Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Kev Pabcuam Cov Kev Xaiv Rau Kev Saib Xyuas Mus Ntev (Kev Xaiv Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog) Kev Sau Npe Rau Cov Chaw Muab Kev Pabcuam Rau Cov Chaw Saib Xyuas Neeg Laus thiab Cov Chaw Nyob Rau Cov Neeg Laus​​ 

Tus kws kho mob sau npe rau Cov Chaw Kho Mob Nyob Rau Cov Neeg Laus thiab Cov Neeg Laus Chaw Nyob​​ 

Assisted Living Waiver Program​​ 

Cov Tsev Kho Mob Nyob Hauv Tsev Rau Cov Neeg Laus (RCFE) thiab Cov Tsev Kho Mob Rau Cov Neeg Laus (ARF) yog lub luag haujlwm los muab kev pab cuam Assisted Living Waiver (ALW) rau cov neeg tuaj koom, tso cai rau lawv tswj kev ywj pheej thiab txuas ntxiv tau txais kev saib xyuas hauv tsev laus raws li xav tau. RCFE/ARF ua haujlwm ua ke nrog Lub Chaw Pabcuam Saib Xyuas Kev Pabcuam (CCA) kom ntseeg tau tias cov neeg tuaj koom tau txais kev saib xyuas tus kheej hauv ib lub tsev zoo li thiab hauv zej zog.​​ 

Yam yuav tsum tau muaj​​ 

  • Txhua qhov chaw tso npe rau hauv ALW qhov kev pab cuam yuav tsum ua tau raws li daim ntawv tso cai thiab daim ntawv pov thawj uas tau teev tseg los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, Daim Ntawv Tso Cai Saib Xyuas Zej Zog (CCL). Cov koom haum koom nrog yuav tsum ua raws li qhov tseem ceeb thiab sawv cev zoo nrog cov cai tso cai (Ref: Title 22, § 87101(s)(9)). Cov chaw nyob rau hauv kev raug txim nrog thiab/los yog tseem muaj kev iab liam tawm tsam tus neeg muaj ntawv tso cai tsis ua raws li qhov tseem ceeb rau lub hom phiaj ntawm ALW (Ref. H&S § 1569.33).​​ 
  • Cov chaw koom nrog ALW tsis suav tias yog cov chaw kho mob, tab sis cov chaw hauv zej zog. Txawm hais tias RCFE/ARF yog ib lub chaw muaj ntawv tso cai, cov neeg nyob hauv ALW raug suav hais tias yog nyob hauv lawv lub tsev, tsis nyob hauv qhov chaw kho mob.​​ 
  • ALW cov chaw yuav tsum muaj cov neeg ua haujlwm saib xyuas neeg mob uas muaj ntawv tso cai, hu xovtooj lossis ua haujlwm, txhawm rau muab cov kev pabcuam kws khomob zoo raws li qhov xav tau los zam cov neeg koom.​​  
  • Cov chaw yuav tsum ntiav cov neeg ua haujlwm raws li qhov tsim nyog los xyuas kom muaj kev saib xyuas thiab saib xyuas kom tau raws li cov neeg siv khoom xav tau kev noj qab haus huv thiab kev nyab xeeb.​​  
  • Cov chaw yuav tsum tau muab cov chav dej ntiag tug lossis ib nrab ntiag tug, chav noj mov, lossis chav ua yeeb yam uas tseem tuaj yeem ua chav noj mov.​​ 
  • Cov chaw yuav tsum muaj peev xwm muab cov chav pw ntiag tug lossis chav pw sib koom.​​  
  • Cov tsev nyob ntau tshaj li rau tus neeg tuaj koom yuav tsum muaj Individual Response System (IRS) ua rau cov tib neeg tuaj yeem hu rau kev pab txhua lub sijhawm.​​ 

RCFE/ARF muab cov kev pabcuam hauv qab no:​​ 

  • Kev muab thiab saib xyuas ntawm tus kheej thiab kev pab txhawb nqa​​ 
  • Pab nrog kev tswj hwm tus kheej ntawm cov tshuaj​​ 
  • Muab peb pluas noj ib hnub ntxiv rau khoom noj txom ncauj​​ 
  • Kev tu tsev thiab ntxhua khaub ncaws​​ 
  • Kev thauj mus los lossis kev npaj kev thauj mus los​​ 
  • Kev ua si​​ 
  • Cov kev pab tu neeg mob txawj ntse raws li qhov xav tau​​ 

Xa mus rau​​  HCBS Waiver​​  rau tag nrho ALW cov cai.​​ 

RCFE/ARF Cov Kauj Ruam Rau Npe​​ 

LUS CEEV: Tam sim no, DHCS tab tom muaj kev txaus siab rau qhov kev pab cuam ALW. Pab neeg DHCS tab tom ua haujlwm hnyav los ntawm cov ntawv thov sai li sai tau. Thov nco ntsoov tias muaj ob (2) daim ntawv thov uas xav tau rau qhov kev pab cuam ALW. Thawj qhov yog daim ntawv thov kev pab cuam thaum qhov thib ob yog daim ntawv thov Medi-Cal (daim ntawv thov no yuav tsum tau them tus nqi). Cov kev tshuaj xyuas ntawm ob hom ntawv thov no tau ua sib cais. Yuav kom qhov chaw no tau txais kev pom zoo tag nrho, ob qho tib si daim ntawv thov kev pab cuam thiab Medi-Cal yuav tsum tau ua kom tiav. Tej zaum qhov kev ncua sij hawm hauv kev tshuaj xyuas thiab/lossis kev pom zoo ntawm daim ntawv thov yuav yog vim xa daim ntawv thov tsis tiav lossis tsis muaj cov ntaub ntawv ntxiv uas tau thov. Cov ntawv thov tsis tiav lossis tsis xa cov ntaub ntawv ntxiv raws sijhawm yuav ua rau kev tshuaj xyuas qeeb lossis kaw daim ntawv thov. Thaum koj daim ntawv thov raug tshuaj xyuas lawm, pab neeg yuav tiv tauj koj yog tias xav tau cov lus nug lossis kev thov ntxiv.​​ 

Ua tsaug rau koj ua siab ntev thiab nkag siab.​​ 

Txhawm rau koom nrog ALW qhov kev pab cuam, muaj peb kauj ruam rau kev tshuaj xyuas daim ntawv thov kev zam:​​ 

Kev Xa Daim Ntawv Thov Thawj Zaug - Qhov no ntawm daim ntawv thov yuav tsum tau xa email. Tsis tas yuav xa ntawv no tuaj. Xa koj daim ntawv thov, cov lus tawm tswv yim, thiab cov lus nug mus rau Chav Saib Xyuas Chaw Muab Kev Pabcuam thiab Chaw Ua Haujlwm (PFSRU): ProFacWAIVER@dhcs.ca.gov.
Daim Ntawv Thov Thawj Zaug ntawm RCFE/ARF Tus Muab Kev Pabcuam
Daim Ntawv Pom Zoo ntawm Tus Muab Kev Pabcuam rau Kev Nyob Zoo
Kev Txheeb Xyuas Tus Muab Kev Pabcuam rau Kev Nyob (42 CFR § 441.301(c)(4))
Daim Ntawv Teev Npe Thov Kev Pab Thaum Pib thiab Medi-Cal thiab Cov Lus Qhia Pab Tau​​ 

Kev Xa Daim Ntawv Thov Medi-Cal - Daim ntawv thov no yuav tsum xa tuaj rau peb vim peb lub chaw ua haujlwm xav tau cov ntawv kos npe thawj. Cov lus nug txog ntu no ntawm daim ntawv thov tuaj yeem xa mus rau Chav Sau Npe Muab Kev Pabcuam (PEU): WaiveProEnroll@dhcs.ca.gov.
Pob Ntawv Sau Npe Medi-Cal
Daim Ntawv Teev Npe Thov Medi-Cal Thawj Zaug thiab Daim Ntawv Teev Npe Thov thiab Cov Lus Qhia Pab Tau
Xa koj pob ntawv thov Medi-Cal tiav mus rau qhov chaw nyob hauv qab no. Tsis txhob quav ntsej qhov chaw nyob uas tau teev tseg rau ntawm daim ntawv Medi-Cal. LUS CEEV TSEEM CEEB: Tsis txhob xa daim ntawv thov mus rau Lub Chaw Sau Npe Rau Cov Kws Muab Kev Pab.
Xa ntawv mus rau:
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
Lub Chaw Haujlwm Saib Xyuas Kev Kho Mob
Chav Sau Npe Kws Kho Mob
1501 Capitol Avenue, MS 4502
PO Box 997437
Sacramento, CA 95899-7437​​ 

Thaum twg tau tshuaj xyuas thiab pom zoo rau daim ntawv thov ALW (kauj ruam 1 thiab 2), yuav muaj kev mus xyuas "hauv lossis sab nraud" kom paub tseeb tias tus neeg thov kev tsim nyog. Cov chaw yuav tau txais tsab ntawv ceeb toom zaum kawg txog lawv qhov xwm txheej rau npe kawm.​​ 

For a Change of Ownership or Change of Location, contact: ProFacWAIVER@dhcs.ca.gov. To process this type of request, our office requires a complete application package as mentioned above. On page 7 of the DHCS 6204 form, ensure to mark the correct box for “Change of ownership” or “Change of business address”.​​ 

Yog xav tau kev rov xyuas dua, hu rau: WaiveProEnroll@dhcs.ca.gov. Yuav kom ua tiav hom kev thov no, peb lub chaw ua haujlwm tsuas xav tau pob ntawv sau npe Medi-Cal xwb. Nyob rau nplooj ntawv 7 ntawm DHCS 6204, xyuas kom tseeb tias tau cim lub thawv rau "Kev sau npe txuas ntxiv mus".
​​ 

Daim ntawv thov​​ 

Thaum npaj xa tawm koj daim ntawv thov pob, xa tag nrho cov ntaub ntawv hauv qab no:​​ 

  • Tsis txhob siv cov staples.​​ 
  • TSIS MUAJ binders, dividers, los yog ntaub ntawv organizers.​​ 
  • Tsis txhob siv cov nplaum nplaum, cov ntawv nplaum, lossis cov ntawv lo.​​ 
  • Tsis txhob siv daim ntawv uas loj dua li Tsab Ntawv Loj (8.5 x 11 nti).​​ 
  • Tsis txhob siv daim kab xev kho, dawb tawm, los yog tus cwj mem los yog tus cwj mem ntawm hom zoo sib xws. Yog tias koj yuav tsum tau kho, thov ua kab, hnub tim, thiab pib ua tus cwj mem.​​ 
  • OKAY RAU SIV daim ntawv clips, binder clips, thiab roj hmab bands.​​ 
  • Xyuas kom meej tias txhua nplooj ntawv Medi-Cal yog nyob rau hauv qhov kev txiav txim kom raug.​​ 

Cov peev txheej​​