DHCS Stakeholder News – August 19, 2022
Estimados grupos de interés,
El Departamento de Servicios de Atención Médica (DHCS, por sus siglas en inglés) está proporcionando esta actualización de desarrollos significativos con respecto a los programas de DHCS.
Principales noticias
Governor Unveils California’s Strategy to Support Youth Mental Health; Children and Youth Behavioral Health Initiative (CYBHI) is a Key Component
On August 18 in Fresno, Governor Gavin Newsom discussed California’s Master Plan for Kids’ Mental Health. He said, “Mental and behavioral health is one of the greatest challenges of our time…The Master Plan for Kids’ Mental Health is premised on a very simple belief: every single kid deserves to have their mental health supported.”
One of the key components of the Master Plan is CYBHI, a multiyear, multi-department package of investments that reimagines the systems that support behavioral health for all California’s children, youth, and their families. Efforts focus on promoting social and emotional well-being, preventing behavioral health challenges, and providing equitable, appropriate, timely, and accessible services for emerging and existing behavioral health needs for children and youth ages 0-25.
The $4.7 billion investment of state General Funds for CYBHI will improve access to behavioral health services for all children and youth in California, regardless of payer. Moreover, it will have significant implications for the Medi-Cal program since 5.4 million (approximately 54 percent) children and youth are enrolled in Medi-Cal. CYBHI will improve and change the way Medi-Cal’s children and youth access behavioral health service—virtually, through their communities and schools, and through their existing relationships with Medi-Cal managed care plans (MCP) and County Behavioral Health Plans.
As a component of CYBHI, DHCS will build and drive adoption of the Behavioral Health Virtual Services Platform for all children, youth, and families in California, regardless of payer. The platform will support the delivery of equitable, appropriate, and timely behavioral health services from prevention to treatment to recovery, and provide an e-Consult platform for pediatric and primary care providers to connect with BH providers.
CYBHI also includes statewide efforts that will make it easier for children, youth, and young adults to access behavioral health services in California’s schools. By January 1, 2024, DHCS, in collaboration with the California Department of Managed Health Care (DHMC), will develop and maintain:
- Un programa de tarifas estatal vinculado a la escuela para reembolsar los servicios ambulatorios de salud mental y trastornos por uso de sustancias proporcionados a un estudiante, de 25 años de edad o menos, en o cerca de un plantel escolar;
- Una red estatal de consejeros de salud conductual en el plantel escolar.
La lista de tarifas de todos los pagadores en todo el estado para los servicios de BH vinculados a la escuela proporcionará un alcance específico de beneficios y requisitos de tarifas para los planes de salud comerciales y los sistemas de entrega de Medi-Cal, que deberán reembolsar a los proveedores a las tarifas establecidas para brindar servicios a los estudiantes. El establecimiento de la lista de tarifas simplificará y facilitará el reembolso de los servicios de salud conductual en las escuelas, ampliando así el alcance de los servicios de salud conductual proporcionados a los estudiantes en o cerca de las escuelas, y mejorando el acceso a los servicios y resultados para niños, jóvenes y adultos jóvenes.
DHCS está liderando los siguientes esfuerzos adicionales para ampliar el acceso a los servicios de salud conductual vinculados a la escuela:
- El Programa de Incentivos para la Salud Conductual Estudiantil (SBHIP, por sus siglas en inglés) proporciona pagos de incentivos, por un total de $389 millones durante un período de tres años ( 1de enero de 2022 al 31de diciembre de 2024), a los MCP de Medi-Cal para crear asociaciones e infraestructura sostenibles entre los MCP, las agencias educativas locales (LEA) y los condados para:
- Mejorar la coordinación de los servicios de salud conductual (BH, por sus siglas en inglés) de los estudiantes;
- Aumentar los servicios preventivos y de intervención temprana de BH para los estudiantes de kindergarten de transición a los grados 12;
- Aumentar los servicios de salud mental no especializados en los campus escolares y cerca de ellos;
- Aumentar el acceso a los servicios de BH en/cerca de los campus escolares y/o a través de proveedores de BH afiliados a la escuela.
- El DHCS proporcionará subvenciones directas de asociación y capacidad vinculadas a la escuela para apoyar nuevos servicios a personas de 25 años o menos de escuelas, proveedores en la escuela, organizaciones comunitarias (CBO) afiliadas a la escuela o centros de salud escolares. Al mejorar la capacidad, las asociaciones y la infraestructura, el DHCS continuará ampliando el acceso a los servicios escolares para los estudiantes. Las subvenciones se diseñarán para apoyar la implementación del programa de tarifas para todos los pagadores en todo el estado en 2024.
- A través de su iniciativa CalHOPE, DHCS está invirtiendo en entornos de aprendizaje social y emocional (SEL, por sus siglas en inglés) para niños y jóvenes en entornos escolares. El Departamento tiene un contrato con la Oficina de Educación del Condado de Sacramento (COE, por sus siglas en inglés), que tiene memorandos de entendimiento con los otros 57 COE en todo el estado, para liderar los esfuerzos de implementación, incluido el establecimiento de una Comunidad de Práctica de SEL en todo el estado. Cada COE está elaborando una evaluación de necesidades y un plan de acción para ampliar las estrategias de SEL.
Effective January 2023, Medi-Cal will cover integrated physical and behavioral health screenings and services for the whole family, not just the child who is the identified patient. This expansion is especially important for families in which the child is enrolled in Medi-Cal but the parent or caregiver is uninsured, and yet there is a need for dyadic treatment. Dyadic services involve simultaneous treatment for the child and parent/caregiver, with studies showing significant improvements in child behavior issues and increases in positive parent/child attachment. These services will include a number of screening, assessment, evaluation, and case management, in addition to integrated BH services, tobacco cessation counseling, and alcohol and/or drug use Screening, Brief Interventions and Referral to Treatment.
In addition, with input from stakeholders, DHCS will select a limited number of evidence-based practices (EBPs) and community-defined practices (CDPs) to scale throughout the state based on robust evidence for effectiveness, impact on racial equity, and sustainability. Medi-Cal MCPs, county BH plans, Medi-Cal providers and Indian Health programs would then be eligible to receive funding for scaling up these practices. By scaling EBPs and CDPs throughout the state, DHCS aims to improve access to critical BH interventions, including those focused on prevention, early intervention and resiliency/recovery, for children and youth, specifically focused on children and youth from Black, Indigenous, and people of color and lesbian, gay, bisexual, transgender, queer and intersex+ communities.
To provide comments, make recommendations, or obtain additional information about the CYBHI, please email CYBHI@dhcs.ca.gov.
Gestión de contingencias (CM) Solicitud de propuesta (RFP)
On August 19, 2022, DHCS issued a RFP to support implementation of the California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Through the pilot, DHCS is committed to expanding access to evidence-based behavioral treatment to address the stimulant use disorder crisis that persists in California. CM, which provides motivational incentives to reduce the use of stimulants, is the only treatment that has demonstrated strongly positive outcomes for individuals with stimulant use disorder, including a reduction in or cessation of drug use and longer retention in treatment.
DHCS will implement the CM pilot program using an incentive manager vendor. The RFP seeks a vendor that would support the, management, tracking, and distribution of incentives. The pilot was scheduled to begin on July 1, 2022, but the inability to procure an incentive manager delayed implementation. Therefore, the new incentive manager vendor will likely onboard in November, and the anticipated CM pilot program start date will be in December or January 2023.
Para obtener más información, visite la página web del programa CM de DHCS.
Program Actualizaciones
Proporcionar acceso y transformar el financiamiento de la salud para el programa de desarrollo de capacidades involucrado en la justicia (PATH JI)
On August 9, DHCS launched an online application for round two of the PATH JI Capacity Building Program to support activities focused on pre-release Medi-Cal eligibility and enrollment for justice involved Californians.
PATH JI Capacity Building Program funding supports collaborative planning as well as information technology (IT) system modifications necessary to implement pre-release Medi-Cal application and suspension processes. This program is providing a total of $151 million for correctional agencies and institutions and county social service departments, including sheriff’s offices, county probation departments, and the California Department of Corrections and Rehabilitation. Applications for round two must be submitted through the online application portal no later than December 31, 2022.
Visit the CalAIM PATH webpage for more information on PATH and the JI initiative. Please email justice-involved@ca-path.com with any questions about the application process.
Portal de Solicitud y Validación de Proveedores para la Inscripción (PAVE) para Proveedores de Family PACT
On August 15, DHCS launched the PAVE portal for Family PACT (Planning, Access, Care, and Treatment) providers. The PAVE portal is a web-based application designed to simplify and accelerate enrollment processes, it is a new mode for submitting Family PACT provider enrollment applications and required documentation to DHCS. Beginning January 1, 2023, DHCS will no longer accept paper applications from providers seeking to enroll as a Family PACT provider.
CMS Aprobación de Tres Enmiendas al Plan Estatal (SPA) para Beneficios
- On August 5, CMS approved SPA 22-0044 to allow “licensed practitioners” to prescribe physical therapy. This revision allows physician assistants and nurse practitioners to prescribe physician therapy, in addition to physicians, dentists, and podiatrists.
- El 10 de agosto, los CMS aprobaron la SPA 22-0003 para agregar servicios preventivos para el asma. Este nuevo beneficio autoriza a los proveedores de servicios preventivos para el asma sin licencia y a los profesionales con licencia a proporcionar educación sobre el asma y evaluaciones en el hogar.
- El 12 de agosto, los CMS aprobaron la SPA 22-0017 para autorizar los costos de rutina de los pacientes para los ensayos clínicos, según lo exige la Ley de Asignaciones Consolidadas de 2021. Anteriormente, Medi-Cal cubría los costos de rutina de los ensayos clínicos solo para los participantes en ensayos clínicos para el cáncer.
Información publicada sobre el COVID-19
- Actualizado: Tasas de vacunación contra el COVID-19 de Medi-Cal
Próximas reuniones de partes interesadas y seminarios web
Audiencia Pública de la Enmienda de Exención de CalAIM
On August 22, DHCS is hosting a virtual public hearing to encourage and solicit stakeholder feedback on proposed waiver amendments regarding implementation of county-based model changes in the Medi-Cal Managed Care (MCMC) program. Advance registration for the CalAIM public hearing is required.
Información adicional sobre la solicitud de demostración de la Sección 1115 de CalAIM y la descripción general de la Sección 1915(b) está disponible en la página web de Demostración y Exención 1915(b) de CalAIM. El período de comentarios públicos de 30 días finaliza el 12de septiembre de 2022.
Actualización de la Iniciativa de Transición, Expansión y Desarrollo de Capacidad e Infraestructura (CITED) de PATH
El 23 de agosto a las 12 p.m., DHCS organizará virtualmente un seminario web informativo para apoyar a las entidades elegibles con su solicitud CITED. DHCS organizará otro seminario web informativo el 8 de septiembre a las 2:30 p.m. Los seminarios web proporcionarán información detallada sobre los fondos CITED y el proceso de solicitud.
Para obtener más información, visite https://www.ca-path.com/cited. Las preguntas sobre la iniciativa CITED y el proceso de solicitud pueden enviarse a cited@ca-path.com. DHCS responderá a las preguntas enviadas durante los seminarios web y en las comunicaciones de seguimiento.
Seminario web de CalAIM: ECM y la comunidad apoyan la participación de los miembros
On August 25 at 1:30 p.m., DHCS will virtually host a webinar on CalAIM ECM and Community Supports member engagement. Topics for this session will include provider and member communications, referrals, outreach, and enrollment.
CalAIM Member Engagement webinar advance registration is required. Participants are invited to submit questions by August 22 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have the opportunity to ask questions during the session. An additional “Office Hours” event will be held on September 1 at 2 p.m. for attendees to ask questions not covered during the webinar.
Seminario web público mensual de CYBHI
On August 29 at 3 p.m., DHCS will virtually host a public webinar to keep stakeholders apprised of DHCS’ progress in implementing various work streams for the CYBHI. Key attendees include, but are not limited to, youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, and commercial health plans, as well as education and other cross-sector partners. Advance registration for this CYBHI webinar is required.
CalAIM “Office Hours”: ECM and Community Supports Member Engagement
On September 1 at 2 p.m., DHCS will virtually host an “Office Hours” discussion on CalAIM ECM and Community Supports member engagement. As a follow-up to the August 25 webinar on this topic, this Q&A session will cover provider and member communications, referrals, outreach, and enrollment. Advance registration is required. Participants are invited to submit questions by August 29 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.
Seminario web de CalAIM: Poblaciones de atención a largo plazo de ECM
El 8 de septiembre a la 1:30 p.m., DHCS organizará virtualmente un seminario web para todos los participantes sobre las poblaciones de atención a largo plazo de CalAIM ECM. Se requiere inscripción previa. Se invita a los participantes a enviar preguntas antes del 5 al CalAIMECMILOS@dhcs.ca.gov de septiembre. Los asistentes también tendrán la oportunidad de hacer preguntas durante la sesión.