DHCS Stakeholder News – April 24, 2023
Principales noticias
Información sobre los riesgos de estafa para los miembros de Medi-Cal
El DHCS está al tanto de estafadores y malos actores en todo el país que se comunican con los miembros de Medicaid para solicitar una tarifa para ayudarlos a solicitar o renovar su cobertura de Medicaid. Los miembros de Medi-Cal en California también están en la mira.
Los miembros de Medi-Cal deben saber que Medi-Cal nunca requiere pago durante el proceso de solicitud o renovación.
El DHCS insta a los interesados a emplear nuestros conjuntos de herramientas en todos los esfuerzos de divulgación. Además, es importante informar a los afiliados a Medi-Cal sobre cómo pueden esperar ser contactados a través de fuentes oficiales legítimas. Si hay preguntas, los afiliados a Medi-Cal pueden colaborar con sus socios comunitarios locales o contactar con la oficina de Medi-Cal de su condado.
Program Actualizaciones
California’s Federal Unwinding Baseline Report
DHCS submitted California’s “Unwinding Baseline Report” to the Centers for Medicare & Medicaid Services (CMS) as part of the continuous coverage unwinding federal requirements. The report includes California’s estimate of total pending applications received between March 1, 2020, and March 31, 2023; total members enrolled as of March 31, 2023; and total Medi-Cal fair hearings pending more than 90 days as of March 31, 2023. The report also includes a description of California’s renewal timeline and policy during the unwinding period. The report will be posted monthly to the DHCS website under “DHCS Continuous Coverage Unwinding Data.”
Actualización de Medi-Cal Rx
The Medi-Cal Rx Find A Pharmacy tool has been updated with new features to help members easily locate enrolled Medi-Cal pharmacies. These enhancements include a larger search radius to benefit rural communities, better messaging if a pharmacy is not located in a search result, and improved filtering of results for “Mail Order”, “IV Infusion”, and “Indian Health Services” to more easily identify pharmacies and mail order opportunities.
Únete a nuestro equipo
DHCS is hiring! DHCS has an immediate opening for Chief, Data Management and Analytics Division. This executive role presents a unique opportunity for a mission-driven, exceptionally motivated individual to further the Department’s priority to be a data-literate, data-driven decision-making organization.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, information technology, and communications teams. For more information, please visit the CalCareers website.
Próximas reuniones de partes interesadas y seminarios web
Reunión del Grupo Asesor de Gestión de la Salud de la Población (MSP)
On April 26, from 12:30 to 2 p.m., DHCS will host the next PHM Advisory Group meeting (advance registration required). The meeting will provide feedback on DHCS’ proposed changes to the population needs assessment (PNA) that Medi-Cal Managed Care Plans (are required to complete. HCS envisions the modified PNA to promoting greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health, social needs, and preferences from the communities in which they live. Stakeholders are encouraged to submit additional questions before the webinar to CalAIM@dhcs.ca.gov.
Reunión del Proyecto de Navegadores de Inscripción en Salud
El 1 de mayo, de 13:00 a 14:30, el DHCS organizará virtualmente una reunión conjunta de partes interesadas con socios de organizaciones comunitarias y de condados (CBO), defensores y otras personas interesadas para ofrecer actualizaciones y responder preguntas sobre el Proyecto Navigators, que proporciona financiación a condados y CBOs para atender a poblaciones potencialmente elegibles de Medi-Cal de difícil acceso. La información sobre esta reunión, otra información general y actualizaciones estará disponible en el sitio web de Comunicación con Partes Interesadas y Defensores del Proyecto de Inscripción en Salud. Las partes interesadas también pueden aplicar ser agregadas al aviso de la reunión enviando un email a HealthNavigators@dhcs.ca.gov.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
El 4 de mayo, de 10 a.m. a 2 p.m., DHCS organizará la próxima reunión híbrida de MCHAP (se requiere inscripción previa) en The California Endowment (1414 K Street, Sacramento). Los materiales de la reunión se publicarán en la página web de MCHAP más cerca de la fecha de la reunión.
Por si te lo perdiste
California otorga $2.5 millones para fortalecer el Programa de Navegación de Salud Conductual
On April 17, DHCS awarded more than $2.5 million to 103 hospitals with emergency departments, with each receiving $25,000 to implement strategies to sustain the CalBridge Behavioral Health Navigator Program (CalBridge) and maintain behavioral health navigators working with individuals. To date, 385 California hospitals have received funding under the CalBridge program.
DHCS also released funding opportunities for two opioid and stimulant use disorder community-based prevention programs: the Opioid Use and Stimulant Use Education and Outreach in 2S/LGBTQ+ Communities (RFA available here) and the Opioid and Stimulant Use Disorder Prevention and Education in Communities of Color (RFA here). Both projects are part of DHCS’ broader efforts to address SUD, collectively known as the California MAT Expansion Project, to increase access to MAT, reduce unmet treatment needs, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities.