Tsev Cov Kev Pabcuam Kev Zam Txim Rau Medi-Cal​​ 

Medi-Cal Waivers​​ 

When California significantly changes its Medicaid program, it must take one of two steps: either (1) amend its Medicaid State Plan, the state’s contract with the federal government; or (2) receive an exemption or Medicaid waiver from portions of Title XIX of the Social Security Act by the Centers for Medicare & Medicaid Services (CMS). Medi-Cal waivers are programs that provide additional services to specific groups of individuals, limit services to specific geographic areas of the state, and provide medical coverage to individuals who may not otherwise be eligible under traditional Medicaid rules.​​ 

The Department of Health Care Services (DHCS) has a number of Medi-Cal waiver programs that provide home and community-based services, family planning services, specialty mental health services, and managed care to specific groups of eligible individuals. Information found here can assist the general public in understanding the services available under Medi-Cal waivers, how to access those services, and provide general information about Medi-Cal waivers.​​  

California Advancing and Innovating Medi-Cal (CalAIM) yog DHCS-coj ntau xyoo kev pib tsom mus rau cov txheej txheem, kev pab cuam, thiab kev hloov pauv nyiaj txiag uas yuav ua rau California coj kev noj qab haus huv rau pej xeem, kev saib xyuas tib neeg los ntawm kev sib koom ua ke kev saib xyuas thoob plaws lub cev kev noj qab haus huv, kev coj cwj pwm. kev noj qab haus huv, thiab cov chaw muab kev pabcuam hauv zos.​​ 

California’s Section 1115 demonstration, approved by CMS on December 29, 2021, remains in effect through December 31, 2026. CMS also approved the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Section 1115 demonstration, effective January 1, 2025, through December 31, 2029, expanding community-based behavioral health services and addressing health-related social needs.​​ 

Additionally, California is requesting a new Section 1115 demonstration, titled California’s Reproductive Health Access Demonstration (CalRHAD).​​ 

Tam sim no Waivers​​ 

Pending Waivers​​ 

Sijhawm Waivers​​ 

Cov peev txheej ntxiv​​ 

Nkag mus rau Medi-Cal Waiver Services​​ 

Medi-Cal waiver cov kev pab cuam yog npaj rau cov neeg tshwj xeeb thiab cov phiaj xwm pab pawg raws li qhov xav tau. Rau cov neeg xiam oob khab uas xav tau Kev Pabcuam Hauv Tsev thiab Zej Zog, tej zaum yuav muaj kev pabcuam rau cov hom phiaj xws li cov neeg laus, cov neeg xiam oob khab, lossis cov neeg tau txais txiaj ntsig Medi-Cal nrog AIDS nruab nrab mus rau theem nrab, lossis cov uas xav tau kev pab nyob. Qee qhov kev zam muaj cov kev pab cuam uas pab hauv kev npaj tsev neeg thiab kev tiv thaiv cev xeeb tub, thiab muab kev saib xyuas tus kheej kom pab cov neeg laus tsis taus nyob hauv lawv lub tsev. Cov kev pabcuam kev puas siab puas ntsws rau cov neeg tau txais txiaj ntsig nrog cov kev kuaj mob tshwj xeeb muaj los ntawm Freedom of Choice Waivers.​​  

Rau qee qhov kev zam, thawj kauj ruam rau kev nkag mus rau cov txiaj ntsig yog qhov yooj yim xws li hu rau koj lub nroog lub chaw pabcuam kev sib raug zoo. Rau lwm tus, kev ntsuam xyuas yuav tsum tau sib koom ua ke los ntawm tus thawj tswj hwm txoj haujlwm txhawm rau txiav txim siab tsim nyog. Kev koom nrog hauv ib qho kev zam, txawm li cas los xij, yuav tsum tsim kom muaj kev tsim nyog tau txais Medi-Cal. Cov txheej txheem tshuaj xyuas txog kev tsim nyog tau txais Medi-Cal thiab kev zam kev tsim nyog tuaj yeem tshwm sim ib txhij. Yog tias koj txheeb xyuas cov kev pabcuam zam uas yuav pab tau rau koj, ib tus neeg hauv tsev neeg lossis phooj ywg, tsuas yog nyem rau ntawm qhov txuas rau qhov kev zam no rau kev tsim nyog ntxiv thiab cov ntaub ntawv tiv tauj.​​ 

Source:  How to Apply for Medi-Cal​​