Medi-Cal Waivers
Thaum California hloov nws txoj haujlwm Medicaid ntau heev, nws yuav tsum ua ib qho ntawm ob kauj ruam: (1) hloov kho nws txoj kev npaj Medicaid State, daim ntawv cog lus ntawm lub xeev nrog tsoomfwv tebchaws; lossis (2) tau txais kev zam lossis kev zam Medicaid los ntawm qee qhov ntawm Title XIX ntawm Social Security Act los ntawm Centers for Medicare & Medicaid Services (CMS). Cov kev zam Medi-Cal yog cov kev pab cuam uas muab cov kev pabcuam ntxiv rau cov pab pawg neeg tshwj xeeb, txwv cov kev pabcuam rau cov cheeb tsam tshwj xeeb ntawm lub xeev, thiab muab kev pab them nqi kho mob rau cov tib neeg uas tej zaum yuav tsis tsim nyog raws li cov cai Medicaid ib txwm muaj.
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) muaj ntau cov kev pab cuam zam Medi-Cal uas muab cov kev pabcuam hauv tsev thiab hauv zej zog, cov kev pabcuam npaj tsev neeg, cov kev pabcuam kev noj qab haus huv tshwj xeeb, thiab kev saib xyuas rau cov pab pawg tshwj xeeb ntawm cov tib neeg tsim nyog. Cov ntaub ntawv pom ntawm no tuaj yeem pab cov pej xeem kom nkag siab txog cov kev pabcuam muaj nyob rau hauv Medi-Cal waivers, yuav ua li cas nkag mus rau cov kev pabcuam ntawd, thiab muab cov ntaub ntawv dav dav txog Medi-Cal waivers.
California Advancing and Innovating Medi-Cal (CalAIM) yog ib qho kev pib ua haujlwm ntau xyoo uas DHCS coj los tsom mus rau kev hloov kho lub kaw lus, kev pab cuam, thiab kev them nyiaj uas yuav tso cai rau California siv txoj hauv kev saib xyuas kev noj qab haus huv rau pej xeem, kev saib xyuas tus neeg kom tsom mus rau ib leeg los koom ua ke kev sib koom tes saib xyuas kev noj qab haus huv ntawm lub cev, kev noj qab haus huv ntawm tus cwj pwm, thiab cov chaw muab kev pabcuam hauv zos.
California txoj kev ua qauv qhia Tshooj 1115, uas CMS tau pom zoo rau lub Kaum Ob Hlis 29, 2021, tseem siv tau txog rau lub Kaum Ob Hlis 31, 2026. CMS kuj tau pom zoo rau Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Section 1115 qhia, siv tau txij lub Ib Hlis 1, 2025, txog rau lub Kaum Ob Hlis 31, 2029, nthuav dav cov kev pabcuam kev noj qab haus huv hauv zej zog thiab daws cov kev xav tau kev noj qab haus huv hauv zej zog.
Tsis tas li ntawd xwb, California tab tom thov kom muaj kev qhia tshiab raws li Tshooj 1115, hu ua California's Reproductive Health Access Demonstration (CalRHAD).
Tam sim no Waivers
- 1903(w)(3)(B) thiab (C) MCO Tax 2023-2026 Hloov Kho
- CalAIM Tshooj 1115 Kev Qhia
- Tshooj 1115 California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Kev Qhia
- CalAIM Tshooj 1915(b) zam
- 1903(i)(4) Superior Systems Waiver (SSW).
- 1903(w)(3)(B) thiab (C)Hosptial Quality Assurance Fee Program (HQAF) Phase VIII
- 1903(w)(3)(B) thiab (C) Freestanding Skilled Nursing Facility Quality Assurance Fee Program (SNF QAF) 2024
- 1903(w)(3)(B) and (C) MCO Tax 2023-2026
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1915(c) Kev Pabcuam Hauv Tsev thiab Zej Zog (HCBS) Kev zam
- Medi-Cal Waiver Program (MCWP)
- Assisted Living Waiver (ALW)
- Tsev thiab Community-Based Alternatives (HCBA) Waiver (yav tas los NF/AH Waiver)
- Cov Kev Pabcuam Hauv Tsev thiab Zej Zog Waiver for the Developmentally Disabled (HCBS-DD) Waiver
- Multipurpose Senior Services Program (MSSP)
- Self-Determination Program Renewal Approval Letter thiab Daim Ntawv Thov
- Xyoo 1915 (i) Txoj Kev Npaj ntawm Lub Xeev rau Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog siv tau txog rau lub Cuaj Hli 30, 2026
Pending Waivers
Sijhawm Waivers
- 1903(w)(3)(B) and (C) HQAF Phase IV (2014-2017)
- 1903(w)(3)(B) and (C) HQAF Phase V
- 1903(w)(3)(B) thiab (C) Hospital Quality Assurance Fee Program (HQAF) Phase VI
- 1903(w)(3)(B) thiab (C) Hospital Quality Assurance Fee Program (HQAF) Phase VII
- 1903(w)(3)(B) thiab (C) Freestanding Skilled Nursing Facility Quality Assurance Fee Program (SNF QAF) 2023
- 1903(w)(3)(B) thiab (C) Freestanding Skilled Nursing Facility Quality Assurance Fee Program (SNF QAF) 2022
- 1903(w)(3)(B) thiab (C) Freestanding Skilled Nursing Facility Quality Assurance Fee Program (SNF QAF) 2021
- 1903(w)(3)(B) thiab (C) MCO Tax (2020-2022)
- 1903(w)(3)(B) thiab (C) MCO Tax (2016-2019)
- 1915(c) HCBS Waivers
- Kev Kho Mob Tsis Muaj Kev Loj Hlob - Kev Kho Mob Nruam Nruam (DD-CNC)
- Kev Kho Mob Hauv Tsev (IHMC)*
- Kev Ua Haujlwm Hauv Tsev (IHO)
- Tsev Kho Mob A/B (NF A/B)*
- Nursing Facility Subacute (NF S/A)*
- Pediatric Palliative Care Waiver (PPC)
- San Francisco Zej Zog Kev Pabcuam Kev Pabcuam Kev Pabcuam (AB 2968)
Cov peev txheej ntxiv
- CalAIM Homepage
- CalAIM Tshooj 1115 Kev Hloov Pauv Hloov Hloov Hloov
- Daim Ntawv Qhia Txog Kev Zam Medicaid Hauv California (Qhov Txuas Sab Nraud)
- Cov Kev Pabcuam HCBS (Qhov Txuas Sab Nraud rau DDS)
- Kev Pabcuam Kev Noj Qab Haus Huv Initiative
- Tshooj 1115 Waiver Resources
- CalABLE - Cov tswv cuab ntawm Medi-Cal tej zaum yuav tsim nyog rau CalABLE, lub xeev txoj kev pab cuam txuag nyiaj rau cov neeg xiam oob qhab. CalABLE pab cov tib neeg txuag nyiaj yam tsis muaj kev cuam tshuam rau cov txiaj ntsig xws li Medi-Cal thiab Supplemental Security Income. Yog xav paub ntxiv, mus saib www.calable.ca.gov .
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 cov kev pabcuam zam, thawj kauj ruam kom tau txais cov txiaj ntsig yog yooj yim li tiv tauj koj lub chaw ua haujlwm pabcuam pej xeem hauv nroog. Rau lwm tus, yuav tsum muaj kev ntsuam xyuas los ntawm tus thawj coj ntawm qhov kev pab cuam los txiav txim siab seb puas tsim nyog. Txawm li cas los xij, kev koom nrog hauv txhua qhov kev zam, yuav tsum tau tsim kom muaj kev tsim nyog Medi-Cal. Cov txheej txheem tshuaj xyuas rau kev tsim nyog Medi-Cal thiab kev zam txim tuaj yeem ua tau tib lub sijhawm. Yog koj pom cov kev pabcuam zam uas yuav pab tau koj, ib tug tswv cuab lossis ib tug phooj ywg, tsuas yog nias rau ntawm qhov txuas rau qhov kev zam ntawd kom paub ntxiv txog cov cai tsim nyog thiab cov ntaub ntawv tiv tauj.
Qhov chaw: Yuav Thov Medi-Cal Li Cas