Kev Hloov Pauv ntawm Cov Nyiaj Pab Kho Hniav Medi-Cal
Rov qab mus rau Medi-Cal Dental Program
Hnub siv rau Kev Hloov Kho Kev Pabcuam Kho Hniav Medi-Cal tau raug ncua mus rau Lub Xya Hli 1, 2027
Txij li thaum Lub Xya Hli 1, 2027, Medi-Cal yuav tsum tsis txhob them cov kev pabcuam kho hniav rau qee tus tswv cuab laus lawm, tshwj tsis yog thaum muaj xwm txheej ceev. Qhov kev hloov pauv no yog raws li txoj cai nkag tebchaws. Qhov kev hloov pauv tsuas yog cuam tshuam rau cov tswv cuab Medi-Cal uas muaj hnub nyoog 19 xyoo thiab laus dua thiab tsis tsim nyog rau Medi-Cal uas tau txais nyiaj pab los ntawm tsoomfwv.
Yog xav paub seb qhov kev hloov pauv no puas siv tau rau koj, nyeem daim ntawv qhia txog kev nkag tebchaws ntawm: DHCS - Pawg Neeg Txog Kev Nkag Tebchaws
Koj yuav tau txais kev pab cuam Medi-Cal uas muaj tag nrho cov kev pab cuam kho hniav txawm tias koj txoj cai nkag tebchaws yog tias:
- Koj raug xaiv los ntawm lub nroog ua cev xeeb tub lossis ib xyoos tom qab yug menyuam (tom qab cev xeeb tub tas), lossis
- Koj raug xaiv los ntawm lub nroog ua tus menyuam yaus tu lossis tus menyuam yaus tu yav dhau los hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas menyuam yaus thaum lawv hnub yug 18 xyoo, lossis
- Koj hnub nyoog qis dua 19 xyoo
Yog koj tau sau npe rau hauv Medi-Cal Dental Plan (Dental Managed Care Plan), koj yuav tsum ua ib qho:
- Nyob twj ywm rau npe rau hauv koj txoj Kev Npaj Kho Mob Hniav yog tias koj hnub nyoog qis dua 19 xyoos, lossis
- Tsiv mus rau Medi-Cal Dental Program (fee-for-service) kom tau txais koj cov txiaj ntsig kho hniav tag nrho yog tias koj yog:
- Lub nroog tau xaiv tias cev xeeb tub lossis ib xyoos tom qab yug menyuam (tom qab cev xeeb tub tas), thiab/lossis
- Tau xaiv los ntawm lub nroog ua tus menyuam yaus tu menyuam lossis tus menyuam yaus tu menyuam yav dhau los hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo
Kev Pab Kho Hniav Thaum Muaj Xwm Ceev:
Rau cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis tsim nyog tau txais Medi-Cal uas tau txais nyiaj pab tag nrho los ntawm tsoomfwv, cov kev pabcuam kho hniav thaum muaj xwm txheej ceev yuav txuas ntxiv mus them los ntawm Medi-Cal Dental Program (them nqi rau kev pabcuam). Cov kev pab kho hniav thaum muaj xwm txheej ceev uas them nqi yog cov kev kho mob uas xav tau tam sim ntawd kom tsis txhob mob hnyav lossis kuaj mob thiab kho cov teeb meem kev kho mob loj tam sim ntawd. Qhov no suav nrog kev saib xyuas rau:
- Ntshav tsis nres
- Mob o hauv lossis ib puag ncig koj lub qhov ncauj
- Mob hniav los yog mob puab tsaig
- Kev raug mob rau koj lub ntsej muag lossis lub puab tsaig
- Kev kis kab mob hauv koj cov pos hniav lossis cov hniav nrog rau qhov mob lossis o
- Kev saib xyuas tom qab phais (xws li hloov daim ntaub qhwv lossis tshem cov xov)
- Ib tug hniav tawg los yog raug ntaus tawm
- Txiav los yog kho cov xov hlau hauv cov braces uas ua rau koj lub puab tsaig lossis cov pos hniav mob
Cov lej hauv qab no yog cov txheej txheem kho hniav thaum muaj xwm txheej ceev:
D0220, D0230, D0250, D0330, D0502, D0999, D2920, D2940, D3220, D3221, D6092, D6093, D6930, D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7251, D7260, D7261, D7270, D7285, D7286, D7410, D7411, D7412, D7413, D7414, D7415, D7440, D7441, D7450, D7451, D7460, D7461, D7490, D7510, D7511, D7520, D7521, D7530, D7540, D7550, D7560, D7610, D7620, D7630, D7640, D7650, D7660, D7670, D7671, D7710, D7720, D7730, D7740, D7750, D7760, D7770, D7771, D7810, D7820, D7830, D7910, D7911, D7912, D7979, D7980, D7983, D7990, D9110, D9210, D9222, D9223, D9230, D9239, D9243, D9244, D9245, D9246, D9247, D9410, D9420, D9430, D9440, D9610, D9910, D9920, D9930, D9951
Yog xav paub ntxiv txog cov kev pab kho hniav thaum muaj xwm txheej ceev, mus saib: Smile, California - Cov Ntaub Ntawv Txog Kev Kho Hniav Thaum Muaj Xwm Txheej Ceev.
Yog xav tau cov lus teb rau cov lus nug txog cov xwm txheej kev nkag tebchaws uas cov kev hloov pauv cuam tshuam, nyeem cov Lus Nug Nquag Nug (FAQs) uas pom muaj nyob rau hauv cov peev txheej hauv qab no.
Cov ntaub ntawv qhia
Cov Txheej Txheem Pom Zoo Rau Kev Txheeb Xyuas Qhov Tsim Nyog
Raws li Phau Ntawv Qhia Txog Kev Kho Mob Hniav Medi-Cal, Ntu 4 - Kev Kho Cov Tswv Cuab, cov kws kho mob yuav tsum siv ib txoj hauv kev hauv qab no los txheeb xyuas qhov tsim nyog ntawm tus tswv cuab:
Automated Eligibility Verification System (AEVS)
Lub AEVS muaj 24 teev hauv ib hnub, xya hnub hauv ib lub lim tiam. Txij lub Xya Hli 1, 2027, cov lus AEVS rau cov tswv cuab uas cuam tshuam los ntawm qhov kev hloov pauv no yuav yog: COV KEV PAB CUAM HNIAV TXWV RAU COV KEV PAB CUAM THAUM MUAJ XWM TXHEEJ XWB. Cov neeg muab kev pab tuaj yeem nkag mus rau AEVS los ntawm kev hu rau (800) 456-2387. Koj yuav tsum muaj koj tus NPI ntawm Tus Muab Kev Pabcuam thiab tus lej ID ntawm tus tswv cuab ntawm Daim Npav Qhia Txog Cov Nyiaj Pabcuam (BIC) lossis Tus lej Social Security.
Lub Vas Sab Hauv Internet ntawm Medi-Cal (Lub Rooj Sab Laj Muab Kev Pabcuam)
Kuj tseem tuaj yeem txheeb xyuas qhov tsim nyog los ntawm Medi-Cal Provider Portal. Thov saib Cov Ntawv Xov Xwm ntawm Tus Muab Kev Pabcuam Ntim 41 Naj Npawb 2 kom paub ntxiv. Thaum koj nkag mus rau hauv lawm, cov neeg muab kev pab tuaj yeem tshawb nrhiav qhov tsim nyog tau txais kev pab tam sim ntawd.
Cov ntawv xov xwm muab
Hnub pib siv ntawm kev hloov pauv cov txiaj ntsig kho hniav tau raug ncua mus rau Lub Xya Hli 1, 2027. Cov ntawv ceeb toom tshiab ntawm cov chaw muab kev pabcuam txog qhov kev ncua sijhawm no yuav los sai sai no.
Daim Ntawv Ceeb Toom Txog Tswv Cuab
Thaum Lub Plaub Hlis Ntuj xyoo 2026, DHCS tau xa ntawv ceeb toom rau cov tswv cuab uas raug kev cuam tshuam qhia rau lawv txog lawv cov kev hloov pauv ntawm kev pab them nqi kho hniav thiab txoj kev uas lawv tuaj yeem tau txais cov kev pabcuam kho hniav. DHCS yuav xa ib daim ntawv ceeb toom qhia rau cov tswv cuab tias cov kev hloov pauv no tau raug ncua mus rau Lub Xya Hli 1, 2027.
Updated Member Notices
Cov lus nug nquag
Cov Ntawv Xov Xwm ntawm Cov Tswv Cuab
Hnub pib siv ntawm kev hloov pauv cov txiaj ntsig kho hniav tau raug ncua mus rau Lub Xya Hli 1, 2027. Cov ntawv ceeb toom tshiab txog cov tswv cuab txog qhov kev ncua sij hawm no yuav los sai sai no.
Cov peev txheej dav dav
Tiv tauj peb
Yog xav paub ntxiv txog Medi-Cal Dental
Medi-Cal Dental Telephone Service Center
Phone: (800) 322-6384 The call is free.
TTY: (800) 735-2922 or 711
Sij Hawm: Hnub Monday - Hnub Friday, 8 sawv ntxov txog 5 tsaus ntuj
Yog xav nrhiav cov ntaub ntawv tiv tauj rau koj txoj Kev Npaj Kho Mob Hniav, mus rau:
Dental Managed Care Plan Directory
Pab nrog Medi-Cal cov txiaj ntsig thiab nkag siab txog koj txoj cai thiab lub luag haujlwm.
Medi-Cal Ombudsman Office
Phone: (888) 452-8609 The call is free.
TTY: California State Relay at 711
Hours: Monday – Friday, 8 a.m. to 5 p.m.