BadgerCare Plus Member Handbook - Hmong (Large Print) · kho mob thiab yuav coj koj mus cuag peb ib...

BadgerCare PlusHmoob (Hmong)

Tshaj Ntawv Sau

Yog xav tau kev pab, hu rau 1-800-482-8010 1 / 66

Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob (Children’s Community Health Plan) tsis ntxub ntxaug vim yog txoj kev tsis taus nyob rau hauv cov kev cai ntawm cov kev pab, kev kho los yog cov dej num. Yog koj xav tau cov ntaub ntawv no txhais los yog muab ua lwm hom, los yog xav tau kev pab qhia siv peb cov kev pab, thov hu cuag Chaw Pab Neeg Qhua ntawm 1-800-482-8010.

Children’s Community Health Plan PO Box 56099 Madison, WI 53705 www.childrenscommunityhealthplan.org

Muaj kev pab txhais lus pub dawb tsis raug nqi dab tsi: 1-800-482-8010 Yog koj muaj teeb meem hnov lus tsis zoo, hu rau Wisconsin Kev Pab Txuas Lus ntawm 7-1-1. Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob (Children’s Community Health Plan (CCHP)) muaj cov neeg pab txhais lus rau cov tswv cuab uas paub Lus Askiv tsis npliag (LEP), los yog cov lag ntseg thiab tsis hnov lus zoo, muaj kev hais lus nyuab los yog pom kev tsis zoo, pub dawb rau tus tswv cuab thawm lub caij tu xyuas nws thiab kom nws mus cuag tau cov kev kho mob muaj txiaj ntsim zoo los ntawm txoj kev sib txuas lus tau zoo. Muaj


cov neeg pab txhais lus thaum hu xov tooj sib tham nrog Chaw Pab Neeg Qhua, nrog CCHP cov kev pab Tswj Kab Mob thiab Tswj Txhooj, thiab thawm cov txheej txheem sib hais txog kev tsis txaus siab thiab kev thov rov txiav txim dua. Nws yog CCHP txoj cai yuav tsum siv cov neeg txhais lus paub txog kev kho kab mob kev nkeeg tsim nyog. Koj cov pej xeem cai CCHP muaj cov kev kho uas kam them los ntawm BadgerCare Plus rau tag nrho cov tswv cuab tsis hais lawv: • Qib hnub nyoog • Xim nqaij daim tawv • Kev tsis taus • Yug teb chaws twg • Haiv neeg • Zeej xeeb

Tag nrho cov cov kev kho kab mob kev nkeeg kam them uas muaj rau tag nrho cov tswv cuab. Tag nrho cov kev kho zoo tib yam uas muaj rau tag nrho cov tswv cuab. Tag nrho cov tib neeg los yog koom haum txuam nrog CCHP uas xa los yog pom zoo cov tswv cuab mus cuag cov kev kho yuav tsum ua zoo tib yam rau txhua tus tswv cuab.


Cov xov tooj tseem ceeb Chaw Pab Neeg Qhua – 1-800-482-8010 Monday – Thursday: 7:30 sawv ntxov txog 5:00 teev tsaus ntuj; Friday: 8:00 teev sawv ntxov txog 4:30 tsaus ntuj Chaw Pab Neeg Qhua ua tau dab tsi pab koj?

• Xaiv los yog hloov koj tus thawj kws kho mob • Muab cov kev pab txhais lus • Teb cov lus nug txog cov kev kho kam them • Kev tawm mus ncig kev deb ntawm cheeb tsam

kho • Kev noj qab haus huv ntawm siab ntsws hlwb, kev

pab txiav dej caw thiab lwm yam tshuaj yeeb

Wisconsin Kev Pab Txuas Lus rau cov neeg tsis hnov lus – 7-1-1 Kev Kub Ceev • Hu tau 24 teev ib hnub twg, xya hnub ib lim tiam twg –

1-877-257-5861 • Yog yuav txov taus txoj sia, hu 911.

CCHP tus Neeg Tu Mob Tos Hu – 1-877-257-5861 • Thaum koj los yog koj tus me nyuam muaj mob thiab

koj tus kws kho mob lub chaw kho kaw lawm. • Kev tu mob sai


• Kev kho mob kub ceev thaum koj nyob deb ntawm tsev lawm

Cov kev ntsuam xyuas qhov muag pom kev • Yog hu hauv cheeb tsam 414 – 414-462-2500 • Yog hu tawm ntawm cheeb tsam 414 – 1-800-822-

7228 Cov Kev Xyuas Neeg Mob – 1-877-227-1142 Txais tau cov lus faj tseg 24 teev. Nias Qhov #2 yog koj xav faj lus tseg txog cov kev pab uas koj xav tau. Yuav teb rov qab cov lus faj tseg hauv xov tooj, lus sau xa hauv xov tooj tuaj thiab cov ntawv email hnub ua lag luam tom ntej. Cov lus faj tseg tom qab ib tag hmo thaum cov hnub Monday - Friday yuav teb rov qab tib hnub ntawd. Kev Pab Kho Hniav – 1-877-389-9870 Rau cov tswv cuab uas nyob rau hauv cov cheeb nroog Kenosha, Milwaukee, Racine, Ozaukee, Washington thiab Waukesha. Cov xov tooj tseem ceeb Kev pab tsheb thauj mus los – 1-866-907-1493 Kws rau npe tshwj xeeb – 1-800-291-2002 CCHP Neeg pab tswv yim – 1-800-482-8010 Lub Xeev Txoj Kev Pab Hau – 1-800-760-0001


Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob Zoo Siab Txais Tos Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob (Children’s Community Health Plan (CCHP)) Tam ib tug tswv cuab, koj yuav tau tag nrho cov kev kho kab mob kev nkeeg los ntawm ntawm CCHP cov kws kho mob thiab cov tuam tsev kho mob. Xav tau cov kws kho mob no mus ntawm peb qhov vas sab www.childrenscommunityhealthplan.org thiab nias “Nrhiav ib tug Kws Kho Mob”. Koj puav leej hu tau rau Chaw Neeg Pab Qhua ntawm 1-800-482-8010 kom pab nrhiav ib tug kws kho mob los yog mus thov Phau Ntawv Teev Qhia Cov Kws Kho Mob. Cov kws kho mob uas tsis txais cov neeg mob tshiab yuav cim qhia rau hauv Phau Ntawv Teev Qhia Cov Kws Kho Mob. Ua tsaug uas koj xaiv CCHP ua koj lub HMO. Xyuas kom koj noj qab haus huv tseem ceeb rau peb. Phau no yog koj phau ntawv siv ntawm tes. Thov ua tib zoo muab nyeem. Phau ntawv siv ntawm tes no yuav pab koj nkag siab txog cov txiaj ntsim zoo rau koj thiab cov kam them ntawm CCHP thiab kev siv peb cov kev pab cuam. Nws puav leej qhia koj txog cov neeg koj hu tau thaum twg koj muaj lus nug. Peb vam yuav tu xyuas koj cov kab mob kev nkeeg. Thawj cov koj yuav tau ua: • Ua tib zoo nyeem koj phau ntawv siv ntawm tes.


• Muab koj phau ntawv siv ntawm tes cia rau ib qhov chaw uas koj yuav muab cuag sai.

Koj phau ntawv siv ntawm tes muaj cov ncauj lus uas koj thiab koj tsev neeg yuav tsum paub txog. Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 yog koj muaj lus nug. Thov ua raws 3 txoj kev cai tseem ceeb no:

1. Mus cuag koj tus thawj kws kho mob rau tag nrho cov kab mob kev nkeeg uas tsis yog kub ceev.

2. Siv chav kho mob kub ceev rau cov kev mob kub ceev nkaus xwb.

3. Nqa koj daim yuaj ForwardHealth ID nrog koj txhua lub sij hawm. Muab koj daim yuaj qhia txhua zaum koj xav tau kev kho mob kab mob kev nkeeg.

Cheeb Tsam Kho Koj yuav tsim nyog tau CCHP cov kev kho uas kam them los ntawm BadgerCare Plus yog koj nyob hauv cov Wisconsin cov cheeb nroog: Brown, Calumet, Door, Fond du Lac, Green Lake, Kenosha, Kewaunee, Jefferson, Manitowoc, Milwaukee, Outagamie, Ozaukee, Racine, Rock, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Waushara thiab Winnebago


Koj daim yuaj ForwardHealth Saum no yog daim qauv yuaj ForwardHealth. Nco ntsoov kos npe rau sab nraum qab koj daim yuaj thiab tsis txhob kheev leej twg siv. Nqa rawv koj daim yuaj ForwardHealth nrog koj thiab muab qhia txhua koj koj mus cuag kev kho mob los yog nqa tshuaj. Koj yuav ntsib teeb meem tau kev kho mob, nqa tshuaj los yog nqa khoom kho mob yog koj tsis muaj koj daim yuaj nrog koj. Thiab, nqa lwm cov yuaj pab them nqi kho mob uas koj muaj. Yog koj ua koj daim yuaj ploj, hu rau 1-800-362-3002 kom tau daim tshiab. Tus Thawj Kws Kho Mob Nws tseem ceeb yuav tau xub hu rau koj tus thawj kws kho mob thaum koj xav tau kev kho. Tus kws kho mob noj tswj xyuas tag nrho cov kev tu kab mob kev nkeeg rau koj. Yog koj tsis tau ntsib nrog tus kws kho mob uas koj xaiv, nws yuav zoo heev rau koj teem ib lub sij hawm ntsib nws sai. Yog koj xav tias koj yuav tau mus ntsib lwm tus kws kho mob los yog tus kws kho mob tshwj xeeb, nug koj tus thawj kws kho mob. Koj tus thawj kws kho mob yuav pab koj txiav txim yog tias koj yuav tau mus cuag lwm tus kws kho mob thiab yuav coj koj mus cuag peb ib tug kws kho mob tshwj xeeb hauv koom haum. Koj xaiv tau koj tus thawj kws kho mob ntawm cov uas muaj. Ntxiv rau txoj kev xaiv koj tus thawj kws kho mob, cov poj niam puav leej mus cuag tau tus kws kho mob poj


niam tshwj xeeb xws li tus OB/GYN los yog tus kws tu poj niam yug me nyuam tsis tag yuav muaj ntawv xa. Muaj CCHP cov kws kho mob uas paub zoo txog cov kev tu ncua ntawm ntau haiv neeg. Xav xaiv ib tug thawj kws kho mob los yog xav hloov cov kws kho mob, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Teem ib lub sij hawm ntsib koj tus kws kho mob Thaum twg koj yog ib tug tswv cuab ntawm CCHP, koj pib ntsib tau koj tus kws kho mob tam sis. Yog koj tsis tau xaiv ib tug kws kho mob los yog ib lub chaw kho mob, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Kev hloov koj tus kws kho mob Yog koj tsis txaus siab nrog tus kws kho mob uas koj mus ntsib, koj xaiv tau lwm tus kws kho mob txhua lub sij hawm. Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 kom pab koj xaiv ib tug kws kho mob tshiab. Cov sij hawm teem uas mus cuag tsis tau Nws tseem ceeb uas koj thiab koj tsev neeg mus cuag raws li tag nrho cov sij hawm teem muaj. Yog koj yuav mus cuag tsis tau ib lub sij hawm teem twg, hu rau koj tus kws kho mob lub chaw kho mob thiab qhia rau lawv paub sai li sai tau.


Cov tswv yim tshiab txog kev mob Yog koj tsis pom zoo li koj tus kws kho mob cov tswv yim kho, koj thov tau lwm tus cov tswv yim txog kev mob. Qee zaum yuav tsim nyog tau lwm qhov tswv yim tshiab txog kev phais mob. Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 kom paub ntxiv. Yog koj tau kev tu mob tshwj xeeb, pw kho hauv tuam tsev kho mob thiab kev kho yam ntxwv Koj tus thawj kws kho mob yuav pab tswj xyuas tag nrho koj cov kev tu ncua ntawm koj txoj kev noj qab haus huv. Yog koj yuav tau mus ntsib ib tug kws kho mob tshwj xeeb, tus kws kho yam ntxwv los yog mus pw kho mob, koj tus thawj kws kho mob yuav pab koj nrhiav ib tug ntawm peb cov kws kho mob tshwj xeeb los yog cov tuam tsev kho mob. CCHP yuav txwv kom peb cov tswv cuab siv cov kws kho mob hauv koom haum yog tias yeej kam them rau yam kev kho ntawd. Yog peb tsis muaj ib tug kws kho mob uas pab tau koj txog yam kev kho uas kam them rau, yuav pom zoo siv ib tug kws kho mob tsis nyob hauv koom haum. Xav tau kev pab nrhiav ib tug thawj kws kho mob los yog kws kho mob tshwj xeeb, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 los yog mus ntawm peb qhov vas sab www.childrenscommunityhealthplan.org thiab nias “Nrhiav ib tug Kws Kho Mob”. Koj yuav tau muaj ntawv tso cai tshwj xeeb mus ntsib ib tug kws kho mob uas tsis yog


CCHP ib tug. Yog koj mus ntsib ib tug kws kho mob tsis yog CCHP, yuav tsub nqi rau cov kev kho ntawd. Kev Kho Mob Kub Ceev Thov ua tib zoo nyeem ntu no. Peb xav kom koj thiab koj lub tsev neeg paub ua li cas thaum muaj kev kub ceev ua ntej nws yuav tshwm sim. Kev kho mob kub ceev yog yam kev mob yuav tau kho tam sis. Qhov no yog ib yam kev raug mob los yog kev cia li muaj mob. Qee cov qauv laj thawj ntawm kev kho mob kub ceev yog: • Daig caj pas • Pob txha dam loj • Hnov mob heev • Los ntshav hlob los yog txawv heev • Kev xav tias muaj plawv nres • Noj tshuaj ntau dhau • Mob plab yuav mus yug me nyuam • Teeb meem ua pa • Kev xav tias hlab ntsha hlwb txhaws • Kev looj hlias • Kub nyhiab loj heev • Qaug dab peg • Kev xav tias raug lom • Qaug dab peg mus ntev los yog pheej rov qaug dab

peg


Kawm kom paub tias yuav ua li cas thaum muaj kev kub ceev Yog koj xav tau kev kho mob kub ceev, mus cuag CCHP tus kws kho mob yog koj mus tau. Yog txoj kev kub ceev heev, mus cuag tus kws kho mob ze tshaj plaws (tuam tsev kho mob, kws kho mob los yog chaw kho mob). Hu 911 los yog tub ceev xwm hauv zos los yog tuam tsev tua hluav taws yog kev kub ceev yuav txov taus txoj sia. Kev kho mob kub ceev ntawm tus kws kho mob tsis nyob hauv CCHP Yog koj yuav tsum tau mus cuag lub tuam tsev kho mob los yog tus kws kho mob uas tsis nyob hauv CCHP lub koom haum, hu rau peb ntawm 1-800-482-8010 sai li sai tau thiab qhia rau peb tias yog tim li cas. Qhov no tseem ceeb yog li peb yuav pab taug qab kev tu xyuas. Nco ntsoov: Cov chav kho mob kub ceev tsuas yog rau cov kev mob kub ceev tiag tiag swb Hu rau koj tus kws kho mob los yog peb tus xov tooj hu cuag neeg tu mob 24 teev, CCHP tus Neeg Tu Mob Tos Hu Cuag ntawm 1-877-257-5861 ua ntej koj mua cuag chav kho mob kub ceev, tshwj tsis yog koj muaj kev mob kub ceev loj heev.


Kev Kho Mob Sai Kev kho mob sai yog yam kev kho uas koj yuav tau muaj sai dua txoj kev mam teem caij mus ntsib kws kho mob. Kev kho mob sai tsis yog kev kho mob kub ceev. Tsis txhob mus cuag chav kho mob kub ceev hauv tuam tsev kho mob rau kev kho mob sai tshwj tsis yog koj tus kws kho mob hais kom koj mus cuag lawv. Qee cov qauv laj thawj rau kev kho mob sai yog: • Feem ntau cov pob txha dam • Kub nyhiab me • Cov doog los yog qis • Cov to me • Los ntshav me • Cev txhaum tshuaj ntau yam • Mob qa/qa tawm hlwv • Khaub thuas/flu • Cov mob khib kaj los yog kab mob tawv nqaij • Xav tias raj voos ua paug nrog hnov mob • Ntuav thiab raws plab heev thiab/los yog ua npaws,

tshwj xeeb yog cov me nyuam mos thiab me nyuam me.

Yog koj xav tau kev kho mob sai hu rau koj tus thawj kws kho mob, lub chaw kho mob los yog CCHP tus Neeg Tu Mob Tos Hu Cuag ntawm 1-877-257-5861. Koj yuav tsum mus cuag kev kho mob sai ntawm CCHP cov kws kho


mob tshwj tsis yog koj tau kev tso cai ntawm peb mus ntsib lwm tus kws kho mob. Nco ntsoov: Tsis txhob mus cuag chav kho mob kub ceev hauv tuam tsev kho mo rau kev kho mob sai tshwj tsis yog koj xub tau kev tso cai los ntawm CCHP los yog koj tus thawj kws kho mob. CCHP tus Neeg Tu Mob Tos Hu Cuag Yeej hu cuag tau koj tus thawj kws kho mob txhua lub sij hawm mus nug txog kev kho mob rau koj. Koj puav leej hu tau rau CCHP tus Neeg Tu Mob Tos Hu Cuag, los yog tus xov tooj hu cuag neeg tu mob. Peb muaj cov neeg tu mob ua hauj lwm 24 teev ib hnub twg, xya hnub ib lim tiam twg los teb koj cov lus nug. Tsuas hu rau 1-877-257-5861 xwb. Tsab xov tooj no hu dawb xwb. Thaum twg kuv thiaj li yuav tau hu rau CCHP tus Neeg Tu Mob Tos Hu Cuag? • Ua ntej koj mus cuag chav kho mob kub ceev (Yog

tias kev kub ceev yuav txov taus txoj sia, hu 911) • Rau tej lus nug txog kab mob kev nkeeg los yog kev

txhawj xeeb • Yog koj tus me nyuam kub ib ce • Yog koj tus me nyuam qis pob taws • Yog koj xav tau kev pab txiav txim txog chaw mus

cuag kev pab


• Yog koj muaj tawv nqaij khaws los yog sawv pob • Yog koj tus me nyuam raug txhuam los yog to tawv

nqaij • Txhua lub sij hawm koj muaj lus nug txog qhov chaw

koj yuav mus cuag kev kho mob Vim li cas kuv thiaj li siv CCHP tus Neeg Tu Mob Tos Hu Cuag? • Cov kws tu mob yuav pab koj mus cuag tau yam kev

kho uas yog rau koj thiab koj tsev neeg. • Lawv yuav qhia tswv yim kev kho mob kom haum rau

koj thiab koj tsev neeg kom noj qab haus huv. Leej twg yuav teb kuv txog kev tu xyuas kuv txoj kev noj qab haus huv? • Cov kws tu mob uas kawm txawj yuav teb tag nrho

koj cov lus nug txog kab mob kev nkeeg. • Lawv yuav nug kom koj piav qhia cov kev mob tshwm

sim los yog cov teeb meem uas koj muaj. • Lawv yuav pab koj txiav txim txog kev mus cuag txoj

kev kho mob zoo tshaj plaws rau koj thiab koj tsev neeg.

• Lawv yuav pab koj kom nkag siab txog kev mus cuag kev tu mob ntawm CCHP.


MD Cov Kev Pab Tswv Yim Yog xav tau, cov kws tu mob puav leej txuas koj mus sib tham tau nrog CCHP ib tug kws kho mob Tos Hu Cuag. Koj yuav tau txais tswv yim los ntawm peb ib tug kws kho mob thaum koj nyob hauv koj lub tsev, chaw ua hauj lwm los yog thaum taug kev. Peb cov kws kho mob muaj caij nyoog sau tshuaj tib si! Cov kws kho mob yuav ntsuam xyuas koj kev mob, muab tswv yim kho mob nyob rau tom vaj tom tsev, thiab xa ntawv nqa tshuaj (yog tsim nyog) mus rau lub khw muag tshuaj rau cov kev mob, xws li: • Khaub thuas thiab flu • Qhov muag liab • Mob qa • Mob ntsws • Txhaws ntswg los yog ua paug rau qhov ntsej • Xeev siab thiab ntuav • Ua paug rau hlab zis

Kev Tswj Xyuas Mob Cov Nyom thiab Tswj Kab Mob CCHP muaj Kev Tswj Xyuas Mob Cov Nyom (Complex Case Management (CCM)) rau peb cov tswv cuab uas muaj feem mob loj. Cov txheej txheem no ntsuas, tuav tswv yim, tswj thiab soj xyuas thiab tshawb ntsuas cov kev taug thiab kev kho uas yuav haum rau tus tswv cuab cov kev mob cov nyom. Cov kev pab cuam xws li kev ntsuas,


kev tuav hom phiaj thiab tswv yim, kev tswj xyuas kev kho mob, kev kawm txog tus mob los yog kab mob, nrog rau kev tswj tus kheej, thiab kev txuas mus cuag zej zog thiab cov kev pab cuam. Peb puav leej txhawb peb cov tswv cuab thiab/los yog cov neeg tu xyuas lawm nrog cov tswv yim tswj thiab kawm nyob rau hauv peb Cov Kev Pab Tswj Kab Mob. Peb muaj pab neeg tu xyuas uas yuav muab kev kawm, kev txhawb tswj xyuas tus kheej thiab kev txuas mus cuag kev pab cuam rau cov tswv cuab. Txoj kev pab lub hom phiaj yog txhawb tus tswv cuab txoj kev peev xwm tswj xyuas tau nws tus (cov) kev mob thiab txhim kho cov kev noj qab haus huv txhua yam thiab ua tau lub neej tau zoo nyob dua. Xav paub ntxiv txog cov kev pab no, thov hu 414-266-3173. Kev mus cuag kho mob thaum koj tawm deb ntawm tsev lawm Tawm ntawm cheeb tsam txhais tau tias mus deb tshaj 50 mais ntawm peb cheeb tsam kho lawm. Xav tau cov kev pab tawm ntawm cheeb tsam kho, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 los yog tham nrog ib tug kws rau npe tshwj xeeb ntawm 1-800-291-2002. Coj raws li cov kev cai no yog koj muaj kab mob kev nkeeg tiam sis tawm mus deb dhau ntawm tsev mus cuag


tsis tau koj tus thawj kws kho mob los yog lub chaw kho mob. • Rau cov kev kub ceev loj heev los yog kev kho mob

sai, mus cuag lub tuam tsev kho mob, lub chaw kho mob sai los yog tus kws kho mob nyob ze koj tshaj plaws.

• Rau cov kev ntsuam xyuas kab mob kev nkeeg tsis tu ncua, koj yuav tsum tau kev tso cai ntawm peb rau koj mus ntsib lwm tus kws kho mob, lub chaw kho mob los yog tuam tsev kho mob txawv. Qhov no xam rau cov me nyuam uas nyob nrug deb ntawm tsev nrog leej niam leej txiv los yog tus txheeb ze.

• Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 thaum 7:30 sawv ntxov txog 5 teev tsaus ntuj, hnub Monday txog Thursday los yog 8 teev sawv ntxov txog 4:30 tsaus ntuj rau cov hnub Friday.

Cov poj niam cev xeeb me nyuam thiab kev yug me nyuam Yog koj cev xeeb me nyuam, qhia rau CCHP thiab koj lub koom haum tswj nyiaj txiag (IM) paub tam sis. Qhov no yuav pab kom koj tau cov kev tu xyuas uas koj yuav tau muaj. Cov poj niam cev xeeb me nyuam tsis raug them qhov nqi them nrog. Koj yuav tsum mus rau CCHP lub tuam tsev kho mob mus yug koj tus me nyuam. Tham nrog koj tus kws kho mob kom nkag siab tseeg tias lub


tuam tsev kho mob twg yog lub koj yuav tsum tau mus rau thaum nws txog caij los yug koj tus me nyuam. Thiab, tham nrog koj tus kws kho mob yog koj npaj yuav tawm mus ncig kev deb thaum lub hlis kawg yuav los so. Peb xav kom koj tau tus me nyuam noj qab haus huv thiab yug tau me nyuam zoo. Tej zaum nws yuav tsis yog ib lub sij hawm zoo rau koj thiab koj tus me nyuam hauv plab tawm mus ncig kev deb. Koj tus kws kho mob paub koj li keeb kwm thiab yuav yog tus kws kho mob zoo tshaj los pab koj kom hu tau tus me nyuam zoo. Tsis txhob mus tawm ntawm cheeb tsam mus yug koj tus me nyuam tshwj tsis yog koj tau kev tso cai los ntawm CCHP. Tej zaum koj yuav tau xaiv ib tug kws kho mob rau koj tus me nyuam ua ntej koj yug nws. Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 kom tau kev pab xaiv ib tug kws kho mob rau koj tus me nyuam hauv plab. Txoj kev pab Niam Noj Qab Haus Huv, Me Nyuam Noj Qab Haus Huv CCHP xav kom koj muaj txoj kev xeeb me nyuam noj qab haus huv thiab tau tus me nyuam noj qab haus huv thiab muaj txoj kev pab hu ua Niam Noj Qab Haus Huv, Me Nyuam Noj Qab Haus Huv (Healthy Mom, Healthy Baby) uas yog pab dawb rau tag nrho cov tswv cuab. Nws yog ib txoj kev pab rau cov poj niam xeeb me nyuam hauv plab


kom tau cov kev txhawb thiab kev pab cuam kom yug tau tus me nyuam noj qab haus huv. Cov kev pab cuam yog muaj los ntawm cov neeg tuav txhooj ntaub ntawv los yog cov kws tu mob uas muaj keeb kwm kawm tshwj xeeb los muab kev pab cuam rau cov niam xeeb me nyuam hauv plab thiab cov tsev neeg. Peb muab tau txoj kev pab no rau hauv koj lub tsev, ntawm qhov chaw uas koj yeem los yog hauv xov tooj. Lwm cov kev pab cuam muaj xws li kev txhawb rau txoj kev pub niam mis rau me nyuam thiab kev nrog tswj xyuas chaw zov me nyuam. Peb zoo siab yuav muab ncauj lus qhia ntxiv rau koj thiab teem ib lub sij hawm nrog peb ib tug neeg nrog tswj xyuas kev tu mob. Peb yuav xa ib qho nyiaj phaj tshab $10 tuaj rau koj thaum ko qhia rau peb tias koj cev xeeb me nyuam. Hu rau peb ntawm 414-337-BABY (2229). Thaum twg yuav xa cov nqi kho mob rau koj Nws tseem ceeb heev uas yuav tau coj raws cov kev cai no thaum koj tau kev kho kab mob kev nkeeg kom koj tsis raug tsub them cov kev kho mob. Koj yuav tsum tau kev kho mob los ntawm CCHP ov kws kho mob thiab cov tuam tsev kho mob tshwj tsis yog koj tau kev tso cai mus ntsib lwm qhov chaw. Tib yam zam tau ces yog cov kev kub ceev xwb. Yog koj tawm mus ncig kev deb sab nraum Wisconsin thiab yuav tau muaj cov kev kho kub ceev, cov kws ho


mob kho tau koj thiab xa tau cov nqi mus rau CCHP. Koj yuav raug them cov nqi them nrog rau cov kev kho kub ceev uas koj tau txais sab nraum Wisconsin.

Xa cov nqi mus rau: Children’s Community Health Plan P.O. Box 56099 Madison, WI 53705

CCHP yuav tsis them rau cov kev, nrog rau cov kev kho kub ceev, uas muaj sab nraum Teb Chaws Asmeskas, Canada thiab Mev Teb. Yog koj yuav tau muaj cov kev kho kub ceev thaum tawm mus rau Canada los yog Mev Teb, CCHP yuav them rau cov kev kho yog tias tus kws kho mob los yog lub tuam tsev kho mob muaj lub txhab cia nyiaj nyob rau hauv Teb Chaws Asmeskas. Yuav kam them rau lwm cov kev kho uas tau kev tso cai los ntawm CCHP yog tus kws kho mob muaj lub txhab cia nyiaj nybo hauv Teb Chaws Asmeskas. Thov hu rau CCHP yog koj tau cov kev kho kub ceev sab nraum Teb Chaws Asmeskas. Yog koj txais tau ib daim nqi rau cov kev kho mob, hu rau peb lub Tuam Tsev Pab Neeg Qhua ntawm 1-800-482-8010 tam sis. Lwm cov kev pov hwm them nqi kho mob Yog koj muaj lwm cov kev pov hwm them nqi kho mob nrog rau CCHP, koj yuav tsum tau qhia rau koj tus kws kho mob. Koj tus kws kho mob yuav tsum xub sau nqi


ntawm lwm qhov chaw pov hwm them nqi kho mob ua ntej sau nqi ntawm CCHP. Yog koj tus kws kho mob hauv CCHP tsis txais koj lwm hom kev pov hwm them nqi kho mob, hu rau HMO tus kws txais npe tshwj xeeb ntawm 1-800-291-2002. HMO tus kws txais npe tshwj xeeb yuav qhia rau koj lub HMO kev rau npe qhov nyiaj them tsuaj tsam nrog koj lwm qhov kev pov hwm them nqi kho mob kom koj siv tau tag nrho ob qho kev pov hwm them nqi kho mob. Sau nqi ntawm cov tswv cuab Yog koj txais tau cov nqi kho mob, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010.Koj tsis tag yuav them rau cov kev kho uas kam them dua li cov nqi them nrog. Feem ntau, yeej kheev sau cov nqi uas tsis kam them kho ntawm tus tswv cuab, tshwj tsis yog qee cov kev kho los yog luag num uas tsis kam them rau txuam nrog cov kev kho uas yeej kam them rau xws cov sij hawm teem tsis mus, cov tsab xov tooj hu thiab cov kev pab txhais lus. Koj yuav tsis tau them rau ib tug kws kho mob ua ntaub ntawv. Koj thov tau cov kev kho uas tsis kam them rau los ntawm cov kws kho mob. Cov kws kho mob yuav sau tau nqi rau cov kev kho uas tsis kam them rau ntawm koj yog tias koj txais lub luag num them nqi thiab teev lus cog kev them nqi nrog tus kws kho mob. Cov kws kho mob sau tau nqi ntawm koj mus txog cov nqi lawv ib txwm tsub rau cov kev


kho uas tsis kam them rau. Yog koj txais tau ib daim nqi kho mob uas koj tsis tau lees yuav them, thov hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Cov nqi them nrog HMO thiab nws cov kws kho mob thiab cov lag luam sib cog lus yuav sau cov nqi me tuaj rau koj, hu ua cov nqi them nrog. Zam cov tswv cuab nram no ntawm cov nqi them nrog: • Cov tswv cuab tau Medicaid SSI • Cov neeg nyob hauv tsev laus tu • Cov poj niam cev xeeb me nyuam • Cov tswv cuab yau dua 19 xyoos uas tsoom fwv teb

chaws xam tias yog pab pawg neeg qhab • Cov tswv cuab yau dua 19 xyoos uas tau nyiaj txog

los yog tsawg dua 100 feem pua ntawm tsoom fwv teb chaws qib kev pluag


Cov kev kho kam them los ntawm CCHP CCHP muaj tes dej num yuav muab tag nrho cov kev kho mob uas kam them rau raws li BadgerCare Plus. Qee cov kev kho yuav tau muaj tus kws kho mob kev pom zoo los yog kev tso cai ua ntej thiab koj yuav tau them ib feem nqi kho. Qhov nqi no yog hu ua "nqi them nrog” Nram no yog teev cov txiaj ntsim zoo ntawm BadgerCare Plus thiab qhov nqi them nrog uas koj yuav tsum tau them. Txiaj ntsim zoo Cov tswv yuav yuav raug

tsub cov nqi them nrog Neeg Laus Kho Kev Puas Siab Ntsws Yav Nruab Hnub

$0

Cov Kev Tsheb Thauj Neeg Mob Kub Ceev

$0

Cov Chaw Hlais Kho Yas Cev

Tsub $3 rau lub tsev kho

Kws tso tshuaj tsaug zog $0 Kev Tswj Xyuas Txhooj, Tsis Ntsees

$0

Me Nyuam/Neeg Hluas Kev Kho Nruab Hnub

$0


Txiaj ntsim zoo Cov tswv yuav yuav raug tsub cov nqi them nrog

Cov Khoom Kho Mob Siv Pov Tseg

Tsub $1 thaum tsis yog ib feem ntawm sij hawm teem kho mob

Khoom Kho Mob Khov (Muas)

Tsub $1 rau ib yam khoom thaum tsis yog ib feem ntawm sij hawm teem kho mob

Kab Mob Raum Qib Kawg Tsub $3 yog tsis lim kua ntshav kua zis

Kev Lim Kua Ntshav Kua Zis (Tshaj Lij)

$2

Kev Lim Kua Ntshav Kua Zis (Lub tsev)

$3

Kev Npaj Tub Ki $0 Ntsuas Kev Noj Qab Haus Huv

$0

Kev Hnov Lus (kws kho qhov ntsej)

Kev kho tshaj lij $2; cog roj ntseg los yog lwm cov khoom $1; cov ntswb pob ntseg thiab cov nqi dhos - tsis muaj nqi them nrog

Kev Tu Hauv Vaj Tse $0



Kev Tu Tos Tu Siav $0 Tuam Tsev Kho Mob, Pw Kho

$3 ib hnub twg, pw kho ib zaug twg yog $75 nqi siab kawg nkaus

Tuam Tsev Kho Mob, Kho Tsis Pw

$3 ib zaug ntsib twg; tsis muaj nqi them nrog rau chav kho kub ceev

Cov Kev Kho Puas Siab Ntsws/Quav Tshuaj Yeeb Dej Caw Hauv Tsev rau Children HealthCheck "Lwm Cov Kev Kho"

$0

Kev Ntsuas Roj Ntsha/Kev Ntsuas Kab Mob

$1 nqi them nrog rau kev ntsuas roj ntsha ib zaug twg (thaum ntsuas hauv tuam tsev kho mob). Cov lag luam tso roj ntsha ntsuas sab nraud yuav tsis muaj qhov nqi them nrogIb tug tswv cuab twg muaj qhov nqi ntau tshaj plaws $30, rau ib xyoos twg.



Kev Kho Quav Tshuaj Yeeb (nrog rau tshuaj methadone)

$0

Tsheb Thauj Kho Mob Tsis Kub Ceev

Lub Xeev Wisconsin muaj tsheb thauj kho mob tsis kub ceev, tsis yog Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob Yog koj xav tau tsheb thauj, hu rau Xeev Wisconsin Tsheb Thauj Mus Los ntawm - 866-907-1493.

Kws Tu Poj Niam Yug Me Nyuam

$0 (cov kev kho txuam rau poj niam cev xeeb me nyuam)

Cov Kws Tu Mob Sab Nraud

$0

Tsev Tu Neeg Laus $0 Kev Phais Qhov Ncauj $2 (kws kho mob tsub) Kev Tsis Pw Kho Puas Siab Ntsws

$0



Kev Tsis Pw Kho Puas Siab Ntsws thiab cov kev kho quav tshuaj yeeb dej caw hauv tsev los yog hauv lub zej zog rau Cov Neeg Laus

$0

Kev Tsis Pw Txiav Tshuaj Yeeb Dej Caw

$0

Kev Tu Xyuas Tus Kheej $0 Khw Muag Tshuaj Lub Xeev Wisconsin them

rau cov tshuaj sau, tsis yog Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob. Yog koj muaj lus nug txog kev kam them rau cov tshuaj sau hu 1-800-362-3002.

Kev Kho Ko Taw $2; $30 yog qhov ntau tshaj rau ib tug kws kho mob twg; ntxiv $1 rau kev ntsuam xyuas ko taw tsis tu ncua; $3 ntxiv rau ib zaug phais twg



Kev Xoo Hluav Taws Xob $3 xoo ib zaug twg. Tsis muaj nqi them nrog rau Kev Xoo Hluav Taws Xob/Kev Kho Kab Mob Qog Nqaij Hlav

Kws Kho Mob Cov Kev Pab Cuam

$2; $30 yog qhov ntau tshaj rau ib tug kws kho mob twg. Tsub $3 ntxiv rau ib qhov kev phais twg: Tsub $2 nqi them nrog rau ib qhov kev tshuaj ntsuam twg; Ntsuas kev tsis haum cev $2 ib hnub twg uas ntsuas"

Tsheb Thauj Neeg Mob Tshwj Xeeb

Lub Xeev Wisconsin muaj tsheb thauj kho mob tsis kub ceev, tsis yog Zej Zog Me Nyuam Kev Pab Them Nqi Kho MobYog koj xav tau tsheb thauj, hu rau Xeev Wisconsin Tsheb Thauj Mus Los ntawm 866-907-1493.



Kev Kho Txiav Tshuaj Yeeb Dej Caw Yav Nruab Hnub

$0

Cov Kev Qoj Cev, Siv Yas Cev Ua Hauj Lwm thiab Kev Hais Lus

$1 rau ib txheej txheem twg

Cov Kev Kho Tsis Kam Them CCHP tsuas muab cov kev kho uas kam them los ntawm BadgerCare Plus xwb. Txhua yam kev kho uas BadgerCare Plus tsis kam them rau ces CCHP yuav tsis them rau. Cov kev kho tsis kam them rau muaj xws li (tiam sis tsis tas rau): • Cov kev kho uas yuav tau kev pom zoo (kev tso cai

ua ntej) ua ntej koj tau cov kev kho. • Cov khoom xws li TV, vis thaj nyub, cov rooj tsa tau

mus sauv mus hauv, cov tshuab cua txias tsev, thiab cov khoom tshuab qoj ib ce (txawm tias tus kws kho mob sau ntawv muab), thiab

• Cov kev kho uas xam tias yog kev tshawb kawm los yog kev kho kom zoo nkauj.

Lub Xeev Wisconsin yeej nrog xyuas cov tshuab hluav taws xob tshiab txhua zaus muaj tshiab thiab yuav qhia rau CCHP paub yog tias kam them rau yam kev kho.


Cov Kev Pab Kho Puas Siab Ntsws thiab Quav Tshuaj Yeeb Dej Caw CCHP muaj cov kev kho puas siab ntsws thiab quav tshuaj yeeb dej caw (tshuaj yeeb thiab cawv) rau txhua tus tswv cuab. Yog koj muaj ib tug kws kho mob hauv CCHP lub koom haum koj mus cuag tau tus kws kho mob ntawd thiab koj tsis tag hu qhia peb ua ntej cov sij hawm koj mus ntsib nws. Yog koj xav tau kev pab nrhiav ib tug kws kho mob hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Yog koj xav tau kev pab tam sis hu rau CCHP Neeg Tu Mob Tos Hu Cuag 24 teev/7 hnub ib lim tiam ntawm 1-877-257-5861, uas yog qhib xya hnub ib lim tiam twg. Yog koj muaj kev kub ceev, hu 911 los yog mus cuag chav kho mob kub ceev los yog tuam tsev kho kev puas siab ntsws los yog quav tshuaj yeeb dej caw nyob ze tshaj plaws. Tag nrho cov kev kho los ntawm CCHP yog ntiav xwb. Cov Kev Pab Npaj Tub Ki: Peb muaj cov kev pab npaj tub ki ceev zoo rau tag nrho cov tswv cuab, nrog rau cov me nyuam tsis nto hnub nyoog. Yog koj txiav txim tsis tha nrog koj tus thawj kws kho mob txog kev npaj tub ki, hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Peb yuav pab koj xaiv ib tug kws kho kev npaj tub ki uas txauv koj tus thawj kws kho mob. Peb xav kom koj tau cov kev pab npaj tub ki los ntawm CCHP tus kws kho mob thiaj li tswj xyuas tau tag nrho cov kev kho kab mob kev nkeeg rau koj. Tsoom fwv


teb chaws txoj cai kheev cov tswv cuab xaiv lawv tus kws kho mob, xws li cov kws kho mob, cov chaw kho npaj tub ki, rau kev tu cev npaj tub ki thiab cov khoom siv. Yog li koj puav leej mus cuag tau txhua lub chaw kho npaj tub ki uas kam txais koj daim yuaj ForwardHealth ID, txawm tias lub chaw kho tsis yog ib feem ntawm CCHP. Cov kev pab cuam los ntawm lub khw muag tshuaj; Koj tus kws kho mob yuav sau cov ntawv muab tshuaj rau koj. Koj mus nqa tau koj qhov tshuaj ntawm txhua lub khw muag tshuaj uas yog koom nrog BadgerCare Plus. Nco ntsoov muab koj daim yuaj ForwardHealth ID qhia rau tus kws muab tshuaj thaum koj mus nqa tshuaj. Cov txiaj ntsim zoo ntawm koj lub khw muag tshuaj yuav kam them los ntawm lub Xeev Wisconsin, tsis yog CCHP. Yog koj xav tau kev pab mus nqa tshuaj hu rau ForwardHealth Chaw Pab Neeg Qhua ntawm 1-800-362-3002. Tej zaum koj yuav muaj cov nqi them nrog los yog kev txwv txiav rau cov tshuaj uas kam them rau. Kev Ntsuam Xyuas Kev Tu Mob/Kab Mob Kev Nkeeg (BadgerCare Plus Cov Laus Tsis Muaj Me Nyuam xwb) Tam is tug tswv cuab hauv CCHP, yuav hais kom koj tham nrog ib tug neeg kawm txawj hauj lwm txog koj cov kev tu ncua ntawm kev tu mob. CCHP yuav hu rau koj ua ntej 60 hnub txij li rau muaj npe kom teem tau ib lub sij hawm sib tham txog koj keeb kwm kab mob kev nkeeg thiab cov kev


tu mob uas koj xav tau. Nws tseem ceeb heev uas koj tham nrog CCHP kom koj tau cov kev tu mob thiab kev pab cuam uas koj xav tau. Yog koj muaj lus nug los yog xav hu ncaj qha rau CCHP mus teem lub sij hawm sib tham txog cov kev tu ncua ntawm koj txoj kev noj qab haus huv, thov hu rau 1-877-227-1142 thiab nias zaus 2. Cov kev pab kho kaus hniav Rau cov tswv cuab uas nyob rau ahuv cov cheeb nroog Kenosha, Milwaukee, Ozaukee, Racine, Washington thiab Waukesha, CCHP muab tau tag nrho cov kev kho hniav ua kam them, tiam sis koj yuav tsum mus cuag tus kws kho hniav ntawm CCHP. Xyuas Phau Ntawv Teev Qhia Cov Kws Kho Mob los yog hu rau Chaw Pab Neeg Qhua Kev Kho Hniav ntawm 1-877-389-9870 kom tau cov npe rau peb cov kws kho hniav. Tam ib tug tswv cuab, koj muaj txoj cai teem sij hawm ntsuam xyuas hniav ua ntej 90 hnub tom qab koj thov tag. CCHP muaj HMO Tus Kws Pab Tswv Yim Kho Hniav los pab koj yog tias koj muaj teeb meem nrog cov kev kho hniav. Xav tham nrog HMO Tus Kws Pab Tswv Yim hu rau 1-800-482-8010. Cov tswv cuab nyob hauv cov cheeb nroog uas tsis teev qhia saum no mus kho hniav tau ntawm txhua tus kws kho hniav uas kam txais koj daim yuaj ForwardHeatl ID. Koj cov kev kho hniav yuav yog muab los ntawm lub Xeev muab rau koj, tsis yog CCHP.Hu rau FowardHealth Chaw Pab Neeg Qhua ntawm 1-800-362-3002 kom tau kev pab nrhiav ib


tug kws kho hniav uas muaj npe txais Medicaid. Kev Mob Hniav Kub Ceev: Kev mob hniav kub ceev yog yuav tau kev kho hniav tam sis rau kev mob hniav heev, o, ua npaws, ua paug los yog raug mob rau cov hniav. Koj muaj txoj cai tau kev kho hniav kub ceev ua ntej 24 teev tom qab koj thov tag. Yog koj nyob rau hauv cov cheeb nroog Kenosha, Milwaukee, Ozaukee, Racine, Washington los yog Waukesha thiab yeej muaj ib tug kws kho hniav hauv CCHP lawm: • Hu rau tus kws kho hniav lub chaw kho. • Qhia rau lawv tias koj los yog koj tus me nyuam muaj

mob hniav kub ceev. • Qhia qhov teeb meem kiag rau lub chaw kho hniav,

xws li mob hniav heev los yog ntsej muag o tag. Qhia kom lub chaw kho hniav nkag siab tias koj los yog koj tus me nyuam muaj mob hniav kub ceev.

Yog koj tsis muaj ib tug kws kho hniav hauv CCHP: • Hu rau peb Chaw Pab Neeg Qhua Kev Kho Hniav

ntawm 1-877-389-9870.Piav rau lawv tias koj los yog koj tus me nyuam muaj mob hniav kub ceev. Peb yuav pab koj mus cuag cov kev kho hniav.

• Yog koj xav tau kev pab tsheb thauj mus los, hu 1-866-907-1493.


Cov tswv yim txog kev kho hniav • Nrhiav ib tug kws kho hniav thiab teem ib lub sij hawm

nrog tus kws kho hniav ntawd. Lub chaw kho hniav ntawd yuav yog qhov chaw koj mus cuag rau tag nrho koj cov kev kho hniav.

• Tus me nyuam thawj zaug ntsib tus kws kho hniav yuav tsum yog thaum lawv muaj 1 xyoos.

• Koj teem tau sij hawm ntxuav hniav txhua txhua rau lub hlis twg.

• Txo tsawg koj cov piam thaj, tshwj xeeb yog thaum caij pw.

• Tsis txhob muab cov khob ntxais ncauj rau cov me nyuam.

• Noj cov khoom noj haus thiab khoom txom ncauj zoo. • Tiv thaiv koj tus me nyuam cov hniav nrog cov plooj

thaiv hniav thaum ua si ntaus pob ncaws pob. Chaw Xyuas Kev Noj Qab Haus Huv (Wellness Portal) Koj mus cuag tau peb qhov chaw xyuas kev noj qab haus huv ntawm qhov chaw koj ua tiav txoj kev ntsuam xyuas koj txoj kev noj qab haus huv thiab raus tes koom ua lub neej noj qab haus huv dua. Qhov chaw no muaj cov tswv yim pab rau tus kheej kom pab txiav kev haus luam yeeb, tswj kev noj haus zoo thiab cev nyhav, tswj kev ntxhov siab thiab nyuab siab.


Cov kev kho mob zuaj ib ce Koj mus cuag tau txhua cov kev pab qoj pob txha cev uas yuav koj daim yuaj ForwardHelth ID. Koj cov kev kho qoj pob txha cev yuav yog kam them los ntawm lub Xeev muab rau koj, tsis yog CCHP. Xav nrhiav ib lub chaw kho mob rau npe nrog Medicaid:

1. Mus rau www.forwardhealth.wi.gov 2. Nias qhov chaw txuas cov tswv cuab los yog lub

yeem ntawm nruab nrab daim phiaj. 3. Rub rov lawm hauv thiab nias rau qhov Cov Kev Pab. 4. Nias rau qhov txuas mus Nrhiav Chaw Kho Mob. 5. Nram qab Txoj Kev Pab, xaiv BadgerCare Plus.

Los yog koj hu tau rau Forward Health Chaw Pab Tswv Cuab ntawm 1-800-362-3002. Cov Kev Kho Qhov Muag Pom Kev Cov kev kho qhov muag, nrog rau cov iav qhov muag, yeej kam them; tiam sis muaj qee cov kev txwv txiav. Xav paub ntxiv, hu rau peb lub Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Cov Kev Kho Kev Puas Hlwb Autism Cov kev kho yam ntxwv yog cov uas kam them los ntawm BadgerCare Plus. Koj yuav tau cov kev kho kev puas hlwb autism los ntawm lub chaw kho mob muaj npe hauv Medicaid uas yuav txais koj Daim Yuaj ID Them Nqi Kho


Mob Forward. Xav nrhiav ib lub chaw kho mob rau npe nrog Medicaid:

1. Mus rau www.forwardhealth.wi.gov 2. Nias qhov chaw txuas Cov Tswv Cuab los yog lub

yeem ntawm nruab nrab daim phiaj. 3. Rub rov lawm hauv thiab nias rau qhov Cov Kev Pab

Cuam. 4. Nias rau qhov txuas mus Nrhiav Chaw Kho Mob. 5. Nram qab Txoj Kev Pab, xaiv BadgerCare Plus.

Los yog koj hu tau rau Forward Health Chaw Pab Tswv Cuab ntawm 1-800-362-3002. Ntsuas Kev Noj Qab Haus Huv (HealthCheck) Ntsuas Kev Noj Qab Haus Huv (HealthCheck) yog ib txoj kev pab uas kam them rau tag nrho cov kev ntsuam xyuas kab mob kev nkeeg, nrog rau cov kev kho thaum lub caij ntsuam xyuas, rau cov tswv cuab yau dua hnub nyoog 21 xyoos. Cov kev tshuaj ntsuam no tseem ceeb heev. Cov kws kho mob xav pom cov tsis tau nto 21 xyoos muaj kev tshuaj ntsuam tsis tu ncua, tsis yog thaum twg lawv mob kiag xwb. Txoj kev pab HealthCheck muaj peb qhov laj thawj:

1. Nrhiav thiab kho cov teeb meem rau cov tsis tau nto 21 xyoos.


2. Kom qhia tau rau koj paub txog cov kev kho mob tshwj xeeb rau cov tsis tau nto 21 xyoos; thiab

3. Kom ua tau cov tsis nto 21 xyoos tsim nyog tau qee cov kev tu mob uas tsis kam them rau.

Txoj kev pab HealthCheck them rau cov kev kho mob rau cov teeb meem kab mob uas nrhiav pom thaum tshuaj ntsuam, nrog rau kev kho mob, kev kho yam ntxwv, kho qhov muag thiab kho hniav. HealthCheck tshuaj ntsuam cov li: • Keeb kwm kev noj qab haus huv thiab kev loj hlob • Ntsuam xyuas lub cev tsis hnav khaub ncaws • Cov kev ntsuas qhov ntsej hnov lus thiab qhov muag

pom kev • Ntsuas hniav thiab ua ntawv xa mus cuag ib tug kws

kho hniav pib txij hnub nyoog 1 xyoos • Cov kev tso ntshav thiab zis ntsuas (nrog rau kev

ntsuas ntshav hlau lead thaum twg txog hnub nyoog tsim nyog)

• Cov tshuaj tiv thaiv nruab nrog cev nyoog (cov koob tshuaj txhaj) rau qib hnub nyoog

Xav teem ib lub sij hawm HealthCheck tshuaj ntsuam los yog xav paub ntxiv, hu rau peb lub Tuam Tsev Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Yog koj xav tau kev pab tsheb thauj mus los, hu 1-866-907-1493.


Cov caij nyoog muaj HealthCheck • Yug kiag txog 1 xyoos6 zaus ib xyoos twg • 1 txog 2 xyoos3 zaus ib xyoos twg • 2 txog 3 xyoos2 zaus ib xyoos twg • 3 txog 21 xyoos1 zaus ib xyoos twg

Cov kev pab tswj xyuas txhooj Rau cov tswv cuab uas xav tau kev pab tswj xyuas cov teeb meem txuam nrog lawv txoj kev noj qab haus huv, CCHP muaj cov kws tu mob tshwj xeeb, cov neeg tuav lis ntaub ntawv thiab cov kws pab tswv yim. Thov hu rau 1-877-227-1142 mus cuag cov neeg ua hauj lwm Pab Kev Kho Mob thaum cov sij hawm 8 teev sawv ntxov txog 4:30 tsaus ntuj hnub Monday txog Friday. Kev Tsheb Thauj Muaj tsheb thauj mob tsis kub ceev (NEMT) los ntawm Tuam Tsev Tswj Xyuas Kev Noj Qab Haus Huv NEMT tus thawj tswj. NEMT Tus thawj tswj npaj thiab them rau cov nqi thauj cov tswv cuab mus cuag cov kev kho kam them rau uas tsis muaj lwm txoj kev mus los. Tsheb thauj mob tsis kub ceev (NEMT) puav leej yog cov tsheb thauj xws li • Tsheb thauj laj mej pej xeem xws li cov tsheb npav

hauv zos • Tsheb thauj neeg mob tsis kub ceev • Tsheb thauj neeg mob tshwj xeeb


• Lwm hom tsheb thauj, nyob ntawm tus tswv cuab txoj kev tu ncua kab mob kev nkeeg thiab tsheb thauj mus los

Ntxiv thiab, yog koj siv koj lub tsheb thauj mus los rau cov sij hawm teem rau koj cov kev kho uas kam them rau, tej zaum koj yuav tau nyiaj thim ntxiv rau cov nqi tsheb mais. Koj yuav tsum teem cov tsheb thauj txhua zaus li ob hnub ua ntej koj lub sij hawm teem tseg. Koj hu tau mus rau tus thawj tswj NEMT mus teem tsheb thauj txhua zaus ntawm 1-866-907-1493 (los yog TYY 1-800-855-2880), Hnub Monday txog Friday, thaum 7:00 teev sawv ntxov txog 6:00 teev tsaus ntuj. Koj puav leej teem tau cov tsheb thauj mus cuag kev kho mob sai. Yuav muaj tsheb thauj mus cuag kev kho mob sai li peb teev los yog luv dua. Tsheb Thauj Neeg Mob CCHP yuav them rau cov nqi tsheb thauj neeg mob rau cov kev kho mob kub ceev. Hu 911 txhua lub sij hawm thaum twg yog muaj kev kub ceev loj heev. Yog Koj Tsiv Tsev Yog koj npaj yuav tsiv tsev, hu rau koj lub chaw Tswj Nyiaj Txiag (Income Maintenance, IM). Yog koj tsiv tawm mus rau lwm lub cheeb nroog, koj puav leej yuav tau hu cuag koj lub koom haum IM hauv koj lub cheeb nroog tshiab


kom xyuas tau koj txoj kev tsim nyog tau kev pab tshiab. Yog koj tsiv tawm ntawm CCHP cheeb tsam kev kho, hu rau HMO tus kws txais npe shwj xeeb ntawm 1-800-291-2002. CCHP tsuas muab tau kev kho mob kub ceev xwb yog koj tsiv tawm ntawm peb cheeb tsam kho. Tus tus kws txais npe tshwj xeeb yuav pab koj xaiv lub HMO uas pab hauv koj cheeb tsam tshiab. HMO Cov Kev Zam Feem ntau, koj yuav tsum muaj npe hauv HMO thiab tau cov txiaj ntsim pab kev noj qab haus huv los ntawm BadgerCare Plus. HMO cov kev zam txhais tau tias koj tsis tag yuav koom tes nrog HMO thiaj li tau cov txiaj ntsim zoo rau txoj kev kho koj. Feem ntau cov kev zam tsuas yog zam rau ib lub sij hawm luv luv xwb yog li yuav kho koj tiav ua ntej muab koj rau npe koom nrog ib lub HMO. Yog koj xav tias koj yuav tsum muaj kev zam ntawm txoj kev rau npe nrog HMO, hu rau lub HMO tus kws txais npe tshwj xeeb ntawm 1-800-291-2002 kom paub ntxiv. Tsab Ntawv Teev Txib Kev Kho Ua Ntej, Tsab Ntawv Teev Kev Cawm Siav los yog Tsab Ntawv Tso Hwj Chim Rau Lwm Tus Sawv Tam Koj muaj txoj cai txiav txim txog txoj kev tu mob rau koj. Koj muaj txoj cai txais los yog tsis txais ib yam kev kho mob los yog kev phais mob. Koj puav leej muaj txoj cai npaj thiab qhia cov hom kev tu mob uas koj yuav tau muaj


rau yav tom ntej yog koj lam hais tsis taus li koj siab xav lawm. Koj qhia tau rau koj tus kws kho mob paub txog koj cov kev xav hauv siab uas yog ua tsab ntawv teev txib kev kho ua ntej, tsab ntawv teev kev cawm siav, tsab ntawv tso hwj chim rau lwm tus sawv tam koj rau txoj kev tu mob. Hu rau koj tus kws kho mob txog cov ntawv teev kev cawm siav los yog tawv tso hwj chim rau lwm tus sawv tam koj rau txoj kev tu mob. Koj muaj txoj cai ua tsab ntawv kev tu siab rau lub Tuam Tsev Pab Kev Noj Qab Haus Huv Fab Tswj Kev Kho Kom Zoo (Division of Quality Assurance) yog tsis ua raws li koj tsab ntawv teev txib kev kho ua ntej, tsab ntawv teev kev cawm siav los yog tsab ntawv tso hwj chim rau lwm tus tam. Koj thov tau kev pab ua tsab ntawv tu siab. Txoj cai tau cov ntaub ntawv teev kab mob kev nkeeg Koj muaj txoj cai thov kom luam koj cov ntaub ntawv teev kab mob kev nkeeg ntawm koj cov kws kho mob. Peb yuav pab kom luam tau cov ntaub ntawv no rau koj. Hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010 kom tau kev pab. Thov faj seeb: Tej zaum koj yuav tau them cov nqi luam koj cov ntaub ntawv teev kab mob kev nkeeg. Koj puav leej yuav kho tau cov ncauj lus tsis yog nyob rau hauv koj cov ntaub ntawv teev kab mob kev nkeeg yog koj tus kws kho mob pom zoo kom kho.


Kws Pab Tswv Yim Rau Tswv Cuab CCHP muaj HMO Tus Kws Pab Tswv Yim Rau Tswv Cuab los pab koj mus cuag tau cov kev tu mob uas koj xav tau thiab teb koj cov lus nug txog kev muab cuag cov kev kho mob ntawm CCHP.HMO Tus Kws Pab Tswv Yim Rau Tswv Cuab puav leej pab koj daws tau tej teeb meem uas koj tau muaj nrog txoj kev kho kab mob kev nkeeg los ntawm CCHP. Koj puav leej hu cuag tau HMO Tus Kws Pab Tswv Yim Rau Tswv Cuab yog hu rau Chaw Pab Neeg Qhua ntawm 1-800-482-8010. Txuas nrog CCHP! Xav tau cov ncauj lus tshiab txog cov koom txoos hauv koj lub zej zog, cov kev khwv nyiaj phaj tshab, cov kev lom zem kom noj qab haus huv, cov kev pab cuam hauv zos thiab ntau yam ntawv: • Mus xyuas peb qhov vas sab ntawm

childrenscommunityhealthplan.org • Mus xyuas peb hauv Facebook ntawm

facebook.com/CCHP-WI Xeev Wisconsin HMO Kev Nyob Nruab Nrab Ntug Pab Lub Xeev muaj Cov Neeg Nyob Nruab Nrab Ntug Pab (Ombuds) (cov tib neeg uas muab kev pab tsis tuaj leej twg tog, ceev zoo cia thiab ncauj lus qhia) uas yuav pab tau koj txog cov lus nug los yog cov teeb meem uas koj muaj tam li HMO ib tug tswv cuab. Cov Neeg Nyob Nruab


Nrab Ntug Pab qhia tau rau koj txog kev mus cuag yam kev tu mob uas koj xav tau ntawm koj lub HMO.Cov Neeg Nyob Nruab Nrab Ntug Pab puav leej pab tau koj daws cov teeb meem los yog kev tsis txaus siab uas koj muaj txog HMO txoj kev pab los yog koj lub HMO. Hu rau 1-800-760-0001 thiab thov tham nrog ib tug Neeg Nyob Nruab Nrab Ntug Pab. Lav Kev Zoo CCHP lub hom phiaj yog muab cov kev kho zoo, kev pab tswj xyuas thiab kev cuag cov kev kho mob. Txoj Kev Pab Lav Kev Zoo yuav nrog saib xyuas peb lub tswv yim. Peb ua li no kom paub tseeb tias peb yeej ua zoo rau koj cov kev tu ncua ntawm kev noj qab haus huv. Peb yuav thov kom koj qhia koj cov kev xav rau hauv ib txoj kev tshawb fawb uas txuam rau koj txoj kev txaus siab nrog txoj kev kho mob thiab cov kev pab cuam uas koj tau txais. Peb yuav ua hauj lwm tas zog txhim kho peb cov kev pab cuam rau koj. Lav kev zoo puav leej xam rau txoj kev tuav tswv yim, kev pib thiab kev tswj xyuas cov kev pab kom paub tias yeej ua tau zoo rau koj txoj kev nyab xeeb thiab kev tu ncua ntawm koj txoj kev noj qab haus huv. Ib qho qauv ntawm peb ib txoj kev pab yog xa cov ntawv mus qhia rau cov niam txiv los yog cov neeg saib xyuas kom nco ntsoov txog lawv tus me nyuam lub sij hawm teem mus ntsuas HealthCheck.


Peb ntseeg tias muaj cov kev pab zoo li no yuav pab koj. Lawv faj seeb qhia rau koj txog cov kev pab cuam uas yuav ua kom koj noj qab haus huv. Txoj Kev Pab Lav Kev Zoo tswj xyuas cov kev pab no. Peb puav leej txais tos cov tswv yim tsim tsa lwm cov kev pab tshiab. Cov Lus Tsis Txaus Siab thiab Lus Thov Kev Rov Txiav Txim Dua (ntu no muaj feem xyuam rau cov kev txhawj xeeb txog cov txiaj ntsim zoo thiab cov txiaj ntsim tsis zoo) Lus tsis txaus siab yog ib lo lus dav dav uas siv los piav tias koj tsis txaus siab rau koj txoj kev pab them nqi kho mob los yog tus kws kho mob. Hais tau los yog sau tau lus tsis txaus siab thiab muaj xws li: • Cov teeb meem kev cuag txoj kev kho mob - xws li

koj tsis tau ib yam kev pab cuam, kev kho mob los yog ib qho tshuaj uas koj xav tau

• Koj txoj kev pab them nqi kho mob tsis kam them rau ib yam kev kho thiab hais tias nws tsis yog kho mob tsim nyog.

• Koj yuav tau tos ntev heev thiaj teem tau ib lub sij hawm.

• Koj tau kev tu xyuas tsis zoo los yog ua phem heev rau koj.

• Koj txoj kev pab them nqi kho mob tsis them rov rau koj rau yam kev kho mob kub ceev uas koj tau them rau.


• Koj tau txais ib daim nqi uas koj ntseeg tias koj tsis tag yuav tau them.

Hais tau los yog sau tau cov lus thov kev rov txiav txim dua txog ib txoj kev tsis pom zoo rau ib txoj kev txiav txim uas CCHP tau muab rau koj thaum koj tsis txaus siab, los yog thaum koj tsis pom zoo rau lub chaw pab them nqi kho mob txoj kev txiav txim tsis kam them los yog txwv txiav kev tso cai los yog kev kam them rau ib yam kev kho uas koj tau thov. Koj los yog tus neeg sawv cev rau koj ua tau tsab ntawv thov kev rov txiav txim dua ua ntej 90 hnub txij li hnub peb txiav txim txog txhua yam xwm txheej. Cov xwm txheej muaj xws li tiam sis tsis tas rau: • Qhov zoo ntawm txoj kev kho los yog kev pab cuam • Kev coj siab phem los ntawm tus kws kho mob los

yog tus neeg ua hauj lwm • Tsis muaj peev xwm hwm koj cov cai tam ib tug tswv

cuab • Hom los yog qib kev kho • Txoj kev txo tsawg, kev txiav tu ib ntus, kev txiav tu ib

yam kev kho uas tau kev tso cai dhau los • Txoj kev tsis kam them, tag nrho los yog ib feem,

ntawm ib yam kev kho Peb xav paub yog koj muaj ib txoj kev tsis txaus siab los yog xav thov kev rov txiav txim dua rau ib txoj kev txiav txim ntawm txoj kev tu xyuas koj los yog cov kev pab uas koj tau


txais los ntawm CCHP. Hu rau CCHP HMO Tus Kws Pab Tswv Yim Rau Tswv Cuab ntawm 1-800-482-8010 yog koj muaj lus tsis txaus siab los yog thov kev rov txiav txim dua los yog sau ntawv rau peb ntawm

Children’s Community Health Plan Sau rau: Complaint/Appeal Department PO Box 1997, MS6280 Milwaukee, WI 53201-1997

Xav tham nrog ib tug neeg sab nraum CCHP, hu rau HMO tus neeg txais npe tshwj xeeb ntawm 1-800-291-2002. Tus neeg txais npe tshwj xeeb yuav pab tau koj daws qhov teeb meem. Koj puav leej sau tau ib tsab ntawv tsis txaus siab los yog thov kev rov txiav txim dua mus rau CCHP los yog us rau Wisconsin Txoj Kev Pab Tswj Xyuas Kev Tu Mob.Qhov chaw nyob thiab xov tooj hu cuag lub xeev txoj kev pab HMO yog:

Wisconsin BadgerCare Plus Managed Care Ombuds PO Box 6470 Madison, WI 53716-0470 1-800-760-0001

Yog yuav tau xyuas koj cov lus tsis txaus siab los yog lus thov kev rov txiav txim dua tam sis vim kev ncua txoj kev kho mob yuav tsim muaj teeb meem loj heev rau koj txoj kev noj qab haus huv, hu rau Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob sai npaum li sai tau ntawm


Peb yuav coj txawv dua lwm tus rau koj tsis tau vim yog koj ua ntawv tsis txaus siab los yog thov kev rov txiav txim dua. Yuav tsis cuam tshuam rau cov kev tu mob rau koj. Koj muaj txoj thov mus rau Xeev Wisconsin Fab Rooj Sib Hais thiab Cov Kev Rov Txiav Txim Dua (Division of Hearings and Appeals, DHA) kom tau lub rooj sib hais txiav txim dua ncaj ncees yog koj ntseeg tias tau tsis kam muab, txo tsawg, ncua los yog txiav tu koj cov kev pab yam tsis yog los ntawm CCHP. Yuav tsum ua ntawv thov kev rov txiav txim dua tsis pub lig tshaj 45 hnub txij hnub ua ntawv thov kom rov txiav txim dua. Yog koj thov kev rov txiav txim dua ua ntej hnub pib ua raws mus, yuav kho mob tau txuas mus ntxiv. Koj yuav tau them rau cov nqi kho mob yog tias lub rooj sib hais tag tsis mus li koj siab xav. Yog koj xav tau lub rooj sib hais ncaj ncees, sau ntawv thov mus rau:

Department of Administration Division of Hearings and Appeals PO Box 7875 Madison, WI 53707-7875

Yuav muaj lub rooj sib hais nyob rau hauv lub cheeb nroog uas koj nyob rau. Koj muaj txoj cai coj ib tug phooj ywg los


yog tuaj tshwm rau hauv lub rooj sib hais. Yog koj yuav tsum muaj kev npaj tshwj xeeb rau ib txoj kev tsis taus twg, los yog yuav tsum muaj kev txhais lus, thov hu rau 1-608-266-3096 (suab lus) los yog 1-608-264-9853 (tsis hnov lus zoo). Cov tswv cuab uas tsis hnov lus zoo hu tau rau 1-608-264-9853. Yuav coj txawv dua lwm tus rau koj tsis tau vim yog koj thov kom muaj lub rooj sib hais ncaj ncees. Yuav tsis cuam tshuam rau cov kev tu mob rau koj. Yog koj xav tau kev pab sau tsab ntawv thov lub rooj sib hais ncaj ncees, hu rau tus Neeg Nyob Nruab Nrab Ntug Pab ntawm 1-800-760-0001 los yog HMO tus kws txais npe tshwj xeeb ntawm 1-800-291-2002. Kws Kho Mob Txoj Kev Pab Kom Muaj Siab Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob tsis muaj cov kev npaj them nqi tshwj xeeb nrog peb cov kws kho mob uas muaj feem xyuam rau txoj kev ua ntawv xa mus cuag los yog lwm cov kev pab uas koj xav tau. Koj muaj cai nug seb peb puas muaj cov kev npaj them nqi tshwj xeeb nrog peb cov kws kho mob uas muaj feem xyuam rau txoj kev ua ntawv xa mus cuag los yog lwm cov kev pab uas koj xav tau. Xav tau cov ncauj lus no, hu rau peb lub Chaw Pab Neeg Qhua ntawm 1-800-482-8010 thiab thov xov xwm txog peb cov kws kho mob cov kev npaj them nqi.


Nqe Lus Teev Tseeb Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob (CCHP) xav kom nws cov tswv cuab tau cov kev tu mob zoo npaum li zoo tau thaum lawv xav tau tshaj plaws. Kom ua tau li no, peb siv txoj kev thov tso cai ua ntej, uas yog ib feem ntawm peb txoj kev pab Siv Kev Tswj Xyuas (Utilization Management (UM)). UM txoj kev txiav txim yog raws li txoj kev tu mob thiab kev kho tsim nyog nkaus xwb, thiab muaj kev kam them. CCHP tsis muab phaj tshab rau cov kws kho mob los yog lwm cov tib neeg vim lawv tsis kam them kev kho mob. Cov nyiaj pab kev muaj siab rau UM cov neeg txiav txim tsis yog txhawb kom lawv txiav txim tsis txhob siv kev tswj xyuas. Kws Kho Mob Cov Peev Xwm Koj muaj txoj cai tau cov xov xwm txog peb cov kws kho mob uas muaj xws li tus kws kho mob txoj kev kawm ntaub ntawv, kev txhawb los ntawm pab kav xwm thiab kev thov dua kev txhawb. Xav paub ntxiv, hu rau Chaw Pab Neeg Qhua ntawm -800-482-8010. Tswv Cuab Cov Cai thie Tes Dej Num Koj muaj cai: • Thov ib tug neeg txhais lus thiab koj yuav tau ib tug

thaum lub caij koj tau cov kev kho uas kam them los ntawm BadgerCare Plus.


• Tau cov xov xwm hauv phau ntawv siv ntawm tes rau tswv cuab no sau ua lwm hom lus los yog lwm hom kev teeb txheeb.

• Tau cov kev kho mob raws li teev los ntawm tsoom fwv teb chaws thiab lub xeev txoj cai (Tag nrho cov kev kho uas kam them yuav tsum muaj rau koj thiab koj muab cuag tau. Thaum twg muaj mob tsim nyog, yuav tsum muaj kev kho 24 teev ib hnub twg, xya hnub ib lim tiam twg.

• Tau cov ncauj lus qhia txog cov kev kho uas muaj nrog rau txoj cai thov lwm tus neeg lub tswv yim txog qhov nqi tsub los yog qhov txiaj ntsim kam them.

• Koom nrog cov kws kho mob txiav xim txog txoj kev tu xyuas koj txoj kev noj qab haus huv tsis hais yuav raug nqi li cas los yog qhov txiaj ntsim kam them li cas.

• Tau kev hwm thiab saib rau lub sam xeeb - koj muaj cai tau kev ceev ntiag tug txog koj txoj kev noj qab haus huv.

• Tsis raug kev ceev los yog kev cais uas kev yuam, kev tswj, kev siab tus los yog kev tawm tsam.

• Tau cov ncauj lus qhia txog CCHP, nws cov kev kho, cov kws kho mob thiab chaw kho mob thiab tswv cuab cov cai thiab tes dej num.

• Hais cov lus tsis txaus siab los yog thov kev rov txiav txim dua rau CCHP los yog txoj kev kho uas lawv muab.


• Qhia tswv yim pom zoo txog CCHP txoj cai rau tswv cuab txoj cai thiab tes dej num.

• Tau kev sib tham ncaj ncees txog cov kev kho tsim nyog los yog mob tsim nyog rau koj tus mob, tsis hais raug nqi tsub los yog qhov txiaj ntsim kam them.

• Coj raws koj cai tsis raug kev tawm tsam los ntawm CCHP thiab CCHP cov kws kho mob.

Koj muaj tes dej num yuav tau: • Nkag siab txog koj cov teeb meem kab mob kev

nkeeg thiab koom nrog txoj kev tsim tsa cov hom phiaj kho mob.

• Qhia rau koj tus kws kho mob los yog CCHP yam lawv yuav tau paub kom kho tau koj.

• Coj raws li lub tswv yim kho mob thiab cov lus qhia uas lees los ntawm koj thiab koj tus kws kho mob.

Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug Tsab ntawv no qhia peb txoj kev siv thiab qhia tawm cov ntaub ntawv teev kab mob kev nkeeg txog peb cov tswv cuab li cas thiab cov tswv cuab muab li cas thiaj tau cov ntaub ntawv teev kab mob kev nkeeg uas ceev zoo cia no. Thov ua tib zoo muab tsab ntawv no xyuas. Zej Zog Me Nyuam Kev Pab Them Nqi Kho Mob CCHP) ruaj siab yuav tiv thaiv koj li ntiag tug. Tsab ntawv no piav txog CCHP Cov Kev Ceev Ntiag Tug, cov tes dej num


raws cai thiab koj cov cai txog koj cov ntaub ntawv teev kab mob kev nkeeg.Peb zwm muaj txoj cai hloov peb cov kev ceev ntiag tug thiab cov ntsiab lus hauv Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug raws li txoj cai kheev. Thaum peb hloov ib yam loj ntawm peb cov kev ceev ntiag tug, peb yuav hloov tsab ntawv faj seeb no thiab muab xa mus rau peb cov tswv cuab los yog tshaj tawm rau ntawm peb qhov vas sab ntawm www.childrenscommunityhealthplan.org. Cov ntsiab lus teev "ntaub ntawv teev kab mob kev nkeeg" hauv tsab ntawv no yog xam txhua yam ncauj lus txog tus kheej uas tsim los yog txais tau los ntawm txoj kev pab them nqi kho mob uas txuam rau peb cov qhua txoj kev noj qab haus huv ntawm lub cev los yog lub siab ntsws los yog tus mob, kev kho mob los yog nyiaj them rau cov nqi kho mob uas tau txais los ntawm peb cov tswv cuab. Cov Tes Dej Num Ntawm Ntiag Tug Txoj cai txwv CCHP kom: • Xyuas kom ceev zoo cia cov ntaub ntawv teev kab

mob kev nkeeg • Muab Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag

Tug rau koj • Coj raws li cov lus teev hauv Tsab Ntawv Faj Seeb

Txog Kev Ceev Ntiag tug noPeb yuav siv thiab qhia tawm tau koj cov ntaub ntawv teev kab mob kev nkeeg:


• Rau koj, leej twg uas txuam nrog txoj kev tu xyuas koj, los yog rau ib tug phooj ywg los yog neeg hauv tsev ze rau koj txog koj tus mob, txoj kev txais koj mus pw kho rau hauv lub tsev kho mob los yog txoj kev tuag.

• Rau Tus Zwm Khiav Ntaub Ntawv hauv Teb Chaws Asmeskas Tuam tsev Tswj Xyuas Kev Noj Qab Haus Huv thiab Pab Pej Xeem

• Rau cov koom haum pab kev noj qab haus huv rau laj mej pej xeem thaum twg yog koj muaj ib yam kab mob loj heev los yog hem thawj rau txoj kev nyab xeeb

• Rau cov thawj tswj txog kev tsim txom, kev tsis saib xyuas los yog kev sib ceg sib ntawm hauv tsev neeg

• Teb rau tsev hais plaub cov lus txib, txheeb los yog yuam

• Rau cov laj thawj ceev xwm • Rau cov laj thawj kev tshawb fawb yog tias txoj kev

kawm muaj raws li tag nrho cov cai ceev ntiag tug • Rau nom tswv cov tes dej num tshwj xeeb xws li kev

ua tub rog, kev ceev teb chaws ruaj ntseg thiab cov tes dej num tshawb nrhiav

• Rau tus kws ntsuas kev tuag los yog tus kws phais tuag los yog tus thawj coj ntees tuag

• Rau txoj kev sau, khaws cia los yog hloov khoom nruab nrog cev, cov qhov muag los yog ntshav nqaij


• Rau kev coj raws cov cai ntawm kev pab nyiaj rau neeg ua hauj lwm raug mob los yog zoo sib lws li ntawd

• Rau cov koom haum tswj xyuas kev noj qab haus huv rau cov laus, kev tshawb fawb, kev txheeb ntsuas thiab kev muab ntawv tso cai tsim nyog rau tsoom fwv tswj xyuas txoj kev noj qab haus huv thiab cov kev pab

Peb muaj txoj cai siv thiab qhia tawm koj cov ntaub ntawv teev kab mob kev nkeeg kom them tau cov nqi kho mob thiab khiav tau s peb lub lag luam: • Rau tus kws kho mob, lub tuam tsev kho mob los yog

lwm cov kws kho mob, uas xav tau koj cov ntaub ntawv teev kab mob kev nkeeg kom koj tau cov kev kho mob

• Rau kev them cov nqi kam them kho mob rau koj los ntawm cov kws kho mob, cov tuam tsev kho mob los yog lwm cov kws kho mob.

• Rau cov kev khiav CCHP, xws li khiav koj cov ntaub ntawv rau npe, teb rau koj lus nug, muab cov kev kho li koj thov, tswj xyuas koj txhooj, daws cov teeb meem thiab cov tes dej num ntawm txoj kev tswj kho mob, lav kev zoo, txheeb nyiaj txiag thiab kev ntsuas cov kws kho mob tshaj lij

• Hu qhia koj txog cov txiaj ntsim zoo txuam rau txoj kev noj qab haus huv los yog lwm cov kev kho mob uas yuav zoo rau koj


Qee cov kev pab cuam rau CCHP los ntawm lwm cov koom haum hu ua "chaw ua lag luam nrog."Piv txwv, ib lub lag luam sab nraud yuav lis koj cov ntaub ntawv sau nuj nqis kom tau nyiaj them rau cov nqi. Yuav muab koj cov ntaub ntawv teev kab mob kev nkeeg rau lub lag luam kom sau tau cov nqi los them. CCHP yuav kom tag nrho cov chaw ua lag luam nrog kos npe rau tsab ntawv lees ceev zoo cia koj cov ntaub ntawv teeb kab mob kev nkeeg. Tag nrho lwm cov kev siv los yog kev qhia tawm koj cov ntaub ntawv teev kab mob kev nkeeg yuav tsum tau koj li ntawv tso cai ua ntej yuav siv los yog qhia tawm tau koj cov ntaub ntawv teev kab mob kev nkeeg. Koj thim rov qab tau koj txoj kev tso cai txhua lub sij hawm yog sau ntawv qhia rau peb paub. Tej ntaub ntawv teev kab mob kev nkeeg uas twb siv los yog qhia tawm ua ntej txoj kev tso cai yuav thim los yog muab rov qab tsis tau lawm. Koj Cov Cai Cov nram no yog cov cai uas koj muaj txuam nrog rau koj cov ntaub ntawv teev kab mob kev nkeeg: • Xyuas thiab luam: Koj muaj txoj cai xyuas thiab luam

koj cov ntaub ntawv teev kab mob kev nkeeg. Kom xyuas los yog luam tau, koj yuav tsum sau ntawv thov


mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Tej zaum koj yuav raug them cov nqi luam ntawv tsim nyog. Muaj qee zaum tsawg tsawg, yuav tsis kam koj xyuas thiab luam koj cov ntaub ntawv teev kab mob kev nkeeg. Feem ntau, yog tsis kam koj muab tau koj cov ntaub ntawv teev kab mob kev nkeeg, koj thov xyuas tau txoj kev tsis kam ntawd.

• Thov kev kho tshiab: Koj muaj txoj cai thov lub caij nyoog los kho tshiab cov ntaub ntawv teev kab mob kev nkeeg uas koj xav tias tsis yog lawm los yog tsis tiav. Xav thov lub caij nyoog los kho tshiab koj cov ntaub ntawv teev kab mob kev nkeeg, koj yuav tsum sau ntawv thov mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Tsab ntawv no yuav tsum teev qhov laj thawj uas koj ntseeg tias cov ntaub ntawv teev kab mob kev nkeeg tsis yog lawm los yog tsis tiav. Yuav muaj kev tsis kam koj hloov cov ntaub ntawv teev kab mob kev nkeeg thaum twg cov ntaub ntawv teev kab mob kev nkeeg: o Yeej yog thiab txhij o Tsis yog tsim muaj los ntawm CCHP


o Tsis muaj nyob hauv cov ntaub ntawv teev kab mob kev nkeeg uas yog khaws los ntawm los yog khaws rau CCHP

o Tsis yog cov ntaub ntawv teev kab mob kev nkeeg uas koj muaj cai saib tau

• Thov kev qhia cov chaw qhib ntaub ntawv rau: Koj

muaj cai thov tau CCHP muab cov sij hawm qhib ntaub ntawv uas lub chaw pab them nqi kho mob tau muab qhia rau lwm cov chaw, tshwj tsis yog cov kev qhib ntaub ntawv tsim nyog rau txoj kev kho mob, kev them nqi, kev phais mob los yog sij hawm qhib cov ntaub ntawv rau koj los yog lwm hom kev qhib ntaub ntawv. Kom tau cov sij hawm qhib ntaub ntawv, koj yuav tsum sau ntawv thov mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Koj cov lus thov yuav tsum teev qhia lub caij nyoog, uas tsis pub ntev tshaj rau lub xyoo txij li hnub thov thiab tsis txhob thov cov sij hawm qhib ntaub ntawv uas muaj ua ntej lub Kaum Ob Hlis Hnub 1, 2005.Yog koj xav tau cov sij hawm qhib ntaub ntawv no ntau tshaj ib zaug hauv ib lub caij nyoog 12 lub hlis, peb yuav tsub qee cov nqi tsim nyog, nqi tsub rau kev teb cov kev thov ntaub ntawv.


• Thov kev txwv txiav: Koj muaj txoj cai thov kom muaj kev txwv txiav rau txoj kev qhia tawm cov ntaub ntawv teev kab mob kev nkeeg txog koj rau kev kho mob, kev them nqi los yog cov kev phais mob. CCHP tsis tag yuav pom raws li koj thov. Kom thov tau cov kev txwv txiam, koj yuav tsum sau ntawv thov mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Koj yuav tsum sau nrog koj cov lus thov: o Cov ntaub ntawv uas koj xav txwv txiav o Seb koj puas xav txwv txiav cov kev siv los yog

qhia tawm cov ntaub ntawv teev kab mob kev nkeeg, los yog ob qho tib si

o Leej twg yog tus koj xav txwv txiav rau

• Thov ceev cov kev sib txuas lus: Koj muaj txoj cai thov kom CCHP sib txuas lus nrog koj txog koj txoj kev noj qab haus huv raws li ib txoj kev los yog ntawm ib qho chaw twg.Kom thov tau cov kev sib txuas lus ceev zoo, koj yuav tsum sau ntawv thov mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Koj cov lus thov yuav tsum qhia hom kev sib txuas lus li cas thiab/los yog qhov chaw uas koj xav kom muaj cov kev sib txuas lus tshwm sim nyob rau. Txoj kev


pab them nqi kho mob yuav ua txhua yam kom tau raws li cov lus thov ceev kev sib txuas.

Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug luam ua Ntawv Ib tug qhua ntawm CCHP thov tau tsab ntawv no txhua lub sij hawm. Kom thov tau tsab ntawv no luam sau ntawv thov mus rau tus Neeg Lis Ntaub Ntawv Kev Pab Them Nqi Kho Mob ntawm qhov chaw nyob teev muaj ntawm kawg Tsab Ntawv Faj Seeb Txog Kev Ceev Ntiag Tug no. Lus tsis txaus siab Yog koj ntseeg tias koj cov cai ntiag tug ntawm txoj cai no raug ua txhaum, koj sau tau tsab ntawv tsis txaus siab rau CCHP tus kws ceev ntiag tug ntawm qhov chaw nyob nram no. Dua li ntawd, koj yeej yws tau mus rau Tus Zwm Khiav Ntaub Ntawv hauv Teb Chaws Asmeskas Tuam tsev Tswj Xyuas Kev Noj Qab Haus Huv thiab Pab Pej Xeem. Yuav tsis rau txim los yog tawm tsam koj vim koj tsis txaus siab. Kev cuag tau Kev Pab Them Nqi Kho Mob Chaw Khiav Ntaub Ntawv thiab Kws Ceev Ntiag Tug

Plan Administrator / Vice President Children’s Community Health Plan PO Box 1997 Milwaukee, WI 53201


414-266-6328 Privacy Officer (Tus Kws Ceev Kheej Ntiag Tug) Director of Corporate Compliance (Thawj Tswj Kev Coj Raws Cai) Children’s Community Health Plan PO Box 1997 Milwaukee, WI 53201 414-266-2215

Cov lo lus yuav tau paub • Kev muab cuag – Tus neeg txoj kev muab cuag tau

txoj kev kho mob • Tsab ntawv teev txib kev kho ua ntej (advance

directive) – Ib tsab ntawv uas piav qhia ib tug neeg txoj kev xav tau txog kev kho nyuab thaum nws txiav txim tsis tau rau nws tus kheej lawm

• Nqi them nrog – Feem nqi kho mob uas tsis kam them los ntawm lub chaw pov hwm pab them nqi kho mob thiab tus tswv cuab yuav tau them

• Kev kub ceev – Ib yam kev mob txov taus txoj sia vim yog kev raug mob, muaj mob los yog puas siab ntsws uas cia tshwm sim tam sis thiab yuav tsum tau kev kho tam sis

• Tsoom fwv teb chaws qib kev pluag (Federal poverty level (FPL)) – Qib nyiaj tsawg kawg ntawm ib lub tsev neeg uas yuav tsum tau muaj rau kev noj


haus, khaub ncaws hnav, tsheb mus los, chaw nyob thiab lwm yam tseem ceeb. Tsoom fwv teb chaws qib kev pluag yuav sib txawv rau cov tsev neeg nyob ntawm pes tsawg leej. Cov kev pab pej xeem xws li Medicaid txhais cov qib nyiaj uas tsim nyog tau kev pab raws li ib feem ntawm tsoom fwv teb chaws qib kev pluag.

• Koom haum tswj xyuas kev noj qab haus huv (Health maintenance organization (HMO)) – Ib lub koom haum uas txiav txim txog kev siv thiab cov nqi ntawm cov kev kho mob thiab ntsuas seb cov kev kho pab tau tus tswv cuab li cas.

• Kws kho neeg laus – Tus kws kho mob uas ntsuam xyuas thiab kho cov kab mob ntawm cov neeg laus.

• Tsab ntawv teev kev cawm siav – Ib tsab ntawv uas koj teev qhia koj cov kev xav tau ntawm kev kho mob yog koj muaj mob kub ceev thiab hais tsis tau lus tam koj tus kheej lawm.

• Tswj kev tu mob – Ib txoj kev kho kab mob kev nkeeg uas yuav tau kev yuam kom kam thiab raug nqi thiab ntsuas kev kho tau zoo li cas.

• Medicaid los yog Title 19 (BadgerCare Plus) – Tsoom fwv teb chaws txoj kev pab them nqi kho mob uas muab pab rau cov xeev. Txoj kev pab them rau cov tib neeg uas them tsis tau lawv cov kev kho mob thiab kev mus pw kho mob hauv tuam tsev kho mob.


Nyob rau hauv Wisconsin, Medicaid yog hu ua BadgerCare Plus.

• Kev noj qab haus huv siab ntsws – Qhov zwj ceeb ntawm lub siab ntsws thiab lub hlwb uas meej pem.

• Kws tu poj niam yug me nyuam – Tus kws tu mob uas muaj txuj ci pab cov poj niam cev xeeb me nyuam thiab thaum yug me nyuam, tshwj xeeb yog yug nyob rau tom tsev los yog nyob rau qhov chaw tsis yog lub tuam tsev kho mob.

• Kws kho poj niam yug me nyuam - kws kho poj niam chaw mos (Obstetrician-gynecologist (OB/GYN)) – Tus kws kho mob uas kho tshwj xeeb rau kev yug me nyuam, tu xyuas thiab kho cov poj niam vim yog txoj kev yug me nyuam thiab tswj xyuas kev noj qab haus huv thiab kab mob ntawm cov poj niam

• Tsab ntawv tso hwj chim rau lwm tus tam – Ib tsab ntawv raws cai uas muab cai rau ib tug tib neeg (tus neeg sawv cev) los coj sawv cev rau koj. Tus neeg sawv cev yuav txiav txim txog cov kev kho kab mob kev nkeeg thaum koj tus kheej hais lus tsis tau lawm.

• Thawj kev kho – Cov kev kho mob uas muab los ntawm cov kws kho mob hu ua kws kho nthuav dav, nrog rau cov kws kho mob rau tsev neeg, cov kws kho mob rau neeg laus thiab cov kws kho me nyuam.


• Thawj kws kho mob – Tus kws kho mob tswj xyuas tag nrho txhua ntu ntawm cov kev kho kab mob kev nkeeg.

• Kev tso cai ua ntej – Tau kev pom zoo ua ntej los ntawm ib tug kws kho mob rau ib tug tswv cuab kom tau cov kev kho.

• Kws kho mob – Tus neeg los yog pab pawg kws kho mob uas muab cov kev kho kab mob kev nkeeg nyob rau hauv lub tuam tsev kho mob los yog lub chaw kho mob.

• Kev mob sai – Ib yam kev raug mob los yog muaj mob uas yuav tau tu xyuas sai tiam sis tsis kub txaus yuav mus cuag chav kho kub ceev.

Koj tiv thaiv tau kev tub sab tub nyiag ntawm txoj kev tu mob Cov kev tub sab tub nyiag ntawm txoj kev tu mob yog muab cov nyiaj ntawm cov kev pab them nqi kho mob lawm thiab tseg nyiaj tsawg rau cov kev muaj mob tiag tiag. Ntawm no yog cov kev koj tiv thaiv tau kev tub sab tub nyiaj ntawm txoj kev tu mob: • Tsis txhob muab koj koj tus zauv ntawm daim yuaj

ForwardHealth ID rau lwm tus neeg dua li tus kws kho mob, lub chaw kho mob los yog lub tuam tsev kho mob thiab tsuas muab qhia thaum koj txais kev kho mob xwb.


• Tsis txhob kheev lwm tus qiv koj daim yuaj ForwardHealth.

• Tsis txhob cia li kos npe rau ib daim ntawv pov hwm tsis sau dab tsi rau.

• Ua tib zoo thaum qhia tawm koj tus zauv Social Security.

• Xyuas cov nuj nqis kho mob uas koj tsis tau txais kev kho.

Yog koj xav tias mua kev tub sab tub nyiag, thov ceeb toom tam sis. Yuav muab koj cov lus ceeb toom ceev zoo cia. Xav ceeb toom kev tub sab tub nyiag, siv luam thuam thiab siv tsis raws cai, sau ua ke cov ncauj lus ntau npaum li ntau tau. Thaum ceeb toom txog ib tug kws kho mob (tus kws kho mob, kws kho hniav, lub tuam tsev kho mob, thiab tej tus li ntawd), qhia cov ncauj lus ntau npaum li ntau tau ntawm cov nram no: • Npe, chaw nyob thiab xov tooj ntawm tus kws kho

mob • Zauv Medicaid ntawm tus kws kho mob thiab qhov

chaw, yog qhia tau • Hom kws kho mob (kws kho mob, kws kho hniav,

tuam tsev kho mob, khw muag tshuaj, thiaj tej tus li ntawd)


• Cov npe thiab cov xov tooj ntawm cov neeg pov thawj uas yuav pab tau txoj kev tshawb fawb

• Cov hnub uas koj xav tias tau muaj kev tub sab tub nyiag

• Cov lus nthuav seb ua li cas

Thaum ceeb toom txog ib tug neeg tau kev pab (tus tib neeg uas tau txais ib yam txiaj ntsim zoo), qhia cov nram no: • Tus neeg lub npe • Tus neeg lub hnub yug, zauv social security los yog

zauv cim txhooj yog tias muaj • Lub zos uas tus neeg nyob rau • Cov ntsiab lus txog txoj kev tub sab tub nyiag, siv

luam thuam los yog siv tsis raws cai Koj ceeb toom tau txoj kev tub sab tub nyiag tsis tag yuav qhia koj lub npe yog sau ntawv xa rau:

Attn: Director of Corporate Compliance Children’s Community Health Plan PO Box 1997, MS 6280 Milwaukee, WI 53201-1997

Los yog koj hu tau rau peb ntawm 414-266-2215, los yog hu tus xov tooj hu dawb 1-877-659-5200.


Koj puav leej mus cuag tau Wisconsin Fab Tswj Kev Nyiag Medicaid ntawm: Medicaid Fraud and Abuse Unit (Fab Tswj Kev Nyiag Medicaid thiab Siv Tsis Raws Cai)

Mus cuag: Medicaid Fraud Control Unit (Fab Ceev Kev Nyiag Medicaid) Department of Justice 17 W. Main Street PO Box 7857 Madison, WI 53707

Discrimination is against the law.Children’s Community Health Plan (CCHP) complies with all applicable civil rights laws and

does not discriminate on the basis of race, color, national origin, sex, age, disability, or other

legally protected status, in its administration of the plan, including enrollment and benefit

determinations.

Children’s Community Health Plan provides appropriate auxiliary aids and services, including

qualified interpreters for individuals with disabilities and who have language services needs and

information in alternate formats, free of charge and in a timely manner, when such aids and

services are necessary to ensure an equal opportunity to participate to individuals with disabilities.

Any person who believes someone has been subjected to discrimination on the basis of race,

color, national origin, sex, age or disability may file a grievance in person, by mail, fax or email.

The grievance must be filed with 60 days of the person filing the grievance becomes aware of

the alleged discriminatory action. It is against the law for Children’s Community Health Plan

to retaliate against anyone who files a grievance, or who participates in the investigation of a

grievance. Members can request Children’s Community Health Plan’s grievance procedure by

contacting the Section 1557 Coordinator:

Director, Corporate Compliance Telephone: (414) 266-2215

Mail Station C760 TDD-TTY (for the hearing impaired): (414) 266-2465

P.O. Box 1997 Fax: (414) 266-6409

Milwaukee, WI 53201-1997 Email: [email protected]

Members must submit their complaints in writing with their name, address, the problem or

action alleged to be discriminatory and the remedy or relief sought. Members can also file a

complaint of discrimination electronically through the Office for Civil Rights Complaint Portal,

which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail at:

U.S. Department of Health and Human Services

200 Independence Avenue

SW Room 509F

HHH Building

Washington, D.C. 20201

Complaint forms are available at:

http://www.hhs.gov/ocr/office/file/index.html

Language ServicesALBAINIANNëse ju, ose dikush që po ndihmoni, ka pyetje për Children’s Community Health Plan, keni të drejtë të merrni ndihmë dhe informacion falas në gjuhën tuaj. Për të folur me një përkthyes, telefononi numrin 1-800-482-8010 (TTY: 7-1-1)

GERMANFalls Sie oder jemand, dem Sie helfen, Fragen zum Children’s Community Health Plan haben, haben Sie das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Um mit einem Dolmetscher zu sprechen, rufen Sie bitte die Nummer 1-800-482-8010 an (TTY: 7-1-1)

POLISHJeśli Ty lub osoba, której pomagasz macie pytania odnośnie Children’s Community Health Plan, masz prawo do uzyskania bezpłatnej informacji i pomocy we własnym języku. Aby porozmawiać z tłumaczem, zadzwoń pod numer 1-800-482-8010 (TTY: 7-1-1)

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لصتا مجرتم عم ثدحتلل .ةفلكت ةيا نود

(TTY: 7-1-1) 8010-482-800-1 (ب

HINDIयदि आपक ,या आप दवारा सहायता ककए जा रह ककसी वयकतत क Children’s Community Health Plan क बार म परशन ह ,तो आपक पास अपनी भाषा म मफत म सहायता और सचना परापत करन का अधिकार ह। ककसी िभाषषए स बात करन क लिए 1-800-482-8010 पर कॉि कर। (TTY: 7-1-1)

RUSSIANЕсли у вас или лица, которому вы

помогаете, имеются вопросы по поводу

Children’s Community Health Plan то вы

имеете право на бесплатное получение

помощи и информации на вашем языке.

Для разговора с переводчиком позвоните

по телефону 1-800-482-8010 (TTY:7-1-1)

BURMESEChildren’s Community Health Plan နငပတသက၍ သင သ႔မဟတ သငအကအညေပးေနသတစဦးတြင ေမးျမနးစရာမား ရမညAဆပါက၊ အကအညနင သတငးအခကအလကမားက အခမသငရယပငခြင ရပါသည။ စကားျပနဆသ တစဦးထသ႔စကားေျပာဆရန၊ 1-800-482-8010 တြင ဖနးေခၚဆပါ။ (TTY: 7-1-1)

HMONGYog koj, los yog tej tus neeg uas koj pab ntawd, muaj lus nug txog Children’s Community Health Plan, koj muaj cai kom lawv muab cov ntshiab lus qhia uas tau muab sau ua koj hom lus pub dawb rau koj. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-482-8010 (TTY: 7-1-1)

SOMALIHaddii adiga iyo qof aad caawinaysaa su’aalo qabaan ku saabsan Children’s Community Health Plan, waxaad leedahay xaqa aad caawimo ku hesho iyo macluumaadka luqaddaada iyaddoon kharash kugu fadhiyin. Lahadal turjubaan wac 1-800-482-8010 (TTY: 7-1-1)

CHINESE

如果您，或是您正在協助的對象，

有關於[插入項目的名稱面的問題，

您有權利免費以您的母語得到幫助

和訊息。洽詢一位翻譯，請撥電話

[在此插入數字 1-800-482-8010 (TTY: 7-1-1)

KOREAN

만약 귀하 또는 귀하가 돕고 있는 어떤 사람이 Children’s Community Health Plan 에 관해서 질문이 있다면 귀하는 그러한 도움과 정보를 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가 있습니다. 그렇게 통역사와 얘기하기 위해서는 1-800-482-8010 로 전화하십시오. (TTY: 7-1-1)

SPANISHSi usted, o alguien a quien usted está ayudando, tiene preguntas acerca de Children’s Community Health Plan tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-800-482-8010 (TTY: 7-1-1)

ENGLISHIf you or someone you’re helping has questions about Children’s Community Health Plan, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-800-482-8010 (TTY: 7-1-1)

LAOTIAN

າທານ, ຫ ຄນທ ທານກາລງຊວຍເຫ ອ,

ມ ຄາຖາມກຽວກບ Children’s Community

Health Plan ທານມ ສດທ ຈະໄດຮບການຊວຍເຫ

ອແລະຂມນຂາວສານທ ເປນພາສາຂອງທານບມ

ຄາໃຊຈາຍ. ການໂອລມກບນາຍພາສາ, ໃຫໂທຫາ

1-800-482-8010 (TTY: 7-1-1)

TAGALOGKung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Children’s Community Health Plan, may karapatan ka na makakuha nga tulong at impormasyon sa iyong wika ng walang gastos. Upang makausap ang isang tagasalin, tumawag sa 1-800-482-8010 (TTY: 7-1-1)

FRENCH Si vous, ou quelqu’un que vous êtes en train d’aider, a des questions à propos de Children’s Community Health Plan vous avez le droit d’obtenir de l’aide et l’information dans votre langue à aucun coût. Pour parler à un interprète, appelez 1-800-482-8010 (TTY: 7-1-1)

PENNSYLVANIA DUTCHWann du hoscht en Froog, odder ebber, wu du helfscht, hot en Froog baut Children’s Community Health Plan, hoscht du es Recht fer Hilf un Information in deinre eegne Schprooch griege, un die Hilf koschtet nix. Wann du mit me Interpreter schwetze witt, kannscht du 1-800-482-8010 uffrufe (TTY: 7-1-1)

VIETNAMESENếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Children’s Community Health Plan quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông dịch viên, xin gọi 1-800-482-8010 (TTY: 7-1-1)

Auxiliary Aids and ServicesChildren’s Community Health Plan (CCHP) provides free aids and services to people with disabilities to communicate effectively with us including qualified interpreters (including sign language) and written information in other languages and formats (large print, audio, accessible electronic formats, other formats). To request, call CCHP at 414-266-3490.

ATTENTIONIf you speak English, language assistance services are available to you free of charge. Call 1-800-482-8010 (TTY: 7-1-1).

ATENCIÓNSi habla español, los servicios de asistencia de idiomas están disponibles sin cargo, llame al 1-800-482-8010 (TTY: 7-1-1).

DIGTOONIHaddii aad ku hadasho afka Soomaaliha, adeegyada caawimada luqadda waxaa laguu heli karaa iyagoo bilaash ah. Wac 1-800-482-8010 (TTY: 7-1-1).

ВНИМАНИЕЕсли Вы говорите по-русски, Вам будут бесплатно предоставлены услуги переводчика. Позвоните по номеру: 1-800-482-8010 (TTY: 7-1-1).

CEEB TOOMYog koj hais lus Hmoob, kev pab rau lwm yam lus muaj rau koj dawb xwb 1-800-482-8010 (TTY: 7-1-1).

注意

如果您说中文，您可获得免费的语

言协助服务。请致电 1-800-482-8010(TTY:7-1-1)

ໝາຍເຫດຖາທານເວາພາສາລາວ, ທານສາມາດໃຊການບລການຊວຍເຫອດານພາສາໄດໂດຍບເສຍຄາ. ໂທ 1-800-482-8010 (TTY: 7-1-1).

ေကးဇးျပ၍ နားဆငပါသငသည ျမနမာစကားေျပာသျဖစပါက၊ သငအတြက အခမျဖင ဘာသာစကားကညေရး ၀နေဆာငမႈမား ရရနငသည။ 1-800-482-8010 (TTY: 7-1-1) တြင ဖနးေခၚဆပါ။

Children’s Community Health PlanPO Box 56099Madison, WI 53705childrenscommunityhealthplan.org

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BadgerCare Plus Member Handbook - Hmong (Large Print) · kho mob thiab yuav coj koj mus cuag peb ib...

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