Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Tshuaj Medi-Cal Certification​​ 

Txhua tus kws kho mob DMC uas tam sim no DMC tau ntawv pov thawj los muab kev pabcuam Kev Kho Mob Hnub Nyoog (DCH) tsis tas yuav tsum xa daim ntawv thov kom tau txais txiaj ntsig ntxiv ntxiv rau Intensive Outpatient (IOP); Txawm li cas los xij, yog tias tus kws kho mob xav muab cov kev pabcuam uas tsis yog cov qauv uas tau pom zoo tam sim no, yuav tsum muaj daim ntawv thov tshiab.​​ 

Qhov no yog tag nrho cov ntaub ntawv uas yuav tsum tau ua rau thawj zaug Daim Ntawv Pov Thawj Tshuaj Medi-Cal daim ntawv pov thawj ntawm qhov kev pab cuam kho kev quav yeeb tshuaj uas tseem hu ua DMC Clinic. Daim ntawv thov DMC kuj tseem siv tau los ntxiv qhov chaw satellite; thov rov muab ntawv pov thawj tom qab hloov chaw kho mob lossis chaw satellite; ntxiv cov kev pabcuam lossis nyiaj txiag; thiab thov rau DMC daim ntawv pov thawj tom qab hloov pauv tswv cuab.​​ 

Thov luam tawm thiab / lossis khaws txhua daim ntawv hauv qab no. Koj yuav tau xa mus rau lawv ntau zaus. Cov ntaub ntawv tuaj yeem rub tawm hauv PDF hom ntawv.​​ 

Koj yuav muaj peev xwm ua kom tiav feem ntau ntawm tag nrho cov ntaub ntawv xav tau hauv hluav taws xob. Koj kuj tseem tuaj yeem khaws cov ntawv ua tiav (nrog koj lub koom haum cov ntaub ntawv) ntawm cov ntaub ntawv hauv zos. Tom qab ua li ntawd, daim ntawv thov ua tiav tuaj yeem luam tawm, teb ntxiv (xws li. kos npe) tuaj yeem ua tiav manually, thiab daim ntawv thov ua tiav tuaj yeem xa mus rau DHCS. Nws tsis pom zoo kom koj saib lossis ua tiav cov ntaub ntawv thov Adobe hauv koj lub vev xaib Internet browser. Thov download lossis khaws cov ntaub ntawv no ua ntej thiab tom qab ntawd qhib lawv hauv Adobe.​​ 

Koj tuaj yeem rub tawm cov ntaub ntawv thov hauv Adobe's .pdf hom ntawv. Hom ntawv no tuaj yeem ua tiav hauv tshuab hluav taws xob thiab khaws cia. Txhawm rau nkag mus rau PDF hom koj xav tau Acrobat Reader ntawm koj lub computer. Yog tias koj tsis muaj Acrobat Reader hauv koj lub computer, rub tawm thiab nruab Acrobat Reader dawb hauv koj lub computer.​​ 

Tom qab tshuaj xyuas tag nrho cov ntaub ntawv no, luam tawm thiab ua kom tiav tag nrho cov ntaub ntawv siv tau thiab xa ib daim ntawv nyuaj rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, Chaw Pabcuam Sau Npe, MS 4704, PO Box 997412, Sacramento, CA 95899-7412. Khaws ib daim qauv ntawm txhua cov ntaub ntawv xa mus rau Lub Tsev Haujlwm rau koj cov ntaub ntawv.​​ 

Thov nco ntsoov:​​ 

Txhawm rau ua raws li ntau txoj cai ntawm Tsoom Fwv Teb Chaws Tiv Thaiv Tus Neeg Mob thiab Txoj Cai Saib Xyuas Nqis Nqis (Affordable Care Act), pib lub Ib Hlis Ntuj 1, 2014, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau txais cov kev pabcuam DMC ntxiv nrog rau hauv pob nyiaj pab kev noj qab haus huv tseem ceeb, raws li tau pom zoo los ntawm lub xeev thiab tau pom zoo los ntawm United States Secretary of Health thiab Human Services. Daim ntawv thov DMC kho dua tshiab (DHCS 6001) suav nrog cov kev pabcuam ntxiv no, uas suav nrog 'tus neeg mob hnyav' thiab 'cov chaw nyob tsis muaj tsev nyob'. Cov lus qhia rau niam txiv, satellite, thiab daim ntawv thov hloov chaw kuj tau suav nrog hauv DHCS 6001 kho dua.​​ 

Yog xav paub ntxiv thov mus saib SUD Tsab Ntawv #13-01.​​        

 

Kev lees paub dua​​ 

Yog xav paub ntxiv txog DMC cov txheej txheem rov ua ntawv pov thawj, thov hu rau DHCS Lub Chaw Pabcuam Sau Npe (PED) los ntawm DHCSDMCRecert@dhcs.ca.gov mail box thiab PED cov neeg ua haujlwm yuav teb ncaj qha.  PED tseem tuaj yeem hu xov tooj ntawm (916) 323-1945.​​ 

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Hnub hloov tshiab kawg: 2/13/2023 12:22 PM​​