장기요양 서비스별 수가에 상응하는 직접 지불금
Back to: Directed Payments
In accordance with State law (Welfare and Institutions Code, Section 14184.201(b) and (c)), the Department has directed Medi-Cal Managed Care Plans (MCPs) operating in Geographic Managed Care/Regional Model/Two-Plan Model non-Coordinated Care Initiative (CCI) “transitioning” counties to reimburse network providers of Long-Term Care (LTC) services, as defined at Welfare and Institutions Code Section 14184.201(g), as of the following dates: skilled nursing facility (SNF) services as of January 1, 2023, and other institutional LTC services as of January 1, 2024.
이 전달 체계 개혁 조치의 목표는 서비스 접근성과 가격 안정성을 유지하고 취약한 시설 입소자를 위한 중환자 치료의 중단이나 중단을 방지하면서 주 전역의 Medi-Cal Managed Care 전달 체계에 LTC 서비스를 도입하는 것을 지원하는 것입니다.
For any managed care questions regarding this program, please reach out to Health Plan Directed Payment team at PlanDP@dhcs.ca.gov.