Qhov Kev Pab Cuam Rov Qab Los: California Txoj Kev Pabcuam Kev Tswj Xyuas Qhov Kev Pabcuam Muaj Cov Lus Nug Nquag
This site includes the Department of Health Care Services’ (DHCS) responses to frequently asked questions (FAQs) from Drug Medi-Cal Organized Delivery System (DMC-ODS) county representatives and provider sites participating in the Recovery Incentives Program and offering contingency management (CM) services. Find additional information about the Recovery Incentives Program on the DHCS website, and submit additional questions to RecoveryIncentives@dhcs.ca.gov.
Cov ntsiab lus
Txoj Kev Pab Cuam Rov Qab Rov Qab Los
Lub Nroog & Tus Muab Kev Pabcuam Kev Koom Tes Hauv Txoj Haujlwm Pabcuam Rov Qab Los
Kev Tsim Nyog Rau Cov Tswv Cuab rau Qhov Kev Pabcuam Rov Qab Los
Txoj Haujlwm Pabcuam Kev Kho Mob Rov Qab Rov Qab Los
Kev them nyiaj rov qab rau CM Services
Kev nthuav qhia tus kws kho mob
Incentive Payments & Incentive Manager Portal
Kev Ntsuas Tshuaj Tso zis (UDTs) & Kev Kho Mob Kho Kho Kho Kho Kho Kho Kho (CLIA) Kev Zam Txim
Txheej Txheem Kev Ntsuas Kev Npaj
Acronyms & Abbreviations
Cov lus hauv qab no yog ploj ntawm cov lus sau / cov ntawv luv uas siv thoob plaws hauv FAQ.
| Acronym/Abbreviation | Txhais |
|---|---|
| AKS | Anti-Kickback Statute |
| ASAM | American Society of Addiction Medicine |
| AEVS | Automated Eligibility Verification System |
| BHIN | Daim Ntawv Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv |
| BHQIP | Txoj Kev Txhim Kho Kev Noj Qab Haus Huv Tus Cwj Pwm Zoo |
| CalAIM | California Advancing and Innovating Program Medi-Cal |
| CLIA | Clinical Laboratory Improvement Amendment Waiver |
| CM | Kev tswj xyuas xwm txheej |
| CMP | Civil Monetary Penalties Law |
| CMS | Cov chaw rau Medicare thiab Medicaid |
| DHCS | Department of Health Care Services |
| DMC-ODS | Tshuaj Medi-Cal Organized Delivery System |
| EBPs | Cov ntaub ntawv pov thawj-raws li kev kho mob |
| EHR | Electronic Health Record |
| IM | Incentive Manager |
| LOC | Qib Kev Kho Mob |
| MAT | Cov Tshuaj Kho Mob Ntshav Qab Zib (tseem hu ua tshuaj pab kho mob) |
| NTP | Cov Kev Kho Mob Narcotic |
| ODF | Tus Neeg Mob Tsis Muaj Tshuaj |
| POC | Point-of-care |
| SD/MC | Short-Doyle Medi-Cal |
| StimUD | Stimulant Use Disorder |
| SUD | Kev Siv Tshuaj Tsis Zoo |
| UDT | Kev kuaj tshuaj tso zis |
| UAS ISAP | University of California, Los Angeles Integrated Substance Abuse Programs |
Txoj Kev Pab Cuam Rov Qab Rov Qab Los
1) Cov kws kho mob yuav tsum xa mus rau qhov kev pab cuam no li cas?
Qhov Kev Pab Cuam Rov Qab Los.
2) Nrog ntau cov pov thawj rau cov txiaj ntsig ntawm Contingency Management (CM) rov qab ntau xyoo lawm, vim li cas qhov kev cuam tshuam no tsis tau siv ntau dua?
In general, federal law restricts healthcare providers’ ability to offer financial incentives as part of patient therapy or patient recruitment. This is known as the Anti-Kickback Statute (AKS). However, the federal government has explicitly stated that the AKS does not apply to incentives that are delivered in the Recovery Incentives Program. These federal regulations have prevented an intervention of this kind from being implemented on a large scale until this point.
3) Vim li cas Qhov Kev Pabcuam Rov Qab Los tsuas yog tsom rau cov tshuaj txhawb zog xwb?
Muaj cov EBPs zoo thiab cov tshuaj kho mob opioid siv tsis zoo, tab sis tsis yog rau stimulants. Tsis tas li ntawd, lub cev loj tshaj plaws ntawm CM kev tshawb fawb tau tsom tshwj xeeb rau kev siv cov tshuaj stimulant thiab feem ntau cov kev tshawb fawb tau pom tias CM yog qhov zoo tshaj plaws thaum tsom rau ib yam khoom.
4) Puas muaj kev tshawb fawb txog lub sijhawm ntev ntawm cov neeg tau txais Kev Tswj Xyuas Kev Nyab Xeeb nyob twj ywm tom qab ua tiav kev kho mob?
Kev tshawb fawb qhia tau hais tias ntau tus neeg uas tau ua tiav CM kev kho mob tau tswj hwm kev txhim kho (xws li, tseem nyob twj ywm, txo qis ntawm kev siv, ua kom lub neej zoo) mus txog 12 lub hlis piv rau cov uas tau txais lwm yam kev kho mob.
5) Puas muaj ib txoj kev npaj yuav nce qhov nyiaj txhawb siab hauv Txoj Kev Pabcuam Rov Qab Los vim kev nce nqi?
Qhov no yog nyob rau hauv kev txiav txim siab, tab sis muaj ntau yam kev tswj hwm, kev cai lij choj, thiab cov txheej txheem los txiav txim siab. Lub sijhawm no, qhov nyiaj txhawb siab rau Txoj Kev Pabcuam Rov Qab Los yuav nyob ntawm qhov siab kawg ntawm $ 599 toj ib xyoo.
6) Puas muaj kev tshawb fawb qhia txog tus nqi ntawm cov neeg siv khoom tuav hauv Kev Tswj Xyuas Kev Kho Mob?
Research has shown that CM has higher treatment retention rates than other substance use treatments. In addition, research has shown that engagement in CM leads to higher utilization of other treatments and medical services. During the duration of the Recovery Incentives Program, UCLA will evaluate retention rates, as well as the efficacy of CM on a large-scale, members’ experiences, and treatment outcomes.
7) Yuav ua li cas cov kws kho mob tuaj yeem pab daws qhov kev qias neeg uas cov tswv cuab hauv Txoj Haujlwm Pabcuam Rov Qab tsuas yog raug them nyiaj tsis siv tshuaj?
Cov kws kho mob tuaj yeem hais txog qhov kev qias neeg no los ntawm kev hais qhia tias CM yog ib qho ntawm ob peb EBPs uas tau pom tias muaj txiaj ntsig zoo rau kev siv tshuaj tiv thaiv; Qhov tseeb, CM muaj cov pov thawj muaj zog tshaj plaws rau kev kho mob stimulant siv teeb meem. Tsis tas li ntawd, tsis muaj kev kho tshuaj pharmacological rau kev siv tshuaj tiv thaiv kab mob. Cov kws kho mob tuaj yeem tsim CM raws li kev cuam tshuam kev txhawb nqa zoo raws li cov hauv paus ntsiab lus ntawm kev ua haujlwm txias thiab qhia tias dopamine tso tawm los ntawm cov tshuaj stimulants muaj zog heev thiab txhawb nqa; xws li, peb xav tau tus qauv zoo txhawb nqa muaj zog txaus los sib tw nrog nws. Thaum kawg, cov kws kho mob tuaj yeem hais qhia tias CM yog qhov muaj txiaj ntsig zoo rau kev koom tes thiab khaws cov tswv cuab hauv kev kho mob; peb paub tias cov tib neeg nyob rau hauv kev kho mob ntev dua qhov zoo dua lawv cov txiaj ntsig zoo.
8) DMC-ODS cov nroog puas tuaj yeem koom nrog Txoj Haujlwm Pabcuam Rov Qab (Recover Incentives Program) tau cog lus nrog tus kws kho mob uas ua haujlwm hauv lub nroog uas muaj ciam teb?
Yes, a DMC-ODS county participating in the Recovery Incentives Program can contract with a DMC-certified provider in a bordering county. The member’s DMC-ODS county of responsibility would be required to authorize CM services delivered by the contracted provider. All provider sites must be approved by DHCS during the readiness review period prior to offering CM services. For more information regarding DMC-ODS county of responsibility and county of residence, please refer to BHIN 24-008.
Lub Nroog & Tus Muab Kev Pabcuam Kev Koom Tes Hauv Txoj Haujlwm Pabcuam Rov Qab Los
9) Cov kws kho mob twg muaj feem tsim nyog muab cov kev pabcuam CM? Cov kws kho mob uas tsis yog DMC-ODS puas tuaj yeem koom nrog Kev Pabcuam Rov Qab Los?
DMC-ODS cov kws kho mob muab cov neeg mob sab nraud, cov neeg mob sab nraud hnyav thiab / lossis cov kev pabcuam hauv tsev kho mob ib nrab, thiab NTPs tsim nyog muab CM. Cov neeg muab kev pabcuam uas tsis yog DMC-ODS tsis tsim nyog los koom nrog Txoj Haujlwm Pabcuam Rov Qab Los.
10) Puas muaj tsawg kawg ntawm cov chaw muab kev pabcuam uas koom nrog hauv nroog yuav tsum tau cog lus nrog muab CM?
Tsis muaj tsawg kawg ntawm cov chaw muab kev pabcuam hauv lub nroog uas koom nrog yuav tsum tau cog lus nrog los muab CM. DHCS lees paub tias qee lub nroog, tshwj xeeb tshaj yog cov nroog me, yuav muaj kev txwv tsis pub siv rau CM cov kev pabcuam.
11) Can counties identify additional providers to participate in the Recovery Incentives Program that are not included in the county’s program application? Do new providers need to be approved by DHCS?
Yog lawm, ib lub nroog tuaj yeem ntxiv cov neeg muab kev pabcuam rau qhov Kev Pabcuam Rov Qab Los. Txhua tus kws kho mob yuav tsum tau koom nrog hauv kev cob qhia thiab ua kom tiav ob-kauj ruam Kev Ntsuam Xyuas Kev Ntsuam Xyuas Ua ntej tau txais kev pom zoo los muab cov kev pabcuam CM. Cov nroog yuav tsum ceeb toom UCLA thaum ntxiv ib tus kws kho mob kom UCLA tuaj yeem suav nrog tus kws kho mob hauv lawv qhov kev nthuav qhia. Thov, hu rau CAThompson@mednet.ucla.edu thaum ntxiv ib tus kws kho mob.
12) Puas yog DHCS puas tso cai rau cov nroog cov cai hauv nroog los txiav txim nyiaj txiag rau cov chaw muab kev cog lus kom ua raws li Txoj Haujlwm Pabcuam Rov Qab Los?
Lub nroog yuav tsum tswj hwm Txoj Haujlwm Pabcuam Rov Qab Los Ua raws li DMC-ODS cov cai. Kev them rov qab yuav tsum tsuas yog ua thaum muaj kev dag ntxias, pov tseg, lossis kev tsim txom, yog li ntawd, lub nroog yuav tsum ceeb toom rau DHCS ua ntej yuav nqis tes ua. Yog hais tias ib lub nroog kawm paub tias CM chaw muab kev pab cuam cuam tshuam los ntawm lub xeev txoj cai, lub nroog yuav tsum kom tus kws kho mob ua raws li cov txheej txheem, thiab tej zaum yuav siv cov cuab yeej tswj xyuas xws li cov phiaj xwm kho kom raug, nce kev siv zog ntawm kev pab cuam los ntawm lub nroog lossis DHCS cov chaw muab kev pab cuam cog lus thiab ceeb toom rau DHCS.
13) Puas muaj kev cob qhia thiab kev pab cuam dab tsi rau cov nroog thiab cov chaw muab kev koom tes?
Txhua lub nroog thiab cov chaw muab kev koom tes yuav tau txais kev cob qhia thiab kev pab cuam txuas ntxiv los txhawb kev ua raws li Txoj Haujlwm Pabcuam Rov Qab Los uas tau koom tes los ntawm UCLA Pab Pawg Kev Kawm thiab Kev Ua Haujlwm. Kev cob qhia yuav tsum muaj xws li kev cob qhia asynchronous CM Txheej txheem cej luam (tso tawm thaum lub Tsib Hlis 2022) thiab kev cob qhia nyob rau hauv virtual siv. Cov kws kho mob tseem yuav tau txais Daim Ntawv Qhia Txog Kev Pabcuam uas qhia meej txog qhov kev zov me nyuam raws tu qauv. Txhua qhov chaw koom nrog yuav tsum tau mus koom ib qho kev qhia hu rau ib hlis.
14) Puas yog cov koom haum muab kev koom tes yuav tsum koom nrog kev tshuaj xyuas tsis tu ncua?
Yog lawm, raws li ib feem ntawm cov kev pab cuam muab los ntawm UCLA Kev cob qhia thiab Kev Ua Haujlwm Pabcuam, cov chaw muab kev pabcuam koom nrog thiab cov nroog yuav koom nrog kev tshuaj xyuas kev ncaj ncees raws sijhawm los txiav txim siab ua raws li txoj cai xav tau. Kev saib xyuas kev ncaj ncees yuav tshwm sim ob zaug hauv thawj 6 lub hlis ntawm kev siv thiab tom qab ntawd ib zaug txhua 6 lub hlis tom qab ntawd.
15) Puas yog lub nroog koom nrog hauv Txoj Haujlwm Pabcuam Rov Qab Ua Haujlwm Pabcuam Kev Txhim Kho Kev Ua Haujlwm (PIP) raws li qhov xav tau rau DMC-ODS thiab Kev Ntsuam Xyuas Sab Nraud Zoo (EQR)?
Yog lawm, county kev koom tes hauv Txoj Haujlwm Pabcuam Rov Qab tuaj yeem pab txhawb rau PIP.
16) Puas yog CM yuav dhau los ua DMC-ODS cov txiaj ntsig txuas ntxiv?
DHCS tau ua tus tsav Medi-Cal kev pab them nqi kho mob ntawm CM nyob rau hauv xaiv DMC-ODS counties ntawm thawj peb lub hlis twg ntawm 2023 thiab lub Peb Hlis 2024 los ntawm tsoom fwv pom zoo rau California Advancing thiab Innovating Medi-Cal (CalAIM) Tshooj 1115(a) Kev Zam Txim (No. 119-W-0)
DHCS yuav txuas ntxiv lub sijhawm ua haujlwm mus txog tsawg kawg yog lub sijhawm ntawm CalAIM 1115 ua qauv qhia (kawg lub Kaum Ob Hlis 31, 2026), tso cai rau DMC-ODS cov nroog tau txais kev pabcuam txuas ntxiv mus dhau qhov kev sim thawj hnub kawg ntawm Lub Peb Hlis 2024.
17) Puas yog cov koom haum muab kev koom tes yuav tsum tau hloov kho DMC daim ntawv pov thawj los koom rau hauv Txoj Haujlwm Pabcuam Rov Qab?
Tsis yog. Txhua tus kws kho mob uas sau nqi rau Short-Doyle Medi-Cal (SD/MC) yuav tsum tau ntawv pov thawj los muab kev pabcuam DMC. Rau Qhov Kev Pabcuam Rov Qab Los, SD yuav txheeb xyuas qhov chaw muab kev pabcuam yog DMC-tso ntawv pov thawj rau qib kev saib xyuas sab nraud (LOC) (NTP, ODF, IOT, lossis Kev Kho Mob Ib Feem). Tsis muaj daim ntawv pov thawj CM tshwj xeeb hauv cov chaw muab kev pabcuam database.
18) Lub nroog thiab cov chaw muab kev pabcuam tuaj yeem kawm paub ntxiv txog qhov Kev Pabcuam Rov Qab Los Ntawm Qhov Kev Pabcuam?
Cov ntaub ntawv ntxiv txog qhov Kev Pabcuam Rov Qab Los muaj nyob rau hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm BHIN 24-031.
19) Lub nroog puas tuaj yeem thov muab cov kev pabcuam CM los ntawm Kev Pabcuam Rov Qab Los?
Yes, any DMC-ODS County can submit an Implementation Plan indicating their interest to start providing CM services in their county. Please, visit the DHCS Recovery Incentives Program: California’s Contingency Management Benefit webpage or email RecoveryIncentives@dhcs.ca.gov for more information.
Kev Tsim Nyog Rau Cov Tswv Cuab rau Qhov Kev Pabcuam Rov Qab Los
20) Cov kev pabcuam CM puas txwv rau cov neeg laus hnub nyoog 18+?
Tsis muaj hnub nyoog txwv rau CM cov kev pabcuam. Medi-Cal cov tswv cuab, suav nrog cov tub ntxhais hluas, uas ua tau raws li kev tsim nyog tau txais kev pab yuav muaj peev xwm koom nrog qhov Kev Pabcuam Rov Qab Los. Cov menyuam yaus hnub nyoog qis dua 12 xyoos muaj cai koom nrog kev tso cai los ntawm niam txiv. Cov menyuam yaus hnub nyoog 12-20 xyoo uas koom nrog Minor Consent program tsis xav tau kev tso cai los ntawm niam txiv los koom rau hauv Txoj Kev Pabcuam Rov Qab Los.
21) Cov tswvcuab uas nyob hauv cov nroog uas koom nrog DMC-ODS Cov Qauv Hauv Cheeb Tsam puas tuaj yeem tau txais kev pabcuam CM los ntawm ib lub nroog hauv cheeb tsam?
Yuav kom tsim nyog koom rau hauv Txoj Kev Pabcuam Rov Qab Los, cov tswvcuab yuav tsum nyob hauv lub nroog DMC-ODS uas koom nrog. Raws li lub Yim Hli 2024, Shasta County yog tib lub nroog hauv DMC-ODS Regional Model Partnership uas npaj yuav koom nrog Txoj Kev Pabcuam Rov Qab Los.
22) Cov kws kho mob puas yuav tsum tau txheeb xyuas cov tswv cuab Medi-Cal kev tsim nyog ua ntej pib cov kev pabcuam CM?
Yog lawm, cov kws kho mob yuav tsum txheeb xyuas qhov tsim nyog ntawm Medi-Cal los pib CM cov kev pab cuam thiab siv tus tswj hwm kev txhawb siab. Tsis muaj peev xwm xav tias muaj feem tsim nyog rau cov tswv cuab thiab tsis muaj lwm txoj hauv kev los pab nyiaj rau qhov Kev Pabcuam Rov Qab Los Yog tias qhov kev tsim nyog Medi-Cal tsis raug txheeb xyuas. Kev kuaj xyuas kev tsim nyog yuav tsum tau ua los ntawm Automated Eligibility Verification System (AEVS) rau Medi-Cal.
23) Cov kws kho mob puas yuav tau txais daim ntawv tso cai tsim nyog rau cov tswv cuab uas xaiv rau npe rau hauv Txoj Haujlwm Pabcuam Rov Qab?
Yog lawm, DHCS thiab UCLA Training and Implementation Team yuav muab ib daim ntawv tso cai rau cov chaw muab kev koom tes uas yog ib feem ntawm txoj kev cob qhia thiab kev pab cuam.
24) Cov tswvcuab puas tuaj yeem tso npe rau hauv CM ua ntej lawv nkag mus rau qhov kev pab cuam sab nraud?
Medi-Cal cov tswv cuab uas tau txais kev saib xyuas hauv kev kho mob hauv tsev (xws li ASAM qib 3.1–4.0) los yog cov chaw ua haujlwm tsis tsim nyog rau CM cov kev pabcuam kom txog rau thaum lawv tau hloov mus rau tus kws kho mob sab nraud DMC-ODS uas tau pom zoo los muab CM. Txawm hais tias qhov Kev Pabcuam Rov Qab Los yuav tsis muaj nyob rau hauv cov tsev kho mob lossis chaw kho mob (xws li tsev kaw neeg lossis tsev loj cuj) raws li Lub Chaw rau Medicare thiab Medicaid (CMS) kev pom zoo, DHCS npaj siab ua haujlwm ze nrog cov kws kho mob los txhawb kev xa mus thiab kev koom tes thaum lub sijhawm hloov pauv ntawm thaj chaw saib xyuas thiab tom qab tso tawm hauv tsev lojcuj. Medi-Cal cov tswv cuab tuaj yeem tau txais CM thaum hnub tso tawm los ntawm qhov chaw nyob, tus neeg mob hauv tsev kho mob, lossis chaw kho mob. Nrhiav cov ntsiab lus ntxiv hauv BHIN 24-031.
25) Thaum twg tus tswvcuab yuav tsum tau siv cov tshuaj txhawb nqa zaum kawg kom tsim nyog los koom nrog Txoj Haujlwm Pabcuam Rov Qab?
Kev tsim nyog tau txais kev koom tes hauv Txoj Kev Pabcuam Rov Qab Los yog txiav txim siab raws li kev ntsuas kev kho mob, suav nrog kev ntsuas ASAM LOC tsim nyog. Tus neeg txais txiaj ntsig tsis tas yuav ua kom pom qhov hnyav ntawm lawv qhov kev siv tshuaj tiv thaiv kab mob los ntawm kev xa cov tshuaj tso zis tso zis. Tus neeg txais txiaj ntsig yuav tsum muaj kev kuaj mob ntawm ib qho ntawm cov tshuaj yeeb dawb lossis mob hnyav los yog kev siv tshuaj tiv thaiv kab mob, suav nrog kev kuaj mob hauv kev zam txim, raws li tau hais tseg hauv Diagnostic and Statistical Manual of Mental Illnesses (DSM), tam sim no ib tsab (rau qhov uas CM yog kho mob tsim nyog) los koom rau hauv Txoj Kev Pabcuam Rov Qab.
Yog tias ib tus tswvcuab raug xa mus rau qhov kev pabcuam, ntawm kev nyeem ntawv, tus tswvcuab yuav tsum muaj ASAM qhov kev ntsuas ntau yam tshiab uas qhia tau tias lawv tuaj yeem kho tau zoo hauv qhov chaw kho mob sab nraud (piv txwv li, ASAM qib 1.0–2.5) thiab lees paub tias tus tswvcuab ua tau raws li cov qauv tsim nyog kho mob rau CM. Yog tias tus tswvcuab tseem koom nrog lwm cov kev pabcuam, xws li kev kho mob hauv tsev, thaum lawv tsis tuaj ntawm CM, kev hloov kho rau qhov kev ntsuas ASAM tsis ntev los no txaus, thiab tus tswvcuab tsis xav tau kev tshuaj ntsuam xyuas tshiab.
26) When assessing a member’s eligibility for the Recovery Incentives Program, do providers need to conduct a normal triage or an ASAM Assessment?
Providers will go through their typical intake process when enrolling members into the Recovery Incentives Program who are not already enrolled to receive treatment at the provider site. During this intake process, an ASAM assessment that indicates that the member can be appropriately treated in an outpatient treatment setting, a diagnostic review that indicates that the person has any of the related moderate or severe cocaine or stimulant use disorder diagnoses, including diagnoses in remission, as defined in the DSM, current edition, and a determination that treatment for StimUD is medically necessary must be documented. The policies and procedures surrounding intake protocols in each provider’s county should always be followed.
27) Ntev npaum li cas yav dhau los qhov kev ntsuam xyuas ASAM tuaj yeem siv tau rau ib tus tswv cuab kom tsim nyog los koom rau hauv Txoj Haujlwm Pabcuam Rov Qab?
The ASAM Criteria shall be used to determine placement into the appropriate LOC for all members and is separate and distinct from determining medical necessity. An ASAM Criteria reassessment for non-residential DMC-ODS services is required when the member’s condition changes. Providers are encouraged to review the expectations for when and how often to conduct ASAM assessments as well as other additional details regarding ASAM assessment determination in BHIN 24-001.
28) Puas yog cov tswvcuab tsim nyog tau txais Kev Pabcuam Rov Qab Los Yog tias lawv tau cuv npe hauv CM kev kho mob rau kev siv tshuaj opioid lossis cawv?
Txhawm rau kom tsim nyog los koom rau hauv Txoj Haujlwm Pabcuam Rov Qab Los, ib tus tswvcuab tsis tuaj yeem tau txais lwm yam kev pabcuam CM rau kev siv tshuaj txhawb zog. Kev koom tes hauv CM program rau cov xwm txheej uas tsis yog siv cov tshuaj txhawb nqa, yuav tsis cuam tshuam rau lawv los ntawm kev koom tes hauv Kev Pabcuam Rov Qab Los.
29) Puas yog cov kev pabcuam hauv zej zog suav nrog cov kev pabcuam uas ib tus tswvcuab tuaj yeem koom nrog thaum koom nrog Txoj Haujlwm Pabcuam Rov Qab?
Qhov Kev Pabcuam Rov Qab Los tsuas yog tau muab coj los siv rau hauv tus neeg mob sab nraud, tus neeg mob mob hnyav, NTPs thiab / lossis ib feem hauv tsev kho mob. Txawm li cas los xij, cov neeg nyob hauv tsev kho mob yuav tsum raug ceeb toom txog qhov Kev Pabcuam Rov Qab Los (Recover Incentives Program) kom yog / thaum lawv tuaj yeem nqis mus rau LOC tus neeg mob sab nraud thiab ua tau raws li cov txheej txheem tsim nyog tau teev tseg, lawv tuaj yeem tso npe rau hauv Qhov Kev Pabcuam Rov Qab Los thiab pib tau txais kev pabcuam CM.
30) Puas yog ib tus tswvcuab tsim nyog los koom nrog Txoj Haujlwm Pabcuam Rov Qab Los yog tias lawv nyiam nyob hauv kev kho mob sab nraud txawm tias lawv qhov kev ntsuas ASAM pom zoo rau LOC thaj chaw?
Yes. A member is eligible to participate in the Recovery Incentives Program even if they decline placement in the residential treatment program as recommended by an ASAM assessment. The LOC should be determined collaboratively between provider and the member, when possible. If the member fails to achieve two consecutive stimulant-negative samples within the first 12-week period of the Recovery Incentives Program, the treatment provider and member should decide whether CM is a clinically appropriate intervention for that member, and if necessary, modify the course of treatment and update the member’s problem list and progress notes.
31) What is the protocol if there is a change to a client’s Medi-Cal benefits while they are participating in the Recovery Incentives Program?
Cov kws kho mob yuav tsum tau txheeb xyuas qhov tsim nyog ntawm Medi-Cal txhua 30 hnub. Yog tias tus tswvcuab tau txiav txim siab tias yuav tsis muaj Medi-Cal cov txiaj ntsig ntxiv lawm, tus neeg siv yuav tsis tsim nyog los koom rau hauv Txoj Haujlwm Pabcuam Rov Qab Los thiab yuav tsum muaj kev sib koom tes nrog cov neeg siv khoom uas lawv yuav tsim nyog tau txais.
32) Tus Thawj Saib Xyuas Kev Cuam Tshuam puas yuav ceeb toom rau CM Tus Thawj Saib Xyuas yog tias ib tus tswvcuab poob lawv cov txiaj ntsig Medi-Cal thiab tsis tsim nyog rau Txoj Haujlwm Pabcuam Rov Qab Los Ntxiv thaum koom nrog txoj haujlwm?
The Incentive Manager Portal will not notify the CM Coordinator if a member loses their Medi- Cal benefits. Medi-Cal eligibility should be reviewed every 30 days using the AEVS for Medi- Cal. However, the Incentive Manager Portal will prompt CM staff to verify the member’s Medi- Cal eligibility every 30 days.
33) Puas yog cov tswv cuab, uas tau sau cov tshuaj stimulants rau ADHD, tsim nyog koom rau hauv Txoj Haujlwm Pabcuam Rov Qab?
Yog tias ib tus tswvcuab tab tom noj tshuaj stimulant rau ADHD, lawv yuav tsis tsim nyog koom rau hauv Txoj Kev Pabcuam Rov Qab Los vim tias ADHD cov tshuaj txhawb nqa tuaj yeem ua rau muaj qhov tsis zoo stimulant-zoo UDT.
Txoj Haujlwm Pabcuam Kev Kho Mob Rov Qab Rov Qab Los
34) Puas yog cov tswv cuab yuav tsum kuaj qhov tsis zoo rau cov tshuaj stimulants ua ntej pib kho CM?
Tsis yog, cov tswv cuab tsis tas yuav kuaj qhov tsis zoo (lossis zoo) rau cov tshuaj stimulants ua ntej pib kho CM; Txawm li cas los xij, lawv yuav tsis tsim nyog tau txais kev txhawb nqa kom txog thaum xa qhov tsis zoo UDT rau cov tshuaj stimulants.
35) Yog tias ib tug tswv cuab twb tau cuv npe hauv SUD kev kho mob lawm, lawv puas yuav tsum tau rov kuaj xyuas qhov tsim nyog kho mob ua ntej pib kho CM?
Yog tias ib tug tswvcuab twb tau kuaj pom tus mob StimUD ntawm qhov nruab nrab lossis hnyav los ntawm DSM rau Cov Tshuaj Tiv Thaiv thiab Tiv Thaiv Kab Mob, lawv tsis tas yuav rov kuaj xyuas qhov tsim nyog kho mob. Kev pib ntawm CM cov kev pabcuam yuav xav tau kev kho dua tshiab. DMC-ODS IA hais tias yuav rov ntsuam xyuas dua thaum muaj kev hloov pauv; Kev coj ua qauv yog tsawg kawg txhua 12 lub hlis.
36) Kev kho CM ntev npaum li cas?
California’s Recovery Incentives Program is a 24-week outpatient treatment, followed by six or more months of aftercare and recovery support services. During the initial 12 weeks of the Recovery Incentives Program protocol, participants will be asked to visit the treatment setting in person for two treatment visits per week. These sessions will be separated by at least 48 hours, preferably 72 hours (e.g., Monday and Thursday/Friday, or Tuesday and Friday) to help ensure that drug metabolites from the same drug use episode will not be detected in more than one UDT. During weeks 13–24, participants will be asked to visit the treatment setting for testing once a week. Participants will be able to earn incentives during each visit throughout the treatment protocol.
37) Puas yog ib tus tswvcuab txav los ntawm kev xeem ob zaug hauv ib lub lis piam mus rau kev xeem ib zaug hauv ib lub lis piam tom qab 12 lub lis piam, tsis hais cov txiaj ntsig zoo li cas?
Yog lawm, txhua tus tswvcuab yuav mus ntsib cov chaw kho mob ob zaug hauv ib lub lis piam thaum pib 12 lub lis piam ntawm kev kho CM, tom qab ntawd los ntawm kev mus ntsib ib lub lis piam hauv lub lis piam 13 - 24 ntawm CM kev kho mob, tsis hais UDT cov txiaj ntsig.
38) CM tsis koom nrog kev txhawb nqa tsis zoo, tab sis yuav ua li cas yog tias tus neeg siv khoom muaj CPS tus neeg ua haujlwm lossis tus neeg saib xyuas kev soj ntsuam, qhov twg yuav tsum tau tshaj tawm cov txiaj ntsig zoo UDT - cov kws kho mob yuav ua li cas?
Cov kws kho mob yuav tsum sab laj nrog lawv tus kws lij choj hais txog lawv cov luag num raws li HIPAA thiab 42 CFR Part 2 thiab yuav tsum ua raws li lawv txoj cai ntawm lub koom haum.
39) Cov tswvcuab puas yuav tau txais lawv qhov kev txhawb nqa sai li sai tau thaum lawv muab qhov txhawb nqa-tsis zoo UDT?
Yog lawm, cov tswv cuab tau txais kev txhawb nqa sai li sai tau thaum lawv xa cov tshuaj tiv thaiv-tsis zoo UDT. Cov tswv cuab tuaj yeem xaiv hom kev txhawb nqa los ntawm daim ntawv teev npe pom zoo thiab kev xa khoom (email, ntawv nyeem, lossis luam tawm).
40) Vim li cas qhov kev pab cuam no tau teeb tsa hauv qhov kev mus ntsib raug txo kom tsawg ib zaug hauv ib lub lis piam hauv lub lis piam 13-24?
Feem ntau cov kev kho mob CM uas tau kawm tsuas yog koom nrog 12 lub lis piam, tom qab ntawd qhov kev txhawb siab tau xaus tom qab lub lim tiam 12. Los ntawm kev ntxiv lub sijhawm thib ob 12-lub limtiam (lub sijhawm ruaj khov) rau thawj 12-lub limtiam CM kev cuam tshuam lub sijhawm, cov tswvcuab tau maj mam dhau los ntawm cov sijhawm kho / txhawb zog, thiab nws ua rau lawv koom nrog kev kho mob. Qhov no tseem tso cai rau lawv pib hnov cov txiaj ntsig ntawm abstinence txawm tias tom qab thawj 12 lub lis piam ua haujlwm CM cuam tshuam lub sijhawm.
41) Puas yog cov tswv cuab yuav tsum koom nrog lwm qhov kev kho mob sab nraud thiab/lossis lwm cov kev pabcuam los koom nrog Txoj Haujlwm Pabcuam Rov Qab?
Kev koom nrog lwm qhov kev kho mob sab nraud thiab/lossis cov kev pabcuam uas tsis yog Txoj Haujlwm Pabcuam Rov Qab Los tsis tas yuav koom nrog Txoj Haujlwm Pabcuam Rov Qab (piv txwv li, koom nrog lwm qhov kev kho mob sab nraud thiab/lossis cov kev pabcuam uas tsis yog Txoj Haujlwm Pabcuam Rov Qab Los yog xaiv tau). Cov tswv cuab tuaj yeem koom nrog CM raws li kev pabcuam ib leeg yog lawv xav tau. Txawm li cas los xij, cov tswv cuab yuav tsum raug txhawb kom koom nrog lwm cov kev pabcuam ntawm koj qhov chaw kho mob, raws li xav tau.
42) Puas yog cov neeg muab kev pabcuam yuav tsum tau siv cov kev sib tham ua pab pawg rau cov uas koom nrog Txoj Haujlwm Pabcuam Rov Qab?
Tsis muaj qhov yuav tsum tau muaj rau cov tswv cuab koom nrog hauv pab pawg sib tham ua ib feem ntawm Txoj Haujlwm Pabcuam Rov Qab Los.
43) Yog tias ib tus tswvcuab raug rho tawm los ntawm lwm qhov kev pabcuam ntawm qhov chaw muab kev pabcuam rau qhov txiaj ntsig zoo UDT rau lwm yam tshuaj, lawv puas tuaj yeem koom nrog hauv Txoj Haujlwm Pabcuam Rov Qab Ntxiv?
Yog lawm. Cov tswv cuab tuaj yeem koom nrog CM raws li kev pabcuam ib leeg yog lawv xav tau. Txawm li cas los xij, cov tswv cuab yuav tsum raug txhawb kom koom nrog lwm cov kev pabcuam ntawm koj qhov chaw kho mob, raws li xav tau.
44) Muaj pes tsawg zaus tus tswvcuab tuaj yeem tso npe rau hauv Qhov Kev Pabcuam Rov Qab Los?
Qee qhov xwm txheej tsis tshua muaj, tom qab ua tiav ntawm theem pib kho CM ntawm qhov kev pab cuam, ib tus tswv cuab yuav tau txais txiaj ntsig los ntawm kev rov nkag mus rau CM cov txheej txheem kho mob es tsis txhob mus rau CM cov kev pabcuam txuas ntxiv. Rov ua dua ASAM qhov kev ntsuam xyuas thiab kev kuaj mob tsis tas yuav tsum muaj rau cov tswv cuab kom rov nkag mus rau CM kho theem ntawm txoj haujlwm. Hauv cov xwm txheej no, cov ntaub ntawv kho mob yuav tsum ua kom pom tias cov kev pabcuam CM yog qhov tsim nyog thiab tsim nyog raws li tus qauv kev saib xyuas. Qhov nyiaj txhawb siab siab tshaj plaws rau ib xyoo daim ntawv qhia hnub tseem tshuav $599 yog tias tus tswvcuab rov sau npe dua.
45) Cov xwm txheej twg tau lees paub qhov kev lees paub rau Kev Pabcuam Rov Qab Los thiab qhov tsim nyog ntawm ASAM Kev Ntsuam Xyuas tshiab?
Ib tug tswvcuab yuav raug txiav txim siab rau kev nyeem ntawv yog tias lawv tawm hauv CM cov kev pabcuam rau ntau tshaj 30 hnub. Thaum nyeem ntawv, tus tswv cuab yuav tsum muaj qhov kev ntsuam xyuas ASAM tshiab uas qhia tau tias lawv tuaj yeem kho tau zoo hauv qhov chaw kho mob sab nraud (piv txwv li, ASAM qib 1.0–2.5) thiab lees paub tias tus tswvcuab ua tau raws li cov qauv tsim nyog kho mob rau CM. Yog tias tus tswvcuab tseem koom nrog lwm cov kev pabcuam, xws li kev kho mob hauv tsev, thaum lawv tsis tuaj ntawm CM, qhov hloov tshiab rau qhov kev ntsuas ASAM tsis ntev los no txaus thiab tus tswvcuab tsis xav tau kev tshuaj ntsuam xyuas tshiab.
46) Muaj pes tsawg qhov kev txhawb nqa-zoo UDTs tuaj yeem ua tus tswvcuab ua ntej raug rho tawm los ntawm Txoj Haujlwm Pabcuam Rov Qab?
Tsis muaj qhov qhia txog kev tso tawm cov tswvcuab kom kuaj pom qhov zoo. Cov tswv cuab yuav tsum tau txhawb nqa thiab muab kev txhawb nqa / kev pabcuam ntxiv los pab lawv ua tiav kev zam. Lawv tseem muaj cai koom nrog qhov kev zov me nyuam rau tag nrho 24 lub lis piam. Tsuas yog qhov kev zam rau qhov no yog tias lawv tsis tuaj ntawm qhov kev pab cuam ntau dua 30 hnub LOSSIS lawv tau hloov mus rau LOC nyob. Hauv cov xwm txheej no, tus neeg yuav raug tso tawm los ntawm Txoj Haujlwm Pabcuam Rov Qab Los tab sis tseem yuav tsim nyog tau txais kev nyeem ntawv yog tias lawv ua tau raws li qhov yuav tsum tau muaj.
47) Dab tsi yog qhov pom zoo ntawm kev teem caij uas tus tswvcuab tuaj yeem muaj ua ntej lawv raug tso tawm los ntawm Txoj Haujlwm Pabcuam Rov Qab?
Ib tug tswv cuab yuav raug tshem tawm ntawm qhov kev zov me nyuam yog tias lawv tsis tuaj koom 30 hnub sib law liag.
48) What would constitute an “excused” absence?
In some instances, a member may have a legitimate reason not to attend an appointment. If the member notifies the clinic or CM Coordinator at least 24 hours in advance with a valid reason for missing an appointment, the CM Coordinator should attempt to reschedule the visit for an earlier or later time that same day or on a contiguous day, so that the visit is not missed. If the visit cannot be rescheduled, it is counted as an “excused absence” instead of an “unexcused absence”. Excused absences include a planned surgery or other medical procedures, illness, death in the family, or a court date in addition to prosocial events (such as a wedding), or another reason determined to be excused by agency staff. The member must provide documentation of the reason for the absence at the next scheduled visit (e.g., note or receipt from a medical clinic, funeral announcement, wedding invitation, court document, etc.). Failure to provide documentation for an excused absence will result in that absence being entered as an unexcused appointment and an incentive reset will occur.
49) Puas muaj qhov tsawg kawg nkaus ntawm daim ntawv ceeb toom ua ntej xav tau rau ib tus tswv cuab thov kom zam tsis tuaj?
Tsis yog, tab sis zoo dua tus tswv cuab yuav tsum qhia rau koj paub 24 teev ua ntej qhov tsawg kawg nkaus. Daim ntawv ceeb toom Advanced yog ib txwm xav tau rau qhov tsis tuaj koom yuav raug txiav txim siab zam.
50) Puas muaj kev txhawb zog rov pib dua nrog kev zam txim?
Tsis muaj kev pib dua tshiab tshwm sim thaum muaj qhov tsis tuaj yeem zam dhau ib lossis ob ntu. Txawm li cas los xij, rov pib dua yuav tshwm sim yog tias qhov tsis tuaj yeem txuas ntxiv mus rau peb lossis ntau dua.
51) If a member “no-shows” for a visit, how does this affect their Recovery Incentives Program visit schedule?
Hauv Qhov Kev Pabcuam Rov Qab Los, nco CM mus ntsib yuav raug sau tseg hauv IM Portal raws li qhov tsis tuaj yeem zam. Nws yog qhov kev coj ua zoo tshaj plaws rau cov neeg ua haujlwm tiv tauj cov tswv cuab tom qab tsis muaj kev qhia los txhawb kom lawv tuaj koom lawv qhov kev mus ntsib tom ntej. Qhov kev txhawb zog rov pib dua yuav tshwm sim tom qab qhov tsis muaj kev zam.
52) Thaum xa qhov tsis tuaj yeem zam, puas yog lub sijhawm 48-teev uas xav tau ntawm UDTs xa rov qab?
Upon entry of the outcome of a visit in the IM portal (i.e., an excused or unexcused visit is entered, or an attended visit during which a stimulant positive or negative UDT occurred is entered), the “48-hour clock” will reset and begin again, based on the time of documentation in the IM Portal.
Once an absence is entered into the IM portal, the system will not allow another UDT result to be entered for at least 48 hours. For example, if an excused absence was documented on a Monday, the clinic (and the IM portal) wouldn’t expect another UDT to be conducted and entered until at least Wednesday (48 hours after Monday). It is best practice to schedule CM visits 72 hours apart.
Yog tias vim li cas, cov neeg ua haujlwm tsis tuaj yeem nkag mus rau cov ntaub ntawv nkag mus rau hauv lub portal, lawv yuav tsum hu rau Incentive Manager Help Line rau kev pab kom cov ntaub ntawv tuaj yeem sau rau hauv IM portal raws sijhawm.
53) Puas yuav CalAIM cov qauv rau cov ntaub ntawv yuav tsum tau ua raws li thaum sau ntawv CM mus ntsib hauv Electronic Health Record (EHR) uas siv ntawm cov chaw muab kev pabcuam?
Each CM visit shall be documented consistent with existing DHCS policy described in BHIN 23- 068.
Cov neeg ua haujlwm
54) Qhov Kev Pabcuam Cov Neeg Ua Haujlwm Pabcuam Rov Qab Ua Haujlwm yog dab tsi?
Txhua tus kws kho mob uas koom nrog yuav tsum muaj tsawg kawg yog ib tus neeg saib xyuas CM. Tus neeg saib xyuas CM yuav yog lub ntsiab lus tseem ceeb ntawm kev sib cuag rau txhua tus tswv cuab koom nrog thiab yuav ua lub luag haujlwm los sau UDT cov qauv, nkag mus rau qhov kev xeem, thiab txhawb nqa kev txhawb nqa. Tsis tas li ntawd, txhua tus neeg zov me nyuam yuav tsum tau xaiv tus neeg saib xyuas CM thaub qab thiab tus saib xyuas CM. Cov ntaub ntawv ntxiv txog cov luag haujlwm thiab lub luag haujlwm no muaj nyob rau hauv CM tus kws kho mob phau ntawv qhia qhia los ntawm UCLA Training and Implementation team.
55) Puas yog CM tus tuav haujlwm ua haujlwm puv sijhawm lossis ib nrab sijhawm?
Cov neeg muab kev koom tes hauv Txoj Kev Pabcuam Rov Qab Los yuav tsum muaj ib tus neeg saib xyuas CM uas yuav ua tus saib xyuas thiab xa tag nrho cov kev pabcuam CM, suav nrog kev tswj hwm thiab txhais cov txiaj ntsig UDT thiab faib cov kev txhawb siab raws li cov txheej txheem tsim los ntawm tus neeg muag khoom txhawb nqa. Tus neeg saib xyuas CM tseem yuav tsum koom nrog cov kev pab cuam txuas ntxiv thiab kev ua haujlwm. DHCS pom zoo tias cov chaw muab kev pabcuam ntiav ib tus neeg ua haujlwm ib nrab hnub lossis puv sijhawm uas txhawb nqa kev xa khoom ntawm CM. Txawm li cas los xij, DHCS lees paub tias qhov no tsis yog ib txwm ua tau, thiab qee lub nroog thiab cov chaw muab kev pabcuam yuav xav tau xaiv cov neeg ua haujlwm uas twb muaj lawm los ua tus CM tus neeg saib xyuas ib nrab sijhawm, ntxiv rau lwm txoj haujlwm. Cov neeg ua haujlwm CM uas faib lub luag haujlwm thoob plaws CM thiab lwm txoj haujlwm yuav tsum tau ua haujlwm CM tib yam li cov uas tau mob siab rau CM.
56) Yuav ua li cas CM tus neeg saib xyuas txoj haujlwm tau txais nyiaj?
CM tus neeg saib xyuas txoj haujlwm yuav tau txais nyiaj los ntawm kev muab cov kev pabcuam CM.
57) Lub chaw muab kev pabcuam yuav ua li cas yog tias tus neeg saib xyuas CM tso lawv txoj haujlwm?
Tus backup CM coordinator lossis CM Supervisor yuav tsum muab cov kev pabcuam CM kom txog rau thaum muaj kev daws teeb meem mus sij hawm ntev. Pab pawg UCLA Kev cob qhia thiab Kev Ua Haujlwm yuav muab kev pabcuam txuas ntxiv mus rau cov nroog koom nrog thiab cov chaw muab kev pabcuam thoob plaws hauv chav kawm ntawm Txoj Haujlwm Pabcuam Rov Qab Los thiab yuav muaj los pab cov kws kho mob raws li qhov xwm txheej. Lub xaib yuav tsum ceeb toom rau UCLA thiab IM portal ntawm txhua qhov kev hloov pauv ntawm cov neeg ua haujlwm.
58) Yuav ua li cas cov neeg muab kev pab yuav ua kom tiav qhov pib Txheej txheem cej luam, (uas yuav tsum tau ua ntej cov neeg muab kev pab yuav ua kom tiav Tshooj 1 thiab 2 ntawm qhov kev cob qhia ua)?
Ua ntej cov neeg ua haujlwm tuaj yeem sau npe rau Tshooj 1 thiab 2 ntawm Kev Qhia Txog Kev Ua Haujlwm, lawv yuav tsum ua kom tiav Cov Txheej Txheem Kev Qhia (ib 2-teev, kev kawm tus kheej hauv online) muaj nyob ntawm no: https://psattcelearn.org/courses/recovery-incentives-californias-contingency-management-program-contingency-management/overview- ).
59) Puas yog lub sijhawm ntawm CM txuas ntxiv saib xyuas los ntawm CM cov neeg ua haujlwm? Los yog cov tswvcuab txhais tau tias yuav tso npe rau hauv lwm qhov kev pabcuam / kev pabcuam thaum lub sijhawm no?
Lub sijhawm ntawm CM kev saib xyuas txuas ntxiv yog txhais tau tias yuav tsum tau ua hauv 6 lub hlis tom qab ua tiav 24 lub lis piam CM kho mob. Thaum lub sijhawm CM kev saib xyuas txuas ntxiv, cov tswvcuab raug txhawb kom tau txais lwm yam kev kho mob thiab kev txhawb nqa rov qab los ntawm koj qhov chaw xws li kev pab sab laj thiab kev pabcuam phooj ywg. Yog li ntawd, CM kev saib xyuas txuas ntxiv tuaj yeem muab los ntawm lwm tus neeg ua haujlwm hauv qhov chaw kho mob thiab tsis txwv rau CM cov neeg ua haujlwm.
60) Cov neeg ua haujlwm twg yuav ua tus txheej txheem nkag mus yog tias ib tus neeg yog tus neeg siv khoom tshiab uas tsuas yog xav tso npe rau hauv Txoj Haujlwm Pabcuam Rov Qab?
Cov neeg siv khoom tshiab yuav dhau los ntawm cov txheej txheem kev noj zaub mov ib txwm nyob ntawm koj qhov chaw kho mob thiab tuaj yeem ua los ntawm tus neeg ua haujlwm ntawm koj qhov chaw uas ua tiav cov khoom noj.
Kev them nyiaj rov qab rau CM Services
61) CM coordinator cov kev pab them nqi li cas, thiab cov neeg muab kev pab them rov qab li cas?
DMC-ODS Counties offering CM services shall submit claims to SD/MC adjudication system using HCPCS code H0050, with the modifier “HF” on the claim for each CM visit as they would for any other DMC-ODS service. The designated code and modifier are designed to reimburse the bundled costs of a single member visit to a CM coordinator, billed in 15-minute increments, which include:
- CM coordinator sij hawm: ua ntej, thaum lub sij hawm, thiab tom qab-mus ntsib nrog tus tswv cuab
- Kev saib xyuas
- Indirect nyiaj siv ua haujlwm
- Tus nqi ntawm kev yuav UDT khob thiab kuaj strips
Tsis tas li ntawd, txhua qhov kev thov lossis ntsib rau CM yuav tsum suav nrog kev kuaj mob tshwj xeeb rau UDT cov txiaj ntsig. Cov lej kuaj mob hauv qab no yuav tsum tau siv rau kev thov (ntxiv rau lwm qhov kev kuaj mob ntsig txog kev mus ntsib):
- R82.998: Kev kuaj mob rau kev kuaj zis zoo.
- Z71.51: Kev kuaj mob rau kev kuaj zis tsis zoo.
62) Puas yog cov ntaub ntawv xa mus siv H0050 yuav tsum tau hloov kho Theem Kho Mob (LOC)?
Yes, all DMC-ODS claims submitted to SD/MC for CM services require a LOC modifier. The LOC modifier entered on the claim should correspond to the Drug Medi-Cal Service Group for which the service facility location is certified. For example, if the provider site is an Outpatient Drug Free (ODF) site, the county should include “U7″ on the claim in addition to any applicable modifiers.
63) Puas yog cov ntaub ntawv xa mus siv H0050 xav tau cov neeg hloov pauv (xws li, rau cov poj niam cev xeeb tub)?
Thov xa mus rau MEDCCC Lub Tsev Qiv Ntawv rau DMC-ODS phau ntawv sau nqi tam sim no, Cov Ntawv Pabcuam qhia txog cov kev hloov pauv uas tau tso cai los ntawm kev pabcuam.
64) Yog tias ib tug tswv cuab muaj lwm yam kev pab them nqi kho mob ntxiv rau Medi-Cal, cov kws kho mob puas yuav tsum tau them nqi rau lawv lwm tus neeg tuav pov hwm rau CM cov kev pab cuam ua ntej them Medi-Cal?
Raws li qhov tshwj xeeb ntawm CM cov kev pabcuam uas tau them raws li ib feem ntawm Txoj Haujlwm Pabcuam Rov Qab Los, cov kws khomob yuav tuaj yeem sau nqi ncaj qha rau Medi-Cal rau CM cov kev pabcuam, yam tsis muaj thawj daim nqi Medicare rau CM cov kev pabcuam muab rau cov tswvcuab tsim nyog ob leeg. Txawm li cas los xij, vim yog kev lav phib xaub thib peb, kev pov hwm ntiag tug yuav tsum tau them ua ntej them nqi Medicaid kom ntseeg tau tias Medicaid yog tus them nqi kawg.
65) Can a member’s CM diagnosis code (R82.998 or Z71.51) be their secondary diagnosis code, or must it be a primary diagnosis code? If a CM diagnosis code must be a primary diagnosis, will DHCS add these codes to the acceptable list of billable diagnoses under DMC-ODS?
Raws li lub Cuaj Hlis 7, 2021, SD/MC cov ntaub ntawv thov tau raug hloov kho kom tsis txhob tsis kam lees DMC tus neeg mob sab nraud uas tsis siv tus lej kuaj mob. Cov kab mob kuaj mob rau cov neeg mob sab nraud tam sim no tau saib xyuas sab nraud ntawm SD system. Rau CM, cov lej kuaj mob tuaj yeem nkag mus ua tus lej kuaj thawj lossis thib ob.
66) Cov nqi tswj hwm hauv nroog yuav them li cas?
DHCS yuav tso cai rau cov nroog los sau nqi rau kev tso cai DMC-ODS cov nqi tswj hwm. Lub nroog yuav tsum siv cov txheej txheem los cais cov nqi tswj hwm uas tshwm sim los siv CM thiab tshaj tawm cov nqi no ntawm CM kab ntawm MC5312.
67) Puas yog DHCS them rov qab cov nqi siab dua 15% kev tswj hwm tus nqi?
Qhov feem pua tau siv los ntawm cov nroog ntawm cov nqi tswj hwm tau raug txiav txim siab rov qab ua dua, tom qab kaw xyoo nyiaj txiag. Yog li ntawd, DHCS tsis tuaj yeem sib piv cov nqi tswj hwm tus nqi tiv thaiv lub hau kom txog thaum cov txheej txheem kev sib haum xeeb tiav, tom qab kaw xyoo nyiaj txiag. Txij li cov ntaub ntawv no yuav tsis muaj mus txog rau xyoo tom ntej pob nyiaj siv, DHCS tsis tuaj yeem lav tias cov nqi tswj hwm saum toj no 15% kev tswj hwm yuav raug them rov qab; nws yuav nyob ntawm cov nyiaj muaj nyob hauv CM pob nyiaj siv.
68) Kev them nyiaj rov qab ua haujlwm li cas rau cov kev txhawb zog uas tau muab faib rau cov tswv cuab?
DHCS cog lus nrog tus neeg muag khoom tus thawj tswj hwm kev txhawb siab thiab yuav ncaj qha them rov qab rau tus neeg muag khoom rau qhov kev txhawb nqa uas tau them. Cov cheeb nroog thiab cov chaw muab kev koom tes yuav tsis sau nqi DHCS rau cov nyiaj pab txhawb nqa.
Tom qab lub yim hli ntuj 15, 2024, lub nroog yuav tsum muaj lub luag hauj lwm rau cov tsis yog tsoom fwv teb chaws cov nyiaj pab txhawb nqa. Kev sib faib nyiaj txhawb nqa kev them nyiaj yuav raug txiav txim siv Short-Doyle Medi-Cal cov cai them nyiaj los txiav txim qhov nyiaj raug raug. Lub county share ntawm Incentive Payment tau txais los ntawm tus tswv cuab yuav raug xa rov qab mus rau lub nroog uas siv tus txheej txheem phau ntawv.
69) Qhov nyiaj pab rau Qhov Kev Pabcuam Rov Qab Los Ntawm Qhov Kev Pabcuam Rov Qab Los?
DHCS yuav pib nyiaj txiag tsis yog tseemfwv qib siab ntawm CM cov kev pabcuam nrog lub xeev cov nyiaj uas muaj nyob rau lub sijhawm txwv vim yog DHCS Txoj Haujlwm Pabcuam Hauv Tsev thiab Zej Zog, uas suav nrog CM cov kev pabcuam. Yog hais tias lub nroog tau xaiv los koom nrog cov txiaj ntsig xaiv tau ntxiv, lawv yuav tsum muaj lub luag haujlwm los them cov nyiaj tsis yog tsoomfwv ntawm CM cov nqi tswj hwm tom qab Lub Rau Hli 30, 2024, thiab tsis yog tsoomfwv cov kev pabcuam CM thiab kev txhawb siab tom qab Lub Yim Hli 15, 2024.
70) Nyob rau hnub ntawm CM mus ntsib, puas tuaj yeem tau txais lwm cov kev pabcuam lossis lwm yam kev pabcuam them nqi tshwm sim?
Nyob rau cov hnub thaum Rov Mus Xyuas Qhov Kev Pab Cuam Tshuam tshwm sim, lwm cov kev pabcuam them nqi tuaj yeem tshwm sim.
Kev nthuav qhia tus kws kho mob
71) Puas yog cov chaw muab kev pabcuam CM tau tso cai los nthuav qhia los pab cov tswvcuab muaj peev xwm kawm txog Txoj Haujlwm Pabcuam Rov Qab?
Yog lawm, CM cov chaw muab kev pabcuam tuaj yeem ua qhov kev nthuav qhia ntsig txog Kev Pabcuam Rov Qab Los. Kev nthuav qhia tuaj yeem ua rau cov tswvcuab tsim nyog yuav kawm txog CM cov kev pabcuam, uas tuaj yeem ua rau muaj kev pheej hmoo ntau ntxiv uas lawv yuav pib thiab ua raws li qhov kev pabcuam khomob rau lawv qhov kev siv tsis zoo (StimUD). Kev sib txuas lus ntawm tus kws kho mob txog qhov Kev Pabcuam Rov Qab Los (thiab lwm yam kev pabcuam kev noj qab haus huv) yuav tsum tsis txhob muaj qhov tsis raug, ua yuam kev, lossis yuam kev. Saib nqe lus nug 75 rau cov kev coj ua zoo tshaj plaws thaum sib tham txog Txoj Haujlwm Pabcuam Rov Qab Los.
72) Cov kws kho mob puas yuav raug kev pheej hmoo raws li tsoomfwv txoj cai lij choj yog tias lawv muab lossis sib tham txog Txoj Haujlwm Pabcuam Rov Qab?
No; in general, federal law restricts providers’ ability to offer financial incentives as part of member therapy or member recruitment. However, the federal government has explicitly stated that the federal AKS and the Civil Monetary Penalties Law (CMP) do not apply to motivational incentives that are delivered as part of the Medicaid CM benefit so long as the incentives are provided in compliance with the CMS-approved CalAIM Section 1115 Demonstration waiver and the DHCS-approved Recovery Incentives Program protocol. Thus, providers may promote this benefit as they would any other benefit under DMC-ODS. However, DHCS strongly suggests that providers do so in accordance with the guidelines and best practices discussed in question 75 and question 76.
73) Yog tias tus kws kho mob muab cov kev pabcuam CM raws li DMC-ODS, puas txhais tau tias tus kws khomob tuaj yeem muab lwm yam kev txhawb siab rau cov tswvcuab yam tsis muaj kev pheej hmoo raug cai?
Tsis yog, AKS thiab CMP tsis siv rau Qhov Kev Pabcuam Rov Qab Los. Txawm li cas los xij, AKS thiab CMP siv rau lwm qhov kev txhawb siab rau cov tswv cuab uas muab los ntawm cov chaw muab kev pabcuam uas tsis tau tso cai rau CM hauv Tshooj 1115 Kev Zam Txim.
74) Puas muaj kev txwv rau cov neeg muab kev pabcuam tuaj yeem sib txuas lus tau txais kev txhawb nqa kev txhawb nqa raws li Txoj Haujlwm Pabcuam Rov Qab Los?
Yes, over the years, the U.S. Department of Health & Human Services Office of Inspector General (OIG) has cautioned providers about various problematic communications activities that may violate the AKS or the CMP. The OIG’s guidelines apply to the promotion of all health care services. For example, depending on the circumstances, it may create legal risk if a provider were to do any of the following:
- Muab kev txhawb siab rau cov tswv cuab uas tsis tsim nyog rau Txoj Kev Pabcuam Rov Qab Los.
- Sib tham txog Qhov Kev Pabcuam Rov Qab Los ntawm qhov uas tsis raug, ua yuam kev, lossis yuam kev (saib hauv qab no rau cov piv txwv ntawm cov lus tso cai tawm mus).
- Muab kev txhawb nqa nyiaj txiag rau Medi-Cal cov tswv cuab dhau thiab siab dua cov kev txhawb siab uas muaj nyob rau hauv Txoj Kev Pabcuam Rov Qab Los.
- Them rau kev tshaj tawm lossis cov kev pabcuam neeg nrhiav neeg ua haujlwm raws li kev ua haujlwm, lossis ua lwm yam kev txiav txim siab ntim lossis tus nqi ntawm kev lag luam tsim tawm.
- Muab kev txhawb nqa nyiaj txiag rau lwm tus kws kho mob hauv kev sib pauv rau kev qhia cov tswv cuab txog, lossis xa cov tswv cuab rau, CM thiab cov kev pabcuam SUD.
75) Dab tsi yog qee qhov kev coj ua zoo tshaj plaws rau kev sib txuas lus txog Txoj Haujlwm Pabcuam Rov Qab Los?
When communicating about the Recovery Incentives Program with current members, potential members, or the general public, providers should avoid any statements that are inaccurate, misleading, or coercive. See below for a list of DOs and DON’Ts, which apply to general CM outreach materials as well as conversations with current or potential members.
| DO | DON’T |
|---|---|
| Qhia kom meej tias Txoj Kev Pab Cuam Rov Qab (Recover Incentives Program) muaj rau cov tib neeg uas ua tau raws li cov kev tsim nyog tau txais kev pab, xws li muaj StimUD tsim nyog, rau npe rau hauv Medi-Cal, thiab nyob hauv ib lub nroog uas koom nrog. | Siv cov lus uas tuaj yeem ua rau cov neeg tsis tsim nyog rau kev ntseeg tias lawv yuav tsim nyog tau txais kev txhawb nqa. |
| Piav tias Txoj Kev Pabcuam Rov Qab Los yog npaj los txhawb cov hom phiaj kho mob thaum lub sijhawm, xws li kev siv tshuaj tsis siv tshuaj thiab kev kho mob. | Qhia tias ib tug tswv cuab yuav tau txais kev txhawb zog tsuas yog rau kev nthuav tawm. |
| Accurately describe the nature and potential value of the motivational incentives (e.g., “up to $599,” “gift cards to use at retail and grocery stores”). | Overstate the potential value of the incentives (e.g., “almost $1,000!”), or state that incentives will be made in cash. |
| Xyuas kom cov tswv cuab nkag siab tias kev koom tes hauv Txoj Kev Pabcuam Rov Qab Los yog xaiv tau. | Qhia kom ib tug tswvcuab yuav tsum tso npe rau hauv Txoj Kev Pabcuam Rov Qab Los (Recover Incentives Program) thiaj li yuav tau txais lwm yam kev pabcuam khomob. |
| Let potential members know that incentives are conditioned on undergoing a medical assessment and taking regular drug tests, in accordance with DHCS’ Recovery Incentives Program protocol. | Suggest that incentives are conditioned on members receiving services beyond those required under DHCS’ Recovery Incentives Program protocol. |
| Qhia meej tias CM yog qhov kev pabcuam tshiab thiab zoo siab nyob rau hauv DMC-ODS los txhawb cov neeg nrog StimUD. | Suggest that CM services are unique to a particular provider, or that one provider’s CM services are better than another’s. |
76) Yuav ua li cas yog ib qho piv txwv ntawm cov lus tso cai nthuav tawm?
Cov kws kho mob muaj qhov hloov tau yooj yim los tsim lawv tus kheej cov lus tshaj tawm yog tias txhua qhov kev sib txuas lus tsis raug, ua yuam kev, lossis quab yuam, raws li tau piav qhia saum toj no. Saib hauv qab no rau ib qho piv txwv ntawm kev xa xov uas ua raws li cov kev coj ua zoo tshaj plaws hauv cov FAQ no:
Koj puas tawm tsam nrog meth, cocaine, lossis lwm yam stimulants?
Koj tuaj yeem tsim nyog tau txais txog $ 599 hauv kev them nyiaj los pab koj kom tsis txhob muaj cov tshuaj stimulants *. Qhov kev kho mob no yog qhib rau cov neeg uas:
- Nyob hauv county/counties uas koom nrog;
- Tau txais Medi-Cal;
- Have a medical screening to make sure they’re a good fit;
Agree to regular drug testing.
To learn more, contact us at RecoveryIncentives@dhcs.ca.gov.
* Cov neeg muab kev pab txhawb nqa rov qab los yuav tsum muab cov kev txhawb siab uas muab los ntawm IM portal. Cov tswvcuab raug txwv tsis pub siv CM kev txhawb siab los yuav cannabis, luam yeeb, cawv, lossis daim pib rho npe.
77) Puas muaj cov ntaub ntawv tshaj tawm rau Kev Pabcuam Rov Qab Los?
A flyer and business card templates are available on the UCLA ISAP Recovery Incentives website
Incentive Payments & Incentive Manager Portal
78 ) WHO yog tus kev txhawb siab manager (IM) tus neeg muag khoom?
DHCS daim ntawv cog lus nrog Q2i los muab kev txhawb nqa tus thawj tswj software siv hauv Kev Pabcuam Rov Qab Los.
79) Ib tug tswvcuab puas tuaj yeem tau txais kev txhawb nqa yog tias lawv kuaj pom muaj lwm yam tshuaj?
Yog tias ib tus tswvcuab kuaj tsis zoo rau cov tshuaj stimulants, lawv tsim nyog tau txais kev txhawb nqa thaum mus ntsib ntawd. Lub xub ntiag ntawm opioids lossis lwm yam tshuaj yuav tsum tsis yog qhov qhia txog kev txiav tawm tus tswvcuab los ntawm kev kho CM tab sis yuav tsum yog qhov qhia tias tus tswvcuab yuav xav tau kev kho mob ntxiv, ib txhij lossis tom qab. Yog tias ib tus tswvcuab kuaj pom tias muaj lwm yam tshuaj zoo, tus kws kho mob yuav tsum muab cov ntaub ntawv qhia txog kev kho mob rau cov tshuaj ntawd raws li lawv cov kev xav tau tshwj xeeb.
80) Txhua tus neeg muab kev pabcuam puas tuaj yeem xaiv hom khoom plig uas muab faib rau cov tswvcuab?
Tsis yog, cov chaw zov me nyuam yuav tsis xaiv hom khoom plig uas muab faib rau cov tswv cuab. Kev suav thiab kev them nyiaj ntawm qhov kev txhawb siab yuav raug ua tshwj xeeb los ntawm tus thawj tswj hwm tus neeg muag khoom hauv ib hom ntawv pom zoo los ntawm DHCS. Tus tswv cuab yuav xaiv tus neeg muag daim npav khoom plig los ntawm daim ntawv teev npe ua ntej thiab xaiv hom ntawv (luam ntawv, ntawv nyeem, lossis email) lawv xav tau daim npav khoom plig.
81) Cov neeg muab kev pabcuam puas yuav tsum tau khaws cov kev txhawb siab rau ntawm qhov chaw?
Tsis yog, cov chaw muab kev pabcuam yuav tsis tas yuav khaws cov kev txhawb nqa lub cev uas muab faib rau cov tswv cuab. Tus neeg muag khoom tus thawj tswj hwm kev txhawb siab yuav yog lub luag haujlwm khaws cia cov kev txhawb siab, uas yuav raug rho tawm hauv hluav taws xob lossis ua daim npav khoom plig luam tawm.
82) Puas yuav tau txais kev txhawb siab rau qhov sib txawv ntawm cov nqi nyob hauv cov nroog/cov cheeb tsam?
In accordance with CMS’ approval of the CM benefit, DHCS performed a pilot of standardized CM protocol, including incentive amounts for all DMC-ODS counties and providers participating in the Recovery Incentives Program. At this time, incentive rates will be standardized across all counties.
83) Do providers manage members’ Recovery Incentive Program visit schedules or does the Incentive Manager Portal determine the schedule?
The CM Team at your site manages the members’ Recovery Incentive Program schedule; however, CM visits must follow the approved protocol timeframes outlined in BHIN 24-031.
84) Can a member’s contact number be updated easily in the Incentive Manager Portal?
It is an easy process to update a member’s contact information once a member is added to the Incentive Manager Portal. There’s a “Manage Users” pane where you can search for members by name, and you can update their contact information from there.
85) Yuav ua li cas yog tus txheej txheem yog dab tsi yog qhov Incentive Manager Portal / internet / lub hwj chim poob thaum ib tug tswv cuab muab ib tug UDT thaum lub sij hawm rov qab Incentives Program mus ntsib?
Hu rau IM Portal Call Center thiab qhia lawv tias lub kaw lus poob qis thiab ua raws li lawv cov lus qhia. Yog tias muaj, txuas ntxiv mus sau Cov Kev Pabcuam Rov Qab Los Txhawb Kev Pabcuam hauv EHR, lossis siv cov txheej txheem kev poob haujlwm.
86) Ntau npaum li cas kev taug qab cov ntaub ntawv yuav tsum tau ua nyob rau hauv Txoj Kev Pabcuam Rov Qab?
Incentive Manager Portal khaws cov ntaub ntawv tseem ceeb tshaj plaws; Txawm li cas los xij, cov nroog yuav tsum xa daim ntawv qhia peb lub hlis twg rau DHCS. Incentive Manager Portal yuav suav cov nyiaj txhawb siab thiab tuav cov ntaub ntawv ntawm UDT cov txiaj ntsig thiab daim npav khoom plig tau muab faib tawm. Cov chaw koom nrog pom zoo koom nrog hauv qhov kev ntsuam xyuas; uas suav nrog cov neeg ua haujlwm thiab cov tswv cuab kev tshawb fawb thiab kev xam phaj. Lwm cov ntaub ntawv yuav raug ntes los ntawm DHCS cov txheej txheem tam sim no rau cov kev pabcuam them nqi muab rau cov tswvcuab.
87) Puas yog cov tswvcuab tau nkag mus rau daim ntawv thov xov tooj uas pab lawv taug qab lawv cov kev txhawb nqa?
Tsis yog, cov tswv cuab tsis muaj kev nkag mus rau Incentive Manager Portal los ntawm ib qho nruab nrab xws li daim ntawv thov xov tooj. Kev txhawb siab yuav muaj los ntawm cov ntawv nyeem lossis email, thiab yog tias lawv xaiv kom tau txais kev txhawb siab hauv daim ntawv luam tawm, tus tswvcuab yuav tsum lav cov ntawv luam tawm rau kev siv. Yog tias daim ntawv ploj lawm, qhov kev txhawb siab tsis tuaj yeem xa rov qab.
88) Vim li cas thiaj li muaj qhov txo qis nyiaj rau cov kev txhawb siab uas tau muab rau lub lis piam 13-24 los ntawm $ 15 txog $ 10, vim tias qhov nce zuj zus hauv lub lis piam 1-12 zoo li yog kev txhawb siab rau cov tswv cuab?
Hauv Qhov Kev Pabcuam Rov Qab Los, lub lis piam 13-24 raug xa mus rau lub sijhawm ruaj khov. Ntau qhov kev cuam tshuam CM tau ua ib feem ntawm cov kev tshawb fawb tshawb fawb tau xaus tom qab 12 lub lis piam thiab tsis suav nrog lub sijhawm ruaj khov tom qab lub sijhawm cuam tshuam. Lub sijhawm ruaj khov pab txhawb cov tswv cuab kom ruaj khov thiab tswj tau qhov kev vam meej uas lawv tau ua hauv lub lis piam 1-12. Lub sijhawm no kuj tseem ceeb ntawm kev kho mob.
Thaum lub sij hawm ruaj khov (lub lis piam 13-24), cov qauv tshuaj tiv thaiv-tsis zoo yuav tau txais txiaj ntsig nrog $ 15 daim npav khoom plig thaum lub lis piam 13-18, $ 10 phaib khoom plig rau lub lis piam 19-23, thiab $ 21 khoom plig rau lub lim tiam 24. Rau cov tswv cuab uas tau txais txiaj ntsig los ntawm lwm qhov kev pab cuam kho mob uas muaj nyob hauv koj qhov chaw, xws li pab pawg lossis ib tus neeg tawm tswv yim, cov kev txhawb siab txuas ntxiv uas tuaj yeem tau txais thaum lub sij hawm ruaj khov yog ib qho cuab yeej los txhawb cov tswv cuab kom koom nrog cov kev cuam tshuam no.
89) Kuv yuav ua li cas yog tias kuv sau cov txiaj ntsig tsis raug hauv Incentive Manager Portal thiab yuav tsum kho nws?
Kev saib xyuas zoo yuav tsum tau coj los xyuas kom meej cov ntaub ntawv nkag mus rau hauv Incentive Manager Portal. Yog tias koj sau cov txiaj ntsig tsis raug hauv Incentive Manager Portal thiab xav tau kho nws, koj yuav tsum hu rau IM Portal Call Center kom pab. Ib tus neeg ua haujlwm hauv Call Center yuav kho qhov tshwm sim.
90) Can a gift card be “re-loaded” or does the member get a new gift card each time they receive an incentive?
Cov tswv cuab tau txais ib daim npav khoom plig tshiab rau txhua qhov kev txhawb siab uas lawv khwv tau. Tus tswvcuab tseem tuaj yeem xaiv los tso nyiaj rau qhov kev txhawb siab thiab siv tus lej rau daim npav khoom plig tom qab.
91) If the member’s phone/physical gift card is reported stolen or is lost, should we inform anyone at the Call Center for the Incentive Manager Portal?
Daim npav khoom plig tsis tuaj yeem luam tawm lossis rov faib dua. Thov qhia rau cov tswv cuab ntawm qhov no thaum lawv tau txais lawv qhov kev txhawb siab. Koj tsis tas yuav qhia rau peb cov neeg ua haujlwm pabcuam lossis cov neeg ua haujlwm hauv Call Center.
92) Is it wrong to ask members for a receipt of their gift card purchases occasionally just to “check-in?”
Peb tsis xav tau, lossis tsis pom zoo, tias cov tswvcuab muab daim ntawv txais nyiaj ntawm kev yuav khoom nrog lawv qhov kev txhawb siab. Nug lawv seb lawv siv lawv li cas ntawm lawv qhov kev mus ntsib tom ntej thiab ua kev zoo siab rau yam lawv tau txais yog ib txoj hauv kev zoo kom lawv mob siab rau.
93) Yog tias ib tus tswvcuab hloov mus rau lwm qhov chaw muab kev pabcuam hauv nruab nrab ntawm lawv qhov kev koom tes hauv Txoj Haujlwm Pabcuam Rov Qab Los, lawv puas yuav tau txais txiaj ntsig / nyiaj txhawb nqa?
Yog lawm, yog tias tus tswvcuab hloov mus rau lwm qhov chaw nyob nruab nrab ntawm lawv qhov kev koom tes hauv Txoj Haujlwm Pabcuam Rov Qab Los, lawv qhov nyiaj txhawb siab / nce qib yuav dhau mus.
94) Can a member “cash out” their banked incentives at any time during the program?
Yes, a member can “cash out” their banked incentives at any time during their participation in the Recovery Incentives Program – ideally during a visit when they provide a stimulant-negative UDT. When cashing out, a member must apply the entire bank to a single gift card.
95) Thaum ib tug tswvcuab xav kom txhiv cov kev txhawb siab los ntawm lub txhab nyiaj muab khoom plig, lawv puas yuav tsum tau rho tawm tag nrho cov nyiaj tshuav lossis lawv puas tuaj yeem rho tawm cov nyiaj tsawg dua?
Yog tias ib tus tswvcuab xav txhiv lawv cov kev txhawb nqa hauv txhab nyiaj, tag nrho cov nyiaj yuav raug xaiv rau ib daim npav khoom plig. Banked incentives tsis tuaj yeem sib cais ntawm ntau tus neeg muag khoom.
96) Puas yog tus tswv cuab raug kaw rau hauv kev txhiv txhua daim npav khoom plig nrog ib tus neeg muag khoom lossis lawv puas tuaj yeem txhiv lawv daim npav khoom plig nrog ib tus neeg muag khoom thiab tom qab ntawd xaiv lwm tus neeg muag khoom tom qab?
Cov tswv cuab tuaj yeem xaiv tus neeg muag khoom tshiab txhua zaus lawv txhiv qhov kev txhawb siab.
97) Yog tias ib tus tswvcuab poob lawv lub xov tooj, lawv puas tuaj yeem xa lawv daim npav pub dawb rau cov phooj ywg lossis cov neeg hauv tsev neeg?
Yes, members can have their gift cards sent to whatever phone number or email they’d like.
98) Yog tias tus neeg koom nrog tso nyiaj $ 400, piv txwv li, thiab kuaj pom qhov zoo, lawv puas yuav poob qhov lawv khaws tseg?
Tsis yog, txhua qhov kev txhawb siab uas ib tus tswvcuab tau txais hauv Txoj Haujlwm Pabcuam Rov Qab Los yog lawv khaws cia.
99) Lub sijhawm IM Portal Call Center yog dab tsi?
IM Portal Call Center muaj hnub Monday txog Friday thaum 8:00AM PT thiab 7:00PM PT.
100) Puas yog IM Portal Call Center zoo ib yam li Cov Kab Sov?
IM Portal Call Center yog rau kev nug txog Incentive Manager Portal thiab yuav tsum tau siv rau cov teeb meem ceev lossis cov lus nug tshwj xeeb rau IM portal.
Lub Warm Line yog ib qho chaw muab los ntawm UCLA ISAP ntawm lawv qhov Kev Pabcuam Rov Qab Los Lub Vev Xaib (https://uclaisap.org/recoveryincentives/warm-line.html) thiab tuaj yeem siv rau cov lus nug ntsig txog kev siv Txoj Kev Pabcuam Rov Qab Los. Cov lus nug uas xa mus rau Warm Line tuaj yeem siv sijhawm txog ib hnub ua haujlwm rau cov lus teb.
101) What is a member’s ID (as required when enrolling a member in the Incentive Manager Portal)?
The member ID is the member’s Medi-Cal number.
Kev Ntsuas Tshuaj Tso zis (UDTs) & Kev Kho Mob Kho Kho Kho Kho Kho Kho Kho (CLIA) Kev Zam Txim
102) Hom UDTs twg yuav raug siv los ntawm cov chaw muab kev koom tes hauv Txoj Haujlwm Pabcuam Rov Qab?
All participating provider sites will be required to use a UDT product that has been approved by DHCS. DHCS has identified which UDT products meet the program’s specifications. Please refer to BHIN 24-031 and the DHCS Recovery Incentives Approved Urine Drug Tests list linked on the program webpage.
UDT cov khoom siv yuav raug yuav ncaj qha los ntawm koj qhov chaw lossis hauv koj Lub Nroog raws li koj qhov kev yuav khoom ib txwm muaj. Tshawb xyuas nrog koj lub County CM cov neeg ua haujlwm los txiav txim seb yuav tau txais UDT cov khoom siv li cas.
103) Dab tsi ntawm cov tshuaj ua UDTs kuaj rau?
Txhua UDTs tau pom zoo rau Txoj Haujlwm Pabcuam Rov Qab yuav tsum ua raws li cov kev qhia tshwj xeeb raws li tau piav qhia hauv BHIN 24-031, uas suav nrog kev sim tshuaj stimulants (cocaine, amphetamine, thiab methamphetamine), nrog rau opiates thiab oxycodone. Qee qhov pom zoo UDT cov khoom lag luam kuj suav nrog kev sim rau fentanyl.
104) Vim li cas qee qhov kev pom zoo UDTs suav nrog kev kuaj fentanyl?
Some manufacturers of UDT products approved for use in the program have redesigned their products to include testing for fentanyl. These redesigned UDT products meet the program specification requirements for testing for stimulants (cocaine, amphetamine, and methamphetamine), as well as for opiates and oxycodone with the addition of a fentanyl test UDTs with fentanyl testing can provide information about a member’s drug use that they may not report at their appointment. Fentanyl is the leading cause of drug overdose death and it is important to identify the combination of other illicit drugs with fentanyl, which increases the risk of overdose.
105) Vim li cas lub vev xaib xaiv siv cov kev xeem no hla lwm tus?
Cov yam ntxwv ntawm kev soj ntsuam stimulant ntawm tag nrho cov khoom UDT tau pom zoo siv rau hauv qhov kev pab cuam, suav nrog UDT cov khoom uas ntsuas fentanyl, yog tib yam. Thaum UDT cov khoom nrog ntxiv fentanyl kuaj suav nrog tej zaum yuav kim dua, muaj txiaj ntsig rau kev siv UDT cov khoom nrog fentanyl kuaj cov yam ntxwv. Fentanyl yog qhov ua rau muaj kev noj tshuaj ntau dhau ntawm kev tuag, thiab nws yog ib qho tseem ceeb rau cov tib neeg kom paub txog qhov muaj fentanyl thaum siv cov tshuaj txhaum cai. Kev txheeb xyuas cov tib neeg uas muaj kev pheej hmoo rau fentanyl raug tsim muaj lub sijhawm rau cov chaw muab kev pabcuam los muab kev sab laj tsim nyog, xa mus rau kev tshuaj xyuas rau MAT, thiab cov peev txheej, suav nrog kev nkag mus rau Naloxone kom thim rov qab noj ntau dhau.
106) Yuav ua li cas yog ib tug tswv cuab kuaj pom zoo rau fentanyl?
A UDT qhia tias muaj fentanyl tsis cuam tshuam rau lub sijhawm xa khoom txhawb nqa rau qhov kev zov me nyuam. Hloov chaw, qhov txiaj ntsig zoo ntawm fentanyl UDT nthuav qhia tus kws kho mob lub sijhawm los tham txog kev xa mus rau kev soj ntsuam rau MAT, muab kev tawm tswv yim txog kev pheej hmoo ntawm fentanyl thiab txoj hauv kev los tiv thaiv kev noj ntau dhau.
Kev txo qis yog qhov tseem ceeb ntawm txhua qhov kev kho mob. Raws li cov ntaub ntawv ib ntus tso tawm los ntawm Lub Tsev Haujlwm Saib Xyuas Kab Mob thiab Tiv Thaiv thaum lub Tsib Hlis 2022, kev siv tshuaj ntau dhau kev tuag tau nce ntxiv hauv Tebchaws Meskas xyoo 2021, tshaj li 100,000 tus neeg tuag hauv ib xyoos. Ntau tus neeg tuag no yog vim cov hluavtaws opioid fentanyl, uas tau pom sib xyaw los yog hloov pauv rau ntau lwm yam tshuaj ntawm kev tsim txom, suav nrog benzodiazepines, opiates thiab lwm yam opioids, thiab stimulants. Muab lub xub ntiag ntawm fentanyl nyob rau hauv ib co stimulants, kev tuag raws li qhov tshwm sim ntawm kev huam yuaj ntawm fentanyl yog ib qho kev pheej hmoo tiag tiag rau cov tswv cuab tau txais txiaj ntsig hauv Txoj Kev Pabcuam Rov Qab Los.
107) Cov txiaj ntsig zoo UDT puas yuav tsum tau kuaj xyuas los ntawm lub chaw kuaj mob sab nraud?
Tsis yog, UDT cov txiaj ntsig tau lees paub tias muaj fentanyl tsis tas yuav muaj kev pom zoo los ntawm lub chaw kuaj mob sab nraud. Txhua tus neeg muab kev koom tes yuav tsum tau siv UDT cov khoom uas tau pom zoo los ntawm DHCS.
108) Puas yuav DHCS muab thiab them rau UDTs?
UDT cov khoom siv yuav raug yuav ncaj qha los ntawm qhov chaw muab kev pabcuam lossis lub nroog. Tshawb xyuas nrog County CM cov neeg ua haujlwm los txiav txim seb yuav tau txais UDT cov khoom siv li cas.
Cov chaw zov me nyuam yuav tsum siv lawv cov txheej txheem ib txwm muaj los yuav thiab tswj hwm UDTs ua ib feem ntawm Txoj Haujlwm Pabcuam Rov Qab. Tus nqi ntawm kev yuav UDTs thiab lwm yam khoom siv suav nrog hauv CM cov nyiaj them rov qab. Nrhiav cov ntsiab lus ntxiv txog kev them nyiaj rov qab rau CM cov kev pabcuam hauv seem Cov Nyiaj Them Rov Qab saum toj no.
109) Puas muaj cov txheej txheem dav dav uas yuav tsum ua raws li ua ntej tswj hwm UDT txhawm rau txheeb xyuas seb tus tswvcuab puas noj cov tshuaj uas tuaj yeem ua rau muaj qhov tsis zoo stimulant-zoo UDT lossis txheeb xyuas cov teeb meem uas muaj feem cuam tshuam nrog UDT uas tuaj yeem cuam tshuam cov txiaj ntsig?
Daim ntawv tso cai muab ib daim ntawv teev cov tshuaj thiab tshuaj uas yuav ua rau muaj kev kuaj tsis tseeb. Daim ntawv teev npe no raug tshuaj xyuas nrog tus tswv cuab thaum thawj zaug tau txais cov txheej txheem thaum lawv pom zoo los koom rau hauv Txoj Haujlwm Pabcuam Rov Qab. Yog li ntawd, tus tswvcuab tau raug ceeb toom tias kev siv ib yam ntawm cov tshuaj hauv daim ntawv teev npe no tuaj yeem ua rau muaj qhov tsis zoo stimulant-zoo UDT. Raws li tau hais hauv qhov kev pom zoo, cov txiaj ntsig ntawm UDT yuav raug siv txawm tias tus tswv cuab ntseeg tias nws yog qhov tsis zoo. Kev tshuaj xyuas cov npe nrog tus tswvcuab thiab txhawb kom lawv tham nrog tus kws sau ntawv (hauv cov ntawv sau tshuaj) thiab / lossis tshawb nrhiav lwm txoj hauv kev yog qhov kev coj ua zoo yog tias qhov teeb meem no tshwm sim.
110) Puas yog UDTs yuav tsum tau tswj hwm tshwj xeeb los ntawm cov neeg ua haujlwm CM lossis lawv puas tuaj yeem tswj hwm los ntawm lwm tus neeg ua haujlwm ntawm qhov chaw kho mob?
UDTs tswj hwm rau cov tswv cuab hauv Txoj Haujlwm Pabcuam Rov Qab yuav tsum tsuas yog tswj hwm los ntawm CM cov neeg ua haujlwm; yog li ntawd, tsis tuaj yeem tswj hwm los ntawm lwm tus neeg ua haujlwm ntawm qhov chaw kho mob.
111) Puas muaj lwm yam UDTs tau raug tshuaj xyuas thiab pom zoo siv rau hauv Txoj Haujlwm Pabcuam Rov Qab?
DHCS ib ntus tshuaj xyuas UDTs tau pom zoo rau Txoj Kev Pabcuam Rov Qab Los kom ntseeg tau tias muaj txiaj ntsig zoo thiab muaj. Yog tias koj tam sim no siv lwm qhov kev xeem POC UDT, koj tuaj yeem xa daim ntawv thov mus rau DHCS seb nws puas yuav raug pom zoo (saib rau Phau Ntawv Qhia Txoj Haujlwm kom paub meej ntxiv). Yog tias ib qho ntawm cov UDTs xa tuaj no tau txais kev pom zoo, lawv yuav muab ntxiv rau hauv cov npe ntawm UDTs uas tau pom zoo siv rau hauv Txoj Haujlwm Pabcuam Rov Qab Los kom cov chaw koom nrog hauv Txoj Haujlwm Pabcuam Rov Qab tuaj yeem siv tau. DHCS khaws cov npe ntawm UDTs pom zoo uas tuaj yeem pom ntawm DHCS Recovery Incentives Program Approved Urine Drug Tests website page.
112) Koj txhais li cas los ntawm kev soj ntsuam tiv thaiv UDTs?
UDTs hauv Qhov Kev Pabcuam Rov Qab Los yog txhais tau tias yuav tsum tau saib xyuas, tsis pom. CM cov neeg ua haujlwm tsis tas yuav nkag mus rau qhov chaw tso quav thiab saib xyuas ib tus tswvcuab ncaj qha thaum lawv muab UDT qauv. Yog tias lub vev xaib tam sim no tau soj ntsuam UDT sau, lawv yuav tsis raug tiv thaiv los ntawm kev ua haujlwm txuas ntxiv nrog cov tswv cuab hauv Txoj Haujlwm Pabcuam Rov Qab.
113) Vim li cas thiaj pom zoo tias cov chaw muab kev pabcuam kaw cov dej kub hauv chav dej uas muaj UDT cov qauv? Yuav ua li cas yog qhov no ua tsis tau?
Nws raug nquahu kom kaw cov dej kub hauv chav dej uas UDT cov qauv muab los pab kom paub tseeb tias qhov tseeb thiab siv tau ntawm UDT cov kev xeem (piv txwv li, ib tus tswv cuab yuav tsis tuaj yeem ua kom sov ib qho qauv uas tsis yog lawv tus kheej los ntawm kev tuav hauv qab dej kub). Yog tias tsis tuaj yeem kaw cov dej kub, qhov no tuaj yeem sib tham ntxiv thaum lub sijhawm Kev Ntsuas Kev Ntsuas.
114) Yog tias tus neeg muab kev pabcuam twb tau ua ob zaug-lub limtiam soj ntsuam UDTs hauv lwm cov kev pabcuam ntawm lawv qhov chaw, puas yog UDTs uas koom nrog Txoj Haujlwm Pabcuam Rov Qab Ua Haujlwm yuav yog ib qho kev xeem ob zaug-lub limtiam?
Cov kws kho mob yuav tsum siv UDT cov khoom uas tau pom zoo los ntawm DHCS rau siv hauv Kev Pabcuam Rov Qab Los. Cov kws kho mob tuaj yeem txuas ntxiv cov kev coj ua tam sim no nrog cov neeg koom nrog uas tsis koom nrog Txoj Haujlwm Pabcuam Rov Qab Los thiab tuaj yeem siv qhov twg ntawm UDTs pom zoo uas lawv xaiv los siv rau Txoj Haujlwm Pabcuam Rov Qab.
115) Yog tias tus neeg siv khoom twb tau koom nrog lwm cov kev kho mob ntawm lub chaw muab kev pabcuam, nws puas yuav ua tib zoo muab Kev Pabcuam Rov Ua Haujlwm Zoo rau tib hnub / sijhawm?
Yog lawm, peb xav kom cov neeg muab kev pabcuam teem sijhawm lawv Cov Kev Pabcuam Rov Qab Mus ntsib nrog rau lwm cov kev pabcuam uas tus kws khomob muab, kom cov neeg siv khoom tuaj yeem ua raws lawv Cov Kev Pabcuam Rov Qab Mus Saib Xyuas Lub Sijhawm nrog rau lwm qhov kev mus ntsib uas lawv twb muaj lawm.
116) Cov tswv cuab puas tuaj yeem tswj hwm tus kheej UDTs thiab qhia cov txiaj ntsig rau cov neeg ua haujlwm hauv tsev kho mob?
Members will collect their own samples. The CM staff will evaluate the member’s test cup to see whether the sample is positive for stimulants. Providers shall use appropriate precautions to avoid tampering with UDT specimens, including the following: requiring members to leave personal possessions (e.g., backpack, purse, items in pockets) in a secure location outside of the restroom; requiring members to thoroughly wash hands or use hand sanitizer prior to entering the restroom, including between fingers and under nails; turning off access to hot water in the restroom (or turning off the water faucet altogether, and requiring hand-washing outside of the restroom); and adding bluing agent to the toilet. Each test must be accompanied by reliability measures, including temperature, creatinine, and pH level.
117) Puas yog cov kws kho mob puas yuav tsum tuav Cov Kev Kho Mob Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Mob (CLIA) zam kev xeem ntawv pov thawj los koom rau hauv Qhov Kev Pabcuam Rov Qab Los?
Yog lawm, cov kws kho mob yuav tsum tau tuav daim ntawv pov thawj CLIA zam thiab tau sau npe nrog California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) (lossis raug lees paub los ntawm lub koom haum pom zoo).
Laboratory Field Services, uas yog ib feem ntawm CDPH, muaj cov txheej txheem thov online los ntawm cov neeg muab kev pabcuam tuaj yeem thov rau CLIA zam thiab kev sau npe hauv lub xeev. Txhua qhov chaw muab kev pabcuam hauv ib lub koomhaum uas koom nrog Txoj Haujlwm Pabcuam Rov Qab Los xav tau nws tus kheej CLIA zam daim ntawv pov thawj thiab lub xeev rau npe. Ib daim ntawv teev npe ntawm lub xeev lub chaw kuaj mob / CLIA zam kev xeem ntawv pov thawj kev cob qhia muaj rau lub Kaum Hlis 11-12, 2022, muaj rau cov chaw uas tsis tuaj yeem tuaj koom ntawm https://vimeo.com/759984612.
118) Puas yog cov kws kho mob yuav tsum txheeb xyuas tus thawj coj hauv chav kuaj kom tau txais daim ntawv pov thawj CLIA zam?
Yog lawm, cov kws kho mob yuav tsum txheeb xyuas tus thawj coj hauv chav kuaj zam kom tau txais daim ntawv pov thawj CLIA zam. Cov kev cai rau tus thawj coj hauv chav kuaj zam tau teev tseg hauv Kev Lag Luam thiab Kev Ua Haujlwm Txoj Cai Tshooj 1209(a). Yog tias lub chaw muab kev pabcuam tsis tuaj yeem nkag mus rau tus kws kho mob, kws phais mob, lossis lwm tus neeg tsim nyog los ua tus thawj coj hauv chav kuaj, thov hu rau koj tus neeg sawv cev hauv nroog kom muaj kev taw qhia ntxiv. Thov ceeb toom rau Pab Pawg Txhawb Kev Pabcuam Rov Qab ntawm RecoveryIncentives@dhcs.ca.gov nrog txhua yam teeb meem lossis kev txhawj xeeb.
119) Leej twg yuav tsum ua tus thawj coj hauv chav kuaj? Lub luag haujlwm thiab lub luag haujlwm ntawm lub chaw kuaj xyuas tus thawj coj txoj haujlwm yog dab tsi?
Tus neeg zoo tshaj plaws los ua tus thawj coj hauv chav kuaj yuav yog tus thawj coj kho mob ntawm txhua qhov chaw. Nyob rau hauv cov xwm txheej uas cov chaw nyob hauv lub nroog, tus neeg zoo tshaj plaws los ua tus thawj coj hauv chav kuaj yuav yog tus thawj coj kho mob hauv nroog lossis tus kws kho mob hauv nroog. Cov kev tsim nyog tshwj xeeb thiab lub luag haujlwm yuav tsum tau ua rau Lub Chaw Haujlwm Saib Xyuas Kev Ua Haujlwm tau piav qhia hauv Kev Lag Luam thiab Kev Ua Haujlwm Txoj Cai Tshooj 1209 (a) - (g). Lub luag haujlwm tseem ceeb ntawm tus thawj coj hauv chav kuaj yog los xyuas kom meej tias cov txheej txheem ua raws li qhov raug. Lub luag haujlwm tseem suav nrog kev tshuaj xyuas cov ntaub ntawv thiab kev cob qhia.
Thaum kawg, tus thawj coj ntawm chav kuaj tseem yog lub luag haujlwm los xyuas kom meej tias cov neeg ua haujlwm tau ua tiav UDTs, raws li kev cia siab.
120) Yog hais tias ib lub tsev kawm ntawv twb tau kuaj point-of-care (POC) UDT thiab muaj CLIA zam daim ntawv pov thawj, nws puas yuav tsum tau txais ib qho kev zam rau qhov Kev Pabcuam Rov Qab Los?
Tsis yog, txhua qhov chaw muab kev pabcuam tsuas yog xav tau ib daim ntawv pov thawj CLIA zam.
121) Puas yog cov kws kho mob puas xav muab CLIA zam fentanyl kuaj?
Tam sim no, ob lub CLIA zam UDTs muaj cov kev ntsuam xyuas fentanyl tau pom zoo rau Txoj Haujlwm Pabcuam Rov Qab. Tag nrho cov UDTs tam sim no tau pom zoo siv rau hauv qhov kev zov me nyuam suav nrog kev sim tshuaj opiates thiab oxycodone ua qhov taw qhia ntawm kev cuam tshuam rau opioids, kom cov kws kho mob tuaj yeem xa cov tswv cuab rau kev tsim nyog MAT thiab lwm yam kev pabcuam, raws li xav tau.
122) Cov chaw yuav tsum muab cov tswv cuab nrog fentanyl kuaj strips?
Cov chaw yuav tsum muaj peev xwm muab cov ntaub ntawv rau cov tswv cuab txog qhov twg yuav tau txais fentanyl kuaj strips thiab yuav siv lawv li cas (saib CDPH website/Fentanyl Testing to Prevent Overdose: https://www.cdph.ca.gov/Programs/CID/DOA/Pages/OA_prev_sep.aspx).
123) Puas yog Fentanyl kuaj tau rov qab los ntawm Kev Pabcuam Rov Qab Los?
Txawm hais tias tsis yog txhua qhov kev sim tshuaj tso zis tam sim no tau pom zoo rau Kev Tshawb Fawb Kev Tshawb Fawb Kev Tshawb Fawb rau fentanyl, cov chaw koom nrog hauv Txoj Kev Pabcuam Rov Qab tsis raug txwv tsis pub kuaj tus kheej rau fentanyl. Cov nuj nqis cuam tshuam nrog kev sim rau Fentanyl, suav nrog kev siv cov tshuaj ntsuam xyuas thiab kuaj tshuaj tso zis rau Fentanyl sab nraud ntawm cov hauv DHCS Pom Zoo UDTs daim ntawv teev npe, tsis tuaj yeem them rov qab los ntawm Txoj Kev Pabcuam Rov Qab Los, tab sis yuav raug them rov qab ua ib feem ntawm lwm cov kev pabcuam Medi-Cal muab rau tus tswvcuab.
124) Yuav Ua Li Cas Qhov Kev Pabcuam Rov Qab Los Ntawm Qhov Chaw Pabcuam Tau Naloxone rau cov neeg koom nrog Txoj Haujlwm Pabcuam Rov Qab?
Cov chaw siv tshuaj tua kab mob (cov neeg mob sab nraud, cov tsev nyob, thiab cov tsev nyob tsis muaj zog) yog cov chaw tsim nyog rau California Naloxone Distribution Project thiab tej zaum yuav muaj naloxone tsim muaj thiab xa ncaj qha mus rau qhov chaw dawb. Txhawm rau thov naloxone dawb, ua tiav daim ntawv thov online Naloxone Distribution Project nyob rau ntawm DHCS lub vev xaib.
125) Puas muaj qhov sib txawv ntawm CLIA cov cai rau Txoj Kev Pabcuam Rov Qab Los thiab cov kev xav tau rau lwm yam UDT cov txheej txheem ua ntawm SUD cov kev kho mob?
Yog tias cov chaw muab kev pabcuam tab tom ua UDTs ua ib feem ntawm lawv cov kev pabcuam SUD uas twb muaj lawm, nws yuav zoo li lawv twb muaj CLIA zam daim ntawv pov thawj hauv qhov chaw. Tsis muaj qhov sib txawv ntawm kev kuaj POC rau cov kev pabcuam SUD ib txwm muaj thiab qhov Kev Pabcuam Rov Qab Los.
126) yog tus kuaj qhov pib txawv nruab nrab Pom zoo kuaj rau tus Rov qab Qhov Kev Pab Cuam Tshaj Plaws thiab tus qauv CLIA zam qhov kev xeem?
Txhua qhov kev xeem muaj qhov tshwj xeeb qhov pib thiab ntsuas kev siv tau. DHCS tau pom zoo UDTs tau raug soj ntsuam los ntawm ib tus kws kho mob toxicologist kom ua tau raws li cov qauv xav tau rau Kev Pabcuam Rov Qab Los. Yog tias lub vev xaib txaus siab siv UDT cov cuab yeej uas tsis yog cov uas tau teev tseg hauv BHIN, lawv tuaj yeem thov kev ntsuam xyuas ntawm cov cuab yeej ntawd los txiav txim seb nws puas ua tau raws li qhov yuav tsum tau ua. Cov lus qhia xa mus rau UDT cov cuab yeej rau kev ntsuam xyuas kuj tau teev nyob rau hauv BHIN.
127) Daim ntawv thov CLIA raug nqi pes tsawg?
Muaj ob daim ntawv thov thiab nqi. Tus nqi thov hauv lub xeev yog $113, thiab tsoomfwv tus nqi thov yog $180. Txhawm rau them tus nqi tseem ceeb, cov chaw muab kev pabcuam tuaj yeem tos kom lawv daim coupon tuaj txog ntawm lawv qhov chaw xa ntawv thiab xa tuaj rau hauv, lossis lawv tuaj yeem mus rau https://www.pay.gov/public/home.
128) Daim ntawv CMS 116 yog dab tsi thiab qhov twg kuv tuaj yeem nrhiav cov ntaub ntawv hais txog cov npe tshwj xeeb ntawm cov kev xeem uas kuv lub chaw ua haujlwm tau ua?
Daim ntawv CMS 116 yog daim ntawv thov CLIA. Cov ntawv thov tuaj yeem pom hauv online ntawm no: CDPH Forms
Kev pab ntxiv muaj nyob rau ntawm LFScc@cdph.ca.gov.
129) Puas yog cov chaw muab kev pabcuam yuav tsum ua kom tiav Daim Ntawv Lab 155?
Tsis yog, daim ntawv Lab 155 tsis nyob hauv daim ntawv teev npe CDPH: https://www.cdph.ca.gov/Programs/OSPHLD/LFS/CDPH%20Document%20Library/ELLFS_Ne wLicenseApplicationChecklist.pdf.
130) How should non-profits complete the “owner” section of the CMS 116 form?
It is up to each individual provider site to determine the best entity to list as the “owner” on the form.
131) Lub sijhawm tos ntev npaum li cas los ntawm kev xa daim ntawv thov kom tau txais daim ntawv pov thawj CLIA zam?
Tam sim no, lub sijhawm tos yog rau lub hlis. Kev xa daim ntawv thov yam tsis muaj qhov yuam kev tuaj yeem txhim kho lub sijhawm tos tus kheej. DHCS tab tom ua haujlwm nrog CDPH kom ceev cov txheej txheem. Thaum daim ntawv thov CLIA tau xa tuaj, thov muab APL# rau UCLA Implementation team rau kev ua tiav sai.
132) Lub sijhawm tos ntev puas yuav cuam tshuam rau kev siv Txoj Kev Pabcuam Rov Qab Los?
Cov chaw yuav tsum muaj CLIA zam cov ntawv pov thawj ua ntej ua POC UDTs. Yog li ntawd, kev siv Txoj Kev Pabcuam Rov Qab Los tsis tuaj yeem pib kom txog thaum cov txheej txheem no tiav.
133) Cov kws kho mob puas tuaj yeem koom tes nrog lub chaw kuaj mob sab nraud los ua UDTs?
Tsis yog, txhawm rau koom nrog Txoj Haujlwm Pabcuam Rov Qab Los, cov chaw muab kev pabcuam yuav tsum tuaj yeem sau UDTs thiab nyeem cov ntawv xeem ntawm qhov chaw. Cov qauv yuav tsis raug xa mus rau qhov chaw kuaj sab nraud rau txoj haujlwm no.
134) Cov kws kho mob puas tuaj yeem hloov kho / tos CLIA zam daim ntawv thov kev xeem ntawv pov thawj?
Cov kws kho mob yuav muaj sijhawm los kho qhov yuam kev ntawm lawv daim ntawv thov yog tias CDPH xa lawv daim ntawv ceeb toom rau kev kho. Yog tias tus kws kho mob xav tau hloov daim ntawv thov rau qee yam uas tsis yog qhov yuam kev, tus neeg thov tuaj yeem xa email rau LFScc@cdph.ca.gov.
135) Qhov twg cov kws kho mob tuaj yeem nrhiav tau ib qho piv txwv ntawm CLIA ua tiav daim ntawv thov ntawv pov thawj?
Cov neeg siv phau ntawv hauv online suav nrog cov duab ntawm ntau cov ntxaij vab tshaus raws li cov neeg thov ua haujlwm los ntawm daim ntawv thov online. Phau ntawv tuaj yeem nrhiav tau ntawm: https://www.cdph.ca.gov/Programs/OSPHLD/LFS/Pages/ELLFS_NewSingle.aspx.
136) Cov neeg ua haujlwm tsim nyog rau CM Coordinators, CM Backup Coordinators, thiab CM Supervisors yog dab tsi?
Staff who are working as CM Coordinators, CM Backup Coordinators, or CM Supervisors fall within the “healthcare professional” category and can perform the POC testing under the direction of the site’s laboratory director.
137) Can provider sites attempt to apply under an existing lab’s CLIA waived test certification?
Every provider site requires a separate state registration and CLIA waived test certification, unless they meet one of the exception criteria below. Additionally, all provider sites under the same state registration and CLIA waived test certification, must be under the same ownership and have the same laboratory director.
138) Kuv yuav ua li cas tom qab kuv qhov chaw tau xa peb daim ntawv thov kev zam rau CLIA thiab Lub Xeev Lub Chaw Tso Npe?
Thaum ua tiav ib lossis ob daim ntawv thov, thov hu rau CAThompson@mednet.ucla.edu nrog daim ntawv thov ID (APL #) rau koj qhov chaw. Tom qab kev xa ntawv, thov mus saib CDPH daim ntawv thov portal tsis tu ncua rau txhua qhov hloov tshiab hais txog koj daim ntawv thov ntawm: https://mylicense.cdph.ca.gov/prweb/PRWebLDAP1/app/default/JNjzDdEndczmIjcX8iwY6FV R4wsiXbPN1fW1kioTBJ4*/!STANDARD
Txheej Txheem Kev Ntsuas Kev Npaj
139) Yog tias ib tus kws kho mob muaj peb (3) tus neeg ua haujlwm CM (2 CM Coordinators thiab 1 CM Tus Thawj Saib Xyuas) raug xaiv los siv Txoj Haujlwm Pabcuam Rov Qab Los ntawm ib qhov chaw/chaw, puas yog txhua tus neeg ua haujlwm yuav tsum ua kom tiav Kev Ntsuam Xyuas Kev Npaj?
Only one Readiness Assessment is required per physical treatment site.
140) Puas yog txhua tus CM cov neeg ua haujlwm ntawm ib lub chaw muab kev pabcuam yuav tsum ua kom tiav Txoj Haujlwm Kev Ua Haujlwm ua ntej lub xaib tuaj yeem pib txheej txheem Kev Ntsuam Xyuas Kev Npaj?
No, in order to initiate the Readiness Assessment process at a provider site, a CM Coordinator and a CM Supervisor at minimum must have attended both parts of the Implementation Training. For a provider to be approved for launch at their site, all three (3) CM staff (1 CM Coordinator, 1 CM Back-Up Coordinator, 1 CM Supervisor) must complete the Implementation Training. Additional staff can be onboarded after launch.
141) Tus kws kho mob ua tiav qhov Kev Ntsuas Kev Npaj Ua Li Cas yog tias lawv muaj ntau qhov chaw / chaw?
Txhua qhov chaw yuav tsum ua kom tiav nws qhov Kev Ntsuas Kev Npaj Npaj.