醫療服務常見問題 (FAQ)
以下常見問題為 Medi-Cal 會員提供有關二元服務福利的額外指導和澄清。 由於衛生護理服務部（DHCS）收到其他問題，此常見問題將更新。
一般資訊
1.什麼是二次性服務？
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.
二.「二次性服務」是什麼意思？
“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).
三.二元服務的一部分可提供哪些服務？
- Dyadic Behavioral Health（DBH）門診是在就診時為兒童和父母或照顧者提供的服務。透過 DBH 探訪，可以篩檢兒童和父母或照顧者的行為健康問題、人際安全、煙草和藥物濫用、不良童年經歷以及健康的社會驅動因素 (例如糧食不安全和住房不穩定)，並提供適當後續照護的轉診。
- 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.我們如何獲得雙胞胎護理？
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.誰可以提供雙重服務？
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.
六.社區衛生工作人員可否提供雙重服務？
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.
七.我沒有註冊 Medi-Cal，但我的孩子是。 我們是否有資格獲得雙重服務福利？
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.
八. 我可以在哪裡獲得雙重服務？
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.
九. 我在哪裡可以獲得有關雙重保障的更多信息？
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.