Kev raug mob ntawm tus kheej cov lus nug uas nquag nug
Chaw nyob xa ntawv rau kev them nyiaj:
Department of Health Care Services
Third Party Liability and Recovery Division
Tus Kheej Kev Txhaum Cai - MS 4720
PO ib 997421
Sacramento, CA 95899-7421
Chaw nyob xa ntawv rau xa ntawv xa tuaj (UPS, FedEx, thiab lwm yam):
Department of Health Care Services
Third Party Liability and Recovery Division
1501 Capitol Avenue, MS 4720
Sacramento, CA 95814-5005
Thov hu rau California Medicaid Management Information Systems (CA-MMIS) Xov Tooj Chaw Pabcuam ntawm (800) 541-5555. Lawv tuaj yeem teb tau cov lus nug uas koj muaj ntawm kev tsim nyog, cov txiaj ntsig, thiab koj daim npav ID.
Koj tuaj yeem sawv cev rau koj tus kheej, lossis koj tuaj yeem ntiav ib tus kws lij choj los sawv cev rau koj. DHCS tsis muab kev pab ua ntaub ntawv thov tawm tsam lwm tog.
Txhawm rau ua kom sai dua, thov qhia txog kev raug mob ntawm tus kheej lossis thov los ntawm kev siv peb nplooj ntawv Online Forms , "PI Kauj Ruam 1: Qhia Txog Tus Kheej Tshiab (Daim Ntawv Ceeb Toom Rau Tus Kheej)".
Koj tseem tuaj yeem tshaj tawm los ntawm kev xa ntawv:
Department of Health Care Services
Third Party Liability and Recovery Division
Tus Kheej Kev Txhaum Cai - MS 4720
PO ib 997425
Sacramento, CA 95899-7425
Yog lawm, DHCS yuav tsum tau ceeb toom ntawm txhua tus tswv cuab Medi-Cal uas koom nrog. Koj tuaj yeem xa daim foos sib cais rau txhua tus tswv cuab Medi-Cal hauv online lossis xa ntawv.
T nws tus tswvcuab Medi-Cal lossis tus neeg sawv cev ntawm tus kheej raug cai los ntawm tsab cai lij choj kom tshaj tawm qhov kev tsim txom thib peb lossis thov sau ntawv mus rau Lub Tsev Haujlwm Saib Xyuas Kev Khomob (DHCS) raws li Txoj Cai Welfare thiab Institutions Code tshooj 14124.73 thiab lwm yam. Kev ceeb toom yuav tsum xa hauv online lossis xa ntawv tsis pub dhau 30 hnub tom qab ua ntawv foob tus kheej raug mob lossis thov thov. Cov kws lij choj yuav tsum xa daim ntawv "Kev Tso Cai Kho Mob" kos npe los ntawm lawv tus neeg thov.
Raws li ib qho xwm txheej ntawm kev tsim nyog Medi-Cal, koj tau pom zoo tias DHCS yuav tau txais cov nyiaj them rov qab rau cov kev siv nyiaj kho mob uas tshwm sim vim koj raug xwm txheej lossis raug mob thaum koj tau txais nyiaj los ntawm lwm yam kev pov hwm kev noj qab haus huv, kev them nyiaj raws cai, lossis lwm qhov chaw (tseem ceeb thib peb). Yog tias koj tsis ceeb toom rau DHCS ntawm koj qhov kev huam yuaj lossis raug mob, DHCS tuaj yeem ua raws cai rau koj los sau cov nqi kho mob uas koj tau txais.
Tsis muaj. Welfare and Institutions Code tshooj 14124.73 xav kom koj lossis koj tus neeg sawv cev sau ntawv ceeb toom rau DHCS hauv 30 hnub tom qab ua ntawv foob rau tus neeg thib peb lub luag haujlwm.
Yog lawm. Welfare and Institutions Code tshooj 14124.79 xav kom cov tuam txhab tuav pov hwm uas muaj kev lav phib xaub rau Medi-Cal tus tswv cuab cov lus thov kom ceeb toom rau DHCS. Cov tuam txhab tuav pov hwm thib peb yuav tsum raug cai kom them rov qab Medi-Cal.
DHCS tau txais tsab ntawv ceeb toom tias koj tau koom nrog qhov xwm txheej raug mob ntawm tus kheej thiab muaj feem cuam tshuam nrog lwm tus. Tsab ntawv ceeb toom rau koj tias DHCS muaj txoj cai lees paub qhov kev tsis txaus siab rau txhua qhov kev txiav txim, kev txiav txim, lossis khoom plig sau los ntawm tus neeg thib peb lub luag haujlwm.
(Kev Noj Qab Haus Huv thiab Cov Tsev Kawm Ntawv Txoj Cai Tshooj 14124.70 txog 14124.795.)
Welfare thiab Institutions Code tshooj 14124.70 - 14124.795
Yog hais tias tus neeg raug mob yog Medi-Cal tsim nyog, DHCS yuav xa ib "Daim Ntawv Ceeb Toom Txog Lien" tsis pub dhau 30 hnub ntawm kev xa mus los lees paub nws txoj cai rov qab los. Yog hais tias tus neeg raug mob tam sim no tsis tsim nyog Medi-Cal, DHCS tuaj yeem xa daim ntawv ceeb toom qhia txog qhov kev tsim nyog tau txais Medi-Cal yuav raug tshuaj xyuas kom rov qab muaj feem tsim nyog hauv 90 hnub.
Tom qab tus tswv cuab ntawm Medi-Cal tau ua tiav kev kho mob lossis tau txais kev pom zoo, DHCS yuav tsum tau txais hnub kawg ntawm kev kho mob (FDOT) lossis tsab ntawv ceeb toom hais txog kev sib hais kom ua tiav qhov teeb meem thiab tsim kom muaj kev lav phib xaub, yog tias tsim nyog. Tom qab ntawd DHCS yuav xa tsab ntawv lav nrog cov npe ntawm cov kev pabcuam raug mob rau tus tswvcuab Medi-Cal lossis lawv tus kheej tus neeg sawv cev thiab tus neeg thib peb lub luag haujlwm.
Kuv yuav tsum tham nrog ib tug neeg txog kuv tus kheej raug mob. Kuv yuav nrhiav tau leej twg ua hauj lwm kuv rooj plaub?
Yog xav paub txog koj rooj plaub lossis tham nrog tus neeg sawv cev nyob, thov hu rau peb Lub Chaw Pabcuam Xov Tooj ntawm (916) 445-9891. Lub sijhawm ua haujlwm yog 8 teev sawv ntxov txog 12 teev tsaus ntuj thiab 1 teev tsaus ntuj txog 5 teev tsaus ntuj Monday txog Friday. Lub Chaw Pabcuam Xov Tooj raug kaw rau hnub so thiab hnub so hauv xeev.
Koj tseem tuaj yeem siv peb daim ntawv online, "Thov kom Tus Txheej Txheem ntawm Cov Ntaub Ntawv Qhib" nyob hauv qab ntawm nplooj ntawv.
Thov xa mus rau Qhov Kev Pab Cuam Tus Kheej lub vev xaib lossis xa mus rau Tus Txheej Txheem Kev Raug Mob Tus Kheej kom paub meej.
Muaj ntau ntau yam uas koj tuaj yeem ua kom txo tau lub sijhawm nws yuav siv los ua cov ntaub ntawv:
- Qhia rau peb nyob rau hauv 30 hnub tom qab tau txais ib qho kev txiav txim lossis ua ntawv thov siv daim foos online, nyob rau hauv Kauj Ruam 1 "Tshaj tawm Cov Ntaub Ntawv Tshiab (Daim Ntawv Ceeb Toom Rau Tus Kheej)."
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Yog tias koj yog ib tus kws lij choj, suav nrog daim ntawv ceeb toom tsab ntawv sawv cev thiab daim ntawv tso cai kho mob kos npe siv daim foos online. Qhov no yuav cia peb lub chaw ua haujlwm tham nrog koj txog qhov xwm txheej no.
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Yog tias koj muaj ib lub tsev hais plaub los yog hnub sib kho kom haum xeeb thiab xav tau Medi-Cal lien, ceeb toom rau peb sai li sai tau thaum koj tau txais hnub tim. Peb yuav xav tau lub sijhawm kom tau txais thiab tshuaj xyuas cov ntaub ntawv them nyiaj thov kom txiav txim siab qhov kev lav.
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Thaum koj cov ntaub ntawv tiav lawm, xa ib daim qauv ntawm daim ntawv cog lus tso tawm uas tau kos npe siv daim ntawv online, nyob rau hauv Kauj Ruam 2 "Muab Cov Ntaub Ntawv Hloov Kho lossis Cov Ntaub Ntawv (Tag Nrho Lwm Cov Ntawv Ceeb Toom)" yog li peb tuaj yeem siv txoj cai txo kom tsim nyog. Yog tias koj yog ib tus kws lij choj, suav nrog cov ntaub ntawv hais txog koj cov nqi thiab cov khoom siv ntawm kev sib foob.
- Muab hnub kawg ntawm kev kho mob, siv daim foos online, sai li sai tau thaum tus tswv cuab Medi-Cal tau kho tiav.
- Yog xav paub ntxiv txog peb cov txheej txheem lien, thov mus rau Personal Injury Lien Process webpage.
Ib qho khoom siv ua ntej tuaj yeem thov hauv online, raws li Kauj Ruam 2 "Muab cov ntaub ntawv hloov tshiab lossis cov ntaub ntawv (Tag nrho Lwm Cov Ntawv Ceeb Toom)". Qhov kev thov yuav tsum suav nrog cov ntaub ntawv pov thawj ntawm lub rooj sib hais, kev sib tham daws teeb meem, kev sib kho kom haum xeeb, lossis cov xwm txheej zoo sib xws thiab tau txais tsawg kawg 30 hnub ua ntej.
Thov xa mus rau DHCS lub vev xaib, Kev Pabcuam Txheej Txheem, rau txhua qhov kev xaiv muaj rau xa daim ntawv foob.
Qhov kev pab cuam Medi-Cal them rau cov kev pab cuam cuam tshuam txog koj tus kheej raug mob. DHCS tuav txoj cai los sau tawm tsam txhua qhov kev txiav txim, kev txiav txim, lossis khoom plig uas tshwm sim los ntawm koj tus kheej raug mob. Tus nqi them uas tau teev tseg hauv tsab ntawv yuav tsum tau them thaum koj tau txais nyiaj los ntawm lwm yam kev pov hwm kev noj qab haus huv, kev them nyiaj raws cai, lossis lwm qhov chaw (tseem ceeb thib peb).
Thov hu rau tus kws kho mob thiab muab koj daim Medi-Cal Benefits Identification Card (BIC) cov ntaub ntawv kom lawv thiaj li them tau Medi-Cal. Cov kws kho mob muaj txog li 1 xyoos los sau Medi-Cal.
Qhov kev rov qab los ntawm DHCS yog txwv rau cov nyiaj tau los ntawm kev thov Kev Pabcuam Kev Noj Qab Haus Huv thiab Institutions Code ntu 14124.785. Txhawm rau thov kom txo qis, xa ib daim qauv ntawm cov ntaub ntawv tso tawm nrog rau tus kws lij choj cov nqi thiab cov nqi sib foob uas siv daim ntawv online, nyob rau hauv Kauj Ruam 2 "Muab Case Hloov Kho lossis Cov Ntaub Ntawv (Tag nrho Lwm Cov Ntawv Ceeb Toom)".
Tsis muaj. Tus nqi ntawm Medi-Cal lien yuav tsum tau them thaum qhov teeb meem daws teeb meem.
Yog lawm, peb nyiam kev them nyiaj hluav taws xob tshaj cov tshev thiab lwm yam kev them nyiaj. Thov siv peb Electronic Funds Transfer Payment system. Thov kom koj tus lej DHCS muaj nyob kom paub meej tias kev them nyiaj raug siv rau rooj plaub raug.
Daim tshev yuav tsum them rau Department of Health Care Services. Thov sau koj tus lej DHCS tus lej nyiaj ntawm qhov kev them nyiaj kom paub meej tias daim ntawv thov raug raws sijhawm.
Thov xa cov nyiaj them tuaj rau:
Department of Health Care Services
Third Party Liability and Recovery Division
Tus Kheej Kev Txhaum Cai - MS 4720
PO ib 997421
Sacramento, CA 95899-7421
Yog tias koj siv xa ntawv xa tuaj (FedEx, UPS, thiab lwm yam), thov xa mus rau:
Department of Health Care Services
Third Party Liability and Recovery Division
1501 Capitol Avenue, MS 4720
Sacramento, CA 95814-5005
Yuav ua li cas yog lub tuam txhab tuav pov hwm xa kuv daim tshev them rau Medi-Cal thiab kuv?
Yog lub tuam txhab tuav pov hwm muab daim tshev them rau Medi-Cal lossis DHCS thiab koj:
- Pib txij Lub Xya Hli 1, 2025, California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) yuav tsis lees txais daim ntawv DHCS 4204 thiab tsis lees paub cov tshev / cov cuab yeej ua tus neeg them nyiaj rau cov tshev / cov cuab yeej nrog ntau tus neeg them nyiaj. Yog li ntawd, cov tshev / cov cuab yeej tau txais tom qab Lub Xya Hli 1, 2025, yuav raug xa rov qab yam tsis muaj kev pom zoo.
- Qhia rau tus neeg them nyiaj / tus tshaj tawm txog qhov kev txiav tawm ntawm cov txheej txheem no thiab thov kom tus neeg them nyiaj / tus tshaj tawm muab cov tshev cais rau Medi-Cal Tus Tswv Cuab thiab DHCS raws li.
Thov nco ntsoov: DHCS tsis pom zoo rau kev txheeb xyuas nyiaj txiag ntxiv lawm. Yog tias DHCS tsis muaj kev txaus siab rau qhov kev txiav txim, thov ua haujlwm nrog lub tuam txhab pov hwm kom tau txais daim tshev tshiab uas them rau koj. Yog tias DHCS muaj cov paj laum rov qab tau, thov qhia rau lub tuam txhab tuav pov hwm kom muab cov tshev cais tawm—ib qho them rau DHCS thiab ib qho them rau koj.
Thaum thov, DHCS yuav tshaj tawm tsab ntawv tshaj tawm tom qab cov nyiaj tau txais tau them tag nrho. Yog tias Medi-Cal lien tau them los ntawm daim tshev, DHCS yuav tos 30 hnub rau daim tshev them nyiaj kom tshem tawm lub txhab nyiaj ua ntej tshaj tawm tsab ntawv tso cai. Yog tias koj xav tau tsab ntawv tso tawm ua ntej 30 hnub, koj tuaj yeem xa daim ntawv lees paub ntawm cov nyiaj them poob haujlwm. Koj kuj yuav tsum tau muab cov ntaub ntawv hais txog kev sib hais haum uas suav nrog tus nqi them, tus nqi kws lij choj, thiab cov nqi foob ua ntej DHCS tuaj yeem tshaj tawm tsab ntawv tso cai.
Thaum tau txais cov nyiaj them ntau dhau lawm, lub sijhawm tos 30 hnub yuav tsum tau ua kom ntseeg tau tias cov nyiaj them poob haujlwm tsis raug cuam tshuam lossis xa rov qab los ntawm lub txhab nyiaj. Tom qab lub sijhawm tos no, cov txheej txheem nyiaj rov qab feem ntau yuav siv sijhawm txog 60 hnub ua haujlwm ua ntej daim tshev nyiaj rov qab tau txais los ntawm pawg neeg tsim nyog. Thov nco ntsoov tias lub sijhawm lub sijhawm tseem nyob ntawm USPS xa ntawv hauv koj cheeb tsam.
Tam sim no tus nqi nrawm nrawm yog raws li hauv qab no:
- Tib Hnub Teeb Meem & Tso Tawm: $ 75 / tus neeg them nyiaj
- Hnub Nyoog Tshaj Tawm: $ 50 / tus neeg them nyiaj
- Hnub Ob Tso Tawm: $ 25 / tus neeg them nyiaj
- Hnub Peb Tso Tawm: $ 15 / tus neeg them nyiaj
- Tshwj xeeb Hnub Tso Tawm: $ 10 / tus neeg them nyiaj
Thov tso cai rau kwv yees li 2-3 lub lis piam ua ntej koj yuav tau txais daim tshev nyiaj rov qab sai. Lub sijhawm ua haujlwm tseem nyob ntawm USPS xa ntawv hauv koj cheeb tsam.
Kev them nqi ceev ceev tuaj yeem xa tuaj los ntawm peb lub Electronic Funds Transfer (EFT) kev them nyiaj. Kev them nyiaj xa los ntawm daim tshev yuav raug lees txais tab sis yuav ncua cov txheej txheem vim tias kev npaj nyiaj rov qab tsis pib kom txog thaum tau txais tus nqi nrawm. Cov ntaub ntawv hauv qab no yuav tsum suav nrog kev them nqi sai sai:
- Case lub npe thiab/los yog tus lej xov tooj.
- Yog vim li cas rau kev them nyiaj, piv txwv li, refund expedite nqi.
- Sijhawm rau kev nrawm, piv txwv li, tib hnub, hnub tom ntej, thiab lwm yam.
- Xa nyiaj rov qab daim tshev them nyiaj (Npe kom them rov qab daim tshev them rau). *
- Xa qhov chaw nyob xa daim tshev nyiaj rov qab. *
* Cov ntaub ntawv no yog ib qho tseem ceeb los xyuas kom meej tias daim tshev nyiaj rov qab tau raug muab raug thiab kom tsis txhob rov qab daim tshev rov qab. Yog tias daim tshev them rov qab tau xa rov qab, tus nqi them rov qab yuav raug xa rov qab rau daim tshev.
Thov hu rau Lub Chaw Pab Txhawb Xov Tooj ntawm (916) 445-9891 yog xav paub ntxiv lossis ceeb toom rau PIP txog koj qhov kev thov. Sijhawm ua haujlwm: Hnub Monday txog Friday, thaum 8:00 teev sawv ntxov txog 5:00 teev tsaus ntuj, kaw thaum 12:00 teev tsaus ntuj - 1:00 teev tsaus ntuj Kaw rau hnub so thiab hnub so hauv xeev.
Rov qab mus rau Tus Kheej Qhov Kev Pabcuam Kev Txhaum Cai
