Hloov tshiab ntawm Pab Pawg Pab Pawg Saib Xyuas Kev Noj Qab Haus Huv Medi-Cal Tsim Nyog Hom
This webpage provides information regarding the implementation of the Tribal Federally Qualified Health Center (Tribal FQHC) provider type in the Medi-Cal Program. The new Tribal FQHC provider type allows Tribal health programs to expand service locations (i.e., in the patient’s home), receive reimbursement for different combinations of visits on the same day (i.e., a primary care visit and a visit with a medical specialist), and bill for chiropractic services for all Medi-Cal recipients seen at the Tribal health program. Tribal FQHCs will receive payment for services at the Federal Indian Health Services All-Inclusive Rate.
Thov saib hauv qab no yog xav paub ntxiv txog Tribal FQHCs.
Txhua Daim Ntawv Npaj (APL) 21-008 Hloov Kho
- DHCS tau tshaj tawm APL 21-008 rau Managed Care Plans (MCPs) thaum lub Tsib Hlis 13, 2021
- Thov nco ntsoov tias Daim Ntawv Txuas 2 ntawm APL, uas yuav sau cov npe thiab qhov chaw ntawm cov chaw kho mob uas tau xaiv los koom nrog hauv Medi-Cal raws li Pawg Neeg Saib Xyuas FQHC yuav raug hloov kho tom qab tau txais Daim Ntawv Xaiv los Koom Tes (DHCS 7108) tau piav qhia hauv qab no. Thaum pib qhov kev nthuav tawm ntawm Pawg Neeg Saib Xyuas FQHC hom, Daim Ntawv Txuas 2 yuav hloov kho txhua hli. Daim ntawv txuas 2 yuav hloov kho nyob rau peb lub hlis twg pib thaum lub Cuaj Hlis 2021.
Tribal FQHC Tus Muab Kev Pab Cuam Hloov Kho
- Pawg neeg saib xyuas FQHC Medi-Cal phau ntawv qhia cov ntu tau tshaj tawm thaum lub Tsib Hlis 14, 2021.
- Tribally Federally Qualified Health Centers
- Tribal Federally Qualified Health Centers Billing Codes
Mental Health Associates Update
- Cov kws kho mob puas siab puas ntsws tsis yog cov kws kho mob them nqi hauv FQHCs. Txawm li cas los xij, CMS tau pom zoo rau Lub Xeev Txoj Kev Hloov Kho 20-0024 uas ntxiv ib ntus ntxiv Associate Clinical Social Workers (LCSWs) thiab Associate Marriage and Family Therapists (AMFT) cov kev pab cuam hauv FQHCs thaum lub sij hawm Public Health Emergency (PHE)
- LCSWs thiab AMFTs tsis yog cov kws kho mob muaj ntawv tso cai, raws li California Pawg Neeg Saib Xyuas Kev Coj Tus Cwj Pwm. Yog li, cov kev pabcuam raug them nqi raws li kev saib xyuas muaj ntawv tso cai, tus kws kho mob tus kws kho mob ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv FQHC.
- Cov kws kho mob uas muaj ntawv tso cai yuav tsum tau saib xyuas thiab lees paub txog kev lav phib xaub ntawm cov kev pabcuam uas muaj los ntawm LCSWs thiab AMFTs tsis muaj ntawv tso cai.
- Tus kws kho mob uas muaj ntawv tso cai yuav tsum ua raws li kev saib xyuas uas tsim los ntawm Pawg Neeg Saib Xyuas Kev Coj Tus Cwj Pwm
- DHCS ua haujlwm nrog CMS hais txog kev them nqi rau LCSWs thiab AMFTs tom qab kawg ntawm PHE
- DHCS kuj tseem muaj kev sib tham nrog CMS hais txog kev them nqi rau Cov Kws Pab Tswv Yim Kho Mob (LPCC), Associate LPCCs, thiab Cov Pabcuam Psychological hauv Tribal FQHCs.
Hloov Cov Kev Pabcuam hauv Medi-Cal los ntawm Indian Kev Pabcuam Kev Noj Qab Haus Huv Memorandum of Agreement Provider rau Tribal FQHC
- Tribal programs can change provider types by completing an “Elect to Participate” Indian Health Services Memorandum of Agreement (IHS/MOA) and Tribal Federally Qualified Health Center (FQHC) (form DHCS 7108). The DHCS Form 7108 is available now at www.medi-cal.ca.gov. From the Home Tab select Resources, select References, from the Billing section select Forms, from the Provider Enrollment section select the “Elect to Participate” DHCS 7108 form.
- DHCS can only accept hard copies of the signed “Elect to Participate” DHCS 7108
- Thov xa cov ntaub ntawv/s rau:
Department of Health Care Services
Lub Chaw Pabcuam Sau Npe
TIAB SA 4704
PO ib 997413
Sacramento, CA 95899-7413
- Note: One “Elect to Participate” for each clinic site is required and all Tribal clinic corporations must choose to be designated as the same provider type.
- Tribal health programs that are not currently enrolled in Medi-Cal must complete the application process through DHCS’ Provider Application and Validation for Enrollment (PAVE) System and submit form DHCS 7108 with their initial application.
Tribal FQHC Inbox thiab cov lus teb rau cov lus nug tau txais txog Pawg FQHCs
Thov xa email teeb meem thiab lus nug mus rau Tribal FQHC inbox ntawm: TribalFQHC@dhcs.ca.gov. Lub inbox tau saib xyuas txhua hnub.
- Cov lus nug tau txais ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv (Tribal FQHC) txij thaum 7/15/21
Kev nthuav qhia ntawm Tribal FQHCs tuav thiab teb rau cov lus nug tau txais
- DHCS tau tuav ib lub vev xaib hais txog kev ua raws li Tribal FQHC tus kws kho mob hom rau lub Rau Hli 11, 2021. Txhawm rau saib cov ntaub ntawv sib tham thiab kev nthuav qhia, thov mus saib hauv Indian Health Program Cov Rooj Sib Tham, Webinar, thiab Kev nthuav qhia nplooj.