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​DHCS Stakeholder News - March 30, 2023

​Top News 

DHCS Receives CMS Approval of Asset Waiver Flexibility 

On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.  

This waiver flexibility ensures continuity of coverage for seniors and persons with disabilities, and will prevent potential disruptions in their Medi-Cal coverage once redeterminations resume in April 2023. Medi-Cal members will still need to meet all other Medi-Cal eligibility criteria, such as income, to remain eligible for Medi-Cal. 

DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19  to provide counties with immediate guidance on operationalizing the waiver flexibility. 

Program Updates  

Medi-Cal Continuous Coverage Toolkit is Available in 19 Languages and Keeping Medi-Cal Members Covered Webinar   

This week, DHCS posted the Medi-Cal Continuous Coverage toolkit in 17 Medi-Cal threshold languages (in addition to the previously posted English and Spanish). Each toolkit includes materials that can be customized to help DHCS Coverage Ambassadors and partners assist Medi-Cal members with the redetermination process. The content encourages members to update their contact information to ensure they receive important information about keeping their Medi-Cal coverage. Toolkit assets include flyers, social media posts, messaging, including interactive voice response call scripts, sample emails, and text messages. 

On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend. 

COVID-19 Uninsured Group Program Toolkit Launch 

DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023.  Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS' strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage

Dementia Care Aware Warmline  

The Dementia Care Aware Warmline is now live at 1-800-933-1789, from Monday to Friday between 9 a.m. and 5 p.m. The warmline offers education and decision-making consultation for clinicians and primary care teams in California, covering topics related to dementia screening, assessment, diagnosis, management, and care planning.   

The warmline also provides support for implementing the Dementia Care Aware cognitive health assessment as a screening approach, outlined here. Consultants are available to answer questions that may arise during any stage of dementia care, how to make systems changes in their practice, and related medical legal considerations. Voicemail messages left after hours will be returned the next business day.  

Note: Consultations are not intended as a substitute for professional medical care or advice, nor to replace a health care professionals' clinical judgment regarding their individual patient care.   

​Medi-Cal Rx Reinstatement Plan Update 

As of March 24, Phase III, Lift 1 of the Medi-Cal Rx Reinstatement plan has been successfully implemented. Providers are required to submit prior authorizations for new and renewing prescriptions in specific drug classes for members age 22 and older. Additional information is available within the Medi-Cal Rx Reinstatement Spotlight. Additionally, DHCS released a 30-day countdown for pharmacy providers and prescribers on Phase III, Lift 2

Smile, California Campaign for Medi-Cal Dental Services  
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.  

Additionally, a Smile, California, Smile Alert will continue promoting the Provider Testimonial Video series, reminding members that the deadline for the required Kindergarten Oral Health Assessment is on May 31, and recognizing March as National Nutrition Month. Sign up for our Smile Alerts to stay informed about the Smile, California campaign. 

From April 3 through June 2, Smile, California will promote the online 2023 Member Customer Service Satisfaction survey. The survey is available in 19 languages and is intended to collect feedback from members on their experiences with Medi-Cal customer service representatives. The survey will be published to the Smile, California and Medi-Cal Dental website and promoted in the April Member Bulletin, in a Smile Alert, on social media, and via a homepage banner on SmileCalifornia.org.  ​

Join Our Team   

DHCS is hiring! DHCS has an immediate opening for Chief of the Selection and Recruitment Branch within the Human Resources Division. This position provides direction in the development and administration of annual department-wide recruitment plans, marketing, and a variety of recruitment activities designed to promote DHCS as an employer of choice.  

DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children's Health Insurance Program. 

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.   

DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS' mission is to provide the most vulnerable residents with equitable access to affordable, integrated, high-quality health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.  

Upcoming Stakeholder Meetings and Webinars  ​

California's Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing 

On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California's reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access. Additional information is available on the CalRHAD webpage.   

​Nursing Facility Financing Reform Webinar 

On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage

ECM and Community Supports Data Guidance Webinar  

On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.  

Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023. 

​In Case You Missed It 

California Awards Additional $88.5 Million to Help Transform Medi-Cal 

On March 24, DHCS announced awards totaling $88.5 million to help local organizations build their capacity and infrastructure in support of a more coordinated, person-centered, and equitable Medi-Cal system for all Californians. These funds further the vision of California Advancing and Innovating Medi-Cal (CalAIM), California's long-term commitment to transform and strengthen Medi-Cal, and will be used to develop and deploy the Medi-Cal Enhanced Care Management benefit and Community Supports services statewide. 

​PATH Technical Assistance (TA) Marketplace Round 2 Vendor Application Now Open 

On March 28, DHCS opened the Providing Access and Transforming Health (PATH) TA Marketplace Round 2 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access no-cost TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations interested in applying to qualify as a TA Marketplace vendor are strongly encouraged to join an informational webinar (advance registration required) on April 6, from 1 to 2 p.m. to learn more about the application process. The deadline to apply to qualify as a vendor is April 28, 2023. 

Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com

DHCS Releases Hospital and Skilled Nursing Facility COVID-19 Worker Retention Payments  

On March 28, March 30, and April 5, DHCS is issuing Hospital and Skilled Nursing Facility COVID-19 Worker Retention Payments (WRP) totaling more than $1 billion. DHCS will disperse funds to approved Covered Entities (CEs), Covered Services Employers (CSEs), Physician Group Entities (PGEs), and Independent Physicians, representing more than 832,000 total workers. CEs, CSEs, PGEs, and Independent Physicians will have 60 days from the receipt of funds to release payments to approved workers. Requirements and guidance are posted on the WRP webpage to support entities in the overall distribution process. Please email any questions to wrp@dhcs.ca.gov

​Webinar on Governor Newsom's Proposal to Modernize California's Behavioral Health System 

On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor's proposal to modernize California's behavioral health system. The proposal builds on the Administrations' previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webp​age.  



Last modified date: 9/27/2023 9:56 AM