以下常见问题解答为 Medi-Cal 会员提供了有关二元服务福利的更多指导和说明。 随着卫生保健服务部 (DHCS) 收到更多问题，此常见问题解答将会更新。​​ 

一般信息​​ 

1. 什么是二元服务？​​ 

Dyadic services are a form of behavioral health service provided to both children under 21 years old and their parents or caregivers for the direct benefit of the child. Dyadic services include assessments, screenings, counseling and brief intervention services.​​ 

2. “二元服务”是什么意思？​​ 

“Dyadic services” are a family and caregiver focused model of care to address developmental and behavioral health conditions of children It includes services provided to parents/caregivers. (A “dyad” relates to the interaction between two people.) For Medi-Cal dyadic services, a dyad includes a child under 21 years old and their parent(s) or caregiver(s).​​ 

3. 二元服务中提供哪些服务？​​ 

• 在就诊时为儿童和父母或看护人提供行为健康（DBH）就诊服务。通过 DBH 访问，可以筛查儿童和父母或看护人的行为健康问题、人际安全、烟草和药物滥用、不良童年经历以及影响健康的社会因素（如粮食不安全和住房不稳定），并为适当的后续护理提供转介。​​ 
• Dyadic Comprehensive Community Support Services help the child and their parents or caregivers gain access to needed medical, social, educational, and other health-related services.​​ 
• Dyadic Psychoeducational Services are planned, structured interventions that involve presenting or demonstrating information with the goal of preventing the development or worsening of behavioral health conditions and achieving optimal mental health and long-term resilience.​​ 
• Dyadic Family Training and Counseling for Child Development provide training and counseling related to a child’s behavioral issues, developmentally appropriate parenting strategies, parent/child interactions, and other related issues.​​ 
• Dyadic Caregiver Services – which include specific assessment, screening, counseling and brief intervention services provided to the parent or caregiver for the benefit of the child.​​ 

4. 我们如何获得二元护理？​​ 

A primary care provider or behavioral health provider would screen a child as part of a well-child visit or any other office visit to determine if they would benefit from dyadic services Providers may also screen the parent/caregiver.​​ 

5. 谁可以提供二元服务？​​ 

Dyadic Services may be provided by primary care providers or behavioral providers. This can include physicians, nurse practitioners, psychologists, marriage and family therapists, and other qualified licensed and associate providers.​​ 

6. 社区卫生工作者（CHW）可以提供二元服务吗？​​ 

While CHWs may not provide dyadic services, appropriately trained nonclinical staff, including CHWs who are supervised by a licensed provider of dyadic services, may screen Medi-Cal members for issues related to social drivers of health and perform other nonclinical support tasks as part of a dyadic visit.​​ 

7. 我没有加入 Medi-Cal，但我的孩子加入了。 我们有资格享受二元服务福利吗？​​ 

Yes. A parent or caregiver may receive dyadic services for the direct benefit of a child who is enrolled in Medi-Cal. The parent(s) or caregiver(s) does not need to be enrolled in Medi-Cal as long as the care is for the direct benefit of the Medi-Cal child.​​ 

8. 我去哪里获取二元服务？​​ 

Managed care plans (MCPs) may offer the Dyadic Services benefit through telehealth or in-person with locations in any setting including, but not limited to, pediatric primary care settings, doctor’s offices or clinics, inpatient or outpatient settings in hospitals, the Member’s home, school-based sites, or community settings. There are no service location limitations.​​ 

9. 在哪里可以获得有关二元效益的更多信息？​​ 

Information about dyadic services is available on the DHCS Dyadic Services webpage. Questions about the dyadic care may be emailed MediCal.Benefits@dhcs.ca.gov.​​