ກົດໝາຍວ່າດ້ວຍການດູແລລາຄາບໍ່ແພງ
Under the Affordable Care Act (ACA), states were authorized to expand Medicaid, effective January 1, 2014, to many low-income individuals under age 65 who were previously ineligible for coverage. The ACA established a new income eligibility limit of 138 percent of the federal poverty level, increasing the number of Californians eligible. As of March 2016, more than 4.7 million Californians have begun receiving comprehensive health care benefits provided by Medi-Cal since the ACA was implemented.
The Department of Health Care Services’ (DHCS) vision is to preserve and improve the physical and mental health of all Californians, and the department’s mission is to provide Californians with access to affordable, high-quality health care, including medical, dental, mental health, substance use treatment services, and long-term care. The ACA’s expansion of Medi-Cal allows California to make significant strides toward supporting a healthier, more productive state. Medi-Cal also assists the most vulnerable among us, whose circumstances may prevent them from accessing health coverage or vital health care services. Below are various programs and services members are benefitting from as a result of the ACA.
ບຸກຄົນ
ໂຄງການການມີສິດໄດ້ຮັບ Presumptive ໂຮງຫມໍ
The Hospital Presumptive Eligibility (PE) program, effective January 1, 2014, provides individuals with temporary, no-cost Medi-Cal benefits for up to two months.
Medi-Cal Eligibility and Covered California
DHCS has partnered with Covered California to create an online “one-stop shop” for health coverage.
Medi-Cal Eligibility and Covered California FAQs
DHCS has developed frequently asked questions for current and potential Medi-Cal coverage recipients to help them access the care they need.
ພາກສ່ວນກ່ຽວຂ້ອງ
ການປ່ຽນເສັ້ນທາງຂອງ 1991 State Health Realignment ລວມມີ ACA.
ສະພາວາງແຜນສຸຂະພາບຈິດຂອງລັດຄາລິຟໍເນຍ (CMHPC)
ສະພາການວາງແຜນສຸຂະພາບຈິດຂອງລັດຄາລິຟໍເນຍແມ່ນກໍານົດໂດຍລັດຖະບານກາງແລະກົດຫມາຍຂອງລັດເພື່ອສະຫນັບສະຫນູນສໍາລັບເດັກນ້ອຍທີ່ມີການລົບກວນທາງຈິດໃຈທີ່ຮ້າຍແຮງແລະຜູ້ໃຫຍ່ແລະຜູ້ສູງອາຍຸທີ່ມີອາການທາງຈິດທີ່ຮ້າຍແຮງ. ສະພາໃຫ້ການຕິດຕາມກວດກາ ແລະ ຄວາມຮັບຜິດຊອບຕໍ່ລະບົບສາທາລະນະສຸກຈິດໃຈ, ໃຫ້ຄຳປຶກສາແກ່ຄະນະບໍລິຫານງານ ແລະ ສະພານິຕິບັນຍັດກ່ຽວກັບບັນຫາບຸລິມະສິດ, ແລະ ເຂົ້າຮ່ວມການວາງແຜນທົ່ວປະເທດ.
Medi-Cal’s Implementation of New Programs
Medi-Cal ໄດ້ຈັດຕັ້ງປະຕິບັດໂຄງການໃໝ່ ເປັນສ່ວນຫນຶ່ງຂອງການປະກາດໃຊ້ ACA.
ຜູ້ໃຫ້ບໍລິການ
ຄຳແນະນຳຂອງ Medi-Cal ກ່ຽວກັບການລາຍງານເງື່ອນໄຂທີ່ສາມາດປ້ອງກັນໄດ້ຈາກຜູ້ໃຫ້ບໍລິການ
ມີຜົນບັງຄັບໃຊ້ໃນວັນທີ 1 ເດືອນກໍລະກົດ , 2012, ຜູ້ໃຫ້ບໍລິການທັງໝົດຕ້ອງລາຍງານເງື່ອນໄຂທີ່ຜູ້ໃຫ້ບໍລິການສາມາດປ້ອງກັນໄດ້ທີ່ເກີດຂຶ້ນໃນລະຫວ່າງການປິ່ນປົວຄົນເຈັບ Medi-Cal.
ຄວາມຕ້ອງການກວດສອບຜູ້ໃຫ້ບໍລິການ
ສູນບໍລິການ Medicare & Medicaid ໄດ້ເຜີຍແຜ່ກົດລະບຽບສຸດທ້າຍໃນເດືອນກຸມພາ 2, 2011, ໃນ Federal Register (42 CFR Parts 405, 424, 447 et al.) ທີ່ມີຂໍ້ບັງຄັບທີ່ຈະປະຕິບັດຍ້ອນວ່າພວກມັນກ່ຽວຂ້ອງກັບ Medicare, Medicaid, ແລະໂຄງການການປະກັນໄພສຸຂະພາບຂອງເດັກນ້ອຍ ແລະການປ້ອງກັນການລ່ວງລະເມີດຂອງຜູ້ໃຫ້ບໍລິການ. ກົດລະບຽບນີ້ປະຕິບັດຂໍ້ກໍານົດຂອງ ACA.