Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv thiab Chaw Kho Mob Hauv Nroog
Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv (FQHCs) thiab Cov Chaw Kho Mob Hauv Nroog (RHCs) yog cov chaw pabcuam kev nyab xeeb uas muab kev tiv thaiv thiab kev pabcuam thawj zaug hauv chaw kho mob sab nraud. Nplooj ntawv no yog tsim los muab cov ntaub ntawv ntxiv, cov peev txheej, thiab cov kev sib txuas muaj txiaj ntsig ntsig txog Tsoom Fwv Saib Xyuas Kev Noj Qab Haus Huv thiab Cov Tsev Kho Mob Hauv Nroog Hauv Nroog muaj rau cov kws kho mob Medi-Cal thiab cov tswv cuab.
Medi-Cal Cov Tswv Cuab
Nrhiav Lub Chaw Kho Mob
Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Pabcuam (HRSA) muaj cov cuab yeej nrhiav chaw kho mob los nrhiav FQHC. Koj tuaj yeem tshawb nrhiav los ntawm chaw nyob, xeev, lub nroog, lossis tus lej zip. Cov FQHCs nyob hauv feem ntau lub nroog thiab ntau thaj chaw nyob deb nroog.
Cov kws kho mob
Daim ntawv tso cai Clinic
California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) Daim Ntawv Tso Cai & Ntawv Pov Thawj (L&C) Txoj Haujlwm yog lub luag haujlwm rau daim ntawv tso cai cov chaw kho mob thawj zaug. Txoj haujlwm L&C siv lub xeev thiab tseemfwv txoj cai lij choj thiab cov cai los ntsuas cov chaw kho mob.
Txuas mus rau daim ntawv tso cai & ntawv pov thawj daim ntawv thov chav tsev
Intermittent Clinics & Mobile Health Units
For more information on Requirements and Procedures for Reporting of Intermittent Clinics and Mobile Health Units, go to Requirements and Procedures for Reporting of Intermittent Clinics and Mobile Health Units.
Medi-Cal Managed Care Plan (MCP) tus kws kho mob
Tshaj li qhov kev mus ntsib PPS thawj zaug, cov chaw kho mob yuav tsum tau cog lus nrog MCPs los muab kev saib xyuas thiab kev pab cuam txuas ntxiv rau cov tswv cuab uas tau cuv npe nrog MCP. Tsis tas li ntawd, cov chaw kho mob thiab MCPs yuav tsum xyuas kom cov tswvcuab raug xa mus rau lawv lub tsev kho mob uas lawv xaiv.
For more information on Managed Care Plans, go to Medi-Cal Managed Care.
Muab Kev Pabcuam
Yuav Ua Li Cas Los Ua FQHC
Txhawm rau dhau los ua FQHC, tseem hu ua Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv, ib lub koom haum yuav tsum ua raws li qee yam kev cai:
- Nyob rau hauv lossis ua haujlwm rau cov zej zog xav tau siab heev
- Tau tswj hwm los ntawm pawg thawj coj hauv zej zog uas tsawg kawg yog 51% ua los ntawm cov neeg mob hauv chaw kho mob.
- Muab cov kev pabcuam khomob zoo rau ntawm tus nqi swb raws li kev muaj peev xwm them.
- Ua Ib Lub Chaw Pabcuam Kev Noj Qab Haus Huv paub txog tus neeg txais lossis Health Center Program zoo ib yam.
FQHCs yog cov chaw kho mob tseem ceeb uas tau txais nyiaj txiag los ntawm tsoomfwv los muab kev pabcuam kev noj qab haus huv rau cov zej zog tsis muaj kev pabcuam. Lawv ua haujlwm nyob rau hauv ob qho tib si nyob deb nroog thiab nroog uas tau xaiv los ua qhov tsis txaus.
Cov koom haum uas tsim nyog thov rau FQHC cov xwm txheej suav nrog cov koom haum pej xeem lossis cov koom haum tsis muaj txiaj ntsig uas muab kev saib xyuas kev noj qab haus huv zoo rau cov neeg tsis tau txais kev pab. Koj kuj tseem tuaj yeem xa mus rau PIN 2008-01, Txhais Scope ntawm Txoj Haujlwm thiab Txoj Cai rau Kev Thov Hloov.
Yuav Ua Li Cas Los Ua RHC
A clinic may be certified as a RHC in California. An RHC is “a clinic that is located in a rural area designated as a shortage area, is not a rehabilitation agency or a facility primarily for the care and treatment of mental diseases, and meets all other requirements of this subpart,” pursuant to Title 42 Code of Federal Regulations (CFR) section 491.2. To apply for Initial certification, you must complete the required application packet and submit it to the California Department of Public Health. Refer to CFR Part 491 Subpart A – Rural Health Clinics for information regarding conditions of certification.
Txoj Cai Qhia
Kev Hloov Pauv Nyiaj Rov Qab Rau FQHC Thiab RHC Tsuas Yog Lub Xeev Xwb: Xav kom hloov pauv kev them nyiaj rov qab rau cov kev pabcuam Tsuas Yog Lub Xeev Xwb uas hloov pauv los ntawm Prospective Payment System (PPS) mus rau cov txheej txheem uas tsis yog PPS siv tau txij lub Xya Hli 1, 2026. (Tau tso tawm rau lub Plaub Hlis 24, 2026)
Cov ntaub ntawv ntxiv muab cov ntaub ntawv pib, thiab cov lus qhia ntxiv txog kev siv yuav raug tshaj tawm hais txog kev ua haujlwm, kev them nqi, thiab kev them rov qab. (Tau tso tawm rau lub Tsib Hlis 8, 2026)
Daim Ntxiv Thib Ob suav nrog tsab ntawv Txoj Cai Kho Mob uas yuav tsim kom muaj txoj cai them rov qab Medi-Cal rau cov kev pabcuam hauv xeev uas muab los ntawm FQHCs thiab RHCs rau cov tswv cuab Medi-Cal uas tau sau npe rau hauv Managed Care Plans (Tshaj tawm Lub Rau Hli 3, 2026). Raws li WIC ntu 14132.100 subdivision (r), muaj kev sib ntsib nrog cov neeg txaus siab thiab cov neeg koom nrog tsim nyog rau hnub Wednesday, Lub Rau Hli 17, 2026 txij 10:00 sawv ntxov txog 11:00 sawv ntxov los tham txog tsab ntawv cai lij choj ntawm chaw kho mob. Lub rooj sib tham tau muaj los ntawm kev cob qhia hauv online.
Thov saib cov PowerPoint slides hauv qhov link hauv qab no:
DHCS yuav muaj ib qho kev sib tham hauv webinar txog cov lus nug thiab lus teb rau hnub Wednesday, Lub Rau Hli 24, 2026, txij thaum 10:30 sawv ntxov. – 11:00 sawv ntxov Lub rooj sib tham yuav muaj los ntawm kev sib tham hauv webinar, thiab koj tuaj yeem koom nrog thiab sau npe siv qhov txuas hauv qab no: Kev Sib Tham Hauv Webinar rau FQHC thiab RHC Cov Kev Hloov Nyiaj Rov Qab rau Cov Kev Pabcuam Hauv Xeev Xwb hauv Managed Care Delivery System
Daim Ntxiv Thib Peb muab cov ntsiab lus hais txog kev ncua sijhawm ntawm FQHCs thiab RHCs cov nyiaj them rov qab rau cov kev pabcuam hauv xeev nkaus xwb hloov ntawm PPS mus rau cov txheej txheem tsis yog PPS; raws li Senate Bill (SB) 164, qhov kev hloov pauv no tau raug ncua mus rau Lub Xya Hli 1, 2027.
DHCS Division Offices
- Kev Tshawb Fawb & Kev Tshawb Fawb
- Indian Health Program/Office of Tribal Affairs
- For additional information related to Tribal FQHCs: Updates on Tribal Federally Qualified Health Center Medi-Cal Provider Type
- For additional information related to Indian Health Programs: Indian Health Program
DHCS Cov Lus Qhia thiab Cov Ntawv Ceeb Toom
- Medi-Cal Clinic Tsab Ntawv Txoj Cai
- Medi-Cal Cov Chaw Kho Mob Portal Home Page
- Medi-Cal Phau Ntawv Qhia
- Cov ntawv xov xwm, Cov ntawv ceeb toom, thiab cov ntawv
DHCS Forms & Documents:
DHCS Legislative Authority
California Statutes, Regulations, & Laws
DHCS Cov Ntaub Ntawv & Cov Ntawv Qhia Txog Kev Tshawb Fawb
Department of Health Care Access & Information (HCAI)
Chaw rau Medicare & Medicaid Services (CMS)
DHCS Cov Neeg
Tus Xovtooj Pabcuam Nyiaj Txiag: (800) 541-5555 rau kev sau nqi thiab thov cov lus nug xa tuaj.
CA-MMIS Fiscal Intermediary – Claims Submission and Billing Questions: Telephone Service Center (TSC). For faster access to TSC resources, refer to the TSC Main Menu Prompt Options Guide.
- For “Questions about benefits and PPS rates“
- Rau tus nqi teeb tsa tus nqi xa ntawv nkaus xwb.
- Rau CSOSR xa ntawv nkaus xwb.
- Txhawm rau nkag mus rau ECRS cov txheej txheem rau kev xa daim ntawv thov Kev Sib Tham Txhua Xyoo.
- Rau Kev Sib Txuas Lus Thov xa thiab ECRS teeb tsa cov lus nug.
- Tam sim no siv los ntawm cov kws kho mob rau txhua yam lus nug.
- Rau kev tso npe ntawm cov chaw kho mob tsis tu ncua.
- Rau txhua qhov kev pab cuam ntawm DHCS.
DHCS Stakeholder List
If you are not a subscriber and would like to receive DHCS updates, please sign up on the DHCS website. To view previous stakeholder announcements, visit the DHCS Stakeholder News webpage.
Qhia Medi-Cal Fraud
Kev Noj Qab Haus Huv Kev dag yog kev ua txhaum cai.
- 24 teev tus xov tooj kub (800) 822-6222
- Daim ntawv tsis txaus siab hauv online
- Visit: DHCS Fraud