Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) saib xyuas Medi-Cal Program (Medi-Cal), uas muaj kev pabcuam kev noj qab haus huv nyob rau hauv ob qho tib si nqi-rau-kev pabcuam (FFS) thiab hauv cov kev tswj xyuas kev noj qab haus huv.

Medi-Cal suav nrog ntau yam ntawm cov kab lis kev cai muaj peev xwm thiab kev hais lus tsim nyog rau niam txiv kev saib xyuas kev noj qab haus huv thiab kev txhawb nqa.

• Cov kev pabcuam tseem ceeb ntsig txog cev xeeb tub yog tsim los pab txhawb cov kev xav tau tshwj xeeb ntawm cov neeg cev xeeb tub thiab tom qab yug menyuam los ntawm kev xeeb tub mus rau tom qab yug menyuam. Lawv suav nrog tab sis tsis txwv rau cov kev pab cuam obstetric (piv txwv li, mus ntsib kws kho mob), nchuav menyuam, rho menyuam, txhaj tshuaj tiv thaiv kab mob, tshuaj kho mob, kev pabcuam kuaj mob, doula lossis kev pabcuam midwifery, thiab kev saib xyuas hauv tsev kho mob.
  • Cov kev pabcuam no muaj los ntawm ob tus kws kho mob Medi-Cal FFS rau npe rau Medi-Cal FFS cov tswvcuab thiab Medi-Cal Managed Care Plans (MCPs) rau Medi-Cal cov tswvcuab hauv kev saib xyuas, ua raws li Medi-Cal txoj cai.
• Medi-Cal tseem suav nrog lwm cov kev pabcuam los txhawb cov tswvcuab cev xeeb tub thiab tom qab yug menyuam, suav nrog tab sis tsis txwv rau: kev noj qab haus huv (kev noj qab haus huv thiab kev siv tshuaj yeeb) kev pabcuam thiab kev kho mob; kev kawm txog kev noj qab haus huv ntawm kev yug menyuam thiab niam txiv; pub mis niam thiab kev txhawb nqa khoom noj khoom haus; thiab ntau ntxiv.
  • Tham nrog koj tus kws kho mob Medi-Cal lossis Medi-Cal MCP kom paub seb koj puas tsim nyog tau txais cov kev pab no. Thov nco ntsoov tias qee qhov kev pabcuam no yuav xav tau kev pom zoo ntxiv. Yog tias muaj, koj tus kws kho mob Medi-Cal lossis Medi-Cal MCP yuav pab koj.

Kev Pabcuam Tswvcuab

DHCS wants to ensure that Medi-Cal members can understand, navigate, access, and receive comprehensive health care and services.

Medi-Cal members can choose maternal health care and support services that are sensitive to cultural and linguistic needs as well as individual Medi-Cal member preferences in terms of the time, place, and manner of the birthing experience.

An example of some of the Medi-Cal maternal health care services are listed below:

• Midwifery Services
  
• Doulas
• Comprehensive Perinatal Services Program (DHCS)
• Kev Pabcuam Pabcuam Thaum Yug Me Nyuam (CDPH-CPSP)

Ntxiv rau cov kev pabcuam tseem ceeb ntsig txog kev cev xeeb tub thiab lwm yam kev pabcuam los txhawb cov tswv cuab cev xeeb tub thiab tom qab yug menyuam, ntau tus tswv cuab Medi-Cal uas tau txais kev pabcuam los ntawm Medi-Cal MCPs kuj tseem yuav tsim nyog tau txais Kev Txhawb Nqa Hauv Zej Zog, uas yog cov kev pabcuam uas pab daws cov kev xav tau kev noj qab haus huv hauv zej zog. Cov no suav nrog kev pab nrhiav thiab tswj vaj tse, zaub mov noj qab haus huv, thiab lwm yam kev pabcuam hauv zej zog. Cov tswv cuab tuaj yeem kawm paub ntxiv txog cov kev pabcuam Txhawb Nqa Hauv Zej Zog uas muaj nyob hauv lawv lub nroog siv Cov Cuab Yeej Tshawb Nrhiav Kev Txhawb Nqa Hauv Zej Zog thiab tiv tauj lawv cov Medi-Cal MCP kom paub seb lawv puas tsim nyog.

Ntxiv mus, cov poj niam Asmeskas Isdias hauv cov nroog xaiv tuaj yeem tau txais kev kho mob, kev kawm, kev txhawb nqa kev xav thiab kev mus ntsib tsev los ntawm cov neeg ua haujlwm hauv tsev kho mob uas tau kawm tiav thaum cev xeeb tub thiab rau thawj xyoo ntawm lawv tus menyuam lub neej. Yog xav paub ntxiv, mus saib qhov kev pab cuam American Indian Maternal Support Services (AIMSS).

Cov peev txheej ntxiv

Medi-Cal cov tswv cuab kuj tseem yuav tsim nyog tau txais kev txhawb nqa tseem ceeb ntxiv los ntawm lwm lub xeev thiab cov kev pabcuam koom nrog:

• Cov Poj Niam, Me Nyuam mos thiab Me Nyuam (WIC) thiab CalFresh: Cov tswv cuab xav txhawb kev nkag tau cov zaub mov noj qab haus huv thiab noj qab haus huv yuav tsum mus ntsib WIC thiab CalFresh.
• Paid Family Leave: Cov tswv cuab xav paub txog lawv txoj cai kom them nyiaj so haujlwm thaum cev xeeb tub lossis tom qab yug me nyuam yuav tsum mus ntsib Paid Family Leave kom paub ntau ntxiv.
• Black Infant Health Program: Some Members who identify as Black women and who are interested in support with life planning, goal setting, and referrals to services can enroll in The Black Infant Health program, which takes a group- based approach where participants get to meet, interact and build a sisterhood with other Black women.

Medi-Cal rau Cov Me Nyuam & Cov Hluas

Tom qab ib tug tswv cuab ntawm Medi-Cal tus menyuam yug los, Medi-Cal rau Cov Menyuam Yaus & Cov Hluas muab kev pabcuam kho mob dawb kom cov menyuam noj qab haus huv txij thaum yug los txog rau hnub nyoog 21 xyoos. Cov kev pabcuam no suav nrog kev kuaj mob, txhaj tshuaj tiv thaiv, thiab kev kuaj mob thiab kev kho mob rau cov teeb meem kev noj qab haus huv ntawm lub cev, lub hlwb, thiab cov hniav.

Nkag mus saib xyuas

Medi-Cal FFS members who need maternal health care services should talk to their health care provider or call the Medi-Cal member helpline at (800) 541-5555 or TDD at (800) 430-7077. Medi-Cal members may also review the myMedi-Cal brochure and other information available online.

Cov tswv cuab ntawm Medi-Cal uas nyob hauv Medi-Cal MCP tuaj yeem nrhiav cov ntaub ntawv tiv tauj dav dav ntawm Medi-Cal MCP hauv Phau Ntawv Qhia Txog Kev Npaj Kho Mob ntawm Medi-Cal lossis hu rau lawv tus Medi-Cal MCP uas tau muab rau lawv. Tus xov tooj rau txhua tus tswv cuab Medi-Cal uas tau muab rau Medi-Cal MCP yog nyob rau ntawm lawv daim npav ID ntawm txoj kev npaj. Cov tswv cuab ntawm Medi-Cal uas nyob hauv MCP tuaj yeem nrhiav tau tus kws kho mob ntawm lub vev xaib Medi- Cal Managed Care.

Medi-Cal Enrollment Pathways

DHCS thiab Covered California tau koom tes los tsim ib Daim Ntawv Thov Kev Pabcuam Ib Leeg rau kev them nqi kho mob pheej yig. Cov tib neeg tuaj yeem siv Daim Ntawv Thov Kev Siv Ib Leeg los thov rau ntau yam kev xaiv kev kho mob pheej yig, suav nrog Medi-Cal dawb lossis tus nqi qis. Cov txheej txheem thov tuaj yeem ua tiav hauv online, ntawm tus kheej, hauv xov tooj, fax lossis xa ntawv.

Daim Ntawv Thov Ua Kom Yooj Yim Muaj nyob rau hauv lus Askiv thiab lwm yam lus. Cov tib neeg tuaj yeem mus rau Covered California kom ua tiav daim ntawv thov online rau Medi-Cal lossis kev pov hwm kho mob pheej yig. Los yog, cov tib neeg tuaj yeem luam tawm thiab sau daim ntawv thov Single Streamlined, uas muaj nyob rau ntawm lub vev xaib DHCS

ua lus Askiv thiab
lwm yam lus thiab tuaj yeem xa mus rau Covered California ntawm qhov chaw nyob hauv qab no: Covered California PO Lub thawv xa ntawv 989725
West Sacramento, CA 95798-9725

Los yog, Daim Ntawv Thov Ua Ib Leeg Yooj Yim kuj tseem tuaj yeem xa mus rau lub chaw ua haujlwm hauv nroog ntawm tus neeg ntawd.

Yog xav paub ntxiv txog kev sau npe rau Medi-Cal, thov saib cov ntaub ntawv muaj nyob rau ntawm lub vev xaib DHCS.

Muab Kev Pabcuam

DHCS kuj tau tsim ntau yam kev pab Medi-Cal thiab cov ntaub ntawv rau Medi-Cal cov kws kho mob, uas suav nrog tab sis tsis txwv rau:

• Medi-Cal Phau Ntawv Qhia: Cov ntaub ntawv qhia ntxaws no muaj cov cai tswj hwm rau Medi-Cal FFS thiab kev saib xyuas kev tswj hwm thiab Medi-Cal FFS cov nqi them thiab cov nyiaj them rov qab.
• Txhua Tsab Ntawv Npaj thiab Txoj Cai: Ntxiv rau cov ntaub ntawv qhia txog kev pov hwm muaj nyob hauv Medi-Cal Phau Ntawv Qhia Txog Tus Kws Kho Mob, cov ntaub ntawv no muab cov lus qhia ntxiv tshwj xeeb rau Medi-Cal MCPs, uas suav nrog tab sis tsis txwv rau, cov lus ceeb toom ntsig txog kev tswj xyuas tshwj xeeb cov ntawv cog lus thiab kev hloov pauv hauv tsoomfwv lossis Lub Xeev cov cai thiab cov cai uas cuam tshuam rau txoj hauv kev uas Medi-Cal cov tswvcuab xa mus rau Medi-Cal.
• Medi-Cal Learning Portal: This resource offers Medi-Cal providers and billers self-paced online training about billing basics, policies, procedures, new initiatives, and upcoming changes to Medi-Cal. To register or login, Medi-Cal providers and billers can go to Medi-Cal’s Learning Portal webpage to view or search the online course catalog.