Cov Lus Nug Nug Txog Cov Neeg Ua Haujlwm Cov Nyiaj Ua Haujlwm
Cov Lus Nug Tseem Ceeb (FAQs)
1. Kuv tuaj yeem tiv tauj DHCS' Workers' Compensation Recovery Program li cas hauv xov tooj?
Koj tuaj yeem tiv tauj Lub Chaw Pabcuam Xov Tooj ntawm (916) 445-9891.
Lub sijhawm ua haujlwm yog 8 teev sawv ntxov - 12 teev tsaus ntuj thiab 1 teev tsaus ntuj - 5 teev tsaus ntuj Hnub Monday txog Friday.
Peb cov chaw ua haujlwm raug kaw rau hnub so thiab lub xeev cov hnub so.
2. Qhov chaw nyob xa ntawv rau kev sib tham yog dab tsi?
Txoj Haujlwm Pabcuam Cov Neeg Ua Haujlwm Pab Nyiaj Rov Qab tsis lees txais cov ntaub ntawv hloov tshiab los ntawm kev xa ntawv. Thov xa tag nrho cov ntaub ntawv hloov tshiab ntawm WC Online Forms:
- Xaiv Kauj Ruam 1 hauv qab "Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm" kom ceeb toom rau DHCS txog cov ntaub ntawv tshiab txog Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm lossis muab qhov hloov tshiab rau cov ntaub ntawv uas twb muaj lawm. Thov nco ntsoov tias koj yuav tsis tuaj yeem muab cov ntaub ntawv hluav taws xob txuas nrog siv daim foos no.
- Lwm cov ntaub ntawv ntawm kev sau ntawv tuaj yeem xa mus rau:
Department of Health Care Services
Cov Kev Pab Cuam Rov Qab Tau Nyiaj Hli Rau Cov Neeg Ua Haujlwm MS 4720
PO ib 997421
Sacramento, CA 95899-7421
Thov nco ntsoov tias WC Online Forms system yuav tsis muab cov lus teb hauv lub sijhawm, hluav taws xob.
3. Cov kev xaiv rau xa cov nyiaj them yog dab tsi?
- Txoj kev nyiam ntawm kev them nyiaj yog los ntawm Electronic Funds Transfer (EFT). Txhawm rau them nyiaj EFT thov mus saib EPAY lub vev xaib kom them nyiaj. Ua raws li cov lus qhia ntawm nplooj ntawv web rau kev xa nyiaj hauv online.
- Kev them nyiaj kuj tau txais los ntawm kev xa ntawv. Thov xa cov nyiaj them tuaj rau:
Department of Health Care Services
Workers' Compensation Recovery Program MS 4720
PO ib 997421
Sacramento, CA 95899-7421
Thov sau koj tus lej DHCS tus lej ntawm txhua hom kev them nyiaj kom paub meej tias koj cov nyiaj them poob haujlwm raug muab tso rau nws tus account raug.
4. Dab tsi yog qhov chaw xa ntawv nkaus xwb rau kev them nyiaj los ntawm kev xa ntawv xa tuaj (FedEx, UPS, thiab lwm yam)?
Department of Health Care Services
Cov Neeg Ua Haujlwm Cov Nyiaj Pov Hwm Rov Qab Los
1501 Capitol Avenue, MS 4720
Sacramento, CA 95814-5005
Thov sau koj tus lej DHCS tus lej nyiaj rau ntawm qhov kev them nyiaj kom paub tseeb tias koj cov nyiaj them poob haujlwm raug muab tso rau hauv tus lej raug.
5. Cov kev cai lij choj twg tswj hwm Txoj Haujlwm Pabcuam Cov Neeg Ua Haujlwm Pabcuam Rov Qab?
- Labor Codes 138.7, 3202.5, 4900 thiab seq.
- Title 19, Section 1902, Subsection (a)(25) of the Social Security Act
- Title 42, Code of Federal Regulations Part 433.138(d)(4)(i)
- Code of Regulations, Title 22, § 53222
- Txoj Cai Lij Choj, Title 8
- Welfare and Institutions Code Section 14124.70 thiab seq.
6. Vim li cas thiaj yuav siv sij hawm ntev los npaj ib daim ntawv lo? Dab tsi yog txheej txheem kom tau txais daim ntawv lav npaj?
Yuav kom tsim tau ib daim ntawv cog lus rau tus neeg thov, cov ntaub ntawv them nqi yuav tsum tau xaj thiab tshuaj xyuas los ntawm Workers' Compensation Recovery Program. DHCS xaj cov ntaub ntawv them nyiaj 120 hnub tom qab hnub kawg ntawm kev kho mob lossis hnub them nyiaj. Raws li (W&I) Code ntu 14115, cov kws kho mob muaj sijhawm txog ib xyoos txij li hnub muab kev pabcuam los them nqi rau Medi-Cal. Feem ntau cov kws kho mob yuav xa daim nqi rau Medi-Cal tsis pub dhau plaub lub hlis txij li hnub uas tau txais kev pab. Los ntawm kev thov cov ntaub ntawv them nqi tsis pub dhau 120 hnub tom qab hnub kawg ntawm kev kho mob lossis hnub them nyiaj, DHCS tso cai rau lub sijhawm txaus rau cov kws kho mob los them nqi rau Medi-Cal.
Cov tswv cuab Medi-Cal raug sau npe rau hauv Medi-Cal los ntawm qhov hu ua "Fee for Service" lossis "Managed Care Plan" thiab muaj ob hom ntaub ntawv them nqi uas sib raug rau txoj kev uas tus tswv cuab Medi-Cal raug sau npe. Cov ntaub ntawv txog tus nqi rau kev pabcuam tau txais los ntawm Cov Ntawv Qhia Txog Cov Lus Thov, uas DHCS tuaj yeem nkag mus tau sab hauv. "Cov ntaub ntawv ntsib" yog cov ntaub ntawv them nqi uas tau txais los ntawm kev xa cov ntawv thov mus rau Managed Care Plans sab nraud.
Vim tias feem ntau ntawm cov tswv cuab Medi-Cal tau sau npe rau hauv Managed Care Plans, DHCS feem ntau yuav tsum tau khaws "cov ntaub ntawv ntsib" los ntawm Managed Care Plans sab nraud. Qhov nruab nrab, nws siv sijhawm ntxiv 120 hnub los ntawm hnub uas tau thov cov ntaub ntawv ntsib, kom tau txais cov ntaub ntawv tiag tiag los ntawm Managed Care Plans. Muaj tej lub sij hawm nws yog qhov tsim nyog rau DHCS ua cov ntaub ntawv thov ntxiv rau Managed Care Plans tom qab thawj zaug thov cov ntaub ntawv. Cov txheej txheem no tuaj yeem ua rau muaj kev ncua sijhawm hauv kev tshuaj xyuas cov ntaub ntawv thiab cov txheej txheem txiav txim siab txog kev them nqi.
7. Ib rooj plaub puas tuaj yeem muaj ob qho kev raug mob ntawm tus kheej thiab cov neeg ua haujlwm cov nyiaj them poob haujlwm?
Yog, nws muaj peev xwm ua tau rau daim ntawv thov kom muaj ob qho tib si Kev Raug Mob Tus Kheej thiab Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm. Txhua qhov kev thov yuav raug tshuaj xyuas thiab ua tiav raws li ib rooj plaub zuj zus. Yuav kom paub tseeb tias qhov kev txiav txim siab txog qhov kev lav phib xaub raug thiab raug thiab zam kev ncua sijhawm hauv kev muab qhov kev lav phib xaub, thov qhia rau DHCS sai li sai tau txog cov ntsiab lus tag nrho ntawm txhua qhov kev thov. Siv cov Daim Ntawv WC Online los ceeb toom thiab hloov kho DHCS ntawm qhov kev thov hla kev raug mob ntawm tus kheej / Kev Them Nyiaj rau Cov Neeg Ua Haujlwm.
Txhua qhov kev hu xovtooj hais txog Tus Kheej Kev Raug Mob thiab Cov Neeg Ua Haujlwm Kev Pabcuam Kev Pabcuam Kev Pabcuam tuaj yeem raug xa mus rau Lub Chaw Pabcuam Xov Tooj ntawm (916) 445-9891.
FAQs rau cov tuam txhab tuav pov hwm
1. Vim li cas tus neeg ua haujlwm raug mob muaj Medi-Cal yog tias lawv ua haujlwm?
Kev tsim nyog rau qhov kev pab cuam Medi-Cal yog nyob ntawm cov nyiaj tau los ntawm ib tus neeg lossis cov neeg hauv tsev neeg uas tsim nyog tau txais kev pov hwm kev noj qab haus huv dawb lossis nqi qis. Thov mus saib ntawm DHCS lub vev xaib kom paub ntau ntxiv cov ntaub ntawv detaqiled.
2. Puas yog lub tuam txhab tuav pov hwm puas yuav tsum tau ceeb toom rau Medi-Cal?
Yog lawm. Welfare and Institutions Code Section 14124.79 xav kom cov tuam txhab tuav pov hwm muaj kev lav phib xaub rau Medi-Cal tus tswv cuab cov lus thov kom ceeb toom rau DHCS. Cov tuam txhab tuav pov hwm thib peb yuav tsum raug cai them rov qab Medi-Cal rau ib qho kev pab them nqi Medi-Cal ntsig txog kev raug mob lossis mob.
3. Kuv tuaj yeem tau txais tsab ntawv tso Medi-Cal li cas?
Thaum thov sau ntawv, DHCS yuav muab tsab ntawv tso tawm tom qab them tag nrho cov nyiaj lav.
Cov Lus Nug Feem Ntau Rau Cov Tswv Cuab / Cov Kws Lij Choj
1. Yuav ua li cas yog tias qhov kev foob tsis raug daws?
Thaum Medi-Cal tau txais txiaj ntsig vim muaj kev raug mob rau lwm tog neeg yuav tsum lav, tus thawj coj muaj cai rov qab los ntawm ib tog neeg lossis tus neeg nqa khoom tus nqi tsim nyog ntawm cov txiaj ntsig tau muab. DHCS tuaj yeem ua raws li kev cai lij choj tawm tsam tus neeg thib peb lossis tus neeg nqa khoom uas tuaj yeem lav qhov raug mob hauv lub tsev hais plaub tsim nyog. (Kev Noj Qab Haus Huv & Cov Tsev Kawm Ntawv Code Tshooj 14124.71).
2. Kuv raug mob thaum ua haujlwm lossis vim yog tej haujlwm uas muaj feem cuam tshuam nrog kev ua haujlwm. Kuv yuav ceeb toom rau Medi-Cal li cas? Xav tau cov ntaub ntawv dab tsi?
Thov qhia koj daim ntawv thov rau DHCS ntawm WC Online Forms thiab xaiv Kauj Ruam 1 hauv qab "Workers' Compensation" kom xa daim ntawv ceeb toom tshiab.
3. Kuv tau nyob hauv cov neeg ua haujlwm cov nyiaj them poob haujlwm. Leej twg tuaj yeem pab kuv?
Koj tuaj yeem sawv cev rau koj tus kheej, lossis koj tuaj yeem ntiav ib tus kws lij choj los sawv cev rau koj. DHCS tsis muab kev pab txog kev cai lij choj. Thov mus saib lub vev xaib ntawm Lub Chaw Haujlwm Saib Xyuas Kev Lag Luam kom paub ntxiv txog kev raug mob ntawm cov neeg ua haujlwm, cov txiaj ntsig, thiab cov cai.
4. Kuv tau raug xwm txheej uas muaj ntau tshaj ib tus neeg tau txais Medi-Cal. Puas yog DHCS yuav tsum paub txog txhua tus ntawm lawv?
Yog, DHCS yuav tsum tau ceeb toom rau txhua tus tswv cuab Medi-Cal uas koom nrog. Koj yuav tsum xa cov ntawv WC Online sib cais rau txhua tus tswv cuab Medi-Cal uas raug mob.
5. Kuv yuav tsum tau tham nrog ib tug neeg txog kuv cov neeg ua haujlwm cov ntaub ntawv them nyiaj. Kuv yuav nrhiav tau leej twg ua hauj lwm kuv rooj plaub?
Txhawm rau thov cov ntaub ntawv hais txog koj qhov xwm txheej, thov hu rau peb Lub Chaw Pabcuam Xov Tooj ntawm (916) 445-9891.
Lub sijhawm ua haujlwm yog 8 teev sawv ntxov - 12 teev tsaus ntuj thiab 1 teev tsaus ntuj - 5 teev tsaus ntuj Hnub Monday txog Friday.
Peb cov chaw ua haujlwm raug kaw rau hnub so thiab lub xeev cov hnub so.
6. Puas yog qhia kuv tus neeg ua haujlwm hauv nroog txog kuv txoj kev koom tes hauv kev sib tsoo txaus?
Tsis yog. Welfare and Institutions Code Section 14124.73 kom koj lossis koj tus neeg sawv cev sau ntawv ceeb toom rau DHCS hauv 30 hnub tom qab ua ntawv thov lossis txiav txim tawm tsam lwm tus neeg sab nrauv.
7. Vim li cas kuv thiaj li yuav tsum ceeb toom rau Medi-Cal?
Tus tswv cuab Medi-Cal lossis tus neeg sawv cev tus kheej raug cai lij choj yuav tsum tshaj tawm txog kev foob lossis kev thov ntawm tus neeg thib peb ua ntawv sau rau DHCS raws li Welfare and Institutions Code ntu 14124.73 et seq. Yuav tsum xa daim ntawv ceeb toom los ntawm WC Online Forms.
DHCS raug cai los ntawm txoj cai kom nrhiav kev rov qab los ntawm Medi-Cal los kho cov kev raug mob los ntawm ib tug neeg sab nrauv uas lav. Kev ceeb toom ua rau DHCS ua raws li txoj cai lij choj no.
8. Kuv yuav ua li cas thiaj li tau txais kuv rooj plaub kom nrawm dua?
Muaj ntau ntau yam uas koj tuaj yeem ua kom txo tau lub sijhawm nws yuav siv los ua cov ntaub ntawv:
- Qhia rau peb siv WC Online Forms.
- Yog tias koj muaj ib lub tsev hais plaub los yog hnub sib kho kom haum xeeb thiab xav tau Medi-Cal lien, ceeb toom rau peb sai li sai tau thaum koj tau txais hnub tim. Peb yuav xav tau sijhawm kom tau txais cov ntaub ntawv them nqi kho mob rau daim ntawv tso cai. Koj tuaj yeem xa daim ntawv thov los ntawm WC Online Forms.
- Thaum koj cov ntaub ntawv Workers' Compensation daws teeb meem lawm, xa cov ntaub ntawv hloov tshiab ntawm WC Online Forms kom peb thiaj li ua tau raws li cov ntaub ntawv them nqi kho mob uas tsim nyog los npaj daim ntawv cog lus them nqi.
- Qhia rau peb sai li sai tau ntawm WC Online Forms tom qab tus tswv cuab Medi-Cal tau kho mob tiav lawm kom peb thiaj li ua tau raws li cov ntaub ntawv them nqi kho mob tsim nyog los npaj daim ntawv cog lus them nqi.
9. Kuv puas tuaj yeem tau txais daim ntawv cog lus them rov qab?
Tsis yog. Tus nqi ntawm Medi-Cal lien yuav tsum tau them thaum qhov teeb meem daws teeb meem.
10. Kuv yog tus neeg foob lossis tus kws lij choj tiv thaiv thiab yuav tsum tau thov cov ntaub ntawv them nqi khomob lossis kev pom tus kheej. Kuv xa daim ntawv foob qhov twg?
Thov mus saib DHCS lub vev xaib, Kev Pabcuam Txheej Txheem, rau txhua txoj kev xaiv uas muaj rau kev xa daim ntawv foob.