Cov Lus Qhia Kev Pabcuam
Raws li California Welfare thiab Institutions Code §14456, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ua kev tshuaj xyuas kev kho mob ntawm Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) txhua xyoo. Kev tshuaj xyuas kev kho mob ntsuas MCPs kev ua raws li DHCS cov lus cog tseg thiab cov cai thiab cov cai siv tau. DHCS 'Managed Care Quality and Monitoring Division (MCQMD) yog lub luag haujlwm los xyuas kom meej tag nrho cov kev saib xyuas thiab kev saib xyuas ntawm MCPs. MCQMD tau xaiv Lub Chaw Saib Xyuas Daim Ntawv Cog Lus & Kev Sau Npe (CERD) ntawm DHCS' Kev Tshawb Fawb thiab Kev Tshawb Fawb (A&I) txhawm rau ua cov kev tshuaj xyuas raug cai.
MCQMD thiab A&I tau koom tes ua ke los tsim Cov Kev Pabcuam Kev Pabcuam (TAG) rau txhua yam ntawm 6 pawg kev tshuaj xyuas hauv qab no. Cov TAGs yog tsim los txheeb xyuas cov ntsiab lus tseem ceeb uas yuav raug soj ntsuam feem ntau los qhia rau MCPs ntawm cov txheej txheem tshawb xyuas thiab ua kom pom tseeb.
