Tsev Kho Mob Presumptive Eligibility Program
Rov qab mus rau Medi-Cal Kev Tsim Nyog
Tsev Kho Mob Presumptive Eligibility yog dab tsi?
Tsev Kho Mob Presumptive Eligibility tso cai rau qee tus kws kho mob pom zoo cov kev pab them nqi kho mob ib ntus rau cov neeg thov kev tsim nyog siv daim ntawv thov hluav taws xob. Tsev Kho Mob Presumptive Kev Tsim Nyog Kev txiav txim siab yog nyob ntawm tus neeg thov kev lees paub tus kheej ntawm qhov tseeb thiab tsis tas yuav muaj lwm yam ntaub ntawv pov thawj.
Lub Tsev Kho Mob Presumptive Kev Tsim Nyog Muaj Kev Pabcuam Dab Tsi?
Tsev Kho Mob Presumptive Eligibility muab cov txiaj ntsig tam sim, ib ntus ntawm Tus Nqi-Rau-Service hauv paus txog li 60 hnub rau cov uas tsim nyog.
- Tsev Kho Mob Presumptive Eligibility muab kev pab them nqi tag nrho rau txhua tus neeg tsim nyog tshwj tsis yog cov uas cev xeeb tub.
- Tsev Kho Mob Presumptive Eligibility for Pregnancy muab kev pab them nqi tsawg thiab tsuas yog them rau kev thauj mus los (taug kev), kev saib xyuas tus neeg mob sab nraud, kev rho menyuam tawm sab nraud, thiab tshuaj noj tshuaj rau cov xwm txheej ntsig txog cev xeeb tub.
Yog tias koj tau txais kev pom zoo rau Tsev Kho Mob Presumptive Eligibility, koj tus kws kho mob yuav tsum kuaj xyuas koj qhov kev tsim nyog kom paub txog koj qhov kev pab cuam. Cov kev pab them nqi yuav raug hloov pauv yog li nws tseem ceeb heev uas yuav tau nug koj tus kws kho mob yog tias koj cov kev pabcuam yuav raug them, tshwj xeeb tshaj yog tias koj tau txais Tsev Kho Mob Presumptive Eligibility for Pregnancy.
Tsev Kho Mob Presumptive Eligibility yog ib ntus. Koj yuav tsum thov rau cov kev pab them nqi kho mob thiab ua kom tiav cov txheej txheem thov kom nrhiav tau ib qho kev pov hwm kev noj qab haus huv mus sij hawm ntev uas haum rau koj cov kev xav tau. Saib hauv qab no rau txoj hauv kev thov kev pab them nqi kho mob.
Tus Nqi-For-Service yog dab tsi?
Fee-For-Service txhais tau tias koj tsis tau rau npe rau hauv ib txoj kev npaj kho mob. Txhawm rau zam kom tsis txhob them nyiaj tawm hauv hnab tshos rau cov kev pabcuam kev noj qab haus huv, nug koj tus kws kho mob yog tias lawv tau txais Fee-For-Service Medi-Cal ua ntej teem sijhawm mus ntsib.
Leej twg muaj peev xwm tsim nyog rau Tsev Kho Mob Presumptive Eligibility?
Yuav kom tsim nyog rau Tsev Kho Mob Presumptive Eligibility, koj yuav tsum:
- Muaj nyiaj khwv tau los tsawg;
- Nyob hauv California;
- Tam sim no tsis tau txais Medi-Cal;
- Tsis tau txais Presumptive Eligibility ntau tshaj li qhov siab tshaj ntawm cov sij hawm tso cai nyob rau hauv 12 lub hlis dhau los;
- Yog tias cev xeeb tub, koj tsis tau txais Kev Tsim Nyog Tsim Nyog thaum koj cev xeeb tub tam sim no.
Thiab, tsim nyog tau txais hauv ib qho ntawm Tsev Kho Mob Presumptive Eligibility pawg hauv qab no:
- Cov menyuam yaus hnub nyoog qis dua 19 xyoos
- Cov niam txiv thiab cov txheeb ze saib xyuas
- Cov neeg cev xeeb tub
- Yav tas los Foster Youth ntawm hnub nyoog 18 txog 26 xyoo, uas tau nyob hauv kev tu menyuam hauv ib lub xeev ntawm lawv hnub nyoog 18 xyoos lossis laus dua. (Tsis muaj nyiaj khwv tau los)
- Cov neeg laus hnub nyoog 19 xyoo thiab laus dua uas tsis xeeb tub, tsis tau txais Medicare, thiab tsis tsim nyog rau ib pab pawg uas tau teev tseg saum toj no.
Kuv Yuav Tau Txais Kev Tsim Nyog Muaj Peev Xwm Ntau npaum li cas?
Presumptive Eligibility suav nrog Tsev Kho Mob Presumptive Eligibility, Menyuam Kev Tsim Nyog Kev Tsim Nyog thiab Presumptive Tsim Nyog rau Cov Neeg Cev Xeeb Tub.
Cov pab pawg me me
| Ob zaug (2) rau 12 lub hlis |
pawg neeg laus
| Ib zaug (1) rau 12 lub hlis
|
Cov neeg cev xeeb tub
| Ib zaug (1) thaum cev xeeb tub
|
Leej Twg Yuav Pab Cuam Npe Kuv rau Tsev Kho Mob Presumptive Kev Tsim Nyog?
Txhawm rau thov rau Tsev Kho Mob Presumptive Eligibility, koj yuav tsum mus ntsib tus kws kho mob uas koom nrog, hu ua "Tus Kws Pab Tswv Yim Tsim Nyog."
Koj tuaj yeem nrhiav Tus Kws Pab Tswv Yim Tsim Nyog los ntawm daim ntawv teev npe no:
Cov ntawv thov kev pab hauv Tsev Kho Mob Presumptive Eligibility tsuas yog txais thaum cov neeg ua haujlwm raug cob qhia muaj nyob rau thaum mus ntsib kev noj qab haus huv. Yog tias Tsev Kho Mob Presumptive Eligibility tsis muaj nyob rau thaum koj mus ntsib, koj yuav tsum thov Medi-Cal kom them rau koj cov kev pabcuam. Retroactive Medi-Cal tuaj yeem them cov nqi rau cov kev pabcuam uas koj twb tau txais yog tias koj thov Medi-Cal thiab ua kom tiav cov txheej txheem rau npe hauv peb (3) lub hlis tomqab tau txais cov kev pabcuam ntawd.
Puas yog Tsev Kho Mob Presumptive Kev Tsim Nyog muaj nyob rau hauv qhov kev xeem them nqi pej xeem?
Qhov kev xeem them nqi pej xeem yog ib qho kev ntsuam xyuas uas cov tub ceev xwm nkag tebchaws siv los txiav txim seb tus neeg tsis yog pej xeem puas muaj feem cuam tshuam los ntawm tsoomfwv rau kev txhawb nqa. US Department of Homeland Security (DHS) thiab US Citizenship and Immigration Services (USCIS) feem ntau tsis txiav txim siab txog kev noj qab haus huv, zaub mov, thiab vaj tse nyob ua ib feem ntawm kev txiav txim siab them nqi pej xeem. Yog li ntawd, kev siv Medi-Cal cov txiaj ntsig, tshwj tsis yog lub tsev laus lossis lub tsev kho mob puas siab puas ntsws, yuav tsis cuam tshuam rau koj qhov kev nkag tebchaws.
Thov nco ntsoov tias DHCS thiab lub nroog cov chaw pabcuam pej xeem tsis tuaj yeem muab cov kev pabcuam raug cai lossis cov lus qhia ntsig txog kev nkag tebchaws lossis cov cai lij choj rau pej xeem. Yog tias koj muaj lus nug txog koj qhov xwm txheej nkag tebchaws thiab Medi-Cal cov txiaj ntsig, tham nrog tus kws lij choj nkag tebchaws tsim nyog.
Txoj hauv kev thov rau Medi-Cal thiab lwm yam kev pab them nqi kho mob
Koj tuaj yeem thov Medi-Cal:
- Online ntawm Covered California lossis BenefitsCal.
- Hauv xov tooj nrog Covered California ntawm (800) 300-1506| TTY: (888) 889-4500.
- Hauv xov tooj nrog Covered California (Español) ntawm (800) 300-0213.
- Hauv xov tooj nrog koj lub county lub chaw saib xyuas kev noj qab haus huv.
- Hauv Tus Neeg - hu rau Covered California ntawm (800) 300-1506 kom paub cov npe.
- Nyob rau hauv Tus Neeg - nrhiav lub county lub chaw ua haujlwm pabcuam kev pabcuam pejxeem.
Download tau thiab luam ib Daim Ntawv Thov Ib Leeg Streamlined:
Fax rau
(888) 329-3700
Xa ntawv rau Covered California
PO Lub thawv 989725
West Sacramento, CA 95798
Kuv Yuav Ua Li Cas Yog Kuv Tau Txais Daim Nqi Thaum Kuv Muaj Tsev Kho Mob Presumptive Eligibility Coverage?
Ua raws li cov kauj ruam no yog tias koj tau txais daim nqi koj xav tias yuav tsum tau them:
- Paub Txog Kev Pabcuam: Paub meej tias hnub ua haujlwm ntawm daim nqi yuav poob rau hauv lub sijhawm koj tau txais kev pab los ntawm Tsev Kho Mob Presumptive Eligibility.
- Tshawb xyuas Lub Tsev Kho Mob Presumptive Eligibility Coverage Lub Sij Hawm thiab cov kev pab cuam uas teev nyob rau hauv daim ntawv Tam Sim No Xav Tau Daim Npav lossis
- Yog tias koj tsis muaj koj daim npav xav tau tam sim no lawm lossis tsis paub meej txog koj lub sijhawm them nyiaj, hu rau koj lub nroog lub chaw pabcuam kev pabcuam kev noj qab haus huv los thov kev txheeb xyuas qhov kev tsim nyog rau hnub muab kev pabcuam hauv daim nqi.
- Hu rau tus kws kho mob thiab qhia ntawv pov thawj ntawm kev tsim nyog: Hu rau tsev kho mob, chaw kho mob, lossis kws kho mob lub chaw ua haujlwm uas xa daim nqi. Qhia rau lawv paub tias koj muaj Tsev Kho Mob Presumptive Tsim Nyog rau hnub ua haujlwm ntawm daim nqi thiab muab:
- Tus lej BIC ID uas teev rau hauv koj daim npav Xav Tau Tam Sim No lossis
- Tnws tus lej BIC ID uas teev rau hauv koj lub hnab yas BIC lossis
- Lwm cov ntaub ntawv pov thawj ntawm kev tsim nyog, xws li qhov koj tau thov los ntawm koj lub nroog lub chaw pabcuam kev sib raug zoo.
- Nug Kev Pab Ntxiv: Tus kws kho mob tuaj yeem xa daim nqi rov qab mus rau Medi-Cal rau kev them nyiaj. Yog lawv pab tsis tau, thov kom lawv lub tuam tsev them nqi kho mob kom pab ntxiv.
- Hu rau DHCS: Yog tias qhov teeb meem tsis daws teeb meem, hu rau DHCS Lub Chaw Pabcuam Xov Tooj ntawm (800) 541-5555 kom tau txais kev txhawb nqa.
- Khaws Cov Ntaub Ntawv: Txuag tag nrho cov ntawv sau, daim nqi, thiab pov thawj ntawm kev pov hwm rau koj cov ntaub ntawv.
Cov lus nug
Cov lus nug dav dav tuaj yeem xa mus rau DHCSHospitalPE@dhcs.ca.gov. Peb tsis tuaj yeem teb cov lus nug ntsig txog koj qhov kev tsim nyog tau txais Medi-Cal lossis nrhiav koj rooj plaub.
