Cov Kws Pabcuam Saib Xyuas Kev Ua Haujlwm Zoo thiab Kev Pabcuam Zoo Tshaj Plaws FAQs

SNF WQIP cov nyiaj them ncaj qha muab cov nyiaj them rov qab ntxiv rau cov koom tes koom nrog Kev Pabcuam Saib Xyuas Neeg Mob (SNF) los ntawm kev ua haujlwm raws li kev them nyiaj ncaj qha los txhawb cov neeg ua haujlwm thiab kev ua haujlwm zoo rau Medi-Cal tau ntawv pov thawj SNFs.

Managed Care Plans (MCPs) them nyiaj ncaj qha rau SNFs uas tsim nyog raws li kev siv nyob rau hauv lub xyoo calendar (CY) ntawm qhov kev pab cuam.

Kev them nyiaj ncaj qha hla yuav raug txiav txim raws li SNFs ua li cas ntawm DHCS qhov kev xaiv WQIP metrics. Kev them nyiaj WQIP kuj tseem yuav raug txo rau cov chaw nrog Class A lossis AA cov ntaub ntawv los ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) rau kev ua txhaum cai uas tshwm sim.

Lub chaw saib xyuas neeg mob dawb tau cog lus nrog Alliance rau CY ua haujlwm tam sim no.

Kev them nyiaj SNF WQIP tsis siv rau cov hauv qab no:

• hnub tsev kho mob
• Cov kev pab cuam uas Medi-Cal tsis yog thawj tus neeg them nyiaj (Part A thiab lossis Tshooj B, OHC)
• Freestanding pediatric subacute cov chaw zov me nyuam, cov chaw sib txawv thiab SNFs nrog 100 feem pua ntawm cov kev pab kho mob tshwj xeeb (STP) txaj

• Cov kev pabcuam tau muab rau CY2023 PY 1
• Cov kev pabcuam tau muab rau CY2024 PY 2
• Cov kev pabcuam muab rau CY2025 PY 3
• Cov kev pabcuam tau muab rau CY2025 PY 4

Tus nqi ib-diem yuav raug xam los ntawm DHCS rau txhua qhov chaw raws li lub chaw ua haujlwm ntawm kev ntsuas, uas tau piav qhia hauv SNF WQIP Technical Program Guide.

Daim ntawv qhia tuaj yeem nrhiav tau ntawm DHCS SNF WQIP website.

Lub Alliance yuav muab cov nyiaj them poob haujlwm raws li qhov tsim nyog tau txais / lees txais lub txaj rau CY tshwj xeeb.

DHCS yuav muab Alliance nrog cov khoom pov thawj tshwj xeeb rau ib qho khoom pov thawj, thiab Alliance muaj 45 hnub txij li hnub tau txais cov khoom pov thawj los them nyiaj rau txhua tus SNFs tsim nyog. Kev ncua sij hawm txais nyiaj yuav ncua sij hawm them nyiaj.

Yog lawm, Lub Koom Haum yuav muab cov ntaub ntawv qhia txog kev sib haum xeeb txhua lub hlis twg rau tag nrho cov ntawv cog lus SNFs rau CY ua haujlwm tam sim no. Vim tias cov ntawv ceeb toom muaj cov ntaub ntawv tiv thaiv kev noj qab haus huv (PHI), Alliance nyiam tshaj tawm cov ntawv ceeb toom ntawm email ruaj ntseg lossis Secure File Transfer Protocol (SFTP) rau cov neeg siv tau tso cai.

Txhawm rau thov koj daim ntawv qhia kev sib haum xeeb, xa email rau LTSS Liaison Team ntawm [email protected]. suav nrog cov hauv qab no hauv koj qhov kev thov:

• Koj lub npe thiab lub npe
• SNF Lub Npe, NPI thiab TIN/EIN
• Nqe lus qhia tias koj yog tus neeg sawv cev tso cai tau txais PHI

Yog tias koj xav tau kev pab nrog kev teeb tsa rau SFTP, thov hu rau [email protected].

SNFs yuav tsum tshaj tawm SNF WQIP hnub tsis sib xws rau Alliance kom sai li sai tau. Txhawm rau txhawm rau txhawm rau tshawb xyuas koj daim ntawv tshaj tawm tsis sib xws, thov muab cov ncauj lus kom ntxaws txog cov lus nug, xws li:

• SNF npe
• Hom kev thov (Institutional lossis Professional)
• SNF Tus Kheej Tus Kheej / Tus Neeg Mob Tus Kheej
• Alliance Claim Number (los ntawm cov ntaub ntawv 835)
• Hom Bill (Institutional) lossis Chaw Pabcuam (Professional)
• Qeb Kev Pabcuam
• Lub Npe Lub Npe
• Lub Npe Npe
• Hnub nkag (rau Institutional)
• Hnub Tso Tawm (rau Institutional)
• Hnub yug
• Alliance Member ID
• DHCS CIN Number rau tus neeg mob
• Them Nyiaj
• Billing Provider NPI

Xa cov ncauj lus kom ntxaws nrog rau koj cov lus nug mus rau LTSS Liaison Team ntawm [email protected].

SNFs tuaj yeem xa cov lus nug / kev tsis sib haum xeeb ntsig txog kev ua haujlwm lossis tsis them nyiaj ntawm SNF WQIP cov nyiaj them ncaj qha, suav nrog kev suav ntawm SNF WQIP tsim nyog tau txais cov hnub txaj.

SNFs tuaj yeem siv cov Daim Ntawv Thov Kev Pab xa cov lus nug / kev tsis sib haum xeeb ntawm cov txheej txheem no:

Email: [email protected]

Fax: 831-430-5569

Kev xa ntawv tsis tu ncua:
Central California Alliance for Health
ATTN: Tus Muab Kev Nug thiab Kev Tsis Txaus Siab
1600 Green Hills Rd., Ste. 101 Scotts Valley, CA 95066

Yog xav paub ntxiv txog peb Cov Txheej Txheem Kev Txiav Txim Tsis Txaus Siab, thov hu rau peb Phau Ntawv Qhia Tus Muab Kev Pab (Tshooj 17).

Lub Alliance yuav sau ntawv ceeb toom ntawm SNF qhov kev tsis txaus siab tshwm sim hauv 30 hnub ua haujlwm txij li hnub tau txais rau cov chaw muab kev cog lus thiab nyob rau hauv 45 hnub ua haujlwm rau cov chaw muab kev pabcuam uas tsis muaj ntawv cog lus.

Lub SNF muaj 12 lub hlis txij li hnub Alliance daim tshev them nyiaj los txiav txim qhov kev them nyiaj.