Tsev Cov Kev Pabcuam Cov Kev Pabcuam Medi-Cal Kev Them Rov Qab Nqi Siv Nyiaj Ntawm Medi-Cal (Conlan)​​ 

Medi-Cal Kev Them Nqi Them Nqi Them Rov Qab (Conlan)​​ 

Vim yog qhov kev txiav txim ntawm lub tsev hais plaub tau muab rau lub Kaum Ib Hlis 17, 2006, hauv kev foob uas muaj npe hu ua, Conlan v. Shewry, Medi-Cal yuav muaj peev xwm them rov qab rau koj rau cov nqi kho mob thiab/lossis cov nqi kho hniav uas koj tau them.   Rau koj cov ntaub ntawv, ntawm no yog cov ntsiab lus luv luv ntawm Lub Tsev Hais Plaub tau txiav txim siab Txoj Kev Npaj Kho Dua Tshiab rau Kev Them Nyiaj Rov Qab rau Cov Neeg Tau Txais Txiaj Ntsig thiab Daim Ntawv Ceeb Toom rau Cov Neeg Tau Txais Txiaj Ntsig uas nrog los.​​ 

Cov lus nug nquag​​ 

Nrhiav cov lus teb rau cov lus nug txog Medi-Cal Out-of-Pocket Expense Reimbursement (Conlan) txheej txheem ntawm Conlan FAQ lub vev xaib. Yog tias koj tsis tuaj yeem nrhiav cov lus teb rau koj cov lus nug hauv FAQ no, thov hu rau Conlan tus xov tooj ntawm (916) 403-2007 thiab ib tus neeg txais txiaj ntsig Service Center hu rau tus neeg sawv cev yuav pab koj. 
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Tej zaum koj yuav tau txais nyiaj rov qab yog tias:​​ 

  1. Koj tau txais kev pabcuam uas Medi-Cal them rau hnub uas koj tsim nyog tau txais Medi-Cal.   Peb lub sijhawm tsim nyog uas suav nrog yog cov hauv qab no:​​ 
    • RETRO: Lub sijhawm 3 lub hlis ua ntej lub hlis koj tau thov rau qhov kev pab cuam Medi-Cal.   Lub sijhawm tsim nyog no tsuas yog them thaum koj tau thov thiab tau txais kev pom zoo los ntawm koj tus neeg sawv cev hauv nroog lossis ncaj qha los ntawm Medi-Cal kom suav nrog cov hnub thiab cov kev pabcuam tshwj xeeb ua ntej koj thov Medi-Cal rau hauv koj lub sijhawm tsim nyog.​​ 
    • KEV NTSUAM XYUAS: Txij hnub koj thov rau qhov kev pab cuam Medi-Cal mus txog hnub koj daim npav Medi-Cal tau txais.   Rau cov kev pabcuam thiab cov khoom tau txais rau lossis tom qab Lub Ob Hlis 2, 2006, tus neeg muab kev pabcuam yuav tsum yog tus neeg muab kev pabcuam Medi-Cal rau hnub uas tau muab kev pabcuam.​​ 
    • TOM QAB POM ZOO: Tom qab koj daim npav Medi-Cal tau muab rau koj (suav nrog cov nqi them ua ke thiab cov nqi sib koom ua ke ntau dhau).   Tus neeg muab kev pab yuav tsum yog tus neeg muab kev pab Medi-Cal thaum hnub uas tau muab kev pab.​​ 
  2. Koj tau them rau koj qhov kev kho mob lossis kev kho hniav; los yog lwm tus neeg them rau koj cov kev kho mob lossis kev kho hniav rau koj.​​ 
  3. Kev kho mob lossis kev kho hniav tau muab rau lossis tom qab Lub Rau Hli 27, 1997.​​ 
  4. Tom qab koj tau txais koj daim npav Medi-Cal, koj hu rau koj tus kws kho mob thiab qhia koj tus kws kho mob koj daim npav Medi-Cal thiab tus kws kho mob yuav tsis them koj cov nyiaj rov qab.​​   

Hnub tseem ceeb:​​ 

  • Rau cov kev pabcuam tau txais los yog tom qab lub Kaum Ib Hlis 16, 2006, koj yuav tsum xa koj daim ntawv thov xa tuaj hauv ib xyoos tom qab tau txais cov kev pabcuam lossis hauv 90 hnub tom qab muab daim npav Medi-Cal, qhov twg ntev dua.​​ 

Yog koj xa daim ntawv thov kom tiav thiab siv tau, muaj peb (3) txoj kev uas koj tuaj yeem muab nyiaj rov qab:​​ 

  1. Kev Them Rov Qab Los Ntawm Tus Kws Muab Kev Pab: Yog tias tus kws muab kev pab txaus siab pom zoo them rov qab tag nrho cov nyiaj uas koj tau them rau kev pabcuam uas Medi-Cal yuav tsum tau them.   Feem ntau cov nyiaj them tag nrho uas koj tau them rau qhov kev pabcuam ntawd yuav tuaj rau koj ncaj qha los ntawm tus neeg muab kev pabcuam.​​ 
  2. Kev Them Rov Qab/Kev Them Rov Qab Los Ntawm Tus Kws Muab Kev Pab Uas Tsis Kam Them: Yog tias tus kws muab kev pab tsis kam them rov qab tag nrho cov nyiaj uas koj tau them rau kev pabcuam uas Medi-Cal yuav tsum tau them.   Hauv qhov no, qhov kev them tag nrho cov nqi uas koj tau them rau qhov kev pabcuam ntawd yuav raug rov qab/rov qab los ntawm tus kws kho mob los ntawm Medi-Cal.  Cov nyiaj them rov qab rau tag nrho cov nqi uas koj tau them rau qhov kev pabcuam yuav raug xa ncaj qha rau koj los ntawm Medi-Cal.​​ 
  3. Kev Them Rov Qab ntawm Medi-Cal mus txog rau Tus Nqi Medi-Cal: Yog tias Medi-Cal tsis tuaj yeem rov qab tau/them rov qab cov nyiaj them los ntawm tus kws kho mob.   (Piv txwv li: tus neeg muab kev pab tsis muaj lawm; tsis yog tus neeg muab kev pab Medi-Cal thaum lub sijhawm ntawd; tsis yog tus neeg muab kev pab Medi-Cal uas muaj nyiaj txaus los them rov qab, lossis tam sim no yog tus neeg muab kev pab Medi-Cal tab sis tsis them nqi rau cov kev pab txaus los muab nyiaj txaus rau Medi-Cal los them rov qab/them rov qab cov nuj nqis uas tau them lawm.)  Hauv qhov xwm txheej no, qhov nyiaj them rov qab yuav raug xa ncaj qha rau koj los ntawm Medi-Cal. Cov nyiaj them rov qab yuav yog txog li tus nqi Medi-Cal tso cai rau cov kev pabcuam, tab sis yeej tsis pub ntau tshaj tus nqi ntawm kev them nyiaj uas koj tau ua rau tus neeg muab kev pabcuam.   Feem ntau, tus nqi Medi-Cal yuav tsawg dua li qhov them rau tus neeg muab kev pab.   Yog li ntawd, qhov nyiaj them rov qab uas Medi-Cal muab rau koj yuav tsawg dua qhov nyiaj koj tau them rau tus kws kho mob.​​ 

Online Conlan thov daim ntawv​​ 

Yog xav paub ntxiv los yog xav tau daim ntawv thov, thov hu lossis sau rau Medi-Cal:​​ 

California Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv / Chaw Pabcuam Rau Cov Neeg Tau Txais Txiaj Ntsig
PO Box 138008
Sacramento, CA 95813-8008
Xov tooj: (916) 403-2007​​   

Koj Txoj Cai​​   

Koj muaj cai thov kom muaj kev sib hais plaub hauv xeev los tshuaj xyuas qhov kev txiav txim siab lossis kev nqis tes ua ntawm Medi-Cal txog koj qhov kev thov kom tau nyiaj rov qab los ntawm tus neeg tau txais txiaj ntsig.   Koj yuav tsum thov kom muaj kev sib hais hauv xeev tsis pub dhau 90 hnub txij li hnub uas muaj nyob rau hauv Daim Ntawv Ceeb Toom Txog Kev Ua Haujlwm uas qhia rau koj txog qhov kev txiav txim siab lossis kev ua haujlwm uas tau xa tuaj rau koj los ntawm lub chaw haujlwm uas tshuaj xyuas koj daim ntawv thov.  Thov ua raws li cov lus qhia uas tau muab tso rau hauv Daim Ntawv Ceeb Toom Txog Kev Nqis Tes Ua kom thov tau lub rooj sib hais hauv xeev lossis hu rau California Department of Social Services' State Hearings Division ntawm 1-800-952-5253.  Yog xav tau kev pab cuam TDD, hu rau 1-800-952-8349.   Cov ntawv thov sau ntawv yuav tsum xa mus rau:​​ 

Chav Saib Xyuas Kev Mloog Lus Hauv Xeev
California Lub Chaw Haujlwm Saib Xyuas Kev Pabcuam Zej Zog
PO Lub thawv xa ntawv 944243, Chaw Xa Ntawv 9-17-37
Sacramento, CA 94244-2430​​ 

Cov cai lij choj hauv xeev suav nrog cov uas hais txog kev sib hais hauv xeev (California Code of Regulations, Title 22, Section 50951) muaj nyob rau ntawm koj lub chaw ua haujlwm pabcuam hauv nroog lossis hauv Is Taws Nem ntawm www.calregs.com.​​      

Daim Ntawv Ceeb Toom Tau Txais Kev Pab​​ 

Daim Ntawv Ceeb Toom Rau Tus Neeg Tau Txais Txiaj Ntsig Lub Kaum Ib Hlis 2006 rau Kev Them Rov Qab Cov Nqi Siv Nyiaj Ntawm Koj Lub Hnab Nyiaj.​​ 

(Lus Askiv thiab Spanish)​​    

Leej twg yog tus tsim nyog, cov kev pabcuam twg raug them, lub sijhawm twg raug them, thaum twg tuaj yeem thov daim ntawv thov thiab yuav ua li cas thiaj tau txais cov ntaub ntawv ntxiv txog kev xa daim ntawv thov nyiaj rov qab.​​ 

Thov Daim Ntawv Ceeb Toom Txog Tus Neeg Tau Txais Kev Pab hauv Lwm Hom Lus​​   

Cov lus qhia yuav ua li cas thiaj li tau txais Daim Ntawv Ceeb Toom Txog Kev Them Nyiaj Them Rov Qab Los ntawm Cov Nyiaj Them Nqi Them Nqi hauv Armenian, Suav, Farsi, Hmoob, Khmer, Kauslim, Nplog, Lavxias thiab Nyab Laj.​​ 

Hloov Kho Txoj Kev Npaj rau Cov Nyiaj Them Rov Qab​​ 

Lub Tsev Hais Plaub Txiav Txim Siab / Kev Npaj Kho Kom Zoo Rau Cov Neeg Tau Txais Kev Pab Them Rov Qab​​    

Cov ncauj lus kom ntxaws Revised Plan rau them rov qab tsim nyog cov neeg koom nrog Medi-Cal rau lawv cov nuj nqis tawm hauv hnab ris rau cov kev pab kho mob lossis kho hniav.​​ 

Kaum Ib Hlis 17, 2006 Conlan tawm tsam Shewry Lub Tsev Hais Plaub Kev Txiav Txim​​       

Lub tsev hais plaub txiav txim pom zoo ua raws li Cov Kev Npaj Kho Kom Zoo rau Cov Neeg Tau Txais Kev Pab Them Rov Qab.​​