行為健康網絡充足監督科
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行為健康網路充足性監督處 (BHNAOB) 在結構上隸屬於行為健康監督和監測部門 (BHOMD)，而行為健康監督和監測部門又是衛生保健服務部行為健康計畫的一部分。有關 BHOMD 的資訊可透過本文檔頂部的行為健康服務主頁連結找到。BHNAOB 負責 Medi-Cal 行為健康網路充足性計劃、行為健康服務法案網路充足性計劃，並且以前負責行為健康品質改進計劃 (BHQIP) 的行政管理，該計劃已於 6 月30 、 2024日終止。網路充足性監督部門負責監督和監測專科心理健康服務 (SMHS) 和加州藥物醫療補助組織化服務系統 (DMC-ODS) 計畫的所有行為健康組成部分，以及由於平價要求而導致的加州藥物醫療補助州計劃的及時獲取服務。
網絡充足監督組
The Network Adequacy Oversight Section (NAOS) is found within the BHNAOB. BHNAOB is found within BHOMD and is a part of the Behavioral Health program of DHCS.
DHCS contracts with counties that either provide, or arrange for the provision of, specialty mental health services and substance use treatment services to eligible Medi-Cal members.
NAOS performs compliance oversight and monitoring of the MHPs and DMC-ODS programs to ensure compliance with the network adequacy requirements set forth in Title 42 of the Code of Federal Regulations (CFR) and the network adequacy requirements of the Behavioral Health Services Act. NAOS primarily assesses the compliance of MHPs and DMC-ODS programs through its reviews of required submissions from these entities as part of an annual network certification process. NAOS, as necessary to ensure the adequacy of each provider network, identifies any deficiencies with current standards, including timely access standards as prescribed by WIC 14197 and provides technical assistance to the MHPs and DMC-ODS programs to resolve compliance issues. Where technical assistance is not effective, NAOS implements corrective measures such as corrective action plans and administrative or monetary sanctions.
NAOS also performs oversight, technical assistance, and monitoring related to improving access to care, which includes timely access requirements as defined in Welfare and Institutions Code 14197. These requirements include an initial request for first appointment or first specialty mental health service for new members, non-urgent follow-up appointments, and ensuring language assistance services are coordinated with scheduled appointments for health care services.
此處指出的網絡充足性合規與監督活動，是針對 MHP、DMC-ODS 計畫和 DMC 州計畫特別針對及時存取要求而提出的。管理式保健品質與監督部門監督管理式保健計劃的網絡充足性要求。請參閱健康照護服務部網絡充足性網頁，以瞭解更多與網絡充足性相關的資訊，包括年度認證報告、核准的替代性使用標準和矯正行動計劃。
Provided below are some federal and state laws applicable to NAOS. These laws are found within the CFR, and Welfare and Institutions Code (WIC).
適用法律
聯邦：
- 42 CFR 438.206 服務的可用性
- 42 CFR 438.207 保證足夠的能力和服務
- 42 CFR 438.68 網絡充足標準
國家（法規）：
- 衞生防護理系統第一三七十七 /03
- 世界貿易委員會第十四 197 條
國家（法規）：
- 第二十八條 CCR 第一百零零零一七 /七四年
- 第二十八條 CCR 第一百零零零 .67.2.2 條