Rau Medi-Cal Cov Chaw Kho Mob
Nplooj ntawv no muab cov ntaub ntawv thiab cov peev txheej hais txog yuav ua li cas rau npe los ua Medi-Cal tus kws kho mob, tus kws kho mob sau nqi thiab thov kev pab, thiab Medi-Cal cov kev pab cuam, suav nrog cov cai tswj hwm.
Medi-Cal Kev Pabcuam Rau Npe
Txhawm rau ua haujlwm rau Medi-Cal cov tswv cuab, cov kws kho mob yuav tsum xub xa daim ntawv thov kev tso npe rau tus kws kho mob nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv '(DHCS') Lub Chaw Pabcuam Sau Npe (PED).
DHCS/PED yog lub luag haujlwm rau kev tso npe thiab rov sau npe ntawm Medi-Cal tus nqi-rau-kev pabcuam (FFS) uas tuaj yeem ua haujlwm ncaj qha rau Medi-Cal FFS cov tswvcuab thiab sau nqi DHCS nrog rau tom qab ntawv cog lus nrog ib tus neeg Medi-Cal cov phiaj xwm tswj hwm (MCPs) los ua cov koom tes pabcuam pabcuam pabcuam Medi-Cal cov tswvcuab saib xyuas. Yog xav paub ntxiv txog Medi-Cal kev saib xyuas thiab kev cog lus nrog Medi-Cal MCPs los ua cov neeg muab kev pabcuam hauv network, thov mus saib DHCS lub vev xaib.
DHCS/PED tseem yog lub luag haujlwm rau tsim txoj cai rau npe kawm, thiab hloov kho thiab tswj cov ntaub ntawv tus kws kho mob hauv Cov Ntaub Ntawv Tus Thawj Saib Xyuas Cov Ntaub Ntawv uas siv rau hauv cov txheej txheem them nyiaj.
Cov kws kho mob Medi-Cal tuaj yeem kawm paub ntxiv txog DHCS/PED, lossis tiv tauj lawv ncaj qha.
Medi-Cal Phau Ntawv Qhia Txog Tus Kws Kho Mob thiab Cov Ntawv Qhia Txog Tus Kws Kho Mob
Cov kws kho mob Medi-Cal muaj kev nkag tau mus rau Medi-Cal Tus Kws Kho Mob Phau Ntawv Qhia thiab Cov Ntawv Xov Xwm Muab Kev Pabcuam, uas qhia txog Medi-Cal kev pab them nqi thiab txoj cai them rov qab.
Cov kws kho mob Medi-Cal tseem raug txhawb kom sau npe rau DHCS' Medi-Cal Subscription Service (MCSS), uas yog ib qho kev pabcuam pub dawb uas ua rau cov kws kho mob Medi-Cal hloov mus rau cov xov xwm tshiab ntawm Medi-Cal. Cov kws kho mob Medi-Cal uas sau npe yuav tau txais email tshwj xeeb rau kev tshaj tawm sai thiab lwm yam hloov tshiab sai tom qab lawv tshaj tawm rau Medi-Cal lub vev xaib.
Medi-Cal Kev Pab Them Nqi thiab Kev Pabcuam Thov
Cov kws kho mob Medi-Cal muaj kev nkag mus rau kev sau nqi thiab thov kev pab los ntawm DHCS'California Medicaid Management Information System (CA-MMIS) thiab nws daim ntawv cog lus nyiaj txiag (FIscal Intermediary) (FI). CA-MMIS thiab FI cov neeg ua haujlwm tuaj yeem pab cov kws kho mob nrog cov lus nug txog kev xa ntawv thov, xa daim ntawv thov hluav taws xob, thiab Daim Ntawv Tso Cai Kho Mob (TARs thiab hluav taws xob-TARs, lossis eTARs).
Cov kws kho mob Medi-Cal tuaj yeem tiv tauj Lub Chaw Pabcuam Xov Tooj (TSC) hauv xov tooj ntawm (800) 541-5555 (sab nraum California, (916) 636-1980), Hnub Monday txog Friday, tshwj tsis yog hnub so, thaum 8:00 teev sawv ntxov txog 5:00 teev tsaus ntuj Txhawm rau nkag mus rau TSC cov peev txheej sai dua, Medi-Cal cov kws kho mob tuaj yeem xa mus rau TSC Main Menu Prompt Options Guide.
Los ntawm Lub Chaw Pab Them Nqi Me Me, DHCS kuj tseem muaj kev pab them nqi kho mob tag nrho thiab kev cob qhia rau Medi-Cal cov kws kho mob uas xa mus txog 100 Medi-Cal thov ib hlis thiab tsis siv cov kev pab them nqi lossis lub koom haum. Cov kws kho mob Medi-Cal tuaj yeem tiv tauj Lub Chaw Pab Them Nqi Me Me hauv xov tooj ntawm 916) 636-1275, Monday txog Friday, tshwj tsis yog cov hnub so, thaum 8:00 teev sawv ntxov txog 12:00 teev tsaus ntuj thiab thaum 1:00 teev tsaus ntuj txog 5:00 teev tsaus ntuj
Cov kws kho mob Medi-Cal kuj tseem tuaj yeem xa mus rau DHCS cov ntawv sau nqi Cov Lus Nug Nquag kom paub ntau ntxiv thiab xa mus rau cov ntu uas siv tau ntawm Medi-Cal Tus Kws Kho Mob Phau Ntawv Qhia.
Kev cob qhia tus kws kho mob Medi-Cal
DHCS' Kev Tshaj Tawm thiab Kev Kawm Txuj Ci (O&E) pab neeg muaj kev qhia ntawv sau nqi thiab kev txhawb nqa rau Medi-Cal cov kws kho mob thiab cov neeg them nqi, los pab cov kws kho mob tshawb xyuas Medi-Cal thiab tau txais cov nyiaj them rov qab rau cov kev pabcuam raws sijhawm.
Tsis tas li ntawd, Medi-Cal Learning Portal muaj Medi-Cal cov kws kho mob thiab cov neeg them nqi kho mob rau tus kheej-paced kev cob qhia online txog kev them nqi, cov cai, cov txheej txheem, cov kev pib tshiab thiab cov kev hloov pauv tshiab rau Medi-Cal qhov kev pab cuam.
Ntxiv nrog rau cov kev cob qhia uas muaj los ntawm Medi-Cal Learning Portal, pab pawg DHCS/O&E kuj tseem txhawb nqa kev cob qhia nyob, virtual thiab hauv-tus neeg txhua xyoo. Cov ntaub ntawv hais txog cov kev cob qhia no tuaj yeem nrhiav pom ntawm DHCS lub vev xaib thiab Medi-Cal cov kws kho mob uas xav mus koom cov kev cob qhia no yuav tsum sau npe los ntawm Medi Cal Provider Learning Portal Event Calendar.
Cov kws kho mob Medi-Cal tseem tuaj yeem tshuaj xyuas cov ntaub ntawv hauv Medi-Cal Cov Kws Kho Mob Kev cob qhia cov phau ntawv qhia ua haujlwm thiab PowerPoint nthuav qhia, uas muaj rau rub tawm thiab tuaj yeem siv tau ntawm Medi-Cal tus kws kho mob cov rooj sib tham thiab lwm yam kev cob qhia.
Reproductive Health Hotline (Tsis yog DHCS)
Reproductive Health Hotline (ReproHH) yog ib qho dawb, tsis pub lwm tus paub, kev pabcuam hauv xov tooj rau cov neeg ua haujlwm los ntawm University of California San Francisco (UCSF) cov kws kho mob uas tshwj xeeb hauv kev sib deev thiab kev noj qab haus huv. Nws yuav muab cov ntaub ntawv pov thawj-raws li kev kho mob rau cov kws kho mob nrog cov lus nug txog kev sib deev thiab kev noj qab haus huv. Nyiaj pab los ntawm Xeev California thiab ua haujlwm los ntawm UCSF Lub Tsev Haujlwm Saib Xyuas Tsev Neeg thiab Zej Zog.
Cov Nyiaj Pab Medi-Cal
Cov kws kho mob Medi-Cal pab xyuas kom cov tswvcuab Medi-Cal tau txais cov txiaj ntsig tseem ceeb ntawm kev noj qab haus huv (lub npe hu ua Essential Health Benefits (EHBs)), suav nrog kev mus ntsib kws kho mob, kev kho mob hauv tsev kho mob, kev txhaj tshuaj tiv thaiv, kev pabcuam cev xeeb tub, tshuaj noj, tshuaj kho mob hlwb thiab kev siv tshuaj tsis zoo, kev kho hniav, kev kuaj mob, kev saib xyuas hauv tsev laus, thiab lwm yam. Cov kws kho mob Medi-Cal tuaj yeem kawm paub ntau ntxiv txog cov EHB tshwj xeeb thiab cov kev pabcuam uas poob rau hauv txhua qhov ntawm Lub Tsev Haujlwm lub vev xaib.[HE1]
