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- Kev Pab Kho Cwj Pwm
- California Cov Kev Pab Cuam Rau Menyuam Yaus (California Children’s Services)
- Promoting Cultural and Linguistic Competency
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- Medi-Cal Rx
- Pharmacy Directory
- Pharmacy Formulary
- Formulary Changes for 2021
- Prescription Drug Prior Authorization
- Prior Authorization Criteria
- Anti-Obesity Agents Form
- Prior Authorization Information Request for Injectable Drugs
- Hepatitis C virus (HCV) Prior Authorization Checklist
- High Dose Opioid Regimen Checklist
- Synagis Statement of Medical Necessity
- Tobacco Treatment Checklist
- Treatment Authorization Request (TAR)
- Medical Nutrition Therapy Benefit Quick Reference Guide
- Pharmacy Home Program General Information and Enrollment Form
- Formulary Diabetic Testing Supplies Quick Reference Guide
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- Care-Based Incentive (CBI) Summary
- CBI Technical Specifications
- Antidepressant Medication Management Tip Sheet
- Immunizations: Adult Tip Sheet
- Immunizations: Adolescents Tip Sheet
- Programmatic Measure Benchmarks & Performance Improvement
- Asthma Medication Ratio Tip Sheet
- 90-Day Referral Completion – Exploratory Tip Sheet
- Antidepressant Medication Management Tip Sheet
- Application of Fluoride Varnish Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Chlamydia Screening in Women – Exploratory Measure Tip Sheet
- Child and Adolescent Well-Care Visits Tip Sheet
- Cervical Cancer Screening Tip Sheet
- Child and Adolescents BMI Assessment Tip Sheet
- Breast Cancer Screening – Exploratory Measure Tip Sheet
- Well-Child Visits in the First 15 Months of Life Tip Sheet
- Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
- Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
- Preventable Emergency Visits Tip Sheet
- Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
- Maternity Care: Prenatal Tip Sheet
- Maternity Care: Postpartum Tip Sheet
- Plan All-Cause Readmissions Tip Sheet
- Lead Screening in Children – Exploratory Measure Tip Sheet
- Initial Health Assessment Tip Sheet
- Diabetic HbA1c Poor Control >9% Tip Sheet
- Developmental Screening in the First 3 Years Tip Sheet
- Controlling High Blood Pressure – Exploratory Measure Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Best Practices for Reducing Patient No-Shows Tip Sheet
- Ambulatory Care Sensitive Admissions Tip Sheet
- Depression Tool Kit
- USPSTF Recommendations for Primary Care Practice
- Preventable Emergency Care Visit Diagnosis Tip Sheet
- Blood Lead Testing Flyer
- California Management Guidelines: Childhood Lead Poisoning
- Standard of Care Guidelines: Childhood Lead Poisoning
- What’s New
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- Immunization Resources
- Cov Kev Txhawb Zog Rau Tus Tswvcuab
- Cov Kev Them Nyiaj Raws Tus Nqi
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- Kev Pab Kho Cwj Pwm
- California Cov Kev Pab Cuam Rau Menyuam Yaus (California Children’s Services)
- Promoting Cultural and Linguistic Competency
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- Medi-Cal Rx
- Pharmacy Directory
- Pharmacy Formulary
- Formulary Changes for 2021
- Prescription Drug Prior Authorization
- Prior Authorization Criteria
- Anti-Obesity Agents Form
- Prior Authorization Information Request for Injectable Drugs
- Hepatitis C virus (HCV) Prior Authorization Checklist
- High Dose Opioid Regimen Checklist
- Synagis Statement of Medical Necessity
- Tobacco Treatment Checklist
- Treatment Authorization Request (TAR)
- Medical Nutrition Therapy Benefit Quick Reference Guide
- Pharmacy Home Program General Information and Enrollment Form
- Formulary Diabetic Testing Supplies Quick Reference Guide
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- Care-Based Incentive (CBI) Summary
- CBI Technical Specifications
- Antidepressant Medication Management Tip Sheet
- Immunizations: Adult Tip Sheet
- Immunizations: Adolescents Tip Sheet
- Programmatic Measure Benchmarks & Performance Improvement
- Asthma Medication Ratio Tip Sheet
- 90-Day Referral Completion – Exploratory Tip Sheet
- Antidepressant Medication Management Tip Sheet
- Application of Fluoride Varnish Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Chlamydia Screening in Women – Exploratory Measure Tip Sheet
- Child and Adolescent Well-Care Visits Tip Sheet
- Cervical Cancer Screening Tip Sheet
- Child and Adolescents BMI Assessment Tip Sheet
- Breast Cancer Screening – Exploratory Measure Tip Sheet
- Well-Child Visits in the First 15 Months of Life Tip Sheet
- Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
- Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
- Preventable Emergency Visits Tip Sheet
- Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
- Maternity Care: Prenatal Tip Sheet
- Maternity Care: Postpartum Tip Sheet
- Plan All-Cause Readmissions Tip Sheet
- Lead Screening in Children – Exploratory Measure Tip Sheet
- Initial Health Assessment Tip Sheet
- Diabetic HbA1c Poor Control >9% Tip Sheet
- Developmental Screening in the First 3 Years Tip Sheet
- Controlling High Blood Pressure – Exploratory Measure Tip Sheet
- Immunizations: Children (Combo 10) Tip Sheet
- Best Practices for Reducing Patient No-Shows Tip Sheet
- Ambulatory Care Sensitive Admissions Tip Sheet
- Depression Tool Kit
- USPSTF Recommendations for Primary Care Practice
- Preventable Emergency Care Visit Diagnosis Tip Sheet
- Blood Lead Testing Flyer
- California Management Guidelines: Childhood Lead Poisoning
- Standard of Care Guidelines: Childhood Lead Poisoning
- What’s New
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- Immunization Resources
- Cov Kev Txhawb Zog Rau Tus Tswvcuab
- Cov Kev Them Nyiaj Raws Tus Nqi
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Kev Txais Kev Kho Mob
Thawj Qhov Kev Kho Mob
Raws li yog ib tus Alliance tswvcuab, koj yuav pom cov kws kho mob uas yog ib feem ntawm peb qhov kev npaj kho mob thiab lub Alliance yuav pab them rau koj cov nqi kho mob.
Koj tuaj yeem pib tau txais cov kev pab cuam kho mob sai li sai tau thaum koj qhov kev fajseeb kho mob pib lawm. Hnub tim siv tau ntawm koj qhov kev fajseeb kho mob nyob rau ntawm koj daim npav Alliance ID uas tau muab xa tuaj rau koj. Nco ntsoov ib txwm nqa koj daim npav Alliance IDDaim Npav qhia npe Cov Txiaj Ntsig Ntawm Medi-cal (BIC, raws li sau hauv lus Askiv) thiab lwm cov npav kev tuaj pov hwm kev noj qab haus huv twg tuaj nrog koj thaum twg los xij uas koj mus txais cov kev pab cuam kev saib xyuas kev noj qab haus huv. Tsis txhob muab koj daim ID card ntawm Alliance los sis daim npav BIC rau ib tug neeg twg siv.
Thawj Qhov Kev Kho Mob, kuj muaj npe hu tias yog kev saib xyuas li ib txwm lossis kev saib xyuas kev noj qab haus huv tas li, suav nrog kev tiv thaiv los pab kom koj nyob yam muaj kev noj qab haus huv thiab txais kev pab kho mob thaum koj muaj mob.
Cov kev pab cuam uas koj tau txais nrog qhov kev saib xyuas li ib txwm suav nrog:
- Cov kev kuaj xyuas lub cev.
- Cov kev txhaj tshuaj.
- Cov kev kho mob.
- Cov ntawv sau yuav tshuaj los ntawm kws kho mob.
- Cov kev kuaj thiab cov kev tshuaj xyuas.
- Kev kawm txog kev noj qab haus huv thiab kev pab tswv yim.
Koj yuav tau txais txhua yam ntawm koj qhov kev saib xyuas li ib txwm los ntawm koj tus thawj kws kho mob (primary care provider; PCP, raws li sau hauv lus Askiv). Koj tus PCP yuav:
- Paub txog cov keeb kwm kev noj qab haus huv ntawm koj thiab koj cov kev pab uas yuav tsum tau.
- Kaws koj cov ntaub ntawv kho mob.
- Muab kev pab tiv thiav kho mob thiab kev saib xyuas li ib txwm uas koj yuav tsum tau.
- Xa (xa) koj mus rau tus kws kho mob tshwj xeeb yog tias koj yuav tsum mus ntsib ib tug.
- Npaj rau kev saib xyuas kho mob hauv tsev kho mob loj rau koj yog tias koj yuav tsum tau txais.
Koj tuaj yeem tau txais Thawj Qhov Kev Kho Mob sai li sai tau thaum koj qhov kev txais kev fajseeb kho mob pib lawm. Raws li yog ib tus Alliance tswvcuab tshiab, koj yuav tsum mus ntsib koj tus PCP rau ib qho kev kuaj mob thawj zaug (initial health assessment) yam tsis pub dhau 120 hnub ntawm kev nkag los ua ib tus Alliance tswvcuab li ntawd lawv thiaj li tuaj yeem kawm paub txog koj thiab koj qhov kev noj qab haus huv.
Nco ntsoov los ua raws li cov hauv qab no thaum koj hu xov tooj mus teem caij rau koj li kev kuaj mob thawj zog rau tus neeg mob tuaj tshiab:
- Qhia rau tus neeg neeg uas teb lub xov tooj tias koj yog ib tus tswvcuab nawm lub Alliance.
- Muab koj tus lej ID ntawm Alliance rau nws.
- Nqa koj daim npav Alliance ID, daim npav BIC thiab lwm cov npav kev fajseeb kho mob nrog koj thaum mus rau koj cov sijhawm teem caij mus ntsib.
Npaj tham nrog koj tus PCP txog cov kev pab saib xyuas kho mob uas koj xav tau thiab cov kev txhawj xeeb. Nws yog ib qhov tswv yim zoo los nqa ib daim ntawv teev koj cov tshuaj noj siv thiab cov lus nug nrog koj thaum mus rau koj lub sijhawm teem caij mus ntsib.
Kev xyaum kev sib txuas lus kom zoo nrog koj tus kws kho mob yog ib qhov tseem ceeb kom paub tseeb tias koj txais tau cov kev pab kho mob uas koj yuav tsum tau. Kev sib txuas lus kom meej thiab ncaj ncees ntawm koj thiab koj tus PCP tuaj yeem pab rau koj kom muaj kev nyab xeeb los tham txog koj cov kev txhawj xeeb thiab ua cov kev xaiv uas paub tseeb.
Peb paub tias kev tham nrog koj tus PCP yeej tsis yooj yim tab sis kev sib txuas lus qhib siab lug yuav ua rau muaj kev txaus siab nrog koj tus kws kho mob. Hauv qab no yog qee cov kev piv txwv ntawm cov ncauj lus los sib tham nrog koj tus PCP yog tias koj muaj cov kev txhawj xeeb txog kev noj qab haus huv rau lub sijhawm koj mus ntsib.
| Nqe Lus Nug | Kev Piv Txwv |
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Kuv lub qhov ntsej sab laug mob txhua zaus kuv tshuab kuv lub qhov ntswg. |
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Nws tau pib li ntawm ib asthiv tag los thaum kuv pib tau khaub thuas. |
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Kuv hnov tias mob heev dua thaum kuv tshuab kuv lub qhov ntswg thiab hnov zoo tuaj thaum yav sawv ntxov tom qab kuv da dej tag. |
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Thaum twg kuv mamli pib hnov tias zoo tuaj? Cov tshuaj puas ua tau tej yam kev mob phiv tshuaj tshwm sim? |
Lwm cov lus qhia rau koj thaum mus ntsib tus kws kho mob:
- Nqa daim ntawv teev npe ntawm txhua cov tshuaj noj uas koj noj.
- Xav txog qhov yuav thov ib tug phooj ywg lossis ib tus neeg hauv tsev nrog koj mus los muab kev pab txhawb nqa.
- Yog tias koj muaj cov kev xav tau txog kev kho mob twg, xws li xav tau ib lub laub thawb neeg mob, lossis xav tau kev pab hais lwm hom lus lossis cov kev pab cuam txhais lus, qhia rau cov neeg ua haujlwm hauv tus kws kho mob lub chaw ua haujlwm paub li ntawd lawv thiaj tuaj yeem pab tau koj.
- Nug seb txoj cai hauv lub chaw haujlwm rau kev tsis tuaj ntsib raws sijhawm yog dab tsi. Lub chaw haujlwm tuaj yeem pab los rov teem sijhawm rau cov kev teem tuaj ntsib dua lossis pab muab lwm cov kev xaiv tuaj ntsib, xws li cov kev teem tuaj ntsib hauv xov tooj, yog tias nws nyuaj mus ntsib tus kws kho mob tim ntsej tim muag.
- Yog tias koj tsis muaj kev thauj mus los mus rau lub sijhawm teem caij mus ntsib, lub Alliance tuaj yeem pab tau nrog cov kev pab cuam thauj mus los. Hu rau Lub Chaw Pab Cuam Tswvcuab ntawm 800-700-3874 (TTY: Ntaus 800-735-2929 lossis 711) yog xav paub ntxiv.
Tom qab koj qhov kev kuaj thawj zaug rau tus neeg mob tuaj tshiab, koj tuaj yeem los txais kev saib xyuas li ib txwm los ntawm koj tus PCP. Thaum koj xav tau qhov kev saib xyuas li ib txwm, hu xov tooj rau koj tus PCP los teem caij mus ntsib.
Nws yog ib qho tseem ceeb los paub tias qhov kev saib xyuas li ib txwm tsis yog Kev Kho Mob Ceev lossis Kev Kho Mob Xwmtxheej Ceev.
Kev Kho Mob Ceev yog kev saib xyuas kho mob uas koj yuav tsum tau los tiv thaiv rau qhov kev puas tshuaj hnyav los ntawm kev muaj mob sai tam sim ntawd, kev raug mob lossis kev nyuaj ntawm qhov mob uas koj twb muaj lawm.
- Rau cov kev txhawj xeeb txog Kev Kho Mob Ceev, hu xov tooj rau koj tus PCP.
- Yog tias koj tsis tuaj yeem hu tsis tau koj tus PCP, hu rau Lub Chaw Pab Cuam Tswvcuab ntawm 800-700-3874 (TTY: Ntaus 800-735-2929 lossis 711).
- Koj kuj tuaj yeem hu rau Tus Xov Tooj Nug Kev Pab Los Ntawm Tus Kws Tu Neeg Mob (Nurse Advice Line) qhib 24/7 rau ntawm 844-971-8907 (TTY: Ntaus 711).
Kev Kho Mob Xwmtxheej Ceev yog rau cov mob uas phom sij rau lub neej.
- Rau ib qho xwmtxheej ceev, ntaus 911 lossis mus rau lub chav xwmtxheej ceev uas nyob ze.
- Yog koj tsis paub meej tias nws puas yog ib qho mob xwmtxheej ceev, hu rau koj tus kws PCP.
- Koj kuj tuaj yeem hu tau rau Tus Xov Tooj Nug Kev Pab Los Ntawm Tus Kws Tu Neeg Mob (Nurse Advice Line) qhib 24/7 rau ntawm 844-971-8907 (TTY: Ntaus 711).
Cov kev piv txwv ntawm kev saib xyuas Xwm Txheej Ceev yuav suav nrog, tab sis tsis txwv txog:
- Kev yuav yug menyuam.
- Kev pob txha lov.
- Kev mob nyhav.
- Kev mob hauv siab.
- Kev kub nyiab hnyav.
- Kev siv tshuaj ntau dhau.
- Kev tsaus muag.
- Kev los ntshav hlob.
- Kev puas siab puas ntsws xwmtxheej ceev, xws li kev nyuaj siab heev lossis xav tua tus kheej.
Tsis txhob mus rau lub chav xwmtxheej ceev (emergency room; ER, raws li sau hauv lus Askiv) rau qhov kev saib xyuas li ib txwm. Koj yuav tsum txais kev saib xyuas li ib txwm los ntawm koj tus PCP, tus uas paub koj zoo.
Raws li yog ib tus Alliance tswvcuab tshiab, koj tuaj yeem xaiv koj tus PCP los ntawm daim ntawv teev npe ntawm cov kws kho mob hauv lub Alliance pab pawg kws kho mob. Yog tias koj tsis xaiv ib tus PCP rau lub sijhawm tsis pub dhau 30 hnub, lub Alliance yuav xaiv ib tug rau koj.
- Mus xyuas cov lus taw qhia kom meej txog qhov yuav xaiv koj tus PCP li cas. Koj yuav tsum qhia tseeb koj qhov kev xaiv rau lub Alliance.
- Mus xyuas Phau Ntawv Teev Npe Cov Kws Kho Mob.
Kom hloov tau koj tus PCP, siv daim foos saum oos lais (online) lossis hu rau Lub Chaw Pab Cuam Tswvcuab ntawm 800-700-3874 (TTY: Ntau 711), hnub Monday txog Friday thaum 8 a.m. txog 5:30 p.m. Cov kev hloov yuav pib rau thawj hnub ntawm lub hli tom ntej.
Hu Rau Lub Chaw Pab Cuam Tswvcuab
- Hnub Monday txog hnub Friday, thaum 8 am. txog 5:30 p.m.
- Tus Xov Tooj: 800-700-3874
- Rau Tus Xov Tooj Pab Cuam Cov Neeg Uas Tsis Hnov Lus lossis Hnov Lus Tsis Zoo
Tsis Tau TTY: 877-548-0857 - Tus Xov Tooj Nug Kev Pab Los Ntawm Tus Kws Tu Neeg Mob (Nurse Advice Line)
Kev Txais Tau Alliance Cov Kev Pab Cuam
Xov Xwm Tseeb
Free Pfizer COVID-19 Vaccine & Flu Vaccine
New Member Flu Shot Reward!
September 2021 – Member Newsletter
As unemployment benefits expire, other vital benefits continue
Updated face mask guidelines
Hu Tuaj Rau Peb | Hu Dawb: 800-700-3874
