Medi-Cal Managed Care
Medi-Cal Managed Care muab kev kho mob zoo, siv tau, thiab muaj txiaj ntsig zoo los ntawm cov kev tswj xyuas kev noj qab haus huv.
Medi-Cal Managed Care cog lus rau cov kev pabcuam kho mob los ntawm cov tes hauj lwm uas tau tsim tsa los ntawm cov txheej txheem kev saib xyuas uas tau teeb tsa, uas tsom mus rau kev saib xyuas thawj zaug thiab kev tiv thaiv. Cov phiaj xwm kev kho mob uas tswj hwm yog kev siv cov peev txheej kev kho mob uas tsim nyog tus nqi uas txhim kho kev nkag mus rau kev kho mob thiab ua kom ntseeg tau tias muaj kev kho mob zoo.
Niaj hnub no, kwv yees li ntawm 15.2 lab tus tswv cuab Medi-Cal hauv tag nrho 58 lub nroog tau txais lawv txoj kev kho mob los ntawm tsib tus qauv tseem ceeb ntawm kev tswj hwm kev saib xyuas: Ob Txoj Kev Npaj, Lub Nroog Kev Tswj Xyuas Kev Noj Qab Haus Huv (COHS), Kev Tswj Xyuas Thaj Chaw (GMC), Tus Qauv Cheeb Tsam (RM), thiab Ib Txoj Kev Npaj. Cov kws kho mob Medi-Cal uas xav muab kev pabcuam rau cov neeg sau npe rau kev saib xyuas kev kho mob yuav tsum koom nrog hauv lub network ntawm cov kws kho mob hauv txoj kev npaj saib xyuas kev kho mob.
Cov ntsiab lus kub
- Community Care Hubs: Toolkit for Plans and CalAIM Providers
- Medi-Cal Kev Tswj Xyuas Kev Lag Luam Kev Lag Luam (MCP) Kev Hloov Kho Cov Khoom Muag
- Cov Kev Pabcuam rau Cov Tswvcuab Saib Xyuas Kev Tswj Xyuas Kev cuam tshuam los ntawm Southern CA Wildfires
- Cov Kev Pab rau Cov Tswv Cuab Saib Xyuas Kev Tswj Xyuas uas Cuam Tshuam los ntawm Southern CA Wildfires - 1135 Waiver Flexibilities
- Flexibilities los xyuas kom meej kev xa khoom ruaj ntseg tom qab Cyberattack ntawm Hloov Kho Kho Mob
- Managed Care Plan County Model Change Information
- Managed Care Plan (MCP) Procurement – County Letter of Support
- County Managed Care Transition to Local Plan: Tsab Ntawv Qhia Txog Lub Hom Phiaj
- Qhia Them Nyiaj
- Health Homes Program
- Palliative Care thiab SB 1004
- Tub Ntxhais Kawm Tus Cwj Pwm Kev Noj Qab Haus Huv (SBHIP)
- Qhov Kev Pab Cuam Tshuam Zoo thiab Kev Cuam Tshuam
Rau cov tib neeg
- Tus neeg muab kev pab cuam Network (PIN)
- Kev saib xyuas txuas ntxiv
- Phau Ntawv Qhia Kev Noj Qab Haus Huv
- Chaw ua haujlwm ntawm Ombudsman
- Daim Ntawv Thov Kev Zam Kev Kho Mob
Rau Kev Npaj Kho Mob
Cov ntaub ntawv tiv tauj
Resources & Information
- CalAIM Tshooj 1115 Kev Ua Yeeb Yam & 1915(b) Kev zam
- Daim ntawv cog lus nrog Kaiser Permanente
- Kev sib koom tes
- Managed Care Advisory Group (MCAG)
- Managed Care Boilerplate Daim ntawv cog lus
- Managed Care County Map (PDF)
- Daim Ntawv Qhia Txog Kev Tswj Xyuas Kev Kho Mob (PDF)
- Tswj Kev Saib Xyuas Kev Kho Mob
- Daim Ntawv Teev Cov Cai Siv rau Kev Pab Kho Mob uas Tswj Xyuas
- Medi-Cal Managed Care Performance Dashboard
- Medi-Cal Managed Care Quality Awards
- Medi-Cal Managed Care Thov Kev Pom Zoo #20-10029