Tsev Kho Mob Presumptive Eligibility Program
Rov qab mus rau Medi-Cal Kev Tsim Nyog
Tsev Kho Mob Presumptive Eligibility yog dab tsi?
Hospital Presumptive Eligibility allows certain health care providers to approve temporary health coverage for eligible applicants using an electronic application. Hospital Presumptive Eligibility determinations are based on the applicant’s self-attestation of facts and no other forms of proof are required.
Lub Tsev Kho Mob Presumptive Kev Tsim Nyog Muaj Kev Pabcuam Dab Tsi?
Tsev Kho Mob Presumptive Eligibility muab cov txiaj ntsig tam sim, ib ntus ntawm Tus Nqi-Rau-Service hauv paus txog li 60 hnub rau cov uas tsim nyog.
- Tsev Kho Mob Presumptive Eligibility muab kev pab them nqi tag nrho rau txhua tus neeg tsim nyog tshwj tsis yog cov uas cev xeeb tub.
- Tsev Kho Mob Presumptive Eligibility for Pregnancy muab kev pab them nqi tsawg thiab tsuas yog them rau kev thauj mus los (taug kev), kev saib xyuas tus neeg mob sab nraud, kev rho menyuam tawm sab nraud, thiab tshuaj noj tshuaj rau cov xwm txheej ntsig txog cev xeeb tub.
Yog tias koj tau txais kev pom zoo rau Tsev Kho Mob Presumptive Eligibility, koj tus kws kho mob yuav tsum kuaj xyuas koj qhov kev tsim nyog kom paub txog koj qhov kev pab cuam. Cov kev pab them nqi yuav raug hloov pauv yog li nws tseem ceeb heev uas yuav tau nug koj tus kws kho mob yog tias koj cov kev pabcuam yuav raug them, tshwj xeeb tshaj yog tias koj tau txais Tsev Kho Mob Presumptive Eligibility for Pregnancy.
Tsev Kho Mob Presumptive Eligibility yog ib ntus. Koj yuav tsum thov rau cov kev pab them nqi kho mob thiab ua kom tiav cov txheej txheem thov kom nrhiav tau ib qho kev pov hwm kev noj qab haus huv mus sij hawm ntev uas haum rau koj cov kev xav tau. Saib hauv qab no rau txoj hauv kev thov kev pab them nqi kho mob.
Tus Nqi-For-Service yog dab tsi?
Fee-For-Service txhais tau tias koj tsis tau rau npe rau hauv ib txoj kev npaj kho mob. Txhawm rau zam kom tsis txhob them nyiaj tawm hauv hnab tshos rau cov kev pabcuam kev noj qab haus huv, nug koj tus kws kho mob yog tias lawv tau txais Fee-For-Service Medi-Cal ua ntej teem sijhawm mus ntsib.
Leej twg muaj peev xwm tsim nyog rau Tsev Kho Mob Presumptive Eligibility?
Yuav kom tsim nyog rau Tsev Kho Mob Presumptive Eligibility, koj yuav tsum:
Muaj cov nyiaj tau los tsawg txhua hli, raws li teev nyob rau hauv Daim Ntawv Qhia Txog Kev Pabno
Nyob hauv California;
Tam sim no tsis tau txais Medi-Cal;
Tsis tau txais Kev Tsim Nyog Xav Tau Ntau Tshaj Li Qhov Ntau Tshaj Plaws uas tau tso cai hauv 12 lub hlis dhau los;
Yog tias cev xeeb tub, koj tsis tau txais Kev Tsim Nyog Xav Tau Thaum koj cev xeeb tub tam sim no.
Thiab, tsim nyog tau txais hauv ib qho ntawm Tsev Kho Mob Presumptive Eligibility pawg hauv qab no:
- Cov menyuam yaus hnub nyoog qis dua 19 xyoos
- Cov niam txiv thiab cov txheeb ze saib xyuas
- Cov neeg cev xeeb tub
- Yav tas los Foster Youth ntawm hnub nyoog 18 txog 26 xyoo, uas tau nyob hauv kev tu menyuam hauv ib lub xeev ntawm lawv hnub nyoog 18 xyoos lossis laus dua. (Tsis muaj nyiaj khwv tau los)
- Cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis cev xeeb tub, tsis tau txais Medicare Tshooj A lossis B, thiab tsis tsim nyog rau ib pawg neeg twg uas tau hais los saum toj no.
Kuv Yuav Tau Txais Kev Tsim Nyog Muaj Peev Xwm Ntau npaum li cas?
Kev Tsim Nyog Xav Tias Yuav Tau Mus Kho Mob suav nrog Kev Tsim Nyog Xav Tias Yuav Tau Mus Kho Mob Hauv Tsev Kho Mob, Kev Tsim Nyog Xav Tias Yuav Tau Mus Kho Mob Rau Menyuam Yaus, Kev Tsim Nyog Xav Tias Yuav Tau Mus Kho Mob Rau Cov Neeg Cev Xeeb Tub, thiab Kev Tsim Nyog Xav Tias Yuav Tau Mus Kho Mob BCCTP.
| Presumptive Eligibility Group | Ntau npaum li cas |
|---|---|
| Cov pab pawg me me | Ob zaug (2) rau 12 lub hlis |
| pawg neeg laus | Ib zaug (1) rau 12 lub hlis |
| Cov neeg cev xeeb tub | Ib zaug (1) thaum cev xeeb tub |
Leej Twg Yuav Pab Cuam Npe Kuv rau Tsev Kho Mob Presumptive Kev Tsim Nyog?
To apply for Hospital Presumptive Eligibility, you must visit a provider who participates, known as a “Qualified Provider.”
Koj tuaj yeem nrhiav Tus Kws Pab Tswv Yim Tsim Nyog los ntawm daim ntawv teev npe no:
Cov ntawv thov kev pab hauv Tsev Kho Mob Presumptive Eligibility tsuas yog txais thaum cov neeg ua haujlwm raug cob qhia muaj nyob rau thaum mus ntsib kev noj qab haus huv. Yog tias Tsev Kho Mob Presumptive Eligibility tsis muaj nyob rau thaum koj mus ntsib, koj yuav tsum thov Medi-Cal kom them rau koj cov kev pabcuam. Retroactive Medi-Cal tuaj yeem them cov nqi rau cov kev pabcuam uas koj twb tau txais yog tias koj thov Medi-Cal thiab ua kom tiav cov txheej txheem rau npe hauv peb (3) lub hlis tomqab tau txais cov kev pabcuam ntawd.
Koj tuaj yeem nrhiav tau cov ntaub ntawv tshaj tawm ntxiv txog Tsev Kho Mob Presumptive Eligibility ntawm no:
Tsev Kho Mob Presumptive Eligibility Flyer (English)
Arabic, Armenian, Cambodian, Suav (simplified), Suav (tseem ceeb), Lus Askiv (Loj Font), Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
Puas yog Tsev Kho Mob Presumptive Kev Tsim Nyog muaj nyob rau hauv qhov kev xeem them nqi pej xeem?
Qhov kev xeem them nqi pej xeem yog ib qho kev ntsuam xyuas uas cov tub ceev xwm nkag tebchaws siv los txiav txim seb tus neeg tsis yog pej xeem puas muaj feem cuam tshuam los ntawm tsoomfwv rau kev txhawb nqa. US Department of Homeland Security (DHS) thiab US Citizenship and Immigration Services (USCIS) feem ntau tsis txiav txim siab txog kev noj qab haus huv, zaub mov, thiab vaj tse nyob ua ib feem ntawm kev txiav txim siab them nqi pej xeem. Yog li ntawd, kev siv Medi-Cal cov txiaj ntsig, tshwj tsis yog lub tsev laus lossis lub tsev kho mob puas siab puas ntsws, yuav tsis cuam tshuam rau koj qhov kev nkag tebchaws.
Please note that DHCS and county social services agencies cannot provide legal services or advice related to immigration status or public charge laws. If you have questions about your immigration status and Medi-Cal benefits, talk to a qualified immigration lawyer.
Txoj hauv kev thov rau Medi-Cal thiab lwm yam kev pab them nqi kho mob
Koj tuaj yeem thov Medi-Cal:
- Online on the Covered California website or BenefitsCal website.
- Los ntawm xov tooj nrog Covered California ntawm (800) 300-1506 | TTY: (888) 889-4500.
- Hauv xov tooj nrog Covered California (Español) ntawm (800) 300-0213.
- By phone with your county social service agency. Find contact details for your local county social services agency office on this County Offices website.
- Hauv Tus Neeg - hu rau Covered California ntawm (800) 300-1506 kom paub cov npe.
- In Person – find and visit a nearby county social service agency using this County Offices website.
Download and print a Single Streamlined Application:
Xa ntawv fax mus rau (888) 329-3700
Xa ntawv rau
Covered California
PO Lub thawv xa ntawv 989725
Sab Hnub Poob Sacramento, CA 95798
Kuv Yuav Ua Li Cas Yog Kuv Tau Txais Daim Nqi Thaum Kuv Muaj Tsev Kho Mob Presumptive Eligibility Coverage?
Ua raws li cov kauj ruam no yog tias koj tau txais daim nqi koj xav tias yuav tsum tau them:
Paub meej tias koj them nqi kho mob: Paub meej tias hnub uas koj tau txais kev pab cuam hauv daim nqi no yog nyob rau lub sijhawm uas koj tau txais kev pab cuam los ntawm Tsev Kho Mob Qhov Kev Tsim Nyog Tau Txais Kev Pab Cuam.
Tshawb xyuas lub sijhawm them nqi kho mob uas xav tias yuav tau txais kev pab kho mob hauv tsev kho mob thiab qhov ntau thiab tsawg uas teev nyob rau ntawm daim ntawv Daim Npav Xav Tau Kev Pab Tam Sim Ntawd lossis
Yog tias koj tsis muaj koj daim npav Xav Tau Kev Pab Tam Sim Ntawd lawm lossis tsis paub meej txog koj lub sijhawm them nqi, hu rau koj lub chaw ua haujlwm pabcuam pej xeem hauv nroog kom thov kev txheeb xyuas qhov tsim nyog rau hnub uas tau txais kev pab kho mob ntawm daim nqi.
Tiv tauj tus kws kho mob thiab qhia pov thawj ntawm kev tsim nyog: Hu rau tsev kho mob, chaw kho mob, lossis chaw ua haujlwm ntawm tus kws kho mob uas xa daim nqi. Qhia rau lawv paub tias koj muaj Kev Tsim Nyog Tau Txais Kev Pab Kho Mob Hauv Tsev Kho Mob rau hnub uas tau txais kev pab cuam hauv daim nqi thiab muab cov hauv qab no:
Tus lej BIC ID uas teev nyob rau ntawm koj daim npav Xav Tau Kev Pab Tam Sim Ntawd lossis
Tus lej BIC ID uas teev nyob rau ntawm koj daim yas BIC lossis
Lwm cov pov thawj ntawm kev tsim nyog, xws li yam koj tau thov los ntawm koj lub chaw ua haujlwm pabcuam pej xeem hauv nroog.
Thov Kev Pab Ntxiv: Tus kws kho mob tuaj yeem xa daim nqi rov qab mus rau Medi-Cal kom them. Yog tias lawv pab tsis tau, thov kom lawv lub chaw ua haujlwm them nqi pab ntxiv.
Tiv tauj DHCS: Yog tias qhov teeb meem tsis tau daws, hu rau DHCS Telephonic Services Center ntawm (800) 541-5555 kom tau kev pab.
Khaws Cov Ntaub Ntawv: Khaws tag nrho cov ntawv sib tham, cov nqi them, thiab pov thawj ntawm kev them nqi rau koj cov ntaub ntawv.
Cov lus nug
Cov lus nug dav dav tuaj yeem xa mus rau DHCSHospitalPE@dhcs.ca.gov. Peb teb tsis tau cov lus nug txog koj txoj cai tau txais Medi-Cal lossis tshawb nrhiav koj rooj plaub.