Txhim kho Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Txhawb Zej Zog
Enhanced Care Management (ECM) thiab Community Supports cov kev pab cuam tswj xyuas ob qho tib si kho mob thiab tsis yog chaw kho mob ntawm kev saib xyuas rau cov tswv cuab Medi-Cal uas xav tau ntau tshaj plaws thiab ua lwm txoj hauv kev them nqi rau cov kev pab cuam Medi-Cal.
Txhawm rau xa ib tus tswv cuab rau ECM/CS cov kev pabcuam, mus saib peb ECM/CS nplooj ntawv xa mus.
ECM yog ib qho txiaj ntsig Medi-Cal uas tswj hwm los ntawm DHCS. ECM cov chaw muab kev pabcuam xa:
- Kev tswj hwm kev saib xyuas.
- Kev sib koom tes tu.
- Kev txhawb nqa kev noj qab haus huv.
- Comprehensive transitional care.
- Cov kev pab txhawb nqa tus kheej thiab tsev neeg.
- Kev xa mus rau zej zog kev txhawb nqa.
Kev Pabcuam Zej Zog (CS) yog cov kev pabcuam hauv zej zog uas hais txog kev noj qab haus huv ntsig txog kev xav tau hauv zej zog. Medi-Cal cov phiaj xwm saib xyuas kev noj qab haus huv tau muab cov kev pabcuam no rau lawv cov tswvcuab kom tsis txhob muaj kev saib xyuas hauv tsev kho mob, chaw saib xyuas neeg mob, mus ntsib chav kho mob xwm txheej ceev lossis lwm yam kev pabcuam raug nqi.
Lub Alliance muaj kev tswj hwm kev saib xyuas kom zoo thiab Kev Pab Txhawb Zej Zog rau kev cob qhia rau cov kws kho mob. Koj tuaj yeem tuaj koom kev cob qhia nyob lossis saib qhov kev cob qhia kaw.
Cov tswvcuab nkag mus rau ECM lossis Community Supports cov kev pabcuam li cas?
Muaj peb txoj hauv kev uas cov tswv cuab tuaj yeem nkag mus rau ECM lossis Community Supports cov kev pabcuam:
- Lub Alliance lossis ECM lossis Community Supports tus kws kho mob tuaj yeem tiv tauj cov tswv cuab ncaj qha yog tias lawv tsim nyog.
- Cov tswv cuab lossis ib tus tswv cuab hauv tsev neeg tuaj yeem xa mus rau tus kheej lossis nug cov ntaub ntawv los saib seb lawv puas tsim nyog. Alliance cov tswv cuab tuaj yeem hu rau Lub Chaw Pabcuam Tswvcuab ntawm Alliance ntawm 800-700-3874 thaum 8 teev sawv ntxov txog 5:30 teev tsaus ntuj, Monday txog Friday.
- Cov chaw zov me nyuam lossis cov chaw thov tuaj yeem xa ib qho ECM lossis Community Supports xa mus mus rau Alliance.
Cov nyiaj pab rau ECM/CS Infrastructure thiab Capacity Building
Lub Alliance tswj hwm CalAIM Incentive Payment Program (IPP), ib qho kev txhawb nqa DHCS, los txhawb kev tsim kho lub network Medi-Cal hauv zej zog kom daws tau qhov tsis sib xws thiab tsim kev tsim kho vaj tse thiab muaj peev xwm rau Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Txhawb Zej Zog (CS).
Kawm paub ntxiv txog cov xwm txheej ntawm qhov kev zov me nyuam ntawm lub Lwm Txoj Kev Pab Nyiaj Txiag hauv nplooj ntawv Medi-Cal Delivery System.
Yog tias koj muaj lus nug, thov xa email rau Alliance ntawm [email protected].
CITED yog ib qho kev pab nyiaj pub dawb uas tswj hwm los ntawm DHCS uas muab nyiaj txiag los pab txhawb kev hloov pauv, nthuav dav thiab txhim kho ECM thiab Lub Zej Zog Txhawb kev muaj peev xwm thiab kev tsim kho vaj tse.
Cov neeg thov CITED yuav tsum tau cog lus nrog txoj kev npaj saib xyuas rau ECM thiab/lossis Community Supports cov kev pabcuam thiab raug txhawb kom koom tes nrog cov koom haum hauv zos uas lawv tau cog lus nrog lossis npaj siab yuav cog lus nrog los muab kev pabcuam ECM thiab/lossis Community Supports.
Cov neeg thov uas xav tau txais nyiaj CITED yuav tsum xa daim ntawv thov qhia tias lawv xav siv nyiaj CITED li cas. Nrhiav cov lus qhia ntxiv ntawm lub DHCS website.
Alliance muab kev pab rau ECM/CS
Invoices thiab kev them nqi
DHCS cov kev pab rau ECM/CS
Muaj ntau cov lus qhia, kev cob qhia thiab cov cuab yeej siv los pab cov kws kho mob nkag siab thiab siv ECM thiab CS.
- DHCS CalAIM ECM thiab Community Supports webpage
- DHCS ECM thiab CS Standard Provider Terms and Conditions
- APL 21-009: Sau Cov Kev Txiav Txim Siab Txog Kev Noj Qab Haus Huv (SDOH) Cov Ntaub Ntawv
Cov ntaub ntawv tiv tauj ECM/CS
Pab pawg Alliance ECM
Kev nug dav dav: 800-700-3874 lossis [email protected]
- Kev pab: 831-430-5518
- Cov lus nug txog kev tso cai: [email protected]
Xav ua ECM lossis CS tus kws kho mob?
Email rau peb ntawm [email protected].
ECM/CS Resources
- Xa cov tswv cuab rau ECM/CS
- Kev cob qhia
- FAQs
- PATH Kev Sib Tham Sib Koom Tes
- DHCS On-Demand Resource Library
ECM/CS Cov Chaw Pabcuam Phau Ntawv Qhia
Jiva Portal Kev them nyiaj yug
Tus Xov Tooj Pab Txhawb: 831-430-5504
