Próximas reuniones de partes interesadas y seminarios web
Seminario web sobre la expansión de Medi-Cal para adultos
On December 4, from 11 a.m. to 12 p.m., DHCS will host a webinar on the adult expansion of Medi-Cal (advance registration required) for community-based organizations, MCPs, providers, and other interested stakeholders, including those representing consumers, health care, legal aid, and immigrant adults. DHCS will implement this expansion pursuant to Senate Bill 184 (Chapter 47, Statutes of 2022) on January 1, 2024. When implemented, the expansion will provide adults 26-49 years of age with full scope Medi-Cal benefits, regardless of citizenship or immigration status, if they meet all other Medi-Cal eligibility criteria.
El seminario web, que será en vivo e interpretado en español, proporcionará información general sobre la expansión, la planificación de la implementación, la notificación, la divulgación y más. Las personas también pueden enviar preguntas o solicitar registrarse para el seminario web enviando un correo electrónico a
AdultExpansion@dhcs.ca.gov .
Horario de oficina del Programa de Acceso y Transformación de la Salud (PATH, por sus siglas en inglés)
On December 4 at 12 p.m., DHCS will host the next PATH Justice-Involved Program virtual office hours session for Round 3 awardees (advance registration required). Office hours will be held every other Monday at 12 p.m. through December 18, 2023, to assist Round 3 agencies, including supporting implementation plan submission. For more information, visit the Justice-Involved Program website.
Seminario web sobre la investigación y la respuesta al trauma en la planificación familiar
On December 7, from 12 to 1:30 p.m., DHCS and the California Prevention Center will host a Trauma Inquiry and Response in Family Planning webinar (advanced registration required). Trauma, including adverse childhood experiences, interpersonal violence, and sexual assault, have significant impacts on health outcomes and are common among people seeking family planning services. Trauma affects sexual and reproductive health, pregnancy, and mental health, making it important for clinicians to address trauma when providing family planning services.
Este seminario web discutirá el marco de la Indagación para la Adversidad, la Angustia y las Fortalezas (TRIADS, por sus siglas en inglés) informada sobre el trauma y la resiliencia y las formas en que puede ser útil para los médicos de planificación familiar. Utilizando estudios de caso, los presentadores describirán cómo el marco de TRIADS establece una base de empatía, respeto y compasión, aumentando así la participación en la atención y mejorando los resultados de salud en los pacientes que buscan servicios de planificación familiar.
For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.
Seminario web sobre las mejores prácticas de planificación e implementación colaborativa (CPI) de PATH
On December 7, from 12:30 to 1:30 p.m., DHCS will host a statewide webinar, Relationship Building with Organizations in the California Advancing and Innovating Medi-Cal (CalAIM) Environment (advance registration required) for community-based organizations, county, city, and local government agencies, federally qualified health centers, MCPs, Medi-Cal tribal and designees of Indian Health Programs, and providers. The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing Enhanced Care Management (ECM) and Community Supports, increasing providers' successful participation in CalAIM, and improving collaboration with MCPs, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, please visit the PATH CPI webpage.
Seminario web sobre el modelo Guiar una experiencia mejorada con la demencia (GUIDE)
On December 8, from 11 a.m. to 12 p.m., DHCS, in partnership with the University of California, San Francisco and DHCS' Dementia Care Aware initiative, will host a webinar on the GUIDE model in California (advance registration required). This webinar will offer Medicare providers and community-based organizations information about what is required to participate in GUIDE, examples of a successful partnership in California that follows the GUIDE model, and resources to help California applicants apply for the GUIDE model. For more information, please visit the Dementia Care Aware webpage.
Reunión del Grupo Asesor de Gestión de la Salud de la Población (PHM) de CalAIM
On December 11, from 10:30 a.m. to 12 p.m., DHCS will host a PHM Advisory Group meeting (advance registration required). This meeting will include a briefing on policy guidance for changes to the modified Population Needs Assessment (PNA). To support the success of the PHM Program and broader transformation efforts, DHCS is redesigning MCP requirements for developing a PNA, which has historically been MCPs' primary mechanism for identifying the priority health and social needs of their members, including health disparities. A central component of DHCS' approach is for MCPs to meaningfully participate on local health departments' Community Health Assessments (LHD CHA)/Community Health Improvement Plans (CHIP) rather than complete a separate PNA focused solely on their own members' data. This meeting will provide an overview of forthcoming PHM policy guidance for MCPs to participate in LHD CHA/CHIP processes.
DHCS established the PHM Advisory Group to provide input to support the design and implementation of the PHM Program and PHM Service. Members, which include representatives from health plans, providers, counties, state departments, consumer organizations, and other groups, will participate in advisory group meetings and provide real-time feedback and recommendations. The meetings are open to the public, and meeting information and materials will be available on the DHCS website. Stakeholders are encouraged to submit questions in advance of the webinar to PHMSection@dhcs.ca.gov.
CalAIM LTC Carve-In: Cómo la atención administrada de Medi-Cal apoya a los residentes de centros de cuidados subagudos y hogares de ICF/DD
On December 15, DHCS will virtually host an educational webinar on the CalAIM long-term care (LTC) carve-in (advance registration required). The goal of this webinar is to provide subacute care facilities, intermediate care facility for developmentally disabled (ICF/DD) homes, Regional Centers, and Medi-Cal MCPs with an understanding of the policy requirements, scope of services, and benefits available to subacute care facilities and ICF/DD home residents under managed care in preparation for the January 1, 2024, carve-in. Additional details about webinars and the carve-in are available on the CalAIM LTC Carve-In Transition webpage.
ECM y la comunidad apoyan el seminario web de orientación sobre la codificación del Sistema de Codificación de Procedimientos Comunes (HCPCS) para la atención médica
On December 18, from 11 a.m. to 12 p.m., DHCS is hosting a webinar to provide an overview of recent updates to the ECM and Community Supports HCPCS Coding Guidance (advance registration required). DHCS initially released guidance in 2021 that includes the HCPCS codes and modifiers that must be used to report and bill for ECM and Community Supports service encounters. This includes encounter data that ECM and Community Supports services providers submit to MCPs for claiming or invoicing, and that MCPs submit to DHCS to monitor program performance and integrity. Based on feedback submitted from stakeholders throughout the early years of ECM and Community Supports implementation, DHCS has updated this guidance to increase the level of statewide data standardization and ease administrative burden.
Específicamente, el DHCS agregó nuevas combinaciones de código/modificador de ECM y HCPCS de Apoyo Comunitario y codificó el requisito de que los MCP no pueden requerir o permitir que sus proveedores informen códigos o modificadores para los servicios de ECM y Apoyos Comunitarios más allá de los definidos por el DHCS en la guía. Este seminario web ofrecerá a los MCP, a los proveedores de ECM y de Apoyo a la Comunidad, y a otras partes interesadas la oportunidad de obtener más información y hacer preguntas sobre las actualizaciones realizadas en la guía de codificación de HCPCS de ECM y Apoyos Comunitarios.
Cobertura de audífonos para niños Program (HACCP) Seminario web para proveedores médicos y profesionales de la audición
On December 19, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will address program requirements for families to apply for coverage and the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.
Por si te lo perdiste
Enero 2024 Transición de Medi-Cal MCP
As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members who transition to a new MCP are receiving notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup" tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.
