Katumbas na Bayad sa Pangmatagalang Pangangalaga para sa Serbisyong Direktang Pagbabayad
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.
Ang layunin ng pagsasaayos ng reporma sa sistema ng paghahatid na ito ay upang suportahan ang pag-ukit ng mga serbisyo ng LTC sa sistema ng paghahatid ng Medi-Cal Managed Care sa buong estado habang pinapanatili ang access sa mga serbisyo at katatagan ng presyo at pag-iwas sa pagkaantala o pagkagambala sa kritikal na pangangalaga para sa mahina na institusyonal na populasyon .
For any managed care questions regarding this program, please reach out to Health Plan Directed Payment team at PlanDP@dhcs.ca.gov.