Public Hospital Project
Txheej txheem cej luam
In 2008, the Department of Health Care Services’ (DHCS) Clinical Assurance Division (CAD) piloted a new process which allowed selected Designated Public Hospitals (DPHs) to use an evidence based standardized medical review criteria tool in lieu of the TAR process for Fee-For-Service (FFS) Medi-Cal admissions.
Qhov Kev Tsim Kho Tsev Kho Mob Hauv Tsev Kho Mob (DPHP) pilot xaus rau xyoo 2010 thiab tso cai rau DHCS los tshuaj xyuas qhov cuam tshuam ntawm DPHs siv cov qauv txheej txheem ntawm cov hnub mob hnyav, qhov ntev ntawm kev nyob, theem ntawm kev saib xyuas, kev pom zoo thiab tsis kam lees, thiab cov nqi ntawm cov kev pab cuam.
Lub DPHP, tseem hu ua the Public Hospital Project (PHP) thiab Tar-Free Project, tau nkag mus rau theem nthuav dav tom qab lub sijhawm sim, hloov tag nrho DPHs rau hauv qhov project. Cov tsev kho mob koom nrog ua raws li Daim Ntawv Pom Zoo Kev Koom Tes thiab tau txais kev cob qhia txog TAR-dawb txheej txheem rau Medi-Cal FFS nkag. Cov kev cob qhia muaj xws li cov ntsiab lus ntawm PHP, Cov Hnub Ua Haujlwm Loj, thiab Medi-Cal Aid Codes.
Cov tsev kho mob koom nrog
Cov lus nug nquag
Technical Workgroup Teleconference Minutes
- Technical Workgroup Teleconference Minutes Tej zaum 13 , 2024
- Technical Workgroup Teleconference Minutes Lub Peb Hlis 6, 2023
- Technical Workgroup Teleconference Minutes Kaum Ob Hlis Ntuj 5, 2022
- Technical Workgroup Teleconference Minutes Lub Rau Hli 6, 2022
- Technical Workgroup Teleconference Minutes Lub Peb Hlis 14, 2022
- Technical Workgroup Teleconference Minutes Lub Kaum Ob Hlis 6, 2021
- Technical Workgroup Teleconference Minutes Lub Cuaj Hli 13, 2021
- Technical Workgroup Teleconference Minutes Lub Rau Hli 7, 2021
- Technical Workgroup Teleconference Minutes Lub Peb Hlis 1, 2021
Superior Systems Waiver
Txij li thaum xyoo 1985, Superior Systems Waiver (SSW), nyob rau hauv txoj cai ntawm tsoomfwv Lub Tsev Haujlwm Saib Xyuas Kev Pabcuam Medicare thiab Medicaid, tau tso cai rau Lub Tsev Haujlwm Saib Xyuas Kev Nyab Xeeb (CAD) los saib xyuas kev siv Medi-Cal cov kev pabcuam.
DHCS CAD Variance Authority
Hauv DPHP (PHP) Project, CAD qhia txog kev siv saib xyuas kev tshawb pom los ntawm cov txheej txheem sib txawv. Cov lej no qhia txog qhov sib txawv ntawm Medi-Cal txoj cai. Cov peev txheej ntawm cov cai rau cov lej sib txawv no suav nrog Tsoom Fwv Teb Chaws Txoj Cai Tswjfwm Ntiag Tug, California Code of Regulations, California Welfare and Institutions Code, Tsoom Fwv Teb Chaws Social Security Act thiab Phau Ntawv Qhia Txog Kev Cai rau Medi-Cal Tso Cai.
- Mob Variances
- Mob ntshav qab zib Variances
- Variance Descriptions thiab Authority
- Medi-Cal Aid Codes
- Medi-Cal Phau Ntawv Qhia
- Phau ntawv qhia txog Medi-Cal Kev Tso Cai Cai
Txheej txheem daws teeb meem
Cov txheej txheem daws teeb meem yog nyob rau hauv qhov chaw rau cov tsev kho mob koom nrog kev sib cav txog DHCS CAD qhov kev tshawb pom.
- Dispute Resolution Form (Updated 07/2021)
- Cov txheej txheem rau kev tsis sib haum xeeb, thov kev hloov kho thiab rov them rov qab
Txuas
Cov ntaub ntawv tiv tauj
PHP tau txais kev txhawb nqa los ntawm DHCS CAD cov neeg ua haujlwm hauv lub hauv paus hauv Sacramento, CA thiab DHCS Medi-Cal Field Offices nyob thoob plaws lub Xeev. Cov email chaw nyob hauv qab no muaj rau cov tsev kho mob koom nrog xa cov lus nug, cov lus qhia, lossis lwm yam kev sib txuas lus rau DHCS CAD Cov Neeg Ua Haujlwm: PublicHospitalProject@dhcs.ca.gov.
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