Tsev Cov Kev Pabcuam Chav Haujlwm Pabcuam Kev Noj Qab Haus Huv Lub Siab Cov Lus Nug Feem Ntau: Cov Ntaub Ntawv Dav Dav​​ 

FAQs: Cov lus qhia dav dav​​ 

Rov qab mus rau MedCCC Home Page​​ 

Kuv yuav nrhiav tau daim ntawv qhia IPC-134 qhov twg?​​ 

Transaction Enrollment Requirements​​ 

Vim li cas EPSDT thiab Cov Neeg Laus FFP feem pua rau FY 2012-13 poob qis los ntawm FY 2011-12?​​ 

It didn’t. The percentage actually went up from Fiscal Year (FY) 2011-12 to FY 2012-13. The confusion may be because in FY 2011-12, the funding categories were split into two categories: EPSDT FFP and Adult FFP, each having its own individual ratio. In FY 2012-13, these two funding categories were merged into one. There is no combined FFP ratio for FY 2011-12 to compare to the percentage for FY 2012-13. A combined FFP ratio for FY 2011-12 would be lower (though not represented on the budget detail spreadsheet).​​ 

Yog tias koj yuav tsum sib piv xws li pab pawg nyiaj txiag rau txhua xyoo, koj qhov FFP sib xyaw ua ke tuaj yeem nce los ntawm FY 2011-12 rau FY 2012-13.​​ 

Kuv tsis pom tus nqi rau MAA (Medi-Cal Kev Tswj Xyuas Kev Ua Haujlwm).  Puas yog qhov nyiaj no yuav tsum tau muab cais tawm sab nraud ntawm daim ntawv cog lus no?​​ 

All types of Administration FFP are factored into the Administration figures on the spreadsheet, including MAA, however MAA is not specifically listed on the spreadsheet. It is built into the other categories of Administration amounts.​​ 

Kev Them Nyiaj Ntxiv thiab AB 1297 Cov Nyiaj Them Tshaj Li SMA tau suav li cas?​​ 

Estimates for supplemental payments is based upon the amount the Department expects to expend for the uncompensated cost of services rendered in FY 2008-09 (i.e., January 1, 2009* – June 30, 2009) and FY 2009-10 as well as interim payments for costs in excess of the SMA in FY 2012-13. The estimate for supplemental payments in FY 2008-09 and 2009-10 was calculated based upon the county’s gross costs less gross SMA multiplied by the appropriate FMAP adjusted for contract providers. The estimate for payments in excess of the SMA for FY 2012-13 was based upon the estimate for FY 2009-10 inflated using a cost of living index and adjusted for the percent of claims submitted in FY 2012-13.​​ 

 * Nco ntsoov tias lub xeev txoj kev npaj kho mob uas yuav tso cai rau cov nyiaj them no yuav muaj hnub tim pib lub Ib Hlis 1, 2009.​​ 

Puas yog qhov kev pab cuam kho mob puas hlwb rau tus neeg mob sab nraud puas tuaj yeem them rov qab Medi-Cal rau hnub tso tawm los ntawm Tsev Kho Mob Psychiatric Inpatient Psychiatric?​​ 

Yes.  Immediately upon discharge from an inpatient psychiatric hospital, outpatient mental health services are Medi-Cal reimbursable. Title 9, Section 1820.100(c) states “Per Diem Rate” means a daily rate paid for reimbursable psychiatric inpatient hospital services for a beneficiary for the day of admission and each day that services are provided excluding the day of discharge.”  In addition, the citations in Title 9, Chapter 11 (1840.360, 1840.362, 1840.364, 1840.366. 1840.368, and 1840.370) provide service specific indications that lockouts apply only on the days when inpatient psychiatric hospital services are reimbursed.  Since the day of discharge is not reimbursed, the lockouts do not apply.​​  

FFP thiab EPSDT SGF them nyiaj li cas?​​ 

July 2009 and after, FFP and SGF was paid to the counties with two warrants based on the SD1 claim cutoff cycles.  With SD2, FFP and SGF is paid with one warrant based on an FFP invoice cycle for the prior week’s claims.  All SD1 and SD2 payments (FFP and SGF) since July 2009 are to the submitting county.​​ 

Ua ntej lub Xya Hli 2009, EPSDT SGF cov nyiaj them rau lub nroog tau txais txiaj ntsig tshwj tsis yog cov ntawv pov thawj pom zoo nrog cov lej nyiaj pab kev saws me nyuam (03, 04, 06, 4A), uas EPSDT SGF tau mus rau lub nroog xa.  Txhua lub sijhawm, FFP raug them rau lub nroog xa khoom.​​ 

Yog tias MHP / tus neeg muab kev pabcuam them nqi rau lwm tus neeg them nyiaj thiab tsis tau txais cov lus teb (them nyiaj lossis tsis kam lees) hauv 90 hnub, MHP daim nqi luv luv-Doyle/Medi-Cal (SDMC) li cas?​​ 

Welfare and Institutions (W&I) Code tshooj 14023.7 xav kom txhua tus neeg muab kev pabcuam nrhiav kev them nyiaj rau cov kev pabcuam rau tus neeg tsim nyog yuav tsum xub nrhiav kom tau txais kev them nyiaj los ntawm kev pov hwm kev noj qab haus huv ntiag tug lossis pej xeem uas tus neeg muaj cai. Yog tias qhov kev thov xa mus rau tus kws kho mob ntiag tug lossis pej xeem tsis tau them nyiaj hauv 90 hnub ntawm kev them nqi los ntawm tus kws kho mob, qhov kev thov yuav raug xa mus rau SD/MC.​​ 

Yog tias MHP / tus neeg muab kev pabcuam tsis tau txais cov lus teb (kev them nyiaj lossis tsis kam lees) los ntawm tus neeg thib peb them nyiaj hauv 90 hnub, qhov kev thov yuav raug xa mus rau SD / MC nrog kev hloov kho code ntawm OA * 210. MHPs yuav tsum ua raws li lawv cov txheej txheem sau nqi kom rov qab tau cov nyiaj vim los ntawm cov neeg them nyiaj thib peb. Yog tias qhov nyiaj tau txais tom qab tau txais los ntawm tus neeg them nyiaj thib peb, MHP yuav tsum xa daim ntawv thov hloov.​​ 

Kev siv tus cim tshwj xeeb hauv daim ntawv thov yuav tso cai rau Lub Tsev Haujlwm Saib Xyuas Kev Tshawb Fawb thiab tshuaj xyuas cov lus thov. MHPs yuav tsum khaws cov ntaub ntawv los txhawb kev siv cov cai hloov kho.​​ 

Yog hais tias ib tug Healthy Families (HF) tau txais txiaj ntsig tau txais Medi-Cal uas tsis muaj Tus Nqi Them Nqi (SOC), MHP puas yuav xa daim ntawv thov raws li Medi-Cal lossis HF thov?​​ 

Managed Risk Medical Insurance Board (MRMIB) txoj cai hais tias ib tug neeg tsis tuaj yeem muaj xoom SOC Medi-Cal ib txhij nrog HF kev pab them nqi; Txawm li cas los xij, qhov xwm txheej no qee zaus tshwm sim vim tias HF lub sijhawm sau npe / kev tsim nyog yog 12 lub hlis thiab kev rho npe los ntawm HF tsis tshwm sim hauv 12 lub hlis rau npe kawm ntev npaum li tsev neeg tseem them nws cov nqi HF.  Tsis muaj kev rho npe HF rov qab.  Yog li ntawd, txij li ob qhov chaw them nyiaj siv tau, thiab txij li MRMIB cov cai, Title 10, California Code of Regulations, Section 2699.6700(f) (1) qhia tias kev pab them nqi kho mob tau muab los ntawm HF Program yog qhov thib ob rau tag nrho lwm cov kev pab them nqi kho mob, tshwj tsis yog Medi-Cal, HF yuav tsum tau thov.​​ 

Yog tias tsis ua raws li cov kev xav tau kev kho mob, puas yuav tau them nqi kho mob rau MHPs rau Healthy Families (HF) Kev Pabcuam Mob Siab Mob Siab (SED)?​​ 

Yog lawm. Txawm li cas los xij, nws yuav yog qhov tshwm sim tsis tshua muaj tshwm sim rau tus menyuam kom ua tau raws li SED cov qauv, tab sis tsis ua raws li cov qauv tsim nyog kho mob; Txawm li cas los xij, HF tsis siv lo lus "kev xav tau kev kho mob" thiab HF tsis yog ib feem ntawm Medi-Cal qhov kev pab cuam.  HF SED cov kev pabcuam yog muab los ntawm lub nroog lub chaw saib xyuas kev puas siab puas ntsws thaum tus neeg sau npe HF ua tau raws li SED cov qauv ntawm Welfare and Institutions (W&I) Code Section 5600.3 (1).  SED cov txheej txheem raws li W&I Code Tshooj 5600.3 txawv ntawm cov qauv tsim nyog kho mob hauv Title 9, California Code of Regulations, Tshooj 1820.205, 1830.205, thiab 1830.210. (2) W&I Code Tshooj 5600.3 tsis sau cov kev kuaj mob tshwj xeeb, muaj cov qauv kev puas tsuaj sib txawv, thiab tsis suav nrog kev cuam tshuam.  HF SED daim ntawv thov yuav tsum qhia "SED" hauv daim ntawv sau.  Daim ntawv no qhia tias HF cov neeg sau npe ua tau raws li SED cov txheej txheem, lossis, nyob rau hauv cov ntaub ntawv ntawm SED kev ntsuam xyuas, tab tom raug soj ntsuam los txiav txim seb SED cov txheej txheem puas tau.​​  

Cov ntaub ntawv nyiaj txiag hauv Xeev (Prop 30) dab tsi muaj rau kev thov Cov Cai Kawg?​​ 

DHCS Proposition 30 Interoperability Funds FAQ​​ 

Qhov twg yuav tsum xa 1982Bs thiab 1982Cs?​​ 

MHP Director-signed 1982B and 1982C Claim Forms should be submitted by email to: 1982BClaim@dhcs.ca.gov or 1982CClaim@dhcs.ca.gov​​ 

Note: Please do not include the MH1982B or 1982C with the MH1982A in the claim submission .zip file.  If you have any questions regarding these forms, please contact MedCCC at (916) 650-6525 or MedCCC@dhcs.ca.gov.​​ 

CAUTION: THESE ARE PUBLIC MAILBOXES. Please DO NOT include any personal or private information about yourself or anyone else in your email. DHCS is unable to protect such information if it is submitted through this public mailbox.​​ 

Cov ntaub ntawv ntiag tug thiab / lossis cov ntaub ntawv ntiag tug suav nrog koj lub npe, chaw nyob, tus lej social security, thiab lwm yam ntaub ntawv uas tuaj yeem siv los txheeb xyuas koj, xws li thaj chaw koj nyob, tus xov tooj, email chaw nyob, hnub yug, tus lej account, Kev kho mob lossis kev kuaj mob, thiab cov ntaub ntawv hais txog hom kev kho mob uas koj tau txais yav dhau los thiab qhov twg thiab thaum twg koj tau txais kev kho mob no. Cov ntaub ntawv uas qhia tias koj yog tus kheej, txawm tias nws tsis yog cov ntaub ntawv kho mob.​​ 

If you’d like to apply for health coverage, please log on to CoveredCA.com or call (800) 300-1506.​​ 

Yog xav paub ntxiv txog koj qhov kev pab cuam Medi-Cal, thov hu rau (916) 552-9200​​