Tsev Cov Kev Pabcuam Cov Kev Pabcuam Medi-Cal Cov Chaw Kho Mob thiab Cov Chaw Kho Mob Nyob Deb nroog uas Tau Txais Kev Tso Cai Los Ntawm Tsoom Fwv Teb Chaws​​ 

Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv thiab Chaw Kho Mob Hauv Nroog​​ 

Cov Chaw Kho Mob Uas Tau Txais Kev Tso Cai Los Ntawm Tsoom Fwv Teb Chaws (FQHCs) thiab Cov Chaw Kho Mob Nyob Deb nroog (RHCs) yog cov chaw muab kev pab cuam kev nyab xeeb uas muab kev tiv thaiv thiab kev pabcuam thawj zaug hauv chaw kho mob sab nraud. Lub vas sab hauv internet no yog tsim los muab cov ntaub ntawv ntxiv, cov peev txheej, thiab cov kev sib txuas pab tau txog Federally Qualified Health Center thiab Rural Health Clinic cov kev pab cuam uas muaj rau cov kws kho mob thiab cov tswv cuab Medi-Cal.​​ 

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​​ 

Yog xav paub ntxiv txog Cov Kev Cai thiab Cov Txheej Txheem rau Kev Tshaj Tawm ntawm Cov Chaw Kho Mob Ib Ntus thiab Cov Chaw Kho Mob Txawb, mus saib Cov Kev Cai thiab Cov Txheej Txheem rau Kev Tshaj Tawm ntawm Cov Chaw Kho Mob Ib Ntus thiab Cov Chaw Kho Mob Txawb.​​ 

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​​ 

Ib lub tsev kho mob yuav tau ntawv pov thawj ua RHC hauv California. Ib lub chaw kho mob (RHC) yog "ib lub tsev kho mob uas nyob hauv ib cheeb tsam deb nroog uas tau teev tseg ua ib cheeb tsam tsis txaus, tsis yog ib lub koom haum kho kom rov zoo lossis ib lub chaw kho mob uas tsuas yog rau kev saib xyuas thiab kho cov kab mob puas siab puas ntsws, thiab ua tau raws li txhua yam uas yuav tsum tau ua ntawm ntu no," raws li Title 42 Code of Federal Regulations (CFR) ntu 491.2. Yog xav thov daim ntawv pov thawj thawj zaug, koj yuav tsum ua kom tiav cov ntaub ntawv thov thiab xa mus rau California Department of Public Health. Saib CFR Ntu 491 Subpart A - Cov Chaw Kho Mob Hauv Zos kom paub cov ntaub ntawv hais txog cov cai ntawm daim ntawv pov thawj.​​ 

Txoj Cai Qhia​​ 

Daim Ntawv Ceeb Toom Rau Pej Xeem Txog Kev Nthuav Qhia thiab Kev Kawm: Daim ntawv ceeb toom no muab cov ntaub ntawv uas pej xeem txaus siab txog cov lus qhia txog kev tso cai rau cov nqi ntawm kev nthuav qhia thiab kev kawm hauv Federally Qualified Health Centers (FQHC)/Rural Health Centers (RHC) Prospective Payment System (PPS) them rov qab, siv tau rau lub Kaum Hli 6, 2026.​​ 

  • Cov Lus Qhia Ntxiv Qhov no qhia rau cov neeg koom nrog txog Lub Rooj Sab Laj Txog Kev Tshaj Tawm thiab Kev Kawm ntawm Federally Qualified Health Centers (FQHC)/Rural Health Centers (RHC) uas yuav los txog.​​ 
    • DHCS yuav tuav lub rooj sib tham hauv online txog Kev Pab Txhawb Nqa thiab Kev Kawm PPS Reimbursement Guidance rau hnub Wednesday, Cuaj Hlis 16, 2026, txij 4:00 teev tsaus ntuj - 5:00 teev tsaus ntuj Lub rooj sib tham yuav muaj los ntawm kev cob qhia hauv online, thiab koj tuaj yeem koom nrog thiab sau npe siv qhov txuas hauv qab no: FQHC thiab RHC Outreach and Education Webinar.​​ 

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 Lus Qhia Ntxiv muab cov ntaub ntawv pib, thiab cov lus qhia ntxiv txog kev siv yuav raug muab tawm los hais txog kev ua haujlwm, kev them nqi, thiab kev them rov qab. (Tshaj tawm thaum 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 txuas no: FQHC RHC SOS MCP Webinar​​ 
    • Tom qab FQHC RHC SOS MCP Webinar rau lub Rau Hli 17, 2026, DHCS tau muaj Q&A webinar rau hnub Wednesday, Lub Rau Hli 24, 2026, txij thaum 10:30 sawv ntxov. – 11:00 sawv ntxov​​ 
  • 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​​ 

DHCS Cov Lus Qhia thiab Cov Ntawv Ceeb Toom​​ 

Cov Ntawv & Cov Ntaub Ntawv ntawm DHCS:​​ 

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 Tus Neeg Nruab Nrab Nyiaj Txiag - Cov Lus Nug Txog Kev Xa Cov Ntawv Thov thiab Kev Them Nqi: Chaw Pabcuam Xov Tooj (TSC). Yog xav tau kev nkag mus rau cov peev txheej TSC sai dua, mus saib TSC Main Menu Prompt Options Guide.​​ 

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.​​