Kev Hloov Pauv ntawm Cov Nyiaj Pab Kho Hniav Medi-Cal - Cov Lus Nug Feem Ntau
Nov yog cov lus teb rau cov lus nug txog qhov kawg ntawm cov txiaj ntsig kho hniav rau qee tus tswv cuab laus Medi-Cal:
1. Cov txiaj ntsig Medi-Cal yuav hloov li cas pib txij lub Ib Hlis 1, 2026?
Txij li thaum Lub Ib Hlis Ntuj hnub tim 1, 2026, qee tus neeg laus yuav tsis tau txais kev pab them nqi Medi-Cal tag nrho, suav nrog kev kho hniav, qhov muag, thiab lwm yam kev pab. Qhov no yog raws li lawv txoj cai nkag tebchaws. Qhov kev hloov pauv no siv rau cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis cev xeeb tub lossis tsis pub dhau ib xyoos tom qab yug menyuam (tom qab cev xeeb tub).
Yog qhov no siv rau koj, koj tsuas yog yuav tsim nyog tau txais Medi-Cal uas muaj kev txwv xwb. Nws them rau kev kho mob thaum muaj xwm txheej ceev, suav nrog kev kho hniav thaum muaj xwm txheej ceev thiab kev pab cuam ntsig txog cev xeeb tub. Yog tias koj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo, koj cov kev pabcuam kho hniav yuav tsis hloov pauv.
Yog xav paub seb qhov kev hloov pauv puas cuam tshuam rau koj, mus saib: Medi-Cal Changes.
2. Cov txiaj ntsig kho hniav yuav hloov li cas rau lub Xya Hli 1, 2026?
Pib lub Xya Hli 1, Xyoo 2026, Medi-Cal yuav tsis them rau cov kev pab kho hniav ib txwm rau qee tus neeg laus, tshwj tsis yog thaum muaj xwm txheej ceev. Qhov no yog raws li lawv txoj cai nkag tebchaws. Qhov kev hloov pauv no siv raucov tswv cuab hnub nyoog 19 xyoo thiab laus dua uas tsis tsim nyog rau Medi-Cal tag nrho (nyeem lo lus nug #1) thiab tsis cev xeeb tub lossis tsis pub dhau ib xyoos tom qab yug menyuam (tom qab cev xeeb tub). Yog tias koj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo, koj cov kev pabcuam kho hniav yuav tsis hloov pauv.
Kev hloov pauv cuam tshuam li cas rau koj:
- Yog koj tau thov Medi-Cal ua ntej Lub Ib Hlis 1, 2026 , koj siv tau koj cov txiaj ntsig kho hniav tag nrho kom txog thaum Lub Rau Hli 30, 2026 Txij li thaum Lub Xya Hli 1, 2026, koj qhov kev pab them nqi yuav raug hu ua Medi-Cal uas muaj tag nrho cov kev pab them nqi kho hniav. Yog tias koj tau rau npe rau hauv Medi-Cal Dental Plan (Dental Managed Care Plan), koj yuav raug rho tawm haujlwm.
- Yog koj tau thov Medi-Cal rau lossis tom qab Lub Ib Hlis 1, 2026, koj yuav tsim nyog rau Medi-Cal uas muaj kev txwv xwb. Qhov no suav nrog cov xwm txheej ceev, suav nrog cov kev pabcuam ntsig txog kev kho hniav, cov kev pabcuam ntsig txog kev cev xeeb tub, thiab qee qhov kev saib xyuas hauv tsev laus.
Lus Cim: Qhov kev hloov pauv no tsis cuam tshuam rau:
- Cov menyuam yaus hnub nyoog qis dua 19 xyoos thiab cov poj niam cev xeeb tub. Lawv yuav khaws Medi-Cal tag nrho nrog rau kev kho hniav.
- Cov tub ntxhais hluas uas muaj hnub nyoog qis dua 26 xyoo uas nyob hauv kev saib xyuas menyuam thaum lawv hnub yug 18 xyoo. Lawv yuav khaws cov txiaj ntsig kho hniav.
3. Cov neeg tsiv teb tsaws chaw twg yuav tsis tau txais Medi-Cal nrog kev pov hwm kho hniav?
Qhov kev hloov pauv tsuas yog cuam tshuam rau cov neeg tsiv teb tsaws chaw uas lawv txoj cai tsis tau txais nyiaj pab los ntawm tsoomfwv rau lawv cov Medi-Cal. Yog xav paub ntxiv, mus saib: TxojCai Nkag Tebchaws thiab Kev Hloov Pauv rau Kev Tsim Nyog Medi-Cal.
4. Cov kev pab kho hniav thaum muaj xwm txheej ceev twg uas Medi-Cal them tag nrho yam tsis muaj kev pab them nqi kho hniav?
Cov kev pab kho hniav thaum muaj xwm txheej ceev uas them nqi yog cov kev kho mob uas xav tau tam sim ntawd kom tsis txhob mob hnyav lossis kuaj mob thiab kho cov teeb meem kev kho mob loj tam sim ntawd. Teeb meem loj yog cov uas yuav ua rau muaj kev raug mob hnyav lossis tuag taus yog tias tsis kho tam sim ntawd. Cov kev pab kho hniav thaum muaj xwm txheej ceev tuaj yeem yog rau:
- Los ntshav hauv koj lub qhov ncauj uas tsis nres
- Mob o hauv lossis ib puag ncig koj lub qhov ncauj
- Mob hniav los yog mob puab tsaig
- Kev raug mob rau koj lub ntsej muag lossis lub puab tsaig
- Kev kis kab mob hauv koj cov pos hniav lossis cov hniav nrog rau qhov mob lossis o
- Kev saib xyuas tom qab phais (xws li hloov daim ntaub qhwv lossis tshem cov xov)
- Ib tug hniav tawg los yog raug ntaus tawm
- Txiav los yog kho cov xov hlau hauv cov braces uas ua rau koj lub puab tsaig lossis cov pos hniav mob
Yog xav paub ntxiv, mus saib Smile, California ntawm: Smile, CA - Kuv yuav tsum ua li cas yog tias kuv muaj xwm txheej ceev txog hniav?
5. Yog tias kuv cev xeeb tub thiab tsis paub tseeb tias kuv puas tsim nyog tau txais cov txiaj ntsig kho hniav Medi-Cal, kuv yuav tsum ua li cas?
Yog koj cev xeeb tub, hu rau lossis mus rau koj lub chaw ua haujlwm Medi-Cal hauv zos. Tham nrog tus neeg ua haujlwm tsim nyog hauv nroog. Medi-Cal uas muaj tag nrho cov kev pab them nqi kho mob yuav pab koj thaum cev xeeb tub thiab rau ib xyoos tom qab yug me nyuam (tom qab cev xeeb tub). Nws suav nrog cov kev pab kho hniav. Tus neeg ua haujlwm tsim nyog hauv nroog yuav qhia rau koj yog tias lawv xav tau cov ntaub ntawv los ntawm koj.
6. Yog tias kuv cev xeeb tub lossis ib xyoos tom qab yug me nyuam (tom qab cev xeeb tub), kuv puas tuaj yeem nyob hauv kuv txoj kev npaj kho hniav Medi-Cal (Dental Managed Care Plan)?
Tsis yog. Koj yuav tawm ntawm koj txoj kev npaj kho hniav Medi-Cal (Dental Managed Care Plan) thiab mus rau Medi-Cal Dental Program (fee-for-service). Koj tseem yuav muaj kev pov hwm kho hniav. Yog xav paub ntxiv thiab nrhiav kws kho hniav, mus rau Smile, California.
7. Yog tias kuv yog ib tug menyuam tu, ib tug menyuam tu, lossis ib tug menyuam tu yav dhau los uas hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas thaum kuv hnub yug 18 xyoo, kuv puas tuaj yeem nyob hauv kuv txoj kev npaj kho hniav Medi-Cal (Dental Managed Care Plan)?
Tsis yog. Koj yuav tawm ntawm koj txoj kev npaj kho hniav Medi-Cal (Dental Managed Care Plan) thiab mus rau Medi-Cal Dental Program (fee-for-service). Koj tseem yuav muaj kev pov hwm kho hniav. Yog xav paub ntxiv thiab nrhiav kws kho hniav, mus saib ntawm: Smile, California.
8. Kuv puas yuav tsum ua dab tsi thaum kuv Medi-Cal hloov mus rau qhov kev pab cuam tag nrho uas tsis muaj kev kho hniav?
Koj qhov kev pab them nqi yuav tsum hloov pauv tau yam tsis tas yuav hloov pauv dab tsi li. Yog koj tau txais pob ntawv txuas ntxiv Medi-Cal los ntawm xa ntawv, sau rau hauv. Xa rov qab los rau hnub kawg. Koj tuaj yeem hu rau koj lub chaw ua haujlwm Medi-Cal hauv nroog kom tau kev pab. Yuav kom tsis txhob poob cov txiaj ntsig Medi-Cal, teb txhua qhov kev thov ntawm lub nroog.
9. Yog tias kuv tab tom kho hniav thaum muaj kev hloov pauv no, yuav ua li cas?
Yog tias koj tab tom tau txais kev kho hniav tam sim no thiab koj:
- Tsis tsim nyog tau txais Medi-Cal tag nrho nrog cov txiaj ntsig kho hniav, thiab
- Yogtias koj tsis tau cev xeeb tub los yog nyob rau thawj xyoo tom qab koj cev xeeb tub, los yog
- Tsis muaj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo:
Koj tuaj yeem tau txais kev kho hniav mus txog rau lub Rau Hli 30, 2026. Pib lub Xya Hli 1, Xyoo 2026, tsuas yog cov kev pab kho hniav thaum muaj xwm txheej ceev xwb thiaj yuav raug them.
10. Kuv puas yuav tsum xaiv ib tus kws kho hniav tshiab thaum kuv Medi-Cal hloov mus rau kev them nqi tag nrho uas tsis muaj kev kho hniav?
Yog koj muaj xwm txheej ceev txog kev kho hniav, koj tuaj yeem mus ntsib ib tus kws kho hniav Medi-Cal twg los tau. Yog xav nrhiav ib tus kws kho hniav Medi-Cal uas nyob ze koj, hu rau Medi-Cal Dental ntawm 1-800-322-6384. Los yog mus rau Medi-Cal Provider Directory.
11. Puas yuav muaj kev pab them nqi rau cov tswv cuab Medi-Cal tshiab lossis tam sim no uas muaj hnub nyoog qis dua 19 xyoos thiab tsis tsim nyog tau txais kev pab them nqi Medi-Cal puv ntoob los ntawm tsoomfwv?
Tsis yog. Txawm hais tias lawv txoj cai nkag tebchaws yog li cas los xij, lawv yuav khaws cov kev pabcuam Medi-Cal uas siv tau tag nrho. Qhov no suav nrog cov kev pab kho hniav.
12. Cov tswv cuab Medi-Cal tshiab lossis tam sim no uas muaj hnub nyoog 19 xyoo thiab laus dua uas tsis tsim nyog rau tsoomfwv qib siab tag nrho puas tsim nyog rau cov kev pabcuam kho hniav?
Tsis yog. Pib lub Xya Hli 1, Xyoo 2026, cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis tsim nyog rau tsoomfwv qib siab Medi-Cal yuav tsuas yog tau txais kev pabcuam kho hniav thaum muaj xwm txheej ceev xwb. Koj tsuas yog yuav khaws tau Medi-Cal uas muaj tag nrho cov kev pab cuam kho hniav yog tias koj cev xeeb tub lossis hauv thawj xyoo tom qab cev xeeb tub. Yog koj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo, koj cov kev pab kho hniav yuav tsis hloov.
13. Kuv yuav tau kev pab ntxiv qhov twg?
Yog koj xav tau kev pab ua lwm hom lus uas tsis yog lus Askiv, hu rau koj lub chaw ua haujlwm Medi-Cal hauv nroog. Yog koj xav tau cov ntaub ntawv Medi-Cal sau ua lwm hom ntawv, Medi-Cal muaj Braille, ntawv loj, suab, CD ntaub ntawv, lossis lwm hom ntawv uas siv tau los pab koj nkag siab koj cov ntawv lossis sau koj cov ntawv. Yuav kom tau qhov no:
- Mus rau Lwm Hom Ntawv.
- Hu rau 1-833-284-0040 (California Relay 711). Qhov kev hu xov tooj no yog pub dawb xwb.
Yog tias koj xav tau cov ntaub ntawv hais txog kev nkag tebchaws thiab kev tsim nyog tau txais Medi-Cal, mus rau Immigration Status and Changes to Medi-Cal Eligibility Categories.
Yog xav tau kev pab ntxiv, hu rau:
- Kev Pab Kho Hniav - (800) 322-6384 (TTY (800) 735-2922)
- Kev Pabcuam Kev Noj Qab Haus Huv Lub Siab - (800) 896-4042 (TTY (800) 896-2512)
- Cov Kev Pabcuam Txog Kev Siv Tshuaj Yeeb Tshuaj - (800) 879-2772 (TTY 711)
- Cov Kev Pabcuam thiab Kev Txhawb Nqa Mus Ntev - (916) 552-9105 (TTY (800) 430-7077)
- Cov Lus Nug Txog Tus Nqi Rau Kev Pabcuam lossis Cov Lus Nug Txog Cov Tswv Cuab - (800)541-5555 (TTY (800) 430-7077)
14. Kuv yuav kawm paub ntxiv txog kuv txoj cai nkag tebchaws cuam tshuam li cas rau kuv txoj kev pov hwm Medi-Cal?
DHCS thiab cov chaw ua haujlwm Medi-Cal hauv nroog tsis tuaj yeem teb cov lus nug txog tus txheej xwm nkag tebchaws lossis tus nqi them rau pej xeem. Yog koj muaj lus nug txog koj txoj cai nkag tebchaws thiab cov txiaj ntsig Medi-Cal, nrog ib tus kws lij choj nkag tebchaws uas tsim nyog tham.
Lwm cov peev txheej yog:
- California Lub Chaw Haujlwm Pabcuam Zej Zog - Lub Chaw Haujlwm Pabcuam Kev Nkag Tebchaws. Yog xav tau daim ntawv teev cov koom haum tsis nrhiav kev pab nyiaj txiag uas pab cov neeg tsiv teb tsaws chaw hauv California, mus rau: CDSS - Cov Neeg Cog Lus Pabcuam Kev Nkag Tebchaws.
- Kev Koom Tes Saib Xyuas Kev Noj Qab Haus Huv (HCA). Yuav nrhiav seb koj puas tsim nyog tau txais kev pab txog kev cai lij choj pub dawb nrog rau cov teeb meem ntsig txog kev noj qab haus huv xws li teeb meem tau txais lossis khaws kev pov hwm thiab teeb meem nrog txoj kev npaj kho mob. Hu rau (888) 804-3536.
- Phau Ntawv Qhia Txog Kev Them Nqi Rau Pej Xeem ntawm Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg ntawm California. Yog xav paub ntxiv txog cov cai tswjfwm pej xeem, mus saib: CHHS - Phau Ntawv Qhia Txog Kev Them NqiPej Xeem.
- nplooj ntawv qhia txog kev nkag tebchaws ntawm California. Yog xav paub ntxiv, mus saib: Kuvtxoj kev nkag tebchaws thiab cov tsev neeg hauv California.
15. Kuv yuav kawm paub ntxiv txog kev tsim nyog tau txais Medi-Cal qhov twg?
- Rau dav dav Cov lus nug , hu rau Medi-Cal Help Line hnub Monday - Friday, 8 sawv ntxov txog 5 tsaus ntuj (tshwj tsis yog hnub so hauv xeev) ntawm ( 800) 541-5555 . Qhov kev hu xov tooj no yog pub dawb.
- Rau kev pab nrog tswj saib xyuas npaj Cov lus nug , hu rau Chaw Haujlwm Ombudsman ntawm Medi-Cal. Lawv pab cov tswv cuab nkag siab txog lawv cov txiaj ntsig thiab cov cai. Lawv qhib hnub Monday - Friday, 8 sawv ntxov txog 5 tsaus ntuj (tshwj tsis yog hnub so hauv xeev). Hu rau ( 888) 452-8609 (TTY: 711 rau California State Relay). Qhov kev hu xov tooj yog pub dawb.
- Yog xav nrhiav chaw ua haujlwm nyob ze koj, mus rau Medi-Cal County Office Search.
- Hu rau Medi-Cal noj qab haus huv Saib xyuas Cov kev xaiv (HCO) Hnub Monday - Hnub Friday, 8 sawv ntxov txog 6 tsaus ntuj ntawm (800) 430-4263 (TTY: (800) 430-7077). Qhov kev hu xov tooj yog pub dawb. Los yog mus rau Medi-Cal HCO ntawm Medi-Cal Managed Care Health Care Options. Medi-Cal HCO tuaj yeem pab nrog kev xaiv cov phiaj xwm kev noj qab haus huv thiab kev kho hniav ntawm Medi-Cal.
- Rau Cov lus nug txog koj kev kho hniav daim phiaj xwm, hu rau koj daim phiaj xwm kho hniav Medi-Cal. Tus xov tooj nyob rau sab nraub qaum ntawm koj daim npav Medi-Cal Dental Plan. Qhov kev hu xov tooj yog pub dawb.
- Rau kev hloov rau tus qhov dav ntawm Medi-Cal Kev pab them nqi raws li qhov xwm txheej kev nkag tebchaws, xa email rau ImmigrationPolicy@dhcs.ca.gov.
- Rau kawm ntxiv, mus saib: Kev Hloov Kho Medi-Cal.
16. Kuv tuaj yeem kawm paub ntxiv txog cov kev pab kho hniav qhov twg?
- Xov tooj: Hu rau Medi-Cal chaw pabcuam kho hniav hnub Monday - Friday 8 sawv ntxov txog 5 tsaus ntuj (tshwj tsis yog hnub so hauv xeev) ntawm (800) 322-6384 . Qhov kev hu xov tooj no yog pub dawb.
- Online: Mus rau qhov Smile, California lub vev xaib ntawm Luag nyav, California.
