Medi-Cal

Cov California Department of Health Care Services (DHCS) txiav txim seb leej twg tsim nyog tau txais Medi-Cal. Koj tuaj yeem thov rau Medi-Cal cov txiaj ntsig tsis hais poj niam txiv neej, haiv neeg, kev ntseeg, xim, lub tebchaws tuaj, kev nyiam ntawm kev sib deev, kev txij nkawm, hnub nyoog, kev tsis taus lossis qub tub rog. Yog tias koj tsim nyog, koj tuaj yeem tau txais Medi-Cal yog tias koj tseem ua tau raws li qhov yuav tsum tau muaj.

Koj tuaj yeem thov Medi-Cal txhua lub sijhawm ntawm lub xyoo.

Koj tuaj yeem thov online ntawm BenefitsCal los yog hu rau koj lub nroog lub chaw lis haujlwm hauv nroog kom thov kev xa ntawv, xov tooj, fax, email lossis tus kheej:

• Mariposa County Health and Human Services Agency
  Xovtooj: 209-966-200
  800-549-6741
• Merced County Department of Human Services
  Xov tooj: 209-385-3000
• Monterey County Department of Social Services
  Xovtooj: 877-410-8823
• San Benito County Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg, Kev Pabcuam Pej Xeem
  Xovtooj: 831-636-4180
• County of Santa Cruz Human Services Department
  Xovtooj: 888-421-8080

Raws li ib tug tswv cuab ntawm Alliance, koj muaj kev nkag tau mus rau cov kev kho mob thiab kev pab txhawb nqa tau piav nyob rau hauv Tau txais kev saib xyuas ntu ntawm lub vev xaib no.

Koj yuav xaiv ib tus kws kho mob mus saib rau txhua yam koj xav tau kev kho mob. Peb hu rau tus kws kho mob uas koj tus kws kho mob thawj zaug lossis PCP. Siv cov Tus neeg muab kev pab Directory nrhiav ib tug PCP.

Koj tus PCP yuav muab tag nrho koj cov kev kho mob ib txwm muaj. Yog tias koj xav mus ntsib lwm tus kws kho mob, koj tus PCP yuav xa daim ntawv thov mus rau Alliance. Qhov no yog hu ua PCP xa mus. Kev xa mus rau PCP tsis xav tau rau kev saib xyuas xwm txheej ceev thiab kev npaj tsev neeg. Muaj qee qhov kev pabcuam thiab khoom siv kho mob uas yuav tsum tau pom zoo los ntawm Alliance ua ntej koj tuaj yeem tau txais lawv. Qhov no hu ua kev tso cai ua ntej. Koj tus PCP lossis lwm tus kws kho mob yuav xa cov ntawv xa mus thiab kev tso cai ua ntej mus rau Alliance kom pom zoo.

Lub Alliance npog feem ntau cov kev pab kho mob muab los ntawm koj tus PCP, kws kho mob, tsev kho mob thiab cov kws kho mob muaj ntawv tso cai hauv peb lub network. Muaj qee qhov kev pabcuam uas tau them los ntawm Medi-Cal tab sis tsis yog los ntawm Alliance.

Rau cov ntsiab lus siab ntawm cov txiaj ntsig ntawm txoj kev npaj, nyeem cov ntawv Cov txiaj ntsig Matrix.

Yog xav paub ntxiv, nyeem cov Phau Ntawv Tswvcuab.

Raws li lub Xya Hli 1, 2022, Alliance suav nrog cov neeg ua haujlwm noj qab haus huv hauv zej zog (CHW) cov kev pabcuam rau cov tib neeg thaum pom zoo los ntawm kws kho mob lossis lwm tus kws kho mob muaj ntawv tso cai los tiv thaiv kab mob, kev tsis taus, thiab lwm yam kev noj qab haus huv lossis lawv txoj kev loj hlob; ua neej ntev; thiab txhawb kev noj qab haus huv ntawm lub cev thiab lub hlwb thiab kev ua haujlwm zoo. Cov kev pabcuam yuav suav nrog:

• Kev kawm txog kev noj qab haus huv thiab kev cob qhia, suav nrog kev tswj thiab tiv thaiv kab mob ntev lossis kis kab mob; cwj pwm, perinatal thiab qhov ncauj noj qab haus huv tej yam kev mob; thiab tiv thaiv kev raug mob.
• Kev txhawb nqa kev noj qab haus huv thiab kev cob qhia, suav nrog kev teeb tsa lub hom phiaj thiab tsim cov phiaj xwm phiaj xwm los daws kev tiv thaiv kab mob thiab kev tswj hwm.

Yog tias koj xav tias koj yuav tau txais txiaj ntsig los ntawm qhov kev pabcuam no, hu rau koj tus PCP lossis hu rau Alliance Lub Chaw Pabcuam Tswvcuab.

Raws li lub Ib Hlis Ntuj Tim 1, 2024, ib txoj cai tshiab hauv California txuas ntxiv kev tsim nyog tau txais Medi-Cal tag nrho rau cov neeg muaj hnub nyoog 26 txog 49 xyoo uas ua tau raws li txhua yam kev tsim nyog tau txais Medi-Cal. Cov neeg California hnub nyoog qis dua 26 xyoo lossis tshaj 49 xyoos twb tau txais Medi-Cal tag nrho. Kev nkag teb chaws tsis muaj teeb meem. Qhov kev nthuav dav tshiab kawg ntawm Medi-Cal tag nrho no coj California los ze zog rau lub Healthy California rau Txhua Tus.

Yog tias koj muaj kev txwv Medi-Cal nyob rau lub Kaum Ob Hlis 2023, koj tau hloov mus rau tag nrho Medi-Cal. Yog tias koj tau txais tsab ntawv ceeb toom txuas ntxiv, thov sau nws thiab xa rov qab mus rau lub nroog kom tsis txhob muaj kev ncua sijhawm. Yog tias koj tsis muaj qhov txwv Medi-Cal, koj tuaj yeem thov Medi-Cal online los ntawm kev mus saib BenefitsCal.com. Yog tias koj tsim nyog tau txais Medi-Cal tag nrho cov hnub nyoog qis dua 26 txog 49 Tus Neeg Laus Expansion, koj yuav tau txais tsab ntawv ceeb toom qhia koj txog koj qhov kev tsim nyog tau txais Medi-Cal tag nrho thiab hnub pib, uas yuav yog Lub Ib Hlis 1, 2024 lossis tom qab.

Ntau tus neeg tuaj yeem tau txais kev pabcuam.

Pib txij lub Ib Hlis 2024, cov khoom muaj nqis yuav tsis suav rau koj qhov kev tsim nyog Medi-Cal lawm. Yog tias koj qhov kev pab them nqi raug tsis pom zoo, ncua sij hawm, txo lossis tso tseg vim yog koj cov khoom muaj nqis, koj tuaj yeem nug koj lub chaw lis haujlwm Medi-Cal hauv zos los tshuaj xyuas koj qhov teeb meem. Kawm paub ntxiv txog ntawm DHCS website. Koj tseem tuaj yeem tiv tauj koj lub nroog Medi-Cal chaw ua haujlwm yog tias koj muaj lus nug.

Tseem ceeb: Koj puas tau tso npe rau hauv Medi-Cal? Koj cov ntaub ntawv tiv tauj puas tau hloov pauv? Muab koj lub nroog chaw ua haujlwm rau koj cov ntaub ntawv tiv tauj tshiab kom koj tuaj yeem nyob twj ywm.

Raws li lub Kaum Ob Hlis 23, 2022, Tsoomfwv Meskas tau hloov qee qhov kev hloov pauv rau pej xeem txoj cai kawg. Muaj kev tiv thaiv ntau dua rau cov neeg tsiv teb tsaws chaw thiab lawv tsev neeg kom siv cov txiaj ntsig pej xeem yam tsis ntshai nws yuav cuam tshuam rau lawv txoj kev nkag tebchaws. Kuj tseem muaj kev txwv tsawg rau cov neeg tuaj txawv teb chaws tau nyiaj tsawg kom tau txais daim npav ntsuab.

Txoj cai tshiab them nqi pej xeem hais tias ntau cov txiaj ntsig pej xeem yuav tsis suav rau pej xeem cov nqi ntxiv lawm, xws li kev saib xyuas kev noj qab haus huv thiab zaub mov. Medi-Cal/Medicaid yuav tsis suav raws li txoj cai tshiab them nqi rau pej xeem tshwj tsis yog muaj ib tus neeg:

• Nyob rau hauv lub sij hawm ntev institutionalized saib xyuas.
• Nyob rau hauv ib lub tsev laus uas txawj ntse.

Txhua tsev neeg txawv. Nws yog ib qho tseem ceeb rau:

• Paub koj txoj cai.
• Tau qhov tseeb. Nkag siab yog tias txoj cai cuam tshuam rau koj.

Yog xav paub ntxiv txog kev them nqi pej xeem, mus saib peb lub vev xaib ntawm www.thealliance.health/health-plan/medi-cal/public-charge.