Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv thiab Chaw Kho Mob Hauv Nroog​​ 

Tsoom Fwv Teb Chaws Muaj Peev Xwm Saib Xyuas Kev Noj Qab Haus Huv (FQHCs) thiab Cov Chaw Kho Mob Hauv Nroog (RHCs) yog cov chaw pabcuam kev nyab xeeb uas muab kev tiv thaiv thiab kev pabcuam thawj zaug hauv chaw kho mob sab nraud. Nplooj ntawv no yog tsim los muab cov ntaub ntawv ntxiv, cov peev txheej, thiab cov kev sib txuas muaj txiaj ntsig ntsig txog Tsoom Fwv Saib Xyuas Kev Noj Qab Haus Huv thiab Cov Tsev Kho Mob Hauv Nroog Hauv Nroog muaj rau cov kws kho mob Medi-Cal thiab cov tswv cuab.​​  

Medi-Cal Cov Tswv Cuab​​ 

Nrhiav Lub Chaw Kho Mob​​ 

Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Pabcuam (HRSA) muaj lub chaw saib xyuas kev noj qab haus huv los nrhiav Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (Federally Qualified Health Center (FQHC). Koj tuaj yeem tshawb nrhiav los ntawm chaw nyob, xeev, lub nroog, lossis tus lej zip. FQHCs nyob hauv ntau lub nroog thiab ntau qhov chaw nyob deb nroog.  
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Cov kws kho mob​​ 

Daim ntawv tso cai Clinic​​ 

California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) Daim Ntawv Tso Cai & Ntawv Pov Thawj (L&C) Txoj Haujlwm yog lub luag haujlwm rau daim ntawv tso cai cov chaw kho mob thawj zaug. Txoj haujlwm L&C siv lub xeev thiab tseemfwv txoj cai lij choj thiab cov cai los ntsuas cov chaw kho mob.​​ 

Txuas mus rau daim ntawv tso cai & ntawv pov thawj daim ntawv thov chav tsev​​ 

Intermittent Clinics & Mobile Health Units​​ 

Yog xav paub ntxiv txog Cov Kev Xav Tau thiab Cov Txheej Txheem Kev Tshaj Tawm ntawm Cov Chaw Kho Mob Sib Nrauj thiab Cov Chaw Kho Mob Txawb, mus rau Cov Lus Qhia thiab Cov Txheej Txheem rau Kev Qhia Txog Cov Tsev Kho Mob Sib Nrauj thiab Cov Chaw Kho Mob Txawb.
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Medi-Cal Managed Care Plan (MCP) tus kws kho mob​​ 

Tshaj li qhov kev mus ntsib PPS thawj zaug, cov chaw kho mob yuav tsum tau cog lus nrog MCPs los muab kev saib xyuas thiab kev pab cuam txuas ntxiv rau cov tswv cuab uas tau cuv npe nrog MCP. Tsis tas li ntawd, cov chaw kho mob thiab MCPs yuav tsum xyuas kom cov tswvcuab raug xa mus rau lawv lub tsev kho mob uas lawv xaiv.​​ 

Yog xav paub ntxiv txog Managed Care Plans, mus rau Medi-Cal Managed Care.
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Muab Kev Pabcuam​​ 

Yuav Ua Li Cas Los Ua FQHC​​ 

Txhawm rau dhau los ua FQHC, tseem hu ua Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv, ib lub koom haum yuav tsum ua raws li qee yam kev cai:​​ 

• Nyob rau hauv lossis ua haujlwm rau cov zej zog xav tau siab heev​​ 
  
• Tau tswj hwm los ntawm pawg thawj coj hauv zej zog uas tsawg kawg yog 51% ua los ntawm cov neeg mob hauv chaw kho mob.​​ 
  
• Muab cov kev pabcuam khomob zoo rau ntawm tus nqi swb raws li kev muaj peev xwm them.​​ 
  
• Ua Ib Lub Chaw Pabcuam Kev Noj Qab Haus Huv paub txog tus neeg txais lossis Health Center Program zoo ib yam.​​ 
  

Yuav Ua Li Cas Los Ua RHC​​ 

Ib lub tsev kho mob yuav raug lees paub tias yog RHC hauv California. RHC yog "ib lub tsev kho mob uas nyob hauv ib cheeb tsam nyob deb nroog uas raug xaiv los ua qhov tsis txaus, tsis yog lub chaw kho mob lossis chaw kho mob feem ntau rau kev saib xyuas thiab kho cov kab mob puas siab puas ntsws, thiab ua tau raws li tag nrho lwm cov kev cai ntawm qhov no," raws li Title 42 Code of Federal Regulations (CFR) section 491.2. Txhawm rau thov daim ntawv pov thawj pib, koj yuav tsum ua kom tiav cov ntawv thov uas xav tau thiab xa mus rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv. Xa mus rau CFR Tshooj 491 Subpart A - Cov Chaw Kho Mob Hauv Nroog rau cov ntaub ntawv hais txog cov xwm txheej ntawm daim ntawv pov thawj.​​  

• California Medicaid State Plan & State Plan Amendments (SPAs)​​ 

DHCS Division Offices​​ 

• Kev Tshawb Fawb & Kev Tshawb Fawb​​ 
• Indian Health Program/Office of Tribal Affairs​​ 
• Yog xav paub ntxiv txog Tribal FQHCs: Kev hloov tshiab ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv Tsim Nyog Tsim Nyog Hom Medi-Cal​​ 
• Yog xav paub ntxiv txog Indian Healthh Programs: Indian Health Program
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DHCS Cov Lus Qhia thiab Cov Ntawv Ceeb Toom​​ 

• Medi-Cal Clinic Tsab Ntawv Txoj Cai​​ 
  
• Medi-Cal Cov Chaw Kho Mob Portal Home Page​​ 
• Medi-Cal Phau Ntawv Qhia​​ 
  
• Cov ntawv xov xwm, Cov ntawv ceeb toom, thiab cov ntawv​​ 
  

DHCS Forms & Documents:​​ 

• Kev Tshawb Fawb & Kev Tshawb Fawb- Kev Tshawb Fawb Txog Nyiaj Txiag Division Tus Nqi Tshaj Qhia Daim Ntawv Qhia & Cov Ntaub Ntawv​​ 

DHCS Legislative Authority​​ 

• California Statutes, Regulations, & Laws​​ 
• Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb Code 1200 - 1210​​ 
• Welfare & Institutions Code 14132.100​​ 
  

DHCS Cov Ntaub Ntawv & Cov Ntawv Qhia Txog Kev Tshawb Fawb​​ 

• FQHC thiab RHC Current RaTes​​ 
  

Department of Health Care Access & Information (HCAI)​​ 

• California State Office of Rural Health​​ 
• Kev siv tshuaj kho mob - HCAI​​ 
  

Chaw rau Medicare & Medicaid Services (CMS)​​ 

• Cov Tsev Kho Mob Hauv Nroog​​ 
• Federally Qualified Health Centers​​ 

DHCS Contacts:​​  

• Tus Xovtooj Pabcuam Nyiaj Txiag: (800) 541-5555 rau kev sau nqi thiab thov cov lus nug xa tuaj.​​  
• CA-MMIS Cov Nyiaj Txiag Nruab Nrab - Cov Lus Nug Xa thiab Cov Nqi Them Nqi: Lub Chaw Pabcuam Xov Tooj (TSC). Txhawm rau nkag mus sai rau TSC cov peev txheej, xa mus rau TSC Main Menu Prompt Options Guide.​​  
• Rau "Cov lus nug txog cov txiaj ntsig thiab PPS tus nqi"​​ 
• Rau tus nqi teeb tsa tus nqi xa ntawv nkaus xwb.​​ 
• Rau CSOSR xa ntawv nkaus xwb.​​ 
• Txhawm rau nkag mus rau ECRS cov txheej txheem rau kev xa daim ntawv thov Kev Sib Tham Txhua Xyoo.​​ 
• Rau Kev Sib Txuas Lus Thov xa thiab ECRS teeb tsa cov lus nug.​​ 
• Tam sim no siv los ntawm cov kws kho mob rau txhua yam lus nug.​​ 
• Rau kev tso npe ntawm cov chaw kho mob tsis tu ncua.​​ 
• Rau txhua qhov kev pab cuam ntawm DHCS.​​ 

DHCS Stakeholder List​​ 

Yog tias koj tsis yog ib tus neeg sau npe thiab xav tau DHCS hloov tshiab, thov sau npe rau ntawm DHCS lub vev xaib. Txhawm rau saib cov ntawv tshaj tawm yav dhau los, mus saib ntawm DHCS Stakeholder News lub vev xaib. 
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Qhia Medi-Cal Fraud​​ 

Kev Noj Qab Haus Huv Kev dag yog kev ua txhaum cai.​​ 

• 24 teev tus xov tooj kub (800) 822-6222​​ 
  
• Daim ntawv tsis txaus siab hauv online​​ 
• Mus ntsib: DHCS Fraud
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