Cov txiaj ntsig Medi-Cal yog dab tsi?
Medi-Cal tam sim no muab cov txiaj ntsig tseem ceeb ntawm kev noj qab haus huv, suav nrog kev mus ntsib kws kho mob, kev saib xyuas hauv tsev kho mob, kev txhaj tshuaj tiv thaiv, kev pabcuam cev xeeb tub thiab kev saib xyuas hauv tsev laus. Txoj Cai Saib Xyuas Nqis Nqis Them Nqi Kho Mob ua kom tag nrho cov phiaj xwm kho mob Medi-Cal muaj qhov hu ua Essential Health Benefits (EHB). Kaum qhov kev pabcuam no muaj xws li cov hauv qab no:
- Kev pab kho mob sab nraud (Ambulatory).
- Kev pabcuam xwm txheej ceev
- Kev kho mob hauv tsev kho mob
- Maternity and Newborn care
- Kev Pabcuam Kev Puas Siab Puas Ntsws thiab Kev Siv Tshuaj
- Tshuaj
- Cov kev pab cuam xws li kev kho lub cev thiab kev ua haujlwm (lub npe hu ua Rehabilitative & Habilitative Services) thiab cov khoom siv
- Cov kev pabcuam kuaj mob
- Kev tiv thaiv thiab kev noj qab haus huv & kev tswj kab mob ntev
- Cov Kev Pab Cuam Me Nyuam (Pediatric), suav nrog kev saib xyuas qhov ncauj thiab qhov muag.
Mus saib nplooj ntawv Medi-Cal Health Benefits kom paub ntau ntxiv txog cov kev pabcuam hauv txhua pawg. Yog xav paub txog cov lus txhais ntawm cov lus siv, thov mus saib hauv Federal Healthcare.gov Glossary.
Cov Kev Pab Kho Hniav Rau Cov Neeg Laus Tag Nrho Kev Kho Hniav Rov Qab Pib Pib Lub Ib Hlis 1, 2018
Medi-Cal muab cov txiaj ntsig kho hniav tiv thaiv thiab kho kom zoo rau cov menyuam yaus thiab cov neeg laus. Koj tuaj yeem nrhiav tau tus kws kho hniav Medi-Cal nyob rau hauv Daim Ntawv Teev Npe Kws Kho Hniav Medi-Cal, lossis los ntawm kev hu rau (800) 322-6384.
In addition, Senate Bill 97 (Chapter 52, Statutes of 2017) fully restored adult optional dental benefits that were not restored in May 2014. This policy is effective January 1, 2018. Restored benefits will include, for example: Laboratory processed crowns, posterior root canal therapy, periodontal services, and partial dentures, including denture adjustments, repairs, and relines. The full dental benefits are listed in the Dental Provider Handbook, Section 5, Manual of Criteria, posted on the Medi-Cal Dental website. More information is available on the DHCS Medi-Cal Dental Program website.
Cov txiaj ntsig kho hniav rau cov neeg laus uas yuav nyob twj ywm thiab tsis hloov pauv vim yog kev kho dua tshiab xyoo 2014 lossis 2018:
- Cov kev pabcuam cev xeeb tub
- Kev pabcuam xwm txheej ceev
- Cov kev pabcuam tau muab rau cov neeg nyob hauv Lub Chaw Pabcuam Nruab Nrab Nruab Nrab / Lub Chaw Saib Xyuas Neeg Mob
- Cov kev pabcuam muab rau cov neeg siv khoom ntawm Lub Tsev Haujlwm Saib Xyuas Kev Txhim Kho Kev Txhim Kho
Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Tshuaj Siv Tshuaj Kho Mob Kev Pabcuam Kev Pabcuam
Cov kev pab cuam siv tshuaj yeeb dawb hauv qab no yog tam sim no muaj nyob hauv Drug Medi-Cal rau cov neeg tau txais txiaj ntsig uas nyob hauv ib qho kev xaiv hauv Drug Medi-Cal Organized Delivery System (DMC-ODS) county:
- Kev Pabcuam Sab Nraud
- Intensive Outpatient Services
- Kev Kho Hniav Hauv Tsev (ntau qib kev saib xyuas rau txhua tus neeg sau npe thiab tsis txwv lub txaj)
- Kev tswj nyiaj rho tawm
- Narcotic Treatment Services
- Kev Pabcuam Rov Qab
- Case Management
- Kev sab laj kws kho mob
- Kev Kho Mob Ntxiv Ntxiv (optional)
- Kev Kho Mob Ib Feem (optional).
Rau cov neeg tau txais txiaj ntsig uas tsis nyob hauv lub nroog xaiv hauv DMC-ODS, cov txiaj ntsig hauv qab no muaj xws li Drug Medi-Cal:
- Kev Pabcuam Sab Nraud
- Intensive Outpatient Services
- Perinatal Residential Treatment (16 lub txaj txwv)
- Narcotic Treatment Program Services
Yog xav paub ntxiv txog DMC-ODS Waiver cov txiaj ntsig, thov mus saib ntawm DMC-ODS lub vev xaib.