Kugwiritsa Ntchito Management & Authorizations
Phunzirani za zofuna zathu zam'mbuyomu za thanzi labwino komanso labwino.
Zovomerezeka
Timayesetsa kupanga chilolezo chololeza kuti chikhale chosavuta momwe tingathere kwa inu. M'munsimu ndi chidule cha malamulo athu ovomerezeka ndipo sizikutsimikizirani kuperekedwa.Mungapeze zambiri mu Buku Lopereka.
Mautumiki ena amafuna chilolezo choyambirira kuti apeze malipiro a mautumiki omwe aperekedwa. Ngati mupereka chithandizo popanda chilolezo, zomwe munganene zingakanidwe.
Ndondomeko zoyenera kuitanitsa koyambirira
- Musanapereke chilolezo, chonde tsimikizirani kuyenerera kwamembala Pano kapena Colorado Department of Health Care Policy & Financing (HCPF) malo oyenerera.
- Lembani Fomu Yoyankha Pamaso ndi fakisi, ndi zidziwitso zoyenera zamankhwala, ku nambala yomwe yalembedwa pafomu. Chonde tsimikizani malo onse ofunikira - mafomu omwe sanakwaniritsidwe salandiridwa ndipo abwerera.
- Mudzadziwitsidwa ngati zambiri zikufunika, ngati ntchitoyo yavomerezedwa, kapena ngati ntchitoyo singavomerezedwe.
- Ngati muli ndi mafunso chonde tiyitane ife.
Zizindikiro Zogwiritsa Ntchito Umoyo
Timapereka mautumiki othandizira azaumoyo pansi pa Health First Colorado (Colorado Medicaid Program) Mkangano Wogwirizanitsa Ntchito Yogwirizanitsa Ntchito ndi Child Health Plan Plus mapangano pamakonzedwe athu a HMO. Timapezeka maola 24 patsiku, masiku asanu ndi awiri pa sabata kuti titenge zopempha zololeza.
Dinani Pano kuti mudziwe zambiri zokhudza mautumiki othandizira azaumoyo omwe amafunikira chithandizo. Chonde tawonani kuti mautumiki onse operekedwa ndi wopereka osagwira nawo ntchito amafuna kuti awononge; Chokhachokha pa izi ndizochitika mofulumira komanso zowonjezera monga momwe zifotokozedwera mu Buku Lopereka.
Kwa mautumiki omwe amafunikira chilolezo, kulephera kuitanitsa chilolezo kudzapangitsa kukaniza. Sitingathe kubwezeretsa zotsatira za chithandizo chomwe chinalandira chithandizo kupatulapo ngati chinyengo, nkhanza, kapena membala ataya kukwanira.
Malamulo Amoyo Wathanzi
Timavomereza thandizo linalake la thanzi la Child Health Plan Plus(CHP +) HMO. Tilipo kuyambira 8 m'mawa mpaka 5 koloko Lolemba mpaka Lachisanu kuti tilandire chilolezo chathanzi.
Dinani Pano Kuti mudziwe zambiri zokhudza CHP + mautumiki omwe amafuna chilolezo chisanayambe (zolemba zotsatsa: mungagwiritse ntchito CTRL F ndi mawonekedwe a fyuluta kuti mufufuze ndi ndondomeko ya ndondomeko). Chonde tawonani kuti mautumiki onse operekedwa ndi wopereka osagwira nawo ntchito amafuna kuti awononge; Chokhachokha pa izi ndizochitika mofulumira komanso zowonjezera monga momwe zifotokozedwera mu Buku Lopereka.
Kwa mautumiki omwe amafunikira chilolezo, kulephera kuitanitsa chilolezo kudzapangitsa kukaniza. Sitingathe kubwezeretsa zotsatira za chithandizo chomwe chinalandira chithandizo kupatulapo ngati chinyengo, nkhanza, kapena membala ataya kukwanira.
Chonde dinani Pano kuti mudziwe zambiri zokhudza chithandizo cha mankhwala a CHP +, formularies, ndi momwe mungapemphe pempho la mankhwala.
Kupempha Kubwezeretsedwa kwa Ntchito Zopitirira
Zonse zopempha zopitilira mautumiki kupitirira chilolezo choyamba zimafuna kubwezeretsedwa. Chonde lembani ndikulembera fomu yoyenera yoyenera ndi fakisi monga momwe tawonetsera pamwambapa tsiku limodzi la bizinesi musanafike kuthetsedwe kwa chilolezo choyambirira. Othandizira ali ndi udindo wotsatila masiku awo oyambira, maulendo otsiriza, chiwerengero cha mayunitsi omwe amagwiritsidwa ntchito, ndi kuyenerera kwa membala. Othandizira ayenera kuimbira foni kapena kufalitsa uthenga wathandi wothandizira zofunika zachipatala kuti mupitirize kukhalabe tsiku limodzi lopempha pempho kuchokera ku Colorado Access.
Ngati pempho la kutalika kwautali likuletsedwa ndi mkulu wa zachipatala, wothandizira komanso wogwira nawo ntchito adzadziwitsidwa ndipo akhoza kupempha kukambirana kwa anzawo pa tsiku limodzi la bizinesi. Pempho la kafukufuku wa anzanu sikuti limakhala ngati kudandaula kapena pempho.
Ndondomeko ndi Ndondomeko
Chonde onani mfundo zili m'munsizi kuti mumve zambiri.
UM100 - Ziyeneretso kwa Ogwira Ntchito Ogwira Ntchito Zoyang'anira Ntchito
UM101 - Zoyenera Kugwiritsa Ntchito
UM102 - Zosankha Zogwiritsa Ntchito
UM103 - Chisamaliro Chadzidzidzi ndi Pambuyo Pokhazikika
UM104 - Kuwunika Koyambirira ndi Kwanthawi, Kuzindikira, ndi Chithandizo (EPSDT)
UM105 - Njira Yowunikira Anzanu
UM106 - Njira Yotsutsa Mamembala