Cov txheej txheem ntawv pov thawj (yeem yeem txhim kho)

Lub hom phiaj

Muab ib daim ntawv qhia txog lub county Mental Health Plans (MHPs) xa cov ntaub ntawv thov rau Medi-Cal cov nyiaj them rov qab rau Short-Doyle/Medi-Cal (SDMC) cov nyiaj them rov qab tshwj xeeb rau cov kev pab cuam puas siab puas ntsws muab rau cov neeg tau txais txiaj ntsig tsim nyog rau ob qho tib si Medicare thiab Medi-Cal (dual tsim nyog tau txais Mediage) uas nws tau txais kev pab them nqi kho mob los ntawm Mediage. Medicare Risk HMO or Medicare Part C plan).

Cov ntaub ntawv

INFORMATION CEEB TOOM 09-09, 10-11, 10-23, 11-06, thiab 13-24

Txheej txheem txheej txheem

Yog tias tsim nyog ob qho tib si nrog FFS Medicare, MHPs tsis tas yuav them nqi rau Medicare Fee-For-Service rau kev them rov qab rau cov kev pabcuam uas DHCS tau txiav txim siab tias Medicare tsis them vim tias qhov kev pabcuam, hom tus neeg muab kev pabcuam, lossis kev sib xyaw ua ke ntawm cov kev pabcuam, hom tus neeg muab kev pabcuam, thiab qhov chaw pabcuam tsis tau them rov qab los ntawm Medicare.
Txhua Lub Chaw Npaj Kev Noj Qab Haus Huv Lub Siab yuav tsum nkag mus rau hauv lub vev xaib MedCCC txhua lub sijhawm kom paub tseeb tias lub tuam txhab pov hwm nyob hauv daim ntawv teev npe.
Txoj Kev Npaj Kho Mob Hlwb tau txais tsab ntawv pov thawj lees paub tias txoj kev npaj tsis muab kev pab them nqi ntxiv rau cov kev pabcuam kho mob hlwb tshwj xeeb tshaj li qhov uas FFS Medicare muab.  Tsab ntawv pov thawj yuav tsum muaj cov ntaub ntawv hauv qab no:
Lub npe ntawm daim phiaj xwm Medicare Advantage;
Tus lej cog lus hauv tebchaws; thiab
Xyoo (cov) kev pabcuam uas nws siv tau, uas yuav tsum tsis txhob suav nrog ib xyoos twg ntawm kev pabcuam tom qab xyoo tom qab hnub ntawm tsab ntawv.
Lub MHP xa tsab ntawv pov thawj mus rau MedCCC ntawm Mental Health Services Division, County Customer Service Section ntawm: MedCCC@DHCS.CA.GOV siv kab ntawv sau: "FFS-Equivalent Coverage Certification."
MedCCC ua kom ntseeg tau tias lub kaw lus SDMC yuav kho qhov kev npaj no ua ib qho kev npaj sib npaug rau FFS thaum txiav txim siab cov kev pabcuam rau cov hnub pabcuam uas tau teev tseg hauv tsab ntawv pov thawj.
Cov MHP uas muaj cov kev thov uas tau raug tsis lees paub ua ntej vim tias cov kev pabcuam tsis tau raug them nqi rau tus neeg tau txais txiaj ntsig txoj kev npaj Medicare Advantage ua ntej yuav xa cov kev thov hloov pauv rau txhua qhov kev thov uas raug tsis lees paub uas suav nrog cov kev pabcuam uas tsis tas yuav them nqi rau txoj kev npaj Medicare Advantage ua ntej them nqi rau Medi-Cal.

Certification Status

Lub Npe Health Plan	Tsoom Fwv Teb Chaws Daim Ntawv Cog Lus #	Hnub tau txais	Hnub Ua Haujlwm	Hnub Tim Tau Txais Daim Ntawv Pov Thawj (Kho Dua Lub Plaub Hlis, 2026)
Aetna Better Health of California	H4982	4/3/2023	4/25/2023	01/01/2023 – 12/31/2023
Aetna Health ntawm California	H0523 & H5521	07/29/14	09/03/14	01/01/12 – 12/31/15
Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Aids, dba Cov Neeg Koom Tes Saib Xyuas Kev Noj Qab Haus Huv Zoo (PHP)	H5852	01/13/17	01/25/17	01/01/14 – 12/31/17
Alameda Alliance for Health	H7292	02/25/14	04/24/14	01/01/10 – 12/31/15
Alameda Alliance for Health	H2035	12/02/25	03/24/26	01/01/26 – 12/31/26
Alignment Health Plan yav dhau los Citizens Choice Health Plan HMO	H3815	04/01/26	04/01/26	01/01/13 – 12/31/17 01/01/25 – 12/31/26
Anthem Blue Cross	H4471	11/25/2025	12/24/2025	01/01/25 – 12/31/26
Blue Shield	H0504	04/06/17	04/10/17	01/01/14 – 12/31/17
Blue Shield ntawm California	H2819	03/30/26	04/01/26	01/01/25 – 12/31/26
Blue Shield ntawm California	H5609	04/06/17	04/10/17	01/01/16 – 12/31/17
CalOptima yog	H5433	12/03/2025	12/24/2025	01/01/14 – 12/31/26
Care First Total Dual Plan aka BSC Promise Health Plan	H5928	03/16/23	03/30/23	01/01/08 – 12/31/23
CareMore Health Plan	H0544	05/09/16	06/15/16	01/01/16 – 12/31/16
CenCal Health	H7620	4/15/2026	4/16/2026	01/01/2026 – 12/31/2026
Central California Alliance for Health	H5692	11/12/2025	12/23/2025	01/01/26-12/31/26
Central Health Medicare Plan of California	H5649	07/13/16	08/24/16	01/01/12 – 12/31/17
Pawg Saib Xyuas Kev Noj Qab Haus Huv	H4733	11/13/2025	12/24/2025	01/01/25 -12/31/26
Pawg Saib Xyuas Kev Noj Qab Haus Huv	H5172	02/10/14 hnub	04/24/14	01/01/14 – 12/31/15
Pawg Saib Xyuas Kev Noj Qab Haus Huv	H7086	07/27/20	09.04.20	01/01/14 – 12/31/20
Contra Costa Care Plus Dual Eligible Special Needs Plan	H5119	04/08/26	04/09/26	01/01/26 – 12/31/26
Suav Community Health Plan	H0571	11/13/2025	12/23/2025	01/01/22 -12/31/26
Ib qho yooj yim Choice Health Plan	H5087	10/07/14 hnub	01/13/15	01/01/14 – 12/31/15
Health Net ntawm California, Inc.	H0562	03/28/23	05/01/23	01/01/14 – 12/31/23
Health Plan ntawm San Mateo	H5428	12/06/21	12/29/21	01/01/10 – 12/31/22
CareAdvantage Mediconnect	H7885	12/14/22	02/02/23	01/01/10 – 12/31/22
CareAdvantage Dual Tsim Nyog	H6019	11/26/25	12/23/25	01/01/23 – 12/31/26
IEHP DualChoice	H8894	11/12/2025	12/24/2025	01/01/25 – 12/31/26
Inland Empire Health Plan (IEHP)	H5640	02/08/16	06/15/16	01/01/11 – 12/31/16
Inter Valley Health Plan	H0545	03/14/16	06/15/16	01/01/14 – 12/31/16
LA Care Health Plan	H2643	02/29/16	06/15/16	09/26/13 – 12/31/14
Molina Healthcare ntawm California	H5810	03/13/23	03/17/23	01/01/11 – 12/31/23
Partnership Health Plan of California	H5782	01/28/14	05/13/14	03/01/10 – 12/31/15
Santa Clara Family Health Plan	H4045	11/13/2025	12/24/2025	01/01/25 – 12/31/26
SCAN Health Plan	H5425	07/13/16	08/24/16	01/01/11 – 12/31/17
United Healthcare of California/Secure Horizons	H0543	05/23/14 hnub	06/16/14	01/01/10 – 12/31/15