Txhua Qhov Kev Pabcuam thiab Kev Pabcuam
Cov npe hauv qab no yog tag nrho cov kev pabcuam thiab cov kev pabcuam uas muaj los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv.
A
American Indian Infant Health Initiative
Muab kev pab cuam mus xyuas tsev/kev tswj xyuas cov ntaub ntawv rau cov tsev neeg Asmeskas Isdias uas muaj kev pheej hmoo siab.
Assisted Living Waiver (ALW)
ALW yog qhov kev pab cuam Medi-Cal uas them rau cov txiaj ntsig kev pabcuam nyob tshwj xeeb uas muab rau cov neeg tau txais txiaj ntsig tsim nyog nyob hauv Sacramento, San Joaquin, Los Angeles, Sonoma, Fresno, San Bernardino lossis Riverside county.
Kev Tshawb Fawb & Kev Tshawb Fawb
Kev Tshuaj Xyuas thiab Kev Tshawb Nrhiav (A&I) yog Chav Haujlwm Kev Ncaj Ncees ntawm Qhov Kev Pabcuam rau California qhov kev pabcuam Medicaid - Medi-Cal. Lub hom phiaj ntawm A&I yog los tiv thaiv thiab txhim kho kev ncaj ncees ntawm cov kev pab cuam kev noj qab haus huv uas DHCS tswj hwm.
B
Kev Kho Tus Cwj Pwm Kev Noj Qab Haus Huv (BHT)
Lub Xeev California npaj siab yuav muab cov kev pabcuam BHT ua ib qho txiaj ntsig Medi-Cal rau cov tib neeg hnub nyoog qis dua 21 xyoo uas muaj tus kab mob autism spectrum disorder.
Kev kho mob cancer mis thiab ncauj tsev menyuam
Kev kuaj mob qog noj ntshav hauv lub mis thiab lub tsev menyuam pub dawb.
C
CalABLE
Cov tswv cuab ntawm Medi-Cal tej zaum yuav tsim nyog rau CalABLE, lub xeev txoj kev pab cuam txuag nyiaj rau cov neeg xiam oob qhab. CalABLE pab cov tib neeg txuag nyiaj yam tsis cuam tshuam rau cov txiaj ntsig xws li Medi-Cal thiab Supplemental Security Income.
California Children's Services
Kev kho mob rau cov menyuam yaus uas muaj mob ntev lossis muaj mob hnyav uas yuav ua rau tuag taus.
Kev Tiv Thaiv Me Nyuam Kev Noj Qab Haus Huv thiab Kev Tiv Thaiv Kev Tsis Taus
Kev pab cuam tiv thaiv kev noj qab haus huv rau cov menyuam yaus thiab cov hluas uas muaj nyiaj tsawg.
Children’s Medical Services
Muab cov txheej txheem kev saib xyuas kev noj qab haus huv rau cov menyuam yaus los ntawm kev kuaj xyuas kev tiv thaiv, kuaj mob, kho, kho kom rov zoo, thiab kev pabcuam tom qab.
D
Tshuaj Medi-Cal (DMC)
Muab cov ntaub ntawv tseem ceeb rau cov nroog thiab cov chaw muab kev pabcuam ncaj qha txog cov kev cai ntawm California Code of Regulations, Title 22, Seem 51341.1 thiab cov qauv siv rau kev kho mob siv yeeb tshuaj uas DMC them rov qab.
E
Kev Pab Cuam Kuaj Mob Thaum Ntxov thiab Tsis Tu Ncua, Kev Kuaj Mob, thiab Kev Kho Mob (EPSDT)
DHCS muaj lub luag haujlwm los muab cov neeg tau txais txiaj ntsig Medi-Cal uas muaj hnub nyoog qis dua 21 xyoos nrog cov kev pabcuam tiv thaiv (xws li kev tshuaj xyuas), kev kuaj mob, thiab kev kho mob zoo raws li EPSDT.
Kev Pab Txhawb Nqa EHR
Xyoo 2011, cov kws tshaj lij thiab cov tsev kho mob uas tsim nyog tau txais Medi-Cal tau pib tau txais cov nyiaj pab txhawb nqa los pab yuav, teeb tsa, thiab siv cov ntaub ntawv kho mob hluav taws xob hauv lawv cov chaw kho mob.
Cov vaj tse rov qab
Rov qab Medi-Cal cov kev siv nyiaj los ntawm cov cuab yeej cuab tam ntawm qee cov neeg tau txais txiaj ntsig Medi-Cal tuag rau cov kev pabcuam tau txais los yog tom qab tus neeg muaj hnub nyoog 55 xyoos.
Txhua Tus Poj Niam suav nrog (EWC)
Lub hom phiaj ntawm EWC yog los cawm txoj sia los ntawm kev tiv thaiv thiab txo cov teebmeem loj heev ntawm mob qog noj ntshav rau cov poj niam California.
F
Kev Ncaj Ncees
Cov lus tsis txaus siab txog seb cov txiaj ntsig thiab cov kev pabcuam Medi-Cal raug tswj hwm li cas, lossis yog tias cov kev pabcuam raug tsis lees paub lossis hloov kho.
Family Planning, Access, Care and Treatment
Cov kev pab cuam npaj tsev neeg rau cov txiv neej thiab cov poj niam uas tsim nyog tau txais nyiaj tsawg.
Kev dag thiab kev tsim txom
Qhia Medi-Cal kev dag ntxias
G
Genetically Handicapped Persons Program
Kev kho mob rau cov kab mob caj ces tshwj xeeb.
Kev Pab Cuam Txog Kab Mob Cancer Gynecologic (GCIP)
GCIP tau tsim los txhawb kev paub thiab kev kawm txog kev mob qog noj ntshav hauv gynecological.
H
Kev Pabcuam Kev Noj Qab Haus Huv rau Menyuam Yaus hauv Kev Kho Mob
Muab kev pab kho mob, kho hniav, kev puas siab puas ntsws thiab kev loj hlob rau cov menyuam yaus thiab cov hluas hauv kev saib xyuas menyuam ntsuag.
Health Information Management Division (HIMD)
HIMD txhawb nqa cov kev siv zog thoob plaws Lub Chaw Haujlwm rau cov ntaub ntawv tseeb thiab raws sijhawm uas txhawb nqa DHCS cov kev pab cuam.
Health Insurance Premium Payment
Txoj kev pab them nqi kho mob ntiag tug rau qee tus nqi siab Medi-Cal tau txais txiaj ntsig.
Kev pheej hmoo siab me nyuam mos tom qab
Cov kev pabcuam kuaj mob tsawg rau cov menyuam yaus txog peb xyoos.
HIPAA (Health Insurance Portability thiab Accountability Act)
The HIPAA Privacy regulations require health care providers and organizations to follow procedures that ensure the confidentiality and security of protected health information (PHI) when it is transferred, received, handled, or shared.
Home and Community-Based Services for the Developmentally Disabled (HCBS-DD)This waiver authorizes home and community-based services for developmentally disabled persons who are Regional Center consumers.
Tus Nqi Kho Mob Zoo
Qhov kev pab cuam no muab nyiaj pab ntxiv rau cov tsev kho mob hauv California uas pab Medi-Cal thiab cov neeg mob uas tsis muaj kev pov hwm.
Kuv
Kev Pabcuam Hauv Tsev Hauv Tsev Ntxiv Ntxiv Rau Waiver
Kev saib xyuas tus kheej thiab kev pabcuam hauv tsev rau cov neeg laus, dig muag lossis neeg xiam oob qhab thiab nyob hauv lawv lub tsev.
Indian Health Program
Qhov kev pab cuam los txhim kho txoj kev noj qab haus huv ntawm cov Neeg Amelikas Isdias/Alaska Natives (AI/AN) uas nyob hauv nroog, nyob deb nroog, thiab cov zej zog reservation lossis rancheria thoob plaws California.
Lub Chaw Kho Mob Nruab Nrab rau Kev Kho Mob Tsis Muaj Kev Kho Mob-Nruam Kho Mob (ICF/DD-CN)
Qhov kev zam yuav tsum kom Lub Tsev Haujlwm tau cog lus los tswj kev nkag mus rau kev saib xyuas, muab cov kev pabcuam zoo, ua raws li cov txiaj ntsig zoo, thiab qhib kev nkag mus rau cov kev pabcuam xwm txheej kub ntxhov rau cov pej xeem lub hom phiaj tsim nyog tau txais kev pabcuam raws li kev zam.
L
Legislative thiab Governmental Affairs
Ua kom yooj yim, tswj xyuas, thiab cov neeg tawm tswv yim rau kev txhim kho txoj cai lij choj hauv kev txaus siab rau pej xeem kev noj qab haus huv.
Kev saib xyuas mus sij hawm ntev
Ua rau cov neeg California uas muaj nyiaj nruab nrab ntau zuj zus uas muaj kev pov hwm kho mob mus sij hawm ntev zoo uas tiv thaiv lossis ncua lawv txoj kev vam khom Medi-Cal.
M
Major Risk Medical Insurance Program (MRMIP)
Qhov kev pab cuam no muab kev tuav pov hwm kev noj qab haus huv rau cov neeg California tsis tuaj yeem tau txais kev pab cuam hauv kev lag luam pov hwm kev noj qab haus huv ntawm tus kheej vim tias lawv muaj cov xwm txheej ua ntej.
Medi-Cal
Qhov no yog ib qho kev pov hwm kev noj qab haus huv rau pej xeem uas muab kev pab kho mob xav tau rau cov neeg tau nyiaj tsawg thiab tsev neeg.
Medi-Cal Access Program
Qhov Kev Pabcuam Medi-Cal Access (MCAP) (yav tas los Access for Infants & Mothers (AIM) program) muab kev pab them nqi kho mob qis rau cov poj niam cev xeeb tub uas tsis muaj kev pov hwm, cov nyiaj tau los nruab nrab.
Medi-Cal Dental Program
The program covers a variety of dental services for eligible Medi-Cal beneficiaries through two delivery systems – Dental Fee-for-Service and Dental Managed Care.
Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Division
Lub Chaw Haujlwm muaj lub luag haujlwm rau kev sib koom tes, kev piav qhia, thiab kev siv cov cai, txoj cai, thiab cov txheej txheem Medi-Cal kom ntseeg tau tias kev tsim nyog Medi-Cal raug txiav txim siab raws li qhov tseeb thiab raws sijhawm los ntawm 58 lub koom haum pabcuam pej xeem hauv nroog.
Medi-Cal Managed Care
Cov ntawv cog lus rau cov kev pabcuam kev noj qab haus huv los ntawm kev tsim cov network ntawm cov txheej txheem kev saib xyuas, uas hais txog kev saib xyuas thawj zaug thiab kev tiv thaiv.
Medi-Cal Waivers
Kev zam yog cov kev pab cuam uas qhia thiab ntsuas cov kev kho mob tshiab. Cov kev pabcuam no tsom rau kev txo cov nqi thiab muab kev pabcuam hauv zej zog raws li qhov chaw.
Kev Kho Mob
Occupational Therapy and Physical Therapy for children with eligible conditions.
Mental Health and Substance Use Disorder Services (MHSUDS)
Multipurpose Senior Services Program (MSSP) Waiver
The MSSP waiver is targeted to those medically fragile individuals over the age of 65 and is administered through MSSP sites throughout the state, under the California Department of Aging.
N
Kev tshuaj ntsuam xyuas kev hnov lus Me nyuam mos
Pab txheeb xyuas qhov tsis hnov lus hauv cov menyuam mos, thiab coj cov tsev neeg mus rau cov kev pabcuam tsim nyog uas xav tau los txhim kho kev sib txuas lus.
Kev kuaj menyuam mos
Kev ntsuam xyuas cov kab mob genetic disorders.
O
Office of Communications
Lub Chaw Haujlwm Saib Xyuas Kev Sib Txuas Lus yog lub luag haujlwm rau tag nrho cov kev sib txuas lus thiab kev nthuav qhia.
Office of Family Planning
Cov kev pab cuam npaj tsev neeg muaj txhij txhua rau cov txiv neej thiab poj niam uas tau nyiaj tsawg tsawg.
Ombudsman
Tus Ombudsman yog ib tug neeg nyob rau hauv ib lub koom haum tseem ceeb uas tib neeg tuaj yeem mus hais lus tsis txaus siab lossis piav qhia txog teeb meem nrog rau cov kev pab cuam lossis cov cai ntawm lub koom haum.
Cov Nyiaj Them Tshaj
Lub luag haujlwm tseem ceeb yog rov qab tau cov nyiaj uas yuav tsum tau them rau qhov kev pab cuam Medi-Cal.
P
Kev raug mob ntawm tus kheej
Lub Tsev Kho Mob Tus Kheej yog lub luag haujlwm rau kev rov qab los ntawm Medi-Cal kev siv nyiaj hauv kev raug mob ntawm tus kheej nrog rau cov neeg tau txais txiaj ntsig Medi-Cal.
Pharmacy Benefits and Vision Care Services
Cov txiaj ntsig ntawm Medi-Cal Pharmacy muaj xws li Fee-For-Service Drug Program, Drug Rebate Program, Enteral and Medical Supplies, Contracting drug, and Vision Care.
Presumptive Eligibility rau Cov Poj Niam Cev Xeeb Tub
Tso cai rau Cov Kws Kho Mob Tsim Nyog tau muab tam sim, ib ntus Medi-Cal kev pab them nqi kho mob rau tus neeg mob sab nraud ua ntej yug menyuam thiab cov tshuaj noj rau cov xwm txheej ntsig txog cev xeeb tub rau cov neeg tau nyiaj tsawg, cov neeg mob cev xeeb tub, tos lawv daim ntawv thov Medi-Cal.
Kev Noj Qab Haus Huv Hauv Paus Tsev Kawm Ntawv, Hauv Nroog, thiab Khab Khab
Txhim kho cov xwm txheej kev noj qab haus huv ntawm cov pab pawg tshwj xeeb, tsom rau cov neeg nyob hauv nroog thiab thaj chaw nyob deb nroog hauv California.
Qhov Kev Pabcuam Txhua-Inclusive Care rau Cov Neeg Laus (PACE)
PACE tus qauv ntawm kev saib xyuas muab kev pabcuam kev kho mob thiab kev pabcuam kev sib raug zoo uas siv cov kev pabcuam sib koom tes uas muab thiab tswj xyuas txhua yam kev tiv thaiv uas xav tau, kev pabcuam thawj zaug, mob hnyav thiab mus sij hawm ntev.
Lus pov thawj 56
Cov lus pom zoo 56, dhau los ntawm cov neeg xaiv tsa thaum lub Kaum Ib Hlis 2016, nce tus nqi se excise ntawm luam yeeb thiab hluav taws xob luam yeeb, pib lub Plaub Hlis 1, 2017, thiab lwm yam khoom haus luam yeeb pib txij lub Xya Hli 1, 2017
Public Clinics
Qhov kev pab cuam raws li daim ntawv pov thawj kev siv nyiaj pub dawb pub dawb no muab nyiaj pab ntxiv rau tsoomfwv cov chaw tsim nyog uas muab kev pabcuam hauv Clinic rau cov neeg tau txais txiaj ntsig Medi-Cal.
S
Senior Care Action Network (SCAN)
SCAN Health Plan yog Medicare Advantage Special Needs Plan uas muab tag nrho cov kev pabcuam hauv Medi-Cal State Plan. Cov neeg koom yuav tsum yog 65 xyoo lossis tshaj saud, Medi-Cal thiab Medicare tsim nyog thiab nyob hauv thaj chaw SCAN.
Subacute Care Program
Cov nqi them rov qab tshwj xeeb tau tsim rau cov neeg muab kev kho mob subacute uas tau ntawv tso cai thiab ntawv pov thawj los ntawm CA Department of Public Health's Licensing and Certification program.
V
Kev Pabcuam Saib Xyuas Kev Pom Zoo thiab Kev Pabcuam Tshuaj
Cov txiaj ntsig ntawm Medi-Cal Pharmacy muaj xws li Fee-For-Service Drug Program, Drug Rebate Program, Enteral and Medical Supplies, Contracting drug, and Vision Care.
Veterans Benefits Enhancement Project
The Department of Health Care Services (DHCS) Veterans Benefit Enhancement (VBE) project helps veterans who are receiving Medi-Cal Services obtain veteran benefits they are entitled to.
W
Tag Nrho Cov Neeg Saib Xyuas Kev Tsav Tsheb
The overarching goal of the Whole Person Care (WPC) Pilots is the coordination of health, behavioral health, and social services, as applicable, in a patient-centered manner with the goals of improved beneficiary health and wellbeing through more efficient and effective use of resources. WPC Pilots will provide an option to a county, a city and county, a health or hospital authority, or a consortium of any of the above entities serving a county or region consisting of more than one county, or a health authority, to receive support to integrate care for a particularly vulnerable group of Medi-Cal beneficiaries who have been identified as high users of multiple systems and continue to have poor health outcomes.
Women, Infants and Children (WIC)
Nutrition program that helps pregnant women, new mothers and young children eat well and stay healthy.
Kev Pab Cuam Rov Qab Tau Nyiaj Los Ntawm Cov Neeg Ua Haujlwm
Lub luag haujlwm txheeb xyuas thiab rov qab tau cov nuj nqis Medi-Cal uas tau ua rau cov neeg tau txais txiaj ntsig uas raug mob raug them los ntawm Kev Pab Cuam Rov Qab Tau Nyiaj Los Ntawm Cov Neeg Ua Haujlwm.
Kev Pab Cuam Rau Cov Neeg Ua Haujlwm Tsis Taus
Tso cai rau qee tus neeg kom tsim nyog tau txais Medi-Cal los ntawm kev them nqi tsawg txhua hli raws li cov nyiaj tau los suav tau.