Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Kev Pabcuam Kev Pab Cuam Rau Cov Neeg Muaj Kev Tsis Taus caj ces Cov Ntaub Ntawv Qhia Txog Tus Muab Kev Pabcuam Rau Cov Neeg Muaj Kev Tsis Taus Genetic​​ 

Genetically Handicapped Persons Program Provider Information​​ 

All active Medi-Cal providers may provide and bill for Genetically Handicapped Person Program (GHPP) services. Please note that providers are prohibited from requesting any monetary compensation from the beneficiary, or the beneficiary’s parent or legal guardian.  For more information regarding GHPP, please see the GHPP webpage. Submit requests for medical and dental services by secure email to faxghpp@dhcs.ca.gov or fax to (916) 440-5318.  For assistance with Medi-Cal billing, please call the Telephone Service Center at (800) 541-5555. For assistance with dental billing, please call the Telephone Service Center at (800) 423-0507. Refer to the Medi-Cal dental handbook regarding dental benefits and the process for submitting dental claims.​​ 

GHPP Cov Lus Nug Nquag Rau Cov Chaw Kho Mob​​ 

  1. Kuv puas tuaj yeem sau GHPP hauv hluav taws xob?​​ 
  2. Kuv tuaj yeem thov rov hais dua li cas qhov kev tsis lees paub qhov kev thov rau kev pabcuam muab rau tus neeg siv khoom?​​ 
  3. Kuv yuav xa daim ntawv thov mus rau GHPP li cas?​​ 
  4. Kuv tuaj yeem thov rau Medi-Cal tus kws kho mob li cas?​​ 
  5. TAR kuv xa mus rau Medi-Cal raug tsis lees paub vim tus neeg mob tau cuv npe nrog GHPP. Kuv yuav xa GHPP li cas?​​ 
  6. Puas yog GHPP xav tau kev tso cai ua ntej?​​ 
  7. Kuv yuav txheeb xyuas tus neeg siv khoom qhov kev tsim nyog GHPP li cas?​​ 
  8. Kuv yuav ua kom tiav daim ntawv SAR li cas?​​ 
  9. Tus neeg siv khoom ncaj nraim GHPP yog dab tsi?​​ 
  10. Kuv yuav tau txais tus lej CGP li cas?​​ 
  11. Kuv yuav tau them nyiaj rov qab li cas rau cov kev pab kho hniav uas kuv muab rau cov neeg siv GHPP?​​ 
  12. GHPP tus nqi rau kev pab kho hniav yog dab tsi?​​ 
  13. Kuv puas tuaj yeem muab kev pabcuam rau cov neeg siv GHPP yog tias kuv tsis muaj Medi-Cal tus xov tooj?​​ 
  14. Medicare Part D​​  

Kuv puas tuaj yeem sau GHPP hauv hluav taws xob?​​ 

Lub sijhawm no, koj tsis tuaj yeem them nqi GHPP hauv hluav taws xob. Koj yuav tsum xa daim ntawv thov. Cov lus qhia txog kev them nqi GHPP nyob rau hauv qab ntawm daim ntawv tso cai.​​ 

Kuv tuaj yeem thov rov hais dua li cas qhov kev tsis lees paub qhov kev thov rau kev pabcuam muab rau tus neeg siv khoom?​​ 

Yog tias GHPP tau tsis kam lees qhov kev thov tso cai rau kev pabcuam, rov xa SAR nrog cov ntaub ntawv txhawb nqa los tshuaj xyuas. Yog tias tseem tsis tau daws teeb meem, koj tuaj yeem thov rov hais dua qhov tsis lees paub los ntawm kev sau tsab ntawv thov rov hais dua. Thov sau cov ntaub ntawv txhawb nqa nrog koj qhov kev thov rov hais dua. Xa tsab ntawv thov rov hais dua mus rau hauv qab no:​​ 

Attn: Nurse Consultant III​​ 

Genetically Handicapped Persons Program​​ 

MS 4507, PO ib 997413​​ 

Sacramento, CA 95899-7413​​ 

Kuv yuav xa daim ntawv thov mus rau GHPP li cas?​​ 

Muaj cov lus qhia nyob rau hauv qab ntawm qhov kev tso cai yuav ua li cas sau GHPP. Daim ntawv tso cai yog ib daim ntawv uas GHPP yuav xa mus rau tus kws kho mob yog tias daim ntawv thov kev tso cai muab kev pabcuam raug pom zoo.​​ 

Kuv tuaj yeem thov rau Medi-Cal tus kws kho mob li cas?​​ 

Call Medi-Cal at (800) 541-5555 (outside of California, please call (916) 636-1980 or visit the Medi-Cal website.​​ 

TAR kuv xa mus rau Medi-Cal raug tsis lees paub vim tus neeg mob tau cuv npe nrog GHPP. Kuv yuav xa GHPP li cas?​​ 

Fax ib daim ntawv tso cai kev pab cuam rau GHPP. Koj kuj tuaj yeem fax tsab ntawv tsis kam lees los ntawm Medi-Cal.​​ 

Puas yog GHPP xav tau kev tso cai ua ntej?​​ 

GHPP yog qhov kev tso cai ua ntej. Koj yuav tsum xa daim ntawv tso cai muab kev pabcuam (SAR) ua ntej muab kev pabcuam rau GHPP cov neeg siv khoom. Txawm li cas los xij, muaj qee qhov kev zam rau kev tso cai ua ntej xws li kev pab kho mob xwm txheej ceev.​​ 

Kuv yuav txheeb xyuas tus neeg siv khoom qhov kev tsim nyog GHPP li cas?​​ 

  • Los ntawm swiping hauv lub computer tus neeg siv daim npav Benefit Identification Card ntawm qhov chaw pabcuam. Kev tsim nyog GHPP txuas nrog Medi-Cal database​​ 
  • Los ntawm kev txheeb xyuas tus neeg siv khoom tsim nyog hauv online-line Medi-Cal database​​ 
  • Hu rau GHPP ntawm (916) 713-8400​​ 

Kuv yuav ua kom tiav daim ntawv SAR li cas?​​ 

Nws muaj nplooj ntawv qhia thaum koj rub tawm daim ntawv SAR. Cov lus qhia yog tus kheej piav qhia. Muaj peb daim ntawv SAR:​​ 

Tus neeg siv khoom ncaj nraim GHPP yog dab tsi?​​ 

Ib tus neeg thov GHPP ncaj nraim yog tus neeg siv nrog GHPP rau npe tam sim no uas tsis muaj Medi-Cal kev pab them nqi. Piv txwv:​​ 

  • Client nrog Medicare A & B thiab cuv npe nrog GHPP​​ 
  • Tus neeg siv khoom tsis muaj lwm yam kev pab them nqi kho mob uas tsis yog GHPP​​ 

Kuv yuav tau txais tus lej CGP li cas?​​ 

CGP stands rau CCS/GHPP Provider. Nov yog tus lej tshwj xeeb uas tau muab rau CCS/GHPP cov chaw muab kev pabcuam. Lub sijhawm no, tsuas yog cov kws kho mob uas xav tau tus lej CGP yog cov kws kho hniav uas kho GHPP ncaj qha rau cov neeg siv khoom. Tag nrho lwm tus neeg muab kev pabcuam yuav tsum siv lawv tus lej Medi-Cal ID thiab tus naj npawb National Provider Identification (NPI) thaum xa cov ntawv thov mus rau GHPP.​​ 

Kuv yuav tau them nyiaj rov qab li cas rau cov kev pab kho hniav uas kuv muab rau cov neeg siv GHPP?​​ 

  • Yog tias koj tab tom kho GHPP cov neeg siv khoom ncaj nraim, koj yuav tsum xa daim ntawv thov kev tso cai ua tiav (SAR) rau GHPP kom pom zoo. (Saib nqe lus nug #8)​​ 
  • If you are treating Medi-Cal clients, you must send claims directly to Medi-Cal Dental.​​ 

GHPP tus nqi rau kev pab kho hniav yog dab tsi?​​ 

GHPP cov kev pab kho hniav raug them tib yam li Medi-Cal thiab Medi-Cal Dental.​​ 

Kuv puas tuaj yeem muab kev pabcuam rau cov neeg siv GHPP yog tias kuv tsis muaj Medi-Cal tus xov tooj?​​ 

Tsis yog. Yog tias koj txaus siab los ua tus kws kho mob Medi-Cal, hu rau (800) 541-5555 (sab nraum California, thov hu rau (916) 636-1980) lossis mus saib hauv Medi-Cal lub vev xaib.​​