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?​​ 

Nws tsis tau ua li ntawd. Qhov feem pua tau nce ntxiv los ntawm Xyoo Nyiaj Txiag (FY) 2011-12 mus rau Xyoo Nyiaj Txiag 2012-13. Qhov kev tsis meej pem yuav yog vim tias xyoo 2011-12, cov pawg nyiaj txiag tau muab faib ua ob pawg: EPSDT FFP thiab Cov Neeg Laus FFP, txhua tus muaj nws tus kheej qhov sib piv. Xyoo 2012-13, ob pawg nyiaj txiag no tau koom ua ke. Tsis muaj qhov sib piv ntawm FFP ua ke rau xyoo 2011-12 los piv rau feem pua rau xyoo 2012-13. Qhov piv ntawm FFP ua ke rau xyoo 2011-12 yuav qis dua (txawm tias tsis tau sawv cev rau ntawm daim ntawv qhia txog cov peev nyiaj).​​ 

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 tau pom tus nqi rau MAA (Medi-Cal Administrative Activities). Puas yog tus nqi no yuav tsum tau ua nyias nyob sab nraud ntawm daim ntawv cog lus no?​​ 

Txhua hom kev tswj hwm FFP raug suav nrog rau hauv cov lej tswj hwm ntawm daim ntawv nthuav qhia, suav nrog MAA, txawm li cas los xij MAA tsis tau teev tshwj xeeb rau ntawm daim ntawv nthuav qhia. Nws yog tsim rau hauv lwm pawg ntawm cov nyiaj Administration.​​ 

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?​​ 

Yog. Tam sim ntawd thaum tawm hauv tsev kho mob puas siab puas ntsws, cov kev pabcuam kev noj qab haus huv puas siab puas ntsws rau cov neeg mob sab nraud tuaj yeem them rov qab rau Medi-Cal. Tshooj 9, Tshooj 1820.100(c) hais tias "Tus Nqi Ib Hnub" txhais tau tias tus nqi txhua hnub them rau cov kev pabcuam hauv tsev kho mob puas siab puas ntsws uas them rov qab rau tus neeg tau txais txiaj ntsig rau hnub nkag thiab txhua hnub uas cov kev pabcuam tau muab tsis suav nrog hnub tawm hauv tsev kho mob. Ntxiv rau qhov ntawd, cov lus hais hauv Title 9, Tshooj 11 (1840.360, 1840.362, 1840.364, 1840.366. 1840.368, thiab 1840.370) muab cov cim qhia tshwj xeeb rau kev pabcuam tias kev kaw tsev tsuas yog siv rau hnub uas cov kev pabcuam hauv tsev kho mob puas siab puas ntsws tau txais nyiaj rov qab. Vim tias hnub uas raug tso tawm tsis tau txais nyiaj rov qab, qhov kev kaw tsis siv tau.​​ 

FFP thiab EPSDT SGF them nyiaj li cas?​​ 

Lub Xya Hli 2009 thiab tom qab ntawd, FFP thiab SGF tau them rau cov nroog nrog ob daim ntawv foob raws li lub voj voog txiav tawm ntawm SD1. Nrog SD2, FFP thiab SGF raug them nrog ib daim ntawv foob raws li lub voj voog ntawm daim ntawv them nqi FFP rau cov kev thov ntawm lub lim tiam dhau los. Txij li Lub Xya Hli 2009 los, txhua qhov kev them nyiaj SD1 thiab SD2 (FFP thiab SGF) yog rau lub nroog xa ntawv.​​ 

Ua ntej Lub Xya Hli 2009, cov nyiaj them EPSDT SGF yog rau lub nroog uas tau txais txiaj ntsig tshwj tsis yog cov kev thov uas tau pom zoo nrog cov lej pab txhawb 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 ntawv.​​ 

Yog tias MHP/tus neeg muab kev pab them nqi rau lwm tus neeg them nqi thiab tsis tau txais lus teb (kev them nqi lossis kev tsis kam them nqi) hauv 90 hnub, MHP yuav them nqi rau Short-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 pab tsis tau txais lus teb (kev them nyiaj lossis kev tsis lees paub) los ntawm tus neeg them nyiaj thib peb hauv 90 hnub, daim ntawv thov yuav raug xa mus rau SD/MC nrog tus lej hloov kho ntawm OA*210. Cov MHP yuav tsum ua raws li lawv cov qauv kev sau nyiaj kom tau txais cov nyiaj uas tshuav ntawm cov neeg them nyiaj sab nraud. Yog tias tom qab ntawd tau txais kev them nyiaj los ntawm tus neeg them nyiaj thib peb, MHP yuav tsum xa daim ntawv thov hloov chaw.​​ 

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 tias tus neeg tau txais txiaj ntsig ntawm Healthy Families (HF) tsim nyog tau txais Medi-Cal yam tsis muaj Share of Cost (SOC), MHP puas yuav tsum xa daim ntawv thov ua daim ntawv thov Medi-Cal lossis HF?​​ 

Txoj cai ntawm Pawg Neeg Saib Xyuas Kev Pov Hwm Kho Mob Uas Tswj Kev Pheej Hmoo (MRMIB) hais tias ib tus neeg yuav tsis muaj SOC Medi-Cal ib txhij nrog kev pov hwm HF; txawm li cas los xij, qhov xwm txheej no qee zaum tshwm sim vim tias lub sijhawm rau npe/kev tsim nyog rau HF yog 12 lub hlis thiab kev rho npe tawm ntawm HF tsis tshwm sim hauv lub sijhawm rau npe 12 lub hlis tsuav yog tsev neeg tseem them nws cov nqi HF. Tsis muaj kev rho npe tawm ntawm HF uas cuam tshuam nrog yav dhau los. Yog li ntawd, vim tias ob qho tib si cov peev txheej them nyiaj yog qhov siv tau, thiab vim tias MRMIB cov cai, Title 10, California Code of Regulations, Seem 2699.6700 (f) (1) teev tseg tias kev them nqi uas muab rau hauv HF Program yog qhov thib ob rau txhua qhov kev them nqi lwm yam, 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. Txawm li cas los xij, nws yuav yog ib qho tsis tshua muaj tshwm sim rau ib tug me nyuam kom ua tau raws li cov qauv SED, tab sis tsis ua tau raws li cov qauv tsim nyog kho mob; txawm li cas los xij HF tsis siv lo lus "kev tsim nyog kho mob" thiab HF tsis yog ib feem ntawm qhov kev pab cuam Medi-Cal. Cov kev pabcuam HF SED yog muab los ntawm cov chaw haujlwm saib xyuas kev noj qab haus huv ntawm lub hlwb hauv nroog thaum tus neeg sau npe HF ua tau raws li cov qauv SED ntawm Welfare and Institutions (W&I) Code Section 5600.3 (1). Cov qauv SED ib W&I Code Seem 5600.3 txawv ntawm cov qauv tsim nyog kho mob hauv Title 9, California Code of Regulations, Seem 1820.205, 1830.205, thiab 1830.210. (2) W&I Code Seem 5600.3 tsis teev cov kev kuaj mob tshwj xeeb, muaj cov qauv kev puas tsuaj sib txawv, thiab tsis suav nrog cov kev cai kho mob. Cov ntawv thov HF SED yuav tsum qhia "SED" rau hauv daim ntawv sau tseg. Daim ntawv no qhia tias tus neeg sau npe HF ua tau raws li cov qauv SED, lossis, yog tias muaj kev ntsuam xyuas SED, tab tom raug ntsuam xyuas los txiav txim siab seb puas ua tau raws li cov qauv SED.​​ 

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

Cov Lus Nug Txog DHCS Proposition 30 Interoperability Funds​​ 

Yuav tsum xa cov 1982Bs thiab 1982Cs mus rau qhov twg?​​ 

Cov Ntawv Thov Kev Pab Xyoo 1982B thiab 1982C uas Tus Thawj Coj ntawm MHP tau kos npe yuav tsum xa los ntawm email mus rau: 1982BClaim@dhcs.ca.gov lossis 1982CClaim@dhcs.ca.gov​​ 

Lus Cim: Thov tsis txhob muab MH1982B lossis 1982C nrog MH1982A tso rau hauv daim ntawv thov .zip. cov ntaub ntawv. Yog koj muaj lus nug txog cov ntawv no, thov hu rau MedCCC ntawm (916) 650-6525 lossis MedCCC@dhcs.ca.gov.​​ 

CEEB TOOM: COV NO YOG COV THAWV XA NTAWV RAU PEJ XEEM. Thov TSIS TXHOB muab cov ntaub ntawv ntiag tug lossis cov ntaub ntawv ntiag tug txog koj tus kheej lossis lwm tus neeg tso rau hauv koj tus email. DHCS tsis muaj peev xwm tiv thaiv cov ntaub ntawv no yog tias nws raug xa los ntawm lub thawv xa ntawv pej xeem no.​​ 

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.​​ 

Yog koj xav thov kev pov hwm kho mob, thov nkag mus rau hauv CoveredCA.com los yog hu rau (800) 300-1506.​​ 

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