Khiyaanada, Qashinka, iyo Xadgudubka

Wax ma aragtaa? Wax ma dhahdaa.

Waxaan ka go'annahay inaan u hoggaansanno dhammaan sharciyada khuseeya , oo ay ku jiraan, iyada oo aan xaddidnayn, Xeerka Sheegashooyinka Been-abuurka ah ee Oregon iyo tusaalooyinka Xeerka Sheegashooyinka Been-abuurka ah ee federaalka ee Khiyaanada, Qashinka, iyo Xadgudubka. Dhammaanteen waxaa na dhaawacay khiyaanada, qashinka, iyo xadgudubka ka jira nidaamka daryeelka caafimaadka.

Doollar kasta oo lagu bixiyo falal khiyaano ah, xadgudub ah, ama wax lagu khasaariyo waa lacag aan lagu bixin karin meesha ugu badan ee loogu baahan yahay. Waxaan kugu dhiirigelinaynaa inaad soo sheegto dhacdooyinka khiyaanada, qashinka, ama xadgudubka laga shakisan yahay. Qof kastaa wuxuu xaq u leeyahay inuu si qarsoodi ah u soo sheego khiyaanada, qashinka, iyo xadgudubka, waxaana lagu ilaalinayaa sharciyada Whistleblower-ka ee khuseeya.

Health Share waxay dhammaan kiisaska la xaqiijiyay ee khiyaanada u gudbisaa Qaybta Xakamaynta Khiyaanada Medicaid (MCFU).

Siyaabaha Loogu Soo Sheego Khiyaanada, Qashinka ama Xadgudubka

  • Wac Khadka Tooska ah ee u Hoggaansanaanta Caafimaadka ee aan la garanayn lambarka 503-416-1459 . 

  • Wac Khadka Tooska ah ee Khiyaanada ee Waaxda Adeegyada Aadanaha ee Gobolka Oregon (DHS): 888-372-8301 . 

  • Buuxi oo soo celi foomka warbixinta Khiyaanada, Qashinka, iyo Xadgudubka . Waxaad foomka fakis noogu soo diri kartaa 503-459-5749 ama noogu soo dir boostada:

    • Sarkaalka U Hoggaansanaanta
      Saamiga Caafimaadka ee Oregon
      2121 SW Broadway, Suite 200
      Portland, OR 97201

Waa maxay Khiyaanada, Qashinka, iyo Xadgudubka?

  • Khiyaanadu waa khiyaano ula kac ah ama marin habaabin, ha ahaato fal ama dayacaad, oo uu sameeyo qof og in khiyaanadu ay u horseedi karto faa'iido aan la ogolayn naftiisa ama qof kale.

  • Qashinku waa kharashaadka daryeelka caafimaadka oo la baabi'in karo iyada oo aan la dhimin tayada daryeelka. Waxaa ka mid ah isticmaalka aan waxtarka lahayn ama maaraynta kheyraadka, kharashyada aan loo baahnayn, ama hababka aan macquulka ahayn ee aan la filayn inay keenaan natiijooyin wanaagsan.

  • Xadgudubku waa marka qof si kama' ah u siiyo macluumaad been abuur ah Dowladda ama qandaraasle Dowladeed si uu u helo lacag ama faa'iido. Tusaale ahaan, si kama' ah u dallaca booqasho dabagal ah oo ah booqasho bukaan cusub oo lacag badan bixinaysa.

Tusaalooyinka Khiyaanada, Qashinka, iyo Xadgudubka:

Tusaalooyinka Khiyaanada, Qashinka, iyo Xadgudubka waxaa ka mid ah, iyada oo aan xaddidnayn, mid kasta, isku darka, ama dhammaan kuwa soo socda:

  1. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha hoos yimaada ee si ula kac ah ama si taxaddar la'aan ah u soo sheega dhacdooyinka ama adeegyada aan dhicin, ama meelaha aan la bixin alaabada.

  2. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose ee si ula kac ah ama si taxaddar la'aan ah u soo sheega heerarka adeegga ee la buunbuuniyay ama la cusboonaysiiyay.

  3. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose si ula kac ah ama si aan taxaddar lahayn ayay Qandaraaslaha ama OHA ugu dalacsiiyeen lacag ka badan Kharashkii Caadiga ahaa ee la siiyo Dadka aan Medicaid qaadan ama barnaamijyada kale ee caymiska.

  4. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose waxay beddeleen, been abuureen, ama burburiyeen Diiwaanada Caafimaadka ujeedo kasta, oo ay ku jiraan, iyada oo aan xaddidnayn, ujeeddada ah in si macmal ah loo buunbuuniyo ama loo qariyo qiimeynta u hoggaansanaanta Bixiyaha ama ururinta lacagaha Medicaid haddii kale aan loo baahnayn. Tan waxaa ka mid ah wax kasta oo si ula kac ah loo marin habaabiyo ama laga tago xaqiiqooyinka muhiimka ah ee go'aaminta faa'iidooyinka la bixin karo ama adeegyada la daboolay ama la bixin doono, oo ay ku jiraan taariikhaha adeegga, kharashyada ama lacagaha laga soo celiyo ilo kale, ama aqoonsiga bukaanka ama Bixiyaha.

  5. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha hoos yimaada ee si ula kac ah ama si aan taxaddar lahayn u sameeya hadallo been abuur ah oo ku saabsan aqoonsiga dadka daryeel siiya Xubnaha.

  6. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose ee si ula kac ah ama si aan taxaddar lahayn u been abuura macluumaadka caafimaadka si ay u caddeeyaan U gudbinta shabakadaha kale ama Bixiyeyaasha ka baxsan shabakadda marka dhinacyadaas ay waajib ku tahay inay bixiyaan daryeelka laftooda.

  7. Bixiyeyaasha, CCO-yada kale, Qandaraaslayaasha hoos yimaada ee si ula kac ah ugu guuldareysta inay bixiyaan Adeegyada Caafimaadka ku habboon ee ay waajibka ku tahay inay siiyaan Xubnaha sida ku xusan Qandaraaskan, Qandaraas kasta oo lala galo Qandaraaslaha, ama Sharciga Khuseeya.

  8. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose ee si ula kac ah uga qaada Xubnaha adeegyada Adeegyada la daboolay ama si ula kac ah ama si aan taxaddar lahayn u dheellitira xubinta farqiga u dhexeeya wadarta guud ee khidmadda Adeegga iyo lacagta Qandaraaslaha uu siiyo Bixiyaha, taasoo jebinaysa Sharciga Khuseeya.

  9. Bixiyeyaasha, CCO-yada kale, ama Qandaraaslayaasha Hoose si ula kac ah ama si aan taxaddar lahayn ayay u gudbiyeen dacwad lacag bixin ah markii dhinacaasi ogaa sheegashada:
    (i) hore ayay lacag u siisay OHA ama Qandaraasle,
    (ii) waxaa horey lacag uga bixiyay ilo kale.

  10. Kiis kasta oo xatooyo ah, lunsasho ama ku takrifal lacag barnaamijka Title XIX ama Title XXI.

  11. Dhaqan kasta oo aan waafaqsanayn dhaqamada maaliyadeed ee wanaagsan, ganacsiga, ama caafimaadka, kaas oo:
    (i) waxay keentaa kharashyo aan loo baahnayn,
    (ii) waxay keentaa magdhow adeegyada aan caafimaad ahaan loo baahnayn, ama
    (iii) ku guuldareysato inay buuxiso heerarka xirfad ahaan loo aqoonsan yahay ee daryeelka caafimaadka.

  12. Caddeynta musuqmaasuqa ku jira habka Diiwaangelinta iyo Ka-saarista Diiwaan-gelinta, oo ay ku jiraan dadaallada shaqaalaha Qandaraaslayaasha, shaqaalaha Gobolka, CCO-yada kale, ama Qandaraaslayaasha Hoose si loo leexiyo khatarta Xubin aan caafimaad qabin ama Xubnaha suurtagalka ah ee u socda ama ka fogaada Qandaraaslaha ama CCO kale.

  13. Isku dayga qof kasta, oo ay ku jiraan shaqaalaha Qandaraaslaha, Bixiyeyaasha, Qandaraaslayaasha Hoose, CCO-yada kale, Qandaraaslaha, ama shaqaalaha Gobolka ama saraakiisha la doortay, si ay u codsadaan laaluush ama laaluush. Ujeeddooyin tusaale ahaan, bixinta laaluush ama laaluush la xiriira meelaynta Xubinta barnaamij la jarjaray, ama fulinta adeeg kasta oo looga baahan yahay dadkaas inay bixiyaan iyadoo la raacayo shuruudaha shaqada dadkaas, Qandaraaskan, ama Sharciga Khuseeya.