CalAIM 亚急性护理机构长期护理豁免
返回 CalAIM 长期护理 Carve-In 过渡主页
加州正在通过多项举措对 Medi-Cal 进行改革，以继续推动医疗质量的改善、简化和降低复杂性，并建立以公平为重点、数据驱动和全人护理的基础。亚急性护理加入 Medi-Cal 管理式医疗计划后，在全州范围内对成人和儿童亚急性护理进行了标准化，以推进更加一致和综合的管理式医疗体系，并增加接受亚急性护理的 Medi-Cal 成员获得全面护理协调、护理管理和广泛服务的机会。
For more information on subacute care services, please visit the Subacute Care webpage.
限制令对加州人意味着什么
自1年2024月起，所有 Medi-Cal 管理式医疗计划 (MCP) 均开始负责承保成人和儿科亚急性护理的机构长期护理 (LTC) 服务。
MCP 负责协调成员对亚急性护理服务提供者以及其他提供者的护理需求。MCP 为会员提供医疗保健提供者网络和护理协调服务，以帮助管理会员护理。
More information for members can be found on the LTC Carve-In Member Information webpage.
Contracting with DHCS’ Subacute Care Unit
MCPs must ensure that if a Medi-Cal member needs adult or pediatric subacute care services, they are placed in a health care facility that is under contract for subacute care with the Department of Health Care Services’ (DHCS) Subacute Contracting Unit (SCU) or is actively in the process of applying for a contract with DHCS’ SCU. A list of approved and active contracted facilities can be found on the DHCS SCU website. More information for facilities can be found on the Medi-Cal Subacute Care Contracting: Application Information for Facilities Fact Sheet under Key Documents.
关键的加入文件
政策指导
- All Plan Letter 24-010 Subacute Care Facilities – LTC Benefit Standardization and Transition of Members to Managed Care (Updated September 16, 2024)
- Subacute Care Facility Carve-In Frequently Asked Questions (Updated October 25, 2024)
额外的加入资源
长期护理提供者的管理式护理资源
信息网络研讨会
DHCS 举办了教育网络研讨会，为利益相关者实施 LTC Carve-In 提供支持。网络研讨会的详细信息和材料可以在以下链接中找到：
其他资源
- CalAIM 管理长期服务和支持及双重利益相关者整合工作组
- 加州长期服务和支持仪表板
- 为有长期服务和支持需求的会员提供过渡护理服务
- 通过 DHCS 提供商门户网站访问自动资格验证系统 (AEVS) – 提供商可以在其中找到会员的 MCP 注册信息
问题
Contact DHCS with any questions about the Subacute Care LTC Carve-In at LTCTransition@dhcs.ca.gov.