Txhua Daim Ntawv Npaj
Cov cai lij choj zaum kawg Cov kev hloov tshiab no muaj los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS). Yog xav paub ntxiv, thov hu rau koj tus neeg muab kev pabcuam kev sib raug zoo.
APL
Cov Chaw Pabcuam Tseem Ceeb Takeaway
Txoj cai cuam tshuam
Tag nrho
- Tag nrho
- 2024
- 2023
- 2022
- 2020
APL: APL 24-022
Date: Mar 25, 2025
Date: Mar 25, 2025
DMHC APL 24-022: Children and Youth Behavioral Health Initiative, Certified Wellness Coaches
- AB 133 established the Children and Youth Behavioral Health Initiative (CYBHI), part of the Master Plan for Kids’ Mental Health. The CYBHI introduced a new category of behavioral health providers, the Certified Wellness Coach, in its directive to HCAI to assist in expanding the supply of behavioral health providers.
- The scope of services provided by Certified Wellness Coaches is limited to prevention and early intervention behavioral health services to children and youth through age 25 and their families.
- For more information, please refer to DMHC APL 24-022.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: APL 24-023
Date: Mar 25, 2025
Date: Mar 25, 2025
DMHC APL 24-023: Cov Cai Lij Choj Tshiab Tau Txais Kev Pabcuam Rau Kev Npaj Khomob
- This APL outlines the newly enacted statutory requirements for health care service plans regulated by the Department of Managed Health Care. This APL identifies and discusses the 23 total bills enacted this session.
- For more information, please refer to DMHC APL 24-023.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: APL 22-013
Date: Mar 25, 2025
Date: Mar 25, 2025
APL 22-013: Provider Credentialing/Re-Credentialing
- Please review the APL for updated screening and enrollment requirements for providers.
- For more information, please refer to DHCS APL 22-013.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: APL 24-019
Date: Mar 25, 2025
Date: Mar 25, 2025
APL 24-019: Minor Consent to Outpatient Mental Health Treatment or Counseling
- Assembly Bill (AB) 665 amends certain statutory sections allowing minors aged 12 and older to consent to outpatient mental health treatment or counseling without parental consent, provided they are deemed mature enough by a professional.
- Minors aged 12 or older can independently consent to non-specialty outpatient Medi-Cal mental health treatment or counseling if, in the professional’s opinion, they are mature enough.
- The law applies to non-specialty outpatient mental health services. Specialty mental health services are governed by county Mental Health Plans (MHPs).
- Minors cannot consent to convulsive therapy, psychosurgery, or psychotropic drugs without parental consent.
- For more information, please refer to DHCS APL 24-019.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: APL 24-015
Date: Mar 25, 2025
Date: Mar 25, 2025
DHCS APL 24-015: CCS WCM Program
- The Whole Child Model (WCM) Program integrates CCS-covered services into Medi-Cal managed care for comprehensive care coordination encompassing primary, specialty and behavioral health services for CCS-eligible children and youth.
- MCPs are responsible for authorizing, case managing and paying for services that correct or ameliorate CCS-eligible conditions, adhering to CCS Program standards.
- Care must be provided by CCS-paneled providers, CCS-approved Special Care Centers, or CCS-approved pediatric acute care hospitals.
- This APL supersedes PIB 23-034 and aims to ensure that MCPs and County CCS Programs effectively collaborate to provide comprehensive and coordinated care for CCS-eligible children and youth within the WCM framework.
- For more information, please refer to DHCS APL 24-015.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: APL 24-017
Date: Mar 25, 2025
Date: Mar 25, 2025
DHCS APL 24-017: Transgender, Gender Diverse or Intersex Cultural Competency Training Program thiab Cov Kev Xav Tau ntawm Tus Muab Kev Pab
- This APL provides Medi-Cal managed care plans (MCPs) with guidance regarding the transgender, gender diverse, intersex (TGI) cultural competency training program and Provider Directory changes that Senate Bill (SB) 923 requires to provide trans-inclusive health care to MCP Members.
- SB 923, the TGI Inclusive Care Act, established requirements to improve trans-inclusive health care in California. A TGI Working Group was created to develop training standards and gather community input. Trans-inclusive care emphasizes respecting bodily autonomy, avoiding gender assumptions and treating all individuals with compassion and respect.
- For more information, please refer to DHCS APL 24-017.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-016
Date: Mar 25, 2025
Date: Mar 25, 2025
DHCS APL 24-016 Diversity, Equity and Inclusion (DEI) Training Program Requirements
- Managed Care Plans (MCP) must develop and implement DEI training programs encompassing sensitivity, diversity, cultural competency, cultural humility and health equity for all MCP staff and network providers. The MCP’s Chief Health Equity Officer is responsible for overseeing the DEI training program, ensuring that training materials are current, evidence-based and region-specific. MCPs must also establish mechanisms to monitor training completion and address deficiencies. The DEI training programs must align with the National Committee for Quality Assurance (NCQA) Health Equity Accreditation Standards, aiming to improve communication between providers and members from diverse backgrounds, thereby enhancing access to care and health outcomes.
- Supersedes APL 99-005 & APL 22-013.
- For more information, please refer to DHCS APL 24-016.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PAB 24-018
Hnub tim: Oct 16, 2024
Hnub tim: Oct 16, 2024
DMHC APL 24-018 Ua raws li Senate Bill 923
- APL no muab kev taw qhia txog kev siv Senate Bill 923-Gender-Affirming Care, suav nrog kev ua ntaub ntawv thov thiab ua raws li cov kev cai rau txhua qhov kev pabcuam puv ntoob thiab qee yam kev pabcuam tshwjxeeb khomob.
- Qhov no APL officially txais cov Transgender, Gender Divers, lossis Intersex (TGI) Cov Lus Qhia Ua Haujlwm Pab Pawg hais txog cov ncauj lus hauv cov ntawv qhia kev cob qhia rau cov neeg ua haujlwm kho mob.
- APL no xav kom muaj ib txoj kev npaj los xyuas kom txhua tus neeg ua haujlwm saib xyuas kev noj qab haus huv ua tiav cov pov thawj-raws li kev coj noj coj ua kev cob qhia thaum muab kev saib xyuas kev noj qab haus huv rau cov tib neeg uas txheeb xyuas tias yog TGI. Yog xav paub ntxiv, mus saib nplooj 7-10 ntawm APL.
- Lub Alliance yuav tsum suav nrog cov chaw muab kev pabcuam hauv network muab kev pabcuam kev lees paub poj niam txiv neej hauv cov chaw muab kev pabcuam thiab cov chaw hu xovtooj tsis pub dhau Lub Ob Hlis 14, 2025.
- Thov sau daim foos no qhia rau peb paub yog tias koj muab kev pabcuam kev lees paub txog poj niam txiv neej.
- Yog xav paub ntxiv, thov mus saib DMHC APL 24-018.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-013
Hnub tim: Sep 18, 2024
Hnub tim: Sep 18, 2024
DHCS APL 24-013 - Managed Care Plan Child Welfare Liaison
- APL no qhia meej txog lub hom phiaj thiab lub hom phiaj ntawm Medi-Cal Managed Care Plan (MCP) Child Welfare Liaison, yav tas los hu ua Foster Care Liaison. Qhov no yog txhawm rau txhim kho kev sib koom tes saib xyuas thiab cov txiaj ntsig tau rau cov menyuam yaus thiab cov tub ntxhais hluas koom nrog kev noj qab haus huv menyuam yaus los ntawm kev ua kom muaj kev sib koom tes zoo ntawm MCPs thiab lwm lub koom haum koom nrog.
- Lub luag haujlwm tseem ceeb ntawm MCP Child Welfare Liaison suav nrog tab sis tsis txwv rau:
- Ua hauj lwm raws li lub ntsiab lus tseem ceeb ntawm kev sib cuag rau cov teeb meem loj ntxiv txog kev noj qab haus huv menyuam yaus.
- Muab kev taw qhia thiab kev pab rau MCP cov neeg ua haujlwm koom nrog hauv kev saib xyuas kev sib koom tes rau cov tswv cuab thiab tsim kev koom tes nrog cov koom haum tshwj xeeb.
- Txhawb MCP cov neeg ua hauj lwm thiab cov chaw muab kev pab cuam nrog cov kev raug mob qhia txog txoj hauv kev thaum cuam tshuam nrog menyuam yaus, hluas lossis lwm tus neeg koom nrog.
- Foster Youth Bill of Rights: California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv muab cov peev txheej hais txog cov cai ntawm cov tub ntxhais hluas yug menyuam, suav nrog cov ntaub ntawv thiab cov lus qhia feem ntau faib rau cov hluas thiab lawv cov neeg saib xyuas. Cov peev txheej muaj nyob rau ntawm lawv official website.
- Trauma-Informed Care: National Child Traumatic Stress Network (NCTSN) yog ib qho tseem ceeb ntawm tsoomfwv cov peev txheej muab kev cob qhia, cov ntaub ntawv thiab cov ntaub ntawv qhia txog kev raug mob. Cov Kev Ua Phem Txhaum Cai thiab Kev Pabcuam Kev Puas Siab Puas Ntsws (SAMHSA) muab cov peev txheej hauv lub tebchaws thiab cov lus qhia rau cov kev raug mob uas qhia txog kev raug mob, suav nrog Kev Tiv Thaiv Kev Tiv Thaiv Kev Nyuaj Siab hauv Kev Pabcuam Kev Noj Qab Haus Huv.
- CBI Tus Muab Kev Txhawb Zog: Lub Alliance muab $200 kev txhawb siab rau ib tus kws kho mob kom ua tiav ACEs Aware Core Training and Attestation on the ACEs Aware website. Yog xav paub ntxiv txog qhov kev txhawb siab no, thov mus saib peb lub vev xaib CBI. Koj hu tau rau Dr. Dianna Myers, Tus Thawj Saib Xyuas Kev Kho Mob, Alliance Child Welfare Liaison nrog cov lus nug ntawm (800) 700-3874 ext. 5513 los yog email ntawm ListCMIntakeCoordinators@ccahstage.wpengine.com.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-012
Hnub tim: Sep 17, 2024
Hnub tim: Sep 17, 2024
DHCS APL 24-012 - Non-Specialty Mental Health Services (NSMHS): Kev Tshaj Tawm Txog Tswv Cuab, Kev Kawm, thiab Kev Xav Tau
- Cov phiaj xwm kev noj qab haus huv yuav tsum tau ua kom muaj kev tshaj tawm tsis tu ncua rau cov tswv cuab uas tuaj yeem tau txais txiaj ntsig los ntawm kev pabcuam kev puas siab puas ntsws los ntawm kev tshuaj xyuas thiab kev ntsuam xyuas thaum muaj kev sib cuam tshuam.
- Txoj kev nthuav qhia thiab kev qhia ntawv yuav tsum muaj cov ntaub ntawv hais txog cov txiaj ntsig kev noj qab haus huv ntawm lub hlwb uas tau them los ntawm Managed Care Plan (MCP). Thov saib APL 18-016, lossis ib qho kev hloov pauv APL, rau kev taw qhia ntxiv thiab cov kev cai hais txog kev nthuav qhia, kev kawm thiab cov ntaub ntawv tswv cuab.
- Cov phiaj xwm kev noj qab haus huv yuav tsum hloov kho cov phiaj xwm kev nthuav qhia thiab kev kawm hauv xyoo tom ntej, raws li xav tau, raws li kev kawm los ntawm Diversity, Equity thiab Inclusion kev cob qhia, raws li tau teev tseg hauv APL 23-025, lossis ib qho kev hloov pauv APL.
- Yog xav paub ntxiv, thov mus saib DHCS APL 24-012.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-011
Hnub tim: Sep 16, 2024
Hnub tim: Sep 16, 2024
DHCS APL 24-011 - Cov Chaw Pabcuam Nruab Nrab rau Cov Neeg Muaj Kev Loj Hlob - Kev Pabcuam Rau Lub Sijhawm Ntev Kev Pabcuam Kev Pabcuam thiab Kev Hloov Pauv ntawm Cov Tswvcuab rau Kev Saib Xyuas (Supersedes APL 23-023)
- CalAIM nrhiav kev txav Medi-Cal mus rau ib qho kev sib raug zoo thiab tsis sib haum los ntawm kev txo cov kev nyuaj thiab ua kom yooj yim dua los ntawm kev tsim cov txiaj ntsig zoo. Txhawm rau txuas ntxiv cov hom phiaj no, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom siv cov qauv kev pab cuam - tseem hu ua "carve-in" - ntawm ICF / DD Cov txiaj ntsig hauv tsev thoob plaws lub xeev.
- Pib txij Lub Ib Hlis Ntuj Tim 1, 2024, DHCS yuav xav kom Cov Neeg Tsis-Dual-Dual thiab Dual LTC Cov Tswv Cuab (nrog rau cov uas muaj Medi-Cal Share of Cost of Cost) kom tso npe rau hauv MCP thiab tau txais lawv cov txiaj ntsig LTC ICF/DD Home los ntawm lawv MCP. Kev tso npe rau hauv MCP tsis hloov ib tug tswv cuab txoj kev sib raug zoo nrog lawv lub Regional Center. Kev nkag mus rau Cov Kev Pabcuam Hauv Cheeb Tsam thiab rau cov txheej txheem IPP tam sim no yuav nyob zoo ib yam.
- ICF/DD Cov Tsev Kawm Ntawv uas sau cov nyiaj SOC lossis cov nyiaj them poob haujlwm yog lub luag haujlwm rau kev lees paub SOC hauv Medi-Cal qhov kev lees paub txog kev tsim nyog los qhia tias Tus Tswvcuab tau them lossis lub luag haujlwm them rau SOC cov nuj nqis txhua hli. Cov lus qhia rau cov kws kho mob kom ua SOC tshem tawm kev hloov pauv hauv Medi-Cal qhov kev txheeb xyuas qhov tsim nyog tau muab rau hauv Ntu 1 ntawm Medi-Cal Phau Ntawv Qhia.
- Yog xav paub ntxiv, thov xa mus rau DHCS APL 24-011.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-010
Hnub tim: Sep 16, 2024
Hnub tim: Sep 16, 2024
DHCS APL 24-010 - Subacute Care Facilities – Long Term Care Benefit Standardization and Transition of Members to Managed Care (Supersedes APL 23-027)
- Cov kev pabcuam Subacute Care Facility suav nrog cov uas tau muab rau cov neeg laus thiab cov menyuam yaus, uas yog muab los ntawm lub tsev kho mob uas muaj ntawv tso cai kho mob hnyav nrog cov txaj kws kho mob tshwj xeeb, lossis los ntawm lub chaw saib xyuas neeg mob dawb uas muaj ntawv pov thawj. 2 Hauv txhua kis, lub chaw yuav tsum muaj daim ntawv cog lus tsim nyog nrog Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS)
- Pib txij Lub Ib Hlis Ntuj Tim 1, 2024, DHCS yuav xav kom cov tswv cuab tsis yog ob leeg thiab ob lub LTC (nrog rau cov uas muaj tus Nqi Them) tau txais cov kev pabcuam LTC hauv lub Tsev Kho Mob Subacute lossis Intermediate Care Facility for the Developmentally Disabled (ICF/DD) rau npe. hauv MCP. APL no tsom mus rau cov kev pabcuam subacute uas yog ib feem ntawm cov kev pabcuam LTC
- Tus kws kho mob cov ntawv sau rau SOC cov nuj nqis yuav tsum tau khaws cia rau hauv Tswv Cuab cov ntaub ntawv kho mob. Yog tias ib tug tswv cuab siv ib feem ntawm lawv SOC ntawm qhov tsim nyog, tsis muaj kev pab, kev kho mob lossis kev kho mob lossis cov khoom siv kho mob, Subacute Care Facility yuav rho tawm cov nyiaj ntawd los ntawm Tus Tswv Cuab SOC thiab sau cov nyiaj SOC uas tseem tshuav. Subacute Care Facility yuav kho tus nqi ntawm qhov kev thov thiab xa daim ntawv thov mus rau MCP kom them qhov nyiaj tshuav. Ntxiv DHCS kev taw qhia txog Johnson v. Cov kev xav tau qeb duas muaj nyob rau hauv Medi-Cal LTC Tus Muab Kev Pab Cuam. Subacute Care Facilities uas sau SOC cov nyiaj them lossis cov nyiaj them poob haujlwm yog lub luag haujlwm rau kev lees paub SOC hauv Medi-Cal kev txheeb xyuas qhov tsim nyog los qhia tias Tus Tswvcuab tau them lossis them nyiaj rau SOC cov nuj nqis txhua hli. Cov lus qhia rau cov kws kho mob kom ua SOC tshem tawm kev hloov pauv hauv Medi-Cal qhov kev txheeb xyuas qhov tsim nyog tau muab rau hauv Ntu 1 ntawm Medi-Cal Phau Ntawv Qhia.
- Yog xav paub ntxiv, thov xa mus rau DHCS APL 24-010.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-009
Hnub tim: Sep 16, 2024
Hnub tim: Sep 16, 2024
DHCS APL 24-009 - Cov Chaw Pabcuam Kho Mob - Cov Kev Pabcuam Rau Lub Sijhawm Ntev Kev Pabcuam Kev Pabcuam thiab Kev Hloov Pauv Cov Tswvcuab rau Kev Saib Xyuas Kev Tswj Xyuas (Supersedes APL 23-004)
- CalAIM nrhiav kev txav Medi-Cal mus rau ib qho kev sib raug zoo thiab tsis sib haum los ntawm kev txo cov kev nyuaj thiab ua kom yooj yim dua los ntawm kev tsim cov txiaj ntsig zoo. Qhov kev pab cuam Medi-Cal muab cov kev pab cuam los ntawm ob qho tib si Fee-For-Service (FFS) thiab kev tswj xyuas tus me nyuam. Thaum Medi-Cal tswj hwm kev saib xyuas muaj nyob thoob plaws lub xeev, cov txiaj ntsig sib txawv ntawm cov nroog nyob ntawm tus qauv kev npaj khomob. Cov kev hloov pauv hauv cov txiaj ntsig suav nrog kev pab cuam SNF. Ua ntej Lub Ib Hlis 1, 2023, MCPs ua haujlwm hauv 27 lub nroog tau them rau SNF cov kev pabcuam raws li kev pabcuam LTC cov kev pabcuam. Hloov chaw, cov tswvcuab saib xyuas hauv 31 lub nroog raug rho tawm los ntawm kev tswj hwm kev saib xyuas rau Medi-Cal FFS yog tias lawv xav tau cov kev pabcuam LTC hauv tsev.
- Pib txij Lub Ib Hlis Ntuj Tim 1, 2024, cov koom haum LTC cov tswv cuab tau txais cov kev pab cuam LTC hauv tsev kho mob hauv Subacute Care Facility lossis Intermediate Care Facility for the Developmentally Disabled (ICF/DD) yuav tsum tau rau npe rau hauv MCP. APLs tshwj xeeb rau cov kev pab cuam subacute (muab nyob rau hauv ob qho tib si freestanding thiab hauv tsev kho mob, nrog rau cov chaw zov me nyuam thiab cov neeg laus subacute) thiab cov kev pabcuam ICF/DD yuav raug tso tawm nyias.
- Vim yog Johnson v. Rank foob, Medi-Cal Cov Tswvcuab, tsis yog lawv Cov Kws Pabcuam, tuaj yeem xaiv los siv cov nyiaj SOC los them rau qhov tsim nyog, tsis muaj kev pab them nqi kho mob lossis kho kho, khoom siv, khoom siv, thiab tshuaj (kev pabcuam khomob) uas tau sau los ntawm tus kws kho mob thiab ib feem ntawm txoj kev npaj saib xyuas tau tso cai los ntawm Tus Tswv Cuab tus kws kho mob tuaj koom. Tus kws kho mob cov ntawv sau rau SOC cov nuj nqis yuav tsum tau khaws cia rau hauv Tswv Cuab cov ntaub ntawv kho mob. Cov lus qhia rau cov kws kho mob kom ua SOC tshem tawm kev hloov pauv hauv Medi-Cal qhov kev txheeb xyuas qhov tsim nyog tau muab rau hauv Ntu 1 ntawm Medi-Cal Phau Ntawv Qhia.
- Yog xav paub ntxiv, thov xa mus rau DHCS APL 24-009.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-008
Hnub tim: Aug 16, 2024
Hnub tim: Aug 16, 2024
DHCS APL 24-008 Kev Tiv Thaiv Kev Tiv Thaiv
- Cov kev hloov pauv rau APL no supersede PIB 18-004 thiab PIB 16-009. Qhov APL no qhia meej txog cov kev xav tau ntsig txog kev muab kev txhaj tshuaj tiv thaiv kab mob.
- Pib txij Lub Yim Hli 1, 2024, rov qab mus rau Lub Ib Hlis 1, 2023, Cov Chaw Kho Mob rau Cov Menyuam Yaus (VFC) cov kws kho mob uas tswj hwm cov tshuaj tiv thaiv nyiaj txiag VFC rau VFC-tsim nyog tau txais Medi-Cal cov tswv cuab thiab sau nqi cov tshuaj tiv thaiv VFC uas tau txais txiaj ntsig los ntawm khw muag tshuaj rau Medi- Cal Rx tam sim no tuaj yeem them rov qab. Cov kws kho mob yuav raug them rov qab rau kev tswj hwm lub khw muag tshuaj ntawm cov tshuaj tiv thaiv thiab tus nqi them tus kws tshaj lij raws li cov lus pom zoo los ntawm Pawg Neeg Saib Xyuas Kev Tiv Thaiv Kab Mob (ACIP).
- Cov kws kho mob yuav tsum tau sau tseg rau txhua tus tswvcuab xav tau kev txhaj tshuaj tiv thaiv ACIP-pom zoo raws li ib feem ntawm txhua qhov kev mus ntsib kev noj qab haus huv, suav nrog tab sis tsis txwv rau hom hauv qab no:
- Kev mob nkeeg, kev saib xyuas lossis kev teem caij mus ntsib.
- Initial Health Appointments (IHAs).
- Cov chaw muag tshuaj.
- Prenatal thiab postpartum care.
- Kev mus ncig ua ntej.
- Kev ua kis las, tsev kawm ntawv lossis ua haujlwm lub cev.
- Mus ntsib LHD (chaw saib xyuas kev noj qab haus huv hauv zos).
- Zoo kuaj mob.
- Lub Alliance yuav muab cov kev pabcuam kws muag tshuaj raws li cov nyiaj them rov qab Medi-Cal thaum muab rau ib tus tswvcuab hauv qhov chaw kho mob sab nraud. Cov kws kho mob cov kev pabcuam yuav raug them nqi kho mob rau cov tswvcuab Alliance. Lub Alliance yuav them nyiaj rov qab rau cov chaw muab tshuaj rau kev muab cov kev pabcuam kws muag tshuaj raws li cov cai ntawm Kev Lag Luam thiab Kev Ua Haujlwm (B&P) thiab California Code of Regulations (CCR).
- Yog xav paub ntxiv, thov mus saib DHCS APL 24-008.
Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
- Alliance txoj cai cuam tshuam txog APL no.
APL: PIB 24-006
Hnub tim: Aug 16, 2024
Hnub tim: Aug 16, 2024
DHCS APL 24-006: Kev Pabcuam Kev Noj Qab Haus Huv Hauv Zej Zog
- Cov kev hloov pauv ntawm APL no supersede DHCS APL 22-016. APL no muab kev taw qhia txog kev tsim nyog los ua Tus Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog (CHW), cov ntsiab lus ntawm cov pej xeem tsim nyog tau txais kev pabcuam CHW thiab piav qhia txog cov xwm txheej siv tau rau CHW cov txiaj ntsig.
- Thov tshuaj xyuas cov kev hloov pauv uas tau ua rau "Kev Sau Npe Rau Tus Neeg Muab Kev Pab" ntawm APL.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Provider Manual (yog tias tsim nyog) hais txog APL no.
- Alliance txoj cai cuam tshuam txog qhov APL no:
APL: PIB 24-016
Hnub tim: Aug 16, 2024
Hnub tim: Aug 16, 2024
DHCS APL 24-016: Ntshav Lead Screening of Young Children
- Cov ntaub ntawv "Kev kuaj ntshav Lead & Kev Qhia Txog Kev Cia Siab" tau raug tshem tawm thiab tshem tawm ntawm APL 20-016. Thov tshuaj xyuas qhov hloov tshiab no rau APL 20-016, uas suav nrog cov kev kho me me thiab kev kho.
- Yog xav paub ntxiv, thov xa mus rau DHCS APL 20-016.
- Thov saib rau yav tom ntej Alliance cov cai thiab cov txheej txheem nyob rau hauv Alliance Tus Muab Tswv Yim Phau Ntawv Qhia (yog tias tsim nyog) hais txog APL no.
APL: PIB 24-002
Hnub tim: Lub Ob Hlis 8, 2024
Hnub tim: Lub Ob Hlis 8, 2024
DHCS APL 24-002: Medi-Cal Managed Care Plan Lub luag hauj lwm rau Indian Cov Kws Kho Mob thiab Cov Neeg Qhab Asmeskas
- Lub hom phiaj ntawm Tsab Ntawv Npaj Tag Nrho (APL) no yog los piav qhia thiab qhia meej txog kev tiv thaiv tseemfwv qibsiab thiab lub xeev uas twb muaj lawm thiab lwm txoj kev pabcuam kev noj qab haus huv rau cov tswvcuab Neeg Qhab Asmeskas uas tau cuv npe hauv Medi-Cal cov kev npaj khomob (MCPs).
- Qhov no APL hloov pauv APL 09-009.
- APL no kuj suav nrog ntau yam MCP cov cai hais txog kev tiv thaiv rau Indian Cov Kws Kho Mob.
- Daim ntawv cog lus MCP txhais tias "Asmeskas Khab" yog ib tug tswv cuab uas ua tau raws li cov txheej txheem rau "Indian" raws li tau hais tseg hauv tsoomfwv txoj cai lij choj. Txhawm rau ua raws li daim ntawv cog lus MCP, APL no siv lo lus "American Indian."
- Tribal Liaison: Pib txij Lub Ib Hlis Ntuj Tim 1, 2024, MCPs yuav tsum muaj ib pab pawg neeg sib tham uas tau mob siab rau ua hauj lwm nrog txhua tus IHCP daim ntawv cog lus thiab tsis tau cog lus nyob rau hauv nws qhov chaw pab. Pab pawg neeg sib tham yog lub luag haujlwm rau kev sib koom tes xa mus thiab them nyiaj rau cov kev pabcuam uas muab rau cov tswvcuab Indian MCP uas tsim nyog tau txais kev pabcuam los ntawm IHCP.
- Koj tuaj yeem tiv tauj Cynthia Balli, Tus Thawj Saib Xyuas Kev Sib Raug Zoo rau Merced County, nrog rau cov lus nug txog Alliance tus neeg sib tham pab pawg, ntawm (209) 381 -7394.
APL: PIB 23-025
Hnub tim: Lub Ob Hlis 7, 2024
Hnub tim: Lub Ob Hlis 7, 2024
DMHC APL 23-025 - Cov Cai Lij Choj Tshiab tau tsim los cuam tshuam rau cov phiaj xwm kev noj qab haus huv
- Thov tshuaj xyuas APL no los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC) uas qhia txog ntau yam kev cai lij choj tshiab rau cov phiaj xwm kho mob.
APL: PIB 24-001
Hnub tim: Lub Ib Hlis 12, 2024
Hnub tim: Lub Ib Hlis 12, 2024
DHCS APL 24-001: Street Medicine Provider: Cov ntsiab lus thiab kev koom tes hauv kev saib xyuas
- APL no muab kev taw qhia rau Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) txog kev siv cov chaw muab tshuaj kho mob li cas los daws cov kev xav tau ntawm Medi-Cal thiab cov tswv cuab uas tsis muaj tsev nyob. Qhov no APL supersedes DHCS APL 22-023.
- Raws li APL no, cov kws kho mob txoj kev yuav tsum tau them nqi Qhov Chaw Pabcuam (POS) code 27 (qhov chaw tshaj tawm / txoj kev) mus rau Medi-Cal Fee-For-Service (FFS) lossis MCPs thaum muab cov kev pabcuam rau kev kho mob raws li lub Kaum Hlis 1, 2023.
- Thov nco ntsoov tias tam sim no DHCS tab tom hloov kho tshiab hauv California Medicaid Management Information System (CA-MMIS) kom haum rau POS code 27. Txhua qhov FFS cov lus thov uas raug tsis kam lees siv POS code 27 thaum lub sijhawm hloov tshiab CA-MMIS tsis tas yuav xa rov qab thiab yuav yuav ua tiav tau txais thaum qhov kev hloov pauv tiav lawm.
- Txuas ntxiv siv POS codes 04 (Homeless Shelter), 15 (Mobile Unit) thiab 16 (chaw nyob ib ntus) rau cov kev pab cuam uas muaj nyob rau hauv cov chaw muaj feem. Ob txoj kev kho mob thiab tshuaj mobile yog cov kev pab cuam rov qab los raws li cov txheej txheem them nqi thiab tus kws kho mob qhov kev coj ua.
- Thov nyeem Alliance Txoj Cai ntsig txog APL no: 300-4046-Street Medicine Providers.
Koj tuaj yeem nrhiav Alliance cov cai thiab cov txheej txheem cuam tshuam hauv Alliance Provider Phau Ntawv Qhia.
APL: PIB 23-034
Hnub tim: Dec 27, 2023
Hnub tim: Dec 27, 2023
DHCS APL 23-034 – California Children's Services (CCS) Whole Child Model (WCM) Program
- Qhov kev pib no nrhiav kev qhia thiab kev taw qhia rau cov kws kho mob koom nrog hauv California Children's Services (CCS) Whole Child Model (WCM) Program.
- Lub Alliance yog lub luag haujlwm rau CCS txoj haujlwm hauv Merced, Monterey thiab Santa Cruz counties.
- Pib txij Lub Ib Hlis Ntuj xyoo 2025, Lub Koom Haum yuav muaj lub luag haujlwm rau CCS hauv Mariposa thiab San Benito cov nroog. Txog tam sim no, lub nroog CCS cov kev pabcuam yuav koom tes nrog CCS cov kev pabcuam rau CCS cov tswvcuab tsim nyog hauv Mariposa thiab San Benito Counties.
- Qhov APL no ua raws li CCS Numbered Letter (NL) 12-1223, uas muab kev taw qhia thiab kev taw qhia rau lub nroog CCS cov kev pab cuam txog cov kev cai cuam tshuam nrog WCM program.
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