Kev Hloov Pauv ntawm Cov Nyiaj Pab Kho Hniav Medi-Cal
Rov qab mus rau Medi-Cal Dental Program
Txij li thaum Lub Xya Hli 1, 2026, 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 tsoomfwv qib siab Medi-Cal.
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 cev xeeb tub los yog nyob rau thawj xyoo tom qab koj cev xeeb tub xaus, los yog
- Koj muaj hnub nyoog qis dua 19 xyoos, lossis
- Koj hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo
Yog tias koj tab tom 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:
Cev xeeb tub los yog ib xyoos tom qab yug me nyuam (tom qab cev xeeb tub), thiab/lossis
Ib tug menyuam/hluas hluas lossis ib tug menyuam yaus uas tau txais kev saib xyuas uas muaj hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas 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 rau tsoomfwv qib siab Medi-Cal, cov kev pabcuam kho hniav thaum muaj xwm txheej ceev yuav txuas ntxiv mus. 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, D2941, 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, D9248, 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. Cov lus ntawm AEVS rau cov tswv cuab uas cuam tshuam los ntawm qhov kev hloov pauv no yog: COV KEV PAB CUAM TXOG KEV HNIAV HMOOV TSIS PUB 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
- Ntawv 42, Naj Npawb 12: Cov Kev Hloov Pauv Tseem Ceeb rau Cov Nyiaj Pab Kho Hniav Rau Cov Neeg Laus
- Ntawv 42, Naj Npawb 02: Kev Hloov Pauv Txog Kev Nkag Tebchaws
Daim Ntawv Ceeb Toom Txog Tswv Cuab
Txij lub Plaub Hlis Ntuj xyoo 2026, DHCS yuav xa ntawv ceeb toom rau cov tswv cuab uas raug cuam tshuam qhia rau lawv txog kev hloov pauv uas yuav los txog rau hauv txoj kev uas lawv tuaj yeem tau txais cov kev pabcuam kho hniav.
Daim Ntawv Ceeb Toom Rau Cov Tswv Cuab 60-Hnub / 30-Hnub [Arabic] [Armenian] [Cambodian] [Suav - Yooj Yim] [Suav - Ib Txwm] [ Lus Askiv ] [Farsi] [Hindi] [Hmoob] [Nyiv Pooj] [Kauslim] [Laotian] [Mien] [Punjabi] [Lavxias] [Mev] [Tagalog] [Thaib] [Ukrainian] [Nyab Laj]
Cov Ntawv Xov Xwm ntawm Cov Tswv Cuab
Cov peev txheej dav dav
- Cov Lus Nug Feem Ntau Txog Kev Hloov Pauv Nyiaj Pab Kho Hniav Medi-Cal
- Hloov kev kho mob
- Medi-Cal Dental Program
- Smile, California
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.
Email: MMCDOmbudsmanOffice@dhcs.ca.gov