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 kev ua ub no thiab cov ntaub ntawv kho hniav dav dav muaj nyob rau hauv Dental Managed Care los yog Hniav Fee-for-Service webpages.

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

Thaum Lub Kaum Ob Hlis 29, 2022, Tsoom Fwv Teb Chaws Chaw rau Medicare thiab Medicaid Services tau pom zoo rau California Advancing and Innovating Medi-Cal (CalAIM) Seem 1915(b) Waiver, uas nrhiav kev hloov pauv thiab ntxiv dag zog rau Medi-Cal Program, suav nrog Kev Kho Hniav Kev Kho Hniav ( DMC). Raws li ib feem ntawm CalAIM 1915(b) Waiver Special Terms and Conditions (STCs), DHCS yuav tsum tau saib xyuas DMC kev ua tau zoo hauv kev mus ntsib Kev Kho Hniav Txhua Xyoo, Kev Tiv Thaiv Kev Kho Hniav, thiab Kev Siv Cov Sealants rau cov menyuam yaus thiab cov neeg laus. Tshwj xeeb tshaj yog, STC C. Dental, #27 Plan Parity nrog FFS, xav kom txhua DMC txoj kev npaj ua kom tau raws li qhov sib luag nrog tus nqi-rau-kev pabcuam xa mus los ntawm Lub Kaum Ob Hlis 31, 2022. Thov xa mus rau DMC cov ntawv qhia txog kev ua tau zoo 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.

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.

Pediatric Sealants, Kev Mus Saib Xyuas Kev Kho Hniav Txhua Xyoo & Kev Pabcuam Kev Tiv Thaiv Kev Ua Haujlwm Zoo rau Xyoo 2013-2016

Dental-Related Emergency Room Utilization Data (Calendar Years 2013-2015)