California Children's Services Whole Child Model
Senate Bill (SB) 586 tau tso cai rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) los tsim Cov Kev Pabcuam Whole Child Model (WCM) hauv County Organized Health System (COHS) lossis Lub Nroog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Cheeb Tsam los koom nrog California Chill's Services (CCS) ) qhov kev pab them nqi kho mob rau Medi-Cal tsim nyog CCS cov menyuam yaus thiab cov hluas rau hauv daim ntawv cog lus Medi-Cal managed care plan (MCP). DHCS tau tsim "Tus Qauv Me Nyuam Tag Nrho" uas tau siv nyob rau hauv 21 lub nroog tau teev tseg, pib txij Lub Xya Hli 2018-Lub Xya Hli 2019. Cov txiaj ntsig tau txhim kho kev sib koom tes saib xyuas rau thawj, tshwj xeeb, thiab kev pabcuam kev noj qab haus huv rau CCS thiab tsis yog CCS. Cov txiaj ntsig tau zoo raws li CCS cov qauv kev pab cuam thiab muab los ntawm CCS cov kws kho mob, cov chaw zov me nyuam tshwj xeeb, thiab cov tsev kho mob mob hnyav. WCM txoj hauv kev ua tau raws li rau lub hom phiaj rau CCS Redesign:
Siv Txoj Kev Pab Cuam Rau Tus Neeg Mob thiab Tsev Neeg
Txhim kho kev sib koom tes nrog kev saib xyuas los ntawm ib qho kev npaj xa tuaj
Tswj kom zoo
Streamline Care Delivery
Tsim los ntawm Cov Lus Qhia Kawm
Nqi siv tau
Txoj hauv kev yog ua raws li lub hom phiaj tseem ceeb ntawm kev muab kev kho mob dav dav thiab tsom mus rau tag nrho tus menyuam, suav nrog tus menyuam qhov kev xav tau ntau yam es tsis yog ntawm CCS kev noj qab haus huv nkaus xwb.
Assembly Bill (AB) 2724 tau ntxiv ib ntu tshiab los txheeb xyuas lwm txoj kev pabcuam kev noj qab haus huv (AHCSP), thiab tso cai rau DHCS kom nkag mus rau hauv daim ntawv cog lus muaj feem pheej hmoo nrog AHCSP, uas yog thawj MCP hauv thaj chaw uas tau teev tseg txij lub Ib Hlis 1, 2024. . DHCS tau xaiv Kaiser Permanente ua lub Department's AHCSP.
Kaiser Permanente yuav yog lub luag haujlwm rau kev saib xyuas rau Medi-Cal uas tsim nyog CCS cov menyuam yaus thiab cov tub ntxhais hluas uas tau cuv npe nrog Kaiser Permanente, thiab yuav siv txoj haujlwm WCM hauv cov nroog nram qab no uas WCM program muaj tam sim no: Marin, Napa, Orange, San Mateo, Santa Cruz, Solano, Sonoma, thiab Yolo. CCS yog ib qho kev pabcuam pub dawb rau cov tswvcuab tau txais kev pabcuam kev noj qab haus huv los ntawm Kaiser Permanente hauv cov nroog no, siv tau rau cov hnub pabcuam rau lossis tomqab Lub Ib Hlis 1, 2024,
Pib Lub Ib Hlis Ntuj Tim 1, 2025, AB 118 tso cai rau DHCS nthuav dav WCM qhov kev pab cuam rau Medi-Cal uas tsim nyog CCS cov menyuam yaus thiab cov tub ntxhais hluas rau npe rau hauv MCP tau txais kev pabcuam los ntawm COHS, Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Cheeb Tsam, lossis AHCSP hauv cov nroog hauv qab no: Butte, Colusa, Glenn, Mariposa, Nevada, Plaster, Sierra, thiab Yuba.
Tam sim no Tag Nrho Cov Qauv Npaj Kho Mob thiab COHS Lub Nroog
San Luis Obispo, Santa Barbara
| Merced, Monterey, Santa Cruz | San Mateo | Orange | Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Siskiyou, Shasta, Solano, Sonoma, Trinity, Yolo
|
Kaiser Permanente WCM Kev Ua Haujlwm Hauv Lub Nroog WCM Siv Tau Siv Lub Ib Hlis 1, 2024
- Marin
- Napa
- Orange
- San Mateo
- Santa Cruz
- Solano
- Sonoma
- Yolo
WCM Expansion Health Plans and Counties Pib Lub Ib Hlis Ntuj Tim 1, 2025
Central California Alliance for Health
| Partnership HealthPlan of California
| Kaiser Permanente: koj puas xav tau ntau tus thwjtim?
|
Mariposa, San Benito
| Butte, Colusa, Glenn, Nevada, Placer, Plumas, Sierra, Sutter, Tehama, Yuba
| Mariposa, Placer, Sutter, Yuba
|
Tus Qauv Tag Nrho Cov Menyuam Yaus: Daim Ntawv Qhia Kev Ntsuas Kawg
DHCS txaus siab tso tawm Tus Qauv Me Nyuam Tag Nrho: Daim Ntawv Qhia Kev Ntsuas Kawg raws li qhov xav tau los ntawm
SB 586 (Tshooj 625, Txoj Cai ntawm 2016). Nov yog qhov kev ntsuam xyuas ywj pheej npaj los ntawm University of California, San Francisco - Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Txoj Cai. SB 586 xav kom DHCS cog lus nrog ib lub koom haum ywj pheej los ua qhov kev ntsuam xyuas los ntsuas MCP kev ua tau zoo thiab cov txiaj ntsig thiab cov kev paub dhau los ntawm CCS cov menyuam yaus thiab cov hluas uas tsim nyog koom nrog WCM txoj haujlwm, suav nrog kev nkag mus rau kev saib xyuas thawj zaug thiab tshwj xeeb, thiab cov hluas hloov los ntawm WCM qhov kev pab cuam rau cov neeg laus Medi-Cal kev pab them nqi.
CCS Dashboards
Cov ntaub ntawv thiab cov ntaub ntawv
Cov ntaub ntawv rau cov tswv cuab
DHCS yuav xa tsab ntawv ceeb toom rau cov tswv cuab 90 hnub rau CCS cov tswv cuab tsim nyog uas raug cuam tshuam los ntawm 2025 WCM Expansion 90 hnub ua ntej Lub Ib Hlis 1, 2025. Medi-Cal cov phiaj xwm kev noj qab haus huv yuav xa cov ntawv ceeb toom rau cov tswv cuab tsim nyog CCS uas raug cuam tshuam los ntawm 2025 WCM Expansion 60 thiab 30 hnub ua ntej Lub Ib Hlis 1, 2025. Cov ntawv ceeb toom cov tswv cuab muaj nyob hauv qab no.
90/60/30-hnub Daim Ntawv Ceeb Toom thiab Daim Ntawv Ceeb Toom Tom Qab Kev Hloov
Notice of Additional Information (NOAI)
Daim Ntawv Qhia Txog Tus Me Nyuam Tag Nrho (WCM) Expansion 2025 Daim Ntawv Ceeb Toom Ntxiv (NOAI) muaj cov ntaub ntawv ntau ntxiv txog WCM Program thiab cov kev cuam tshuam rau CCS cov tswv cuab tau txais los ntawm CCS Program.
Qhov twg cov tswv cuab tuaj yeem mus rau cov ntaub ntawv thiab kev pab
Cov tswv cuab tuaj yeem tiv tauj ib pawg hauv qab no nrog cov lus nug txog kev nthuav dav WCM. Txhua tus hu tau dawb.
Cov lus nug txog WCM Program thiab CCS Services
- Hu rau Medi-Cal tus xovtooj pab kev noj qab haus huv uas nyob rau sab nraum qab ntawm koj daim npav Medi-Cal kev npaj khomob lossis nrhiav koj tus xovtooj ntawm Medi-Cal txoj kev pab them nqi khomob mus rau ntawm nplooj ntawv Health Plan Directory lub vev xaib.
- Hu rau lub nroog CCS lub chaw haujlwm. Txhawm rau nrhiav lub nroog tus xov tooj, mus rau Lub Nroog Lub Chaw Haujlwm lub vev xaib.
Kawm paub ntau ntxiv txog Kev Npaj Khomob thiab Kev Xaiv Tus Kws Khomob:
Cov Kev Xaiv Kho Mob:
- Health Care Options pab cov neeg muaj kev xaiv txoj kev npaj thiab xaiv tus kws kho mob lossis tsev kho mob
- Hu rau (800) 430-4263 (TTY: (800) 430-7077), Hnub Monday txog Friday, 8 teev sawv ntxov txog 6 teev tsaus ntuj
- Mus rau Health Care Options lub vev xaib
Cov lus nug txog vim li cas koj cov kev pabcuam CCS hloov pauv
DHCS Ombudsman Office:
- Ombudsman Office pab cov neeg nrog Medi-Cal siv lawv cov txiaj ntsig thiab nkag siab txog lawv txoj cai thiab lub luag haujlwm
- Hu rau (888) 452-8609 (TTY: California State Relay ntawm 711) (hu dawb), Monday txog Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj PT.
- Xa email rau lawv ntawm MMCDOmbudsmanOffice@dhcs.ca.gov
Cov lus nug txog Medi-Cal
DHCS Medi-Cal Helpline:
- Hu rau (800) 541-5555 (hu dawb), Hnub Monday txog Friday, 8 teev sawv ntxov txog 5 teev tsaus ntuj PT.
Cov Ntaub Ntawv Tus Me Nyuam Tag Nrho
- Daim Ntawv Ceeb Toom Hauv Nroog , Daim Ntawv Cuam Tshuam A - County Readiness Checklist (Lub Peb Hlis 2024)- Kho
- Daim Ntawv Qhia Txog Lub Nroog Kaiser
- Kaiser Daim Ntawv Ceeb Toom
- Kaiser County Kev Npaj
- Tus Qauv Me Nyuam Tag Nrho CCS Tus lej Sau Tsab Ntawv (Hloov Kho Lub Kaum Ob Hlis 2024), Txuas A: CCS Case Management Core Activities
- Tus Qauv Me Nyuam Tag Nrho Daim Ntawv Npaj 24-015
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Kev faib tawm txoj kev
- Division of Responsibility ( Tsib Hlis 2024) - Kho
- Division of Responsibility (Lub Xya Hli 2023) - Kho
- Tag Nrho Cov Me Nyuam Tus Qauv Tau Txais Cov Ntawv Tshaj Tawm (Lub Yim Hli 2024)
- Alt: Arabic, Armenian, Farsi, Hindi, Hmong, Japanese, Khmer, Lao, Mien, Punjabi, Lavxias, Suav, Lus Mev, Tagalog, Thaib, Ukrainian, Nyab Laj
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CCS Advisory Group Composition (Lub Kaum Ib Hlis 2021)
- CCS Kev Tsis Txaus Siab, Kev Thov Kev Txiav Txim Siab thiab Kev Ncaj Ncees (Lub Kaum Ib Hlis 2016)
- Cov lus nug nquag nug (FAQs) (Lub Xya Hli 2019)
- Managed Care All Plan Letters (1998 txog tam sim no)
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Tswj Kev Saib Xyuas Tag Nrho Tus Me Nyuam Tus Qauv Dashboard (Lub Kaum Hli 2021)
- Memorandum of Understanding (MOU) REVISED (Lub Xya Hli 2024)
- Memorandum of Understanding (MOU) REVISED( Tsib Hlis 2024)
- Memorandum of Understanding (MOU) RVISED (Lub Kaum Hli 2023)
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MTP 101 PowerPoint (Lub Kaum Ib Hlis 2017)
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MTP Service Chart (Tsib Hlis 2018)
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Phase-In Methodology (Lub Kaum Ib Hlis 2017)
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Tus Qauv Me Nyuam Tag Nrho thiab SB 586 PowerPoint
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Tag Nrho Tus Qauv Me Nyuam CCS Tus lej Sau Daim Ntawv Sau Npe (Lub Kaum Hli 2018)
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Tus Qauv Txheej Txheem Tag Nrho Tus Menyuam Yaus PowerPoint English, Tus Qauv Me Nyuam Tag Nrho Cov Qauv Txheej Txheem PowerPoint Spanish (Lub Kaum Hli 2018)
- Daim Ntawv Qhia Txog Tus Me Nyuam Tag Nrho (WCM) (Lub Yim Hli 2024)
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Integrated CCS/WCM Dashboard (Lub Ib Hlis 2022)
Archive / Cov ntaub ntawv
Tiv tauj peb
Txhua cov lus hais, lus nug, lossis cov lus qhia txog WCM, lossis thov kom muab ntxiv rau CCS cov neeg koom nrog e-mail daim ntawv xa tawm tuaj yeem xa mus rau CCSProgram@dhcs.ca.gov . 