Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Kev Hloov Pauv ntawm Cov Nyiaj Pab Kho Hniav Medi-Cal​​  

Rov qab mus rau Medi-Cal Dental Program ​​ 

Pib rau hnub​​  Lub Xya Hli 1, 2026​​ ,​​  Medi-Cal yuav tsum tsis txhob them cov kev pab kho hniav rau qee tus tswv cuab laus lawm, tsuas yog thaum muaj xwm txheej ceev xwb. Qhov kev hloov pauv no yog raws li txoj cai nkag tebchaws. Qhov kev hloov pauv tsuas yog cuam tshuam rau cov tswv cuab Medi-Cal uas muaj hnub nyoog 19 xyoo thiab laus dua thiab tsis tsim nyog rau tsoomfwv qib siab Medi-Cal.​​ 

Yog xav paub seb qhov kev hloov pauv puas siv tau rau koj, nyeem​​  Daim Ntawv Qhia Txog Kev Nkag Tebchaws ntawm:​​  DHCS - Pawg Neeg Txog Kev Nkag Tebchaws​​   

Koj yuav tau txais kev pab cuam Medi-Cal uas muaj tag nrho cov kev pab cuam kho hniav txawm tias koj txoj cai nkag tebchaws yog tias:​​  

  • Koj cev xeeb tub los yog nyob rau thawj xyoo tom qab koj cev xeeb tub xaus, los yog​​  

  • Koj muaj hnub nyoog qis dua 19 xyoos, lossis​​   

  • Koj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj muaj hnub nyoog 18 xyoo​​ Th​​  hnub yug​​ 

Yog tias koj tab tom sau npe rau hauv Medi-Cal Dental Plan (Dental Managed Care Plan), koj yuav tsum ua ib qho:​​  

  • Nyob twj ywm rau npe rau hauv koj txoj Kev Npaj Kho Mob Hniav yog tias koj hnub nyoog qis dua 19 xyoos, lossis​​   

  • Tsiv mus rau Medi-Cal Dental Program (fee-for-service) kom tau txais koj cov txiaj ntsig kho hniav tag nrho yog tias koj yog:​​ 

    • Cev xeeb tub los yog ib xyoos tom qab yug me nyuam (tom qab cev xeeb tub), thiab/los yog​​   

    • Ib tug menyuam tu/hluas hluas lossis ib tug menyuam tu yav dhau los uas hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas menyuam tu thaum koj hnub yug 18 xyoo​​  

Kev Pab Kho Hniav Thaum Muaj Xwm Ceev:​​ 

Rau cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis tsim nyog rau tsoomfwv qib siab Medi-Cal, cov kev pabcuam kho hniav thaum muaj xwm txheej ceev yuav txuas ntxiv mus. Kev pab thaum muaj xwm txheej ceev uas them taus​​ cov kev pab cuam kho mob 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. Qhov no suav nrog kev saib xyuas rau: ​​  

  • Ntshav 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 ​​ 


Cov lej hauv qab no yog cov txheej txheem kho hniav thaum muaj xwm txheej ceev:​​ 

D0220, D0230, D0250, D0330, D0502, D0999, D2920, D2940, D2941, D3220, D3221, D6092, D6093, D6930, D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7251, D7260, D7261, D7270, D7285, D7286, D7410, D7411, D7412, D7413, D7414, D7415, D7440, D7441, D7450, D7451, D7460, D7461, D7490, D7510, D7511, D7520, D7521, D7530, D7540, D7550, D7560, D7610, D7620, D7630, D7640, D7650, D7660, D7670, D7671, D7710, D7720, D7730, D7740, D7750, D7760, D7770, D7771, D7810, D7820, D7830, D7910, D7911, D7912, D7979, D7980, D7983, D7990, D9110, D9210, D9222, D9223, D9230, D9239, D9243, D9248, D9410, D9420, D9430, D9440, D9610, D9910, D9920, D9930, D9951​​ 


Yog xav paub ntxiv txog cov kev pab kho hniav thaum muaj xwm txheej ceev, mus saib:​​  Luag Ntxhi, California - Cov Lus Qhia Txog Kev Kho Hniav Thaum Muaj Xwm Ceev​​ .​​  

Yog xav tau cov lus teb rau cov lus nug txog cov xwm txheej kev nkag tebchaws uas cov kev hloov pauv cuam tshuam, nyeem cov Lus Nug Nquag Nug (FAQs) uas pom muaj nyob rau hauv cov peev txheej hauv qab no.​​  

Cov ntaub ntawv qhia​​  

Cov Txheej Txheem Pom Zoo Rau Kev Txheeb Xyuas Qhov Tsim Nyog​​   

Raws li Phau Ntawv Qhia Txog Kev Muab Kev Pabcuam Kho Hniav Medi-Cal,​​  Tshooj 4 - Kev Kho Mob Rau Cov Tswv Cuab​​ , cov neeg muab kev pab yuav tsum siv ib qho ntawm cov txheej txheem raug cai hauv qab no los txheeb xyuas tus tswv cuab txoj cai:​​  

  1. Automated Eligibility Verification System (AEVS)​​  

Lub AEVS muaj 24 teev hauv ib hnub, xya hnub hauv ib lub lim tiam. Cov lus ntawm AEVS rau cov tswv cuab uas cuam tshuam los ntawm qhov kev hloov pauv no yog: COV KEV PAB CUAM TXOG KEV HNIAV HMOOV TSIS PUB TXWV RAU COV KEV PAB CUAM THAUM MUAJ XWM TXHEEJ XWB. Cov neeg muab kev pab tuaj yeem nkag mus rau AEVS los ntawm kev hu rau (800) 456-2387. Koj yuav tsum muaj koj tus NPI ntawm Tus Muab Kev Pabcuam thiab tus lej ID ntawm tus tswv cuab ntawm Daim Npav Qhia Txog Cov Nyiaj Pabcuam (BIC) lossis Tus lej Social Security.​​  

  1. Lub Vas Sab Hauv Internet ntawm Medi-Cal (Lub Rooj Sab Laj Muab Kev Pabcuam)​​  

Kev tsim nyog kuj tseem tuaj yeem txheeb xyuas tau los ntawm​​  Medi-Cal Chaw Pabcuam Portal​​ Thov siv cov ntaub ntawv no.​​  Cov Ntawv Xov Xwm ntawm Tus Muab Kev Pabcuam Ncua 41 Naj Npawb 2​​  kom paub ntxiv. Thaum koj nkag mus rau hauv lawm, cov neeg muab kev pab tuaj yeem tshawb nrhiav qhov tsim nyog tau txais kev pab tam sim ntawd.​​  

Cov ntawv xov xwm muab​​ 

Daim Ntawv Ceeb Toom Txog Tswv Cuab​​ 

Txij lub Plaub Hlis Ntuj xyoo 2026, DHCS yuav xa ntawv ceeb toom rau cov tswv cuab uas raug cuam tshuam qhia rau lawv txog kev hloov pauv uas yuav los txog rau hauv txoj kev uas lawv tuaj yeem tau txais cov kev pabcuam kho hniav.​​ 

60-Hnub / 30-Hnub Daim Ntawv Ceeb Toom Tswvcuab​​  [Lus Askiv]​​  

Cov peev txheej dav dav​​ 

Tiv tauj peb​​  

Yog xav paub ntxiv txog Medi-Cal Dental​​  

Medi-Cal Dental Telephone Service Center​​  

Xov tooj: (​​ 800) 322-6384 Hu tau dawb xwb.​​  

TTY:​​  (800) 735-2922 los yog 711​​  

Sijhawm:​​  Hnub Monday - Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj​​  

Kev Kho Hniav Lub Vev Xaib​​ 

 

Yog xav nrhiav cov ntaub ntawv tiv tauj rau koj txoj Kev Npaj Kho Mob Hniav, mus rau:​​ 

Dental Managed Care Plan Directory​​ 

Pab nrog Medi-Cal cov txiaj ntsig thiab nkag siab txog koj txoj cai thiab lub luag haujlwm.​​  

Medi-Cal Ombudsman Office​​  

Xov tooj: (​​ 888) 452-8609 Hu tau dawb xwb.​​  

TTY:​​  California State Relay ntawm 711​​  

Sijhawm: ​​ Hnub Monday - Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj​​  

Email: ​​ MMCDOmbudsmanOffice@dhcs.ca.gov​​  


Hnub hloov tshiab kawg: 3/20/2026 2:56 PM​​