Lub hom phiaj ntawm PED
Lub luag haujlwm ntawm Lub Chaw Pabcuam Kev Sau Npe (PED) yog txhawm rau tso npe cov neeg muab kev pabcuam tsim nyog hauv Medi-Cal qhov kev pabcuam raws sijhawm thiab txuas ntxiv hloov kho Cov Ntaub Ntawv Tus Kws Pabcuam kom raug cuam tshuam raws li tus neeg muab kev pabcuam.
Pawg Neeg Sib Koom Tes & Kws Kho Mob
Ob ntawm peb chav haujlwm hauv seem no yog lub luag haujlwm rau kev tshuaj xyuas, kev txheeb xyuas cov ntaub ntawv, kev pom zoo thiab kev ua cov ntawv thov rau kev sau npe ntawm cov hom neeg muab kev pabcuam xws li cov kws kho mob, cov kws kho mob uas tsis yog kws kho mob, thiab cov neeg muab kev pabcuam kho mob koom tes rau hauv Medi-Cal program. Cov chav no kuj muaj lub luag haujlwm rau kev sau npe ntawm cov pab pawg kws kho mob. Pawg thib peb hauv seem no yog lub luag haujlwm rau kev tshawb fawb thiab daws cov ntawv pov thawj xa rov qab, uas suav nrog kev txheeb xyuas cov chaw nyob tam sim no thiab kev sib txuas lus nrog Lub Chaw Haujlwm Saib Xyuas Lub Xeev, cov neeg muab kev pabcuam, thiab HP Enterprise Services rau kev rov muab cov ntawv pov thawj thiab/lossis kev kaw tus lej ntawm tus neeg muab kev pabcuam, yog tias tsim nyog.
Facility / Pharmacy / PMF Ceg
Ceg no muaj peb chav. Ob lub chaw ua haujlwm yog lub luag haujlwm rau kev tshuaj xyuas, kev txheeb xyuas cov ntaub ntawv, kev pom zoo thiab kev ua cov ntawv thov rau kev sau npe cov kev pabcuam kho mob sab nraud, cov khoom siv thiab cov khoom siv xws li cov khw muag tshuaj, chaw kuaj mob, thiab cov khoom siv kho mob ruaj khov rau hauv Medi-Cal program. Lawv kuj muaj lub luag haujlwm los xyuas thiab pom zoo rau cov neeg sau npe rau cov kws kho mob Medi-Cal uas tau sau npe rau hauv cov kev pab cuam tshwj xeeb xws li Early and Periodic Screening Diagnosis and Treatment Services (EPSDT), thiab Family Planning Access, Care and Treatment (FPACT). Chav haujlwm thib peb, Chav Haujlwm Saib Xyuas Cov Ntaub Ntawv Tseem Ceeb (PMF), yog lub luag haujlwm rau cov haujlwm tshwj xeeb thiab cov haujlwm uas txhawb nqa lossis txhim kho cov haujlwm sau npe rau cov neeg muab kev pabcuam, xws li kev tswj hwm cov ntaub ntawv thiab kev xa mus rau qhov chaw. Chav haujlwm no ua haujlwm nrog tus neeg nruab nrab nyiaj txiag los tsim cov ntaub ntawv ntawm cov neeg muab kev pabcuam thiab siv cov kev hloov pauv tus nqi uas ua tau raws li qhov xav tau ntawm lub koom haum. Chav haujlwm no kuj tseem saib xyuas Chav Pabcuam Kev Txawj Ntse uas yog lub luag haujlwm rau kev sau cov ntaub ntawv tseem ceeb ntawm txhua cov ntaub ntawv rau hauv Cov Ntaub Ntawv Tseem Ceeb ntawm Tus Muab Kev Pabcuam.
Txoj Cai & Chaw Tswj Xyuas
Ceg no muaj plaub chav. Lub Chaw Haujlwm Txoj Cai, muaj ob chav haujlwm, yog lub luag haujlwm rau kev tsim thiab siv cov cai thiab cov txheej txheem rau kev sau npe, muab kev tshawb fawb thiab kev txheeb xyuas tob tob, tsim thiab siv cov cai tshiab, tshuaj xyuas cov cai lij choj thiab tsim cov ntawv thiab cov ntaub ntawv online los txhawb cov txheej txheem rau kev sau npe thiab rov sau npe rau cov kws kho mob. Cov chav no ua haujlwm nrog ntau lub chaw haujlwm thiab ceg, Lub Tsev Haujlwm Saib Xyuas Kev Ncaj Ncees, thiab lwm lub koom haum hauv Xeev thiab tsoomfwv tebchaws. Chav Haujlwm Saib Xyuas Kev Tswjfwm muaj lub luag haujlwm rau kev tshawb fawb tob tob thiab kev txhim kho cov tswv yim thiab cov lus pom zoo hloov pauv nyiaj txiag, thiab cov ntawv cog lus. Chav haujlwm no yog tus neeg sib txuas lus rau chaw ua haujlwm Legislative and Governmental Affairs (LGA), Chaw Ua Haujlwm ntawm Lub Tsev Haujlwm, thiab lwm lub chaw ua haujlwm hauv xeev thiab tsoomfwv tebchaws. Cov neeg ua haujlwm tshawb fawb thiab teb cov lus thov ntawm Txoj Cai Sau Ntawv Pej Xeem, cov lus thov theej daim ntawv pov thawj, cov ntawv sib txuas lus los ntawm txhua theem ntawm tsoomfwv, thiab cov lus nug ntawm cov neeg muab kev pabcuam. Chav Pabcuam Kev Pabcuam yog lub luag haujlwm rau kev xaiv thiab faib cov ntawv xa tuaj thiab xa tawm, sau thiab taug qab txhua daim ntawv thov tau txais rau kev sau npe hauv Medi-Cal program, taug qab cov ntaub ntawv, thiab cov haujlwm tshwj xeeb. Chav haujlwm no kuj tseem muaj lub luag haujlwm ntaus ntawv, teeb tsa hom ntawv, thiab tso cov ntawv sib tham, xa cov ntawv xa rov qab, luam theej duab thiab sau cov ntaub ntawv, thiab rhuav tshem cov ntaub ntawv.
Re-Enrollment Section
Ob lub chaw ua haujlwm hauv seem no yog lub luag haujlwm rau kev nthuav dav cov haujlwm tiv thaiv kev dag ntxias los ntawm kev rov sau npe cov neeg muab kev pabcuam uas twb muaj lawm. Cov chaw no tshuaj xyuas cov ntawv thov rov sau npe dua, cov lus qhia txog kev tshaj tawm, cov ntawv cog lus ntawm cov neeg muab kev pabcuam thiab txhua daim ntawv tso cai siv tau rau txhua hom neeg muab kev pabcuam ntawm ib qho kev hloov pauv. Ntxiv mus, ntu no muab kev tshuaj xyuas tob tob thiab kev kuaj xyuas keeb kwm yav dhau los los pab Cov Kev Tshuaj Xyuas thiab Kev Tshawb Fawb hauv lawv qhov kev tshuaj xyuas ntawm qhov chaw ntawm cov neeg muab kev pabcuam rov sau npe, thiab sib koom tes nrog Daim Ntawv Teev Npe Cov Neeg Muab Kev Pabcuam uas Raug Tshem Tawm thiab Tsis Tsim Nyog.