcuam rau cov neeg tau txais kev pabcuam tsis txwv rau hauv chaw ua haujlwm ntawm tus kws kho mob ib txwm muaj.
• Locum tenens tshwm sim thaum tus kws kho mob hloov pauv them rau tus kws kho mob ib txwm thaum tsis tuaj ua haujlwm kom tsis pub dhau 90 hnub sib law liag.
• Kev them nqi sib pauv tshwm sim thaum cov kws kho mob hloov pauv them rau cov kws kho mob ib txwm thaum tsis tuaj thiab/lossis thaum hu xov tooj tuaj tsis pub dhau 14 hnub sib law liag.
3. Kuv yuav ntxiv lossis tshem tus lej CHDP ntawm kuv cov ntaub ntawv kho mob li cas?
Koj yuav tsum hu rau CHDP ntawm (650) 573-2877.