Cwj Pwm Kev Noj Qab Haus Huv Sab Nraud Zoo Saib Xyuas
BH EQR Cov Kev Qhia Txhua Xyoo - DMC-ODS & MH Services
Behavioral Health (BH) External Quality Review (EQR) raug txib los ntawm Title 42, Code of Federal Regulations, Part 438, Subpart E, kom lub Department of Health Care Services (DHCS) tau cog lus nrog Lub Koom Haum Saib Xyuas Kev Ruaj Ntseg Sab Nraud (EQRO) kom ua tiav cov kev cai EQR ntawm tsoom fwv. California's BH Prepaid Inpatient Health Plans (PIHPs) muab Kev Pabcuam Tshwj Xeeb Mental Health Services (SMHS) thiab/lossis Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) rau Medi-Cal cov tswvcuab thoob plaws lub xeev. EQRO ua EQR ntawm cov PIHP Cov Kev Pabcuam Txog Kev Coj Tus Cwj Pwm (BHP) los txheeb xyuas thiab siv tau lub xeev uas twb muaj lawm thiab cov txheej txheem npaj ua raws li Lub Chaw Rau Medicare thiab Medicaid Services '(CMS') EQR Cov Txheej Txheem.
EQR cov haujlwm ntsig txog yog npaj rau:
1. Txhim kho Lub Xeev txoj kev muaj peev xwm los saib xyuas thiab tswj cov phiaj xwm kev saib xyuas uas lawv tau cog lus nrog rau cov kev pabcuam.
2. Pab cov phiaj xwm saib xyuas kev tswj hwm txhim kho lawv cov kev ua tau zoo raws li kev ua tau zoo, raws sijhawm, thiab kev nkag mus rau kev saib xyuas.
Tsis tas li ntawd, DHCS siv EQR cov txiaj ntsig los qhia txog cov cai thiab txhawb kev txhim kho rau Medi-Cal Cov Tswv Cuab los ntawm cov tswv yim zoo thoob plaws lub xeev thiab nrog rau kev soj ntsuam zoo thiab kev txhim kho kev ua haujlwm thoob plaws BHPs.
Cov ntaub ntawv ntxiv txog Kev Kho Mob Zoo EQR , thiab 2024 Medicaid thiab CHIP Managed Care Final Rule, tuaj yeem nrhiav tau ntawm CMS lub vev xaib: www.Medicaid.gov.
FY 2023-24 EQR Reports
Daim Ntawv Qhia Txog Kev Lag Luam Txhua Xyoo
Kev puas hlwb
Tshuaj Medi-Cal Organized Delivery System
Daim Ntawv Qhia Txog Kev Txhim Kho Kev Ua Haujlwm (PIP).
Kev puas hlwb
Tshuaj Medi-Cal Organized Delivery System
BH EQR Reports – DMC-ODS & MH Services
Tiv tauj peb
Yog xav paub ntxiv, hu rau BH EQRO Pab Pawg ntawm DHCSEQRO@dhcs.ca.gov.
rov qab mus rau nplooj ntawv Cov Ntaub Ntawv Kho Mob Puas Hlwb
