Kev Tso Cai Kho Hniav & Kev Thov
Kev Tso Cai Kho Hniav / Orthodontic
Kev Tso Cai Kho Hniav / Orthodontic
Txhua qhov kev thov rau CCS cov kev pab kho hniav thiab orthodontic rau CCS Xwb thiab CCS Healthy Families cov neeg siv khoom (CCS tsis them rau kev mob nkeeg rau cov neeg siv khoom uas muaj cai tau txais Medi-Cal full-scope tsis muaj feem cuam tshuam nrog tus nqi; cov neeg siv khoom no yuav tsum raug xa mus rau Medi-Cal Dental) yuav tsum tau xa daim ntawv DHS 4516, CCS Dental thiab Orthodontic Client Service Authorization Request (SAR). Thaum CCS tau txais daim ntawv SAR kho hniav/orthodontic thiab nkag mus rau hauv lub system, txhua yam kev kho hniav/orthodontic uas tsim nyog yuav raug tso cai los ntawm Medi-Cal Dental. Tsuas yog cov Chaw Muab Kev Pabcuam Hniav Medi-Cal uas tseem ua haujlwm xwb thiaj li tau txais kev tso cai los muab cov kev pabcuam CCS. Cov kev pabcuam yuav raug tso cai rau ntau lub sijhawm sib txawv thaum lub sijhawm tsim nyog ntawm tus neeg siv khoom CCS.
Qee cov lus qhia muaj txiaj ntsig thaum xa daim ntawv kho hniav / orthodontic SAR:
- Dental providers must request CCS services using a Dental/Orthodontic SAR form.
- Txhua daim SAR uas xa mus rau CCS raug tshuaj xyuas rau qhov tsim nyog nyob thiab nyiaj txiag (tshwj tsis yog tus neeg sau npe Healthy Families) los txiav txim siab txog qhov tsim nyog ntawm txoj haujlwm ntawm tus menyuam.
- Tag nrho cov kev kho hniav/orthodontic SARs raug xa tawm los ntawm Medi-Cal Dental/Delta Dental rau kev tso cai.
- Medi-Cal Kev Kho Hniav yuav tsis tso cai rau cov txheej txheem rau CCS yam tsis muaj SAR sib xws.
- CCS ua raws li tag nrho cov cai, cov txheej txheem, thiab cov kev cai ntawm Medi-Cal Dental.
- Cov kws kho mob yuav tsum tsis txhob mus kho mob kom txog thaum tau txais kev tso cai los ntawm Medi-Cal Dental (tshwj tsis yog Medi-Cal Dental tsis xav tau kev tso cai ua ntej rau ib qho kev pabcuam tshwj xeeb - saib Phau Ntawv Qhia Txog Kev Muab Kev Pabcuam Medi-Cal Dental Ntu 4, Txoj Cai Pabcuam).
- Txhua qhov kev pab kho hniav yuav tsum tau kev tso cai ua ntej los ntawm Medi-Cal Dental.
Kev thov kev thov
Cov kev thov rau cov kev pabcuam uas tau tso cai los ntawm CCS lossis Medi-Cal Dental yuav tsum xa ncaj qha mus rau Medi-Cal Dental.
- Xa daim ntawv thov rau cov kev pabcuam uas tau pom zoo lossis tso cai los ntawm CCS qhov kev pabcuam lossis Medi-Cal Dental. Kev thov rau cov kev pabcuam yam tsis muaj CCS lossis Medi-Cal Dental pom zoo lossis kev tso cai ua ntej yuav raug tsis lees paub.
- Xa cov ntawv thov rau cov kev pabcuam uas muab rau tus neeg siv khoom lees paub tias tsim nyog tau txais cov txiaj ntsig CCS. Kev thov rau cov kev pabcuam uas muab rau cov neeg siv khoom uas tsis yog CCS lossis tsis tsim nyog tau txais cov txiaj ntsig CCS yuav raug tsis lees paub.
- Xa daim ntawv thov mus rau Medi-Cal Dental raws sijhawm.
Xa cov ntawv thov rau cov kev pabcuam muab rau cov neeg siv khoom nrog rau lwm yam kev pov hwm kev noj qab haus huv nrog rau Kev Qhia Txog Kev Pabcuam (EOB) txuas nrog rau cov lus thov.
Nqe Lus Nug
Yog koj muaj lus nug txog kev them nqi, thov hu rau Delta Dental ntawm (800) 423-0507. Koj tuaj yeem mus saib lub vev xaib Medi-Cal Dental kom paub txog cov txheej txheem them nqi thiab cov kev hloov tshiab.