Tsev Cov Kev Pabcuam Cov Ntaub Ntawv Qhia Txog Kev Kho Hniav​​ 

Cov ntaub ntawv kho hniav​​ 

Rov qab mus rau Medi-Cal Dental Program lub vev xaib​​ 

Cov haujlwm thiab cov ntaub ntawv dav dav ntawm cov kev pab cuam kho hniav muaj nyob rau hauv Dental Managed Care lossis Dental Fee-for-Service webpages.​​ 

CalAIM 1915(b) – Dental FFS and DMC Performance Reporting​​  

Thaum Lub Kaum Ob Hlis 29, 2021, Lub Chaw Haujlwm Saib Xyuas Medicare thiab Medicaid hauv tsoomfwv tau pom zoo rau California Advancing and Innovating Medi-Cal (CalAIM) Tshooj 1915(b) Waiver, uas nrhiav kev hloov pauv thiab txhawb nqa Medi-Cal Program, suav nrog Dental Managed Care (DMC). Raws li ib feem ntawm CalAIM 1915(b) Waiver Cov Lus Cog Tseg Tshwj Xeeb thiab Cov Cai (STCs), DHCS yuav tsum tau saib xyuas DMC kev ua tau zoo hauv kev mus ntsib kws kho hniav txhua xyoo, Kev Pabcuam Kho Hniav Tiv Thaiv, thiab Kev Siv Cov Tshuaj Sealants rau cov menyuam yaus thiab cov neeg laus. Tshwj xeeb, STC C. Dental, #27 Txoj Kev Npaj Sib Npaug nrog FFS, yuav tsum tau txhua txoj kev npaj DMC kom ua tau raws li kev sib npaug nrog lub kaw lus xa khoom them nqi rau kev pabcuam thaum Lub Kaum Ob Hlis 31, 2022. Thov saib cov ntaub ntawv qhia txog kev ua tau zoo ntawm DMC uas tau qhia hauv qab no.​​ 

Welfare and Institutions Code Reporting​​  

California Welfare and Institutions (WIC) Codes Sections 14132.915, 14196, 14309 14459 and 14459.6 specify Medi-Cal Dental data reporting requirements for pediatric and adult dentistry. This also includes additional reporting requirements for utilization data such as, on a “per-provider” basis and annual service utilization through service categories including examination, prevention, treatment, and general anesthesia. The WIC codes align Dental Fee-For-Service and Dental Managed Care annual and quarterly reporting requirements.​​ 

Kev ntsuas kev ua tau zoo​​ 

Daim Ntawv Qhia Txog Kev Siv Tshuaj loog Dav Dav​​ 

Daim Ntawv Qhia Txog Ib Tus Neeg Muab Kev Pab​​ 

Nkag mus rau DHCS Cov Ntaub Ntawv rau Kev Tshawb Fawb thiab Kev Noj Qab Haus Huv Pej Xeem​​ 

Lub vas sab hauv internet Accessing Protected DHCS Data for Research and Public Health yog lub portal tseem ceeb rau kev thov cov ntaub ntawv tiv thaiv los ntawm California Department of Health Care Services (DHCS) rau kev tshawb fawb thiab kev noj qab haus huv pej xeem. Cov ntaub ntawv tiv thaiv yog hais txog cov ntaub ntawv uas muaj cov ntaub ntawv zais cia uas yog tsis muaj cov ntaub ntawv no ces pej xeem yuav tsis pom.  Lub vas sab no tsis yog rau kev thov cov ntaub ntawv uas pej xeem siv tau.​​   

Medi-Cal Dental Complaints Reports and Grievances Reports​​ 

California Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg Qhib Cov Ntaub Ntawv​​ 

Qhib Cov Ntaub Ntawv Portal muab pej xeem nkag mus rau cov ntaub ntawv tsis pub lwm tus paub txog kev noj qab haus huv thiab kev pabcuam tib neeg. DHCS tab tom ntxiv cov ntaub ntawv mus rau California Lub Chaw Pabcuam Kev Noj Qab Haus Huv thiab Tib Neeg (CalHHS) Qhib Cov Ntaub Ntawv Portal thiab tsis ntev los no tau ntxiv Medi-Cal Dental Data rau Open Data Portal. Cov ntaub ntawv loj ntawm Open Data Portal tuaj yeem txheeb tau yooj yim thiab nyeem tau ntau dua li PDFs loj.​​