Tsev Cov Kev Pabcuam Chav Haujlwm Pabcuam Kev Noj Qab Haus Huv Lub Siab Chaw Haujlwm Saib Xyuas Kev Kho Mob thiab Kev Noj Qab Haus Huv ntawm Medi-Cal ntawm Ombudsman​​ 

Medi-Cal Managed Care thiab Mental Health Office ntawm Ombudsman​​ 

Medi-Cal Managed Care thiab Mental Health Office ntawm Ombudsman pab daws cov teeb meem los ntawm qhov kev xav nruab nrab los xyuas kom meej tias peb cov tswv cuab tau txais tag nrho cov kev pab them nqi kho mob uas tsim nyog rau cov phiaj xwm muaj kev lav phib xaub.​​ 

Mental Health Ombudsman yog tsim los tsim tus choj ntawm Mental Health Plan system thiab cov tib neeg, cov neeg hauv tsev neeg thiab cov phooj ywg ntawm cov tib neeg, xav tau kev pabcuam kev puas hlwb los ntawm kev muab cov ntaub ntawv thiab kev pabcuam hauv kev taug kev los ntawm lub system.​​ 

Tus Ombudsman yuav mloog, teb koj cov lus nug, tshuaj xyuas koj qhov xwm txheej, piav qhia DHCS cov cai thiab cov txheej txheem, muab cov ntaub ntawv, cov lus qhia, thiab cov kev xaiv, thiab qhia txog kev xa mus rau qhov tsim nyog. Nws yog peb txoj haujlwm los pab tsim cov kev daws teeb meem ncaj ncees rau cov teeb meem kev noj qab haus huv.​​ 

The Office of the Ombudsman does not conduct formal investigations’ does not change rules, policies, or procedures, nor does it participate in any formal hearing or grievance process, and does not update Medi-Cal eligibility.​​ 

Lub Chaw Haujlwm ntawm Ombudsman:​​ 

  • Pab daws teeb meem ntawm Medi-Cal cov tswv cuab tswj hwm kev saib xyuas thiab cov phiaj xwm tswj hwm​​ 
  • Pab daws teeb meem ntawm Medi-Cal cov tswv cuab thiab cov phiaj xwm kev noj qab haus huv hauv nroog​​ 
  • Pab cov tswv cuab nrog cov teeb meem ceev ceev rau kev sau npe thiab kev rho tawm ntawm daim ntawv pov thawj Medi-Cal​​ 
  • Pab Medi-Cal cov tswvcuab nkag mus rau Medi-Cal cov kev pabcuam tshwjxeeb rau kev puas hlwb​​ 
  • Muab cov ntaub ntawv thiab xa mus​​ 
  • Qhia txog txoj hauv kev los ua kom Medi-Cal qhov kev pab cuam saib xyuas tau zoo dua​​ 
  • Qhia cov tswv cuab txog yuav ua li cas taug kev hauv Medi-Cal tswj hwm kev saib xyuas thiab kev noj qab haus huv tshwj xeeb​​ 
  • Txuas koj nrog tus neeg raug lossis chav haujlwm los pab daws qhov teeb meem​​ 
  • Txuas koj nrog cov peev txheej hauv zos hauv koj lub nroog uas tuaj yeem pab koj​​ 
  • Txuas koj nrog cov kev pabcuam rau cov neeg mob txoj cai​​ 

Tiv tauj peb​​ 

  • Sij Hawm Ua Haujlwm: Hnub Monday txog Hnub Friday, 8:00 sawv ntxov txog 5:00 tsaus ntuj PST; tsis suav cov hnub so thiab kev saib xyuas raws sijhawm.​​ 
  • Xov tooj: (888) 452-8609​​ 
  • By email*: Ombudsman@dhcs.ca.gov​​ 

*Thov nco ntsoov: Email tsis muab txoj hauv kev los xyuas kom meej tias cov ntaub ntawv tsis pub lwm tus paub lossis tsis pub lwm tus paub hauv cov lus xa mus. Yog li ntawd, tus neeg xa email yuav tsum muaj lub luag haujlwm rau kev suav nrog cov ntaub ntawv zais cia lossis cov ntaub ntawv ntiag tug thaum siv cov cuab yeej sib txuas lus no. Tus neeg xa ntawv yuav tsum ceev faj thaum sau cov lus kom tsis txhob muaj cov ntaub ntawv zais cia lossis cov ntaub ntawv ntiag tug xws li cov npe, chaw nyob, tus xov tooj, tus lej social security, tus lej daim ntawv tso cai, lwm tus lej cim tus kheej, thiab lwm yam. Yog tias tus neeg xa ntawv xav tiv tauj California Department of Health Care Services (DHCS) Office of the Ombudsman los tham txog tej teeb meem uas yuav tsum tau muab cov ntaub ntawv ntiag tug lossis cov ntaub ntawv zais cia, DHCS pom zoo kom hu rau Ombudsman ntawm (888) 452-8609.​​ 

Kuv tuaj yeem tshem tawm qhov tuav lossis hloov Medi-Cal Managed Care Plan kuv tau rau npe li cas?​​ 

Daim Ntawv Thov Hloov - Daim Ntawv Sau Online​​  (Cov neeg ua haujlwm hauv nroog tsuas yog siv xwb)​​ 

Daim ntawv no tsuas yog siv rau cov teeb meem ceev ceev xwb; txhua qhov kev hloov pauv tus qauv yuav tsum tau ua tiav los ntawm Health Care Options (HCO) ntawm (800) 430-4263. Yuav tsum siv daim foos online fillable thaum thov:​​ 

  • Cov phiaj xwm hloov​​ 
  • Kev Ncua Sijhawm Npaj Rau Npe​​ 
  • Expedited Plan Disenrollments​​ 
  • Tshem tawm ntawm 59 tuav​​ 

Kev ua kom tiav daim ntawv no tsis tau lees tias daim ntawv thov yuav raug ua tiav. Yog tias tus neeg tau txais txiaj ntsig Medi-Cal tsis ua raws li cov qauv uas yuav tsum tau ua lossis tsis siv tus email chaw nyob hauv lub nroog uas siv tau, daim ntawv thov yuav tsis raug ua tiav.​​ 

Medi-Cal cov tswv cuab yuav tsum hu rau lawv tus neeg ua haujlwm Tsim Nyog Tsim Nyog Hauv Lub Nroog kom xa ib daim ntawv thov siv daim foos sau online nyob rau ntawm qhov txuas saum toj no.​​ 

Pab tau cov peev txheej thiab txuas​​ 

Sab nraud Resources​​