DHCS Stakeholder News – September 29, 2023
Principales noticias
Tyler Sadwith seleccionado para el programa Medicaid Pathways
El Centro de Estrategias de Atención Sanitaria (CHCS) anunció esta semana que Tyler Sadwith, subdirector de DHCS'Behavioral Health Program', es uno de los 20 líderes emergentes de agencias de Medicaid de todo el país seleccionados competitivamente para participar en la tercera promoción de la Medicaid Pathways Program. Tyler es responsable de liderar DHCSambiciosa agenda para garantizar servicios especializados de salud mental y trastornos por consumo de sustancias de alta calidad y accesibles en Medi-Cal y otros Programpúblicos. Lidera el equipo de Salud Conductual del Departamento en el desarrollo e implementación de iniciativas diseñadas para fortalecer el acceso, la calidad, la equidad y la capacidad de servicios a la atención en salud conductual para 15,5 millones de miembros Medi-Cal y californianos atendidos a través de Programpública.
Program Actualizaciones
Guía de políticas de transición del Plan de atención administrada (MCP) de Medi-Cal 2024
On September 29, DHCS released a revised version of the 2024 MCP Transition Policy Guide that includes DHCS policy and MCP requirements related to member transitions of Medi-Cal MCPs that take effect on January 1, 2024. The latest version includes a new MCP transition monitoring and oversight policy and transition-related requirements for incentive programs, as well as updates to all other sections. The policy guide will be updated regularly to keep MCPs informed of new and developing guidance.
Mercado de Asistencia Técnica (TA) para Proporcionar Acceso y Transformar la Salud (PATH) – Política de Acceso Revisada para Beneficiarios de TA
On September 29, DHCS announced the revised policy for accessing free TA resources available through the PATH TA Marketplace. Effective immediately, all approved TA recipients may now access both off-the-shelf TA projects and hands-on TA projects in all seven TA domains, regardless of if they are contracted with a MCP or other eligible entity to provide Enhanced Care Management (ECM) and/or Community Supports. Learn how free TA services offered through the PATH TA Marketplace can strengthen your organization’s ability to build and deliver quality ECM and Community Supports by visiting the PATH TA Marketplace webpage. Please submit any questions regarding the revised access policy to ta-marketplace@ca-path.com.
Solicitud de proveedor de la ronda 3 de PATH TA Marketplace
On October 1, DHCS will open the PATH TA Marketplace Round 3 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access free TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations must apply to qualify as a TA Marketplace vendor before the October 31 deadline. Visit the TA Marketplace vendor webpage for more information and to apply. For questions, please email ta-marketplace@ca-path.com.
Medi-Cal Rx
On September 27 and 28, DHCS delivered the first presentations to update stakeholders on DHCS’ plans to advance Medi-Cal Rx. DHCS presented to the Pharmacy Directors meeting and the California Association of Medical Product Suppliers meeting. Also, on September 22, Reinstatement Phase 4, Lift 2 was successfully implemented. Drug cost ceiling and prior authorization for enteral nutrition and specific standard therapeutic classes for members 22 years of age and older have been reinstated. Additionally, as of September 22, the new COVID-19 vaccines appropriately reimburse the cost of the commercial vaccines (in addition to a $40 incentive fee).
Únete a nuestro equipo
DHCS está contratando para nuestros equipos fiscales, de recursos humanos, legales, de auditoría, de políticas de salud y de tecnología de la información. Para obtener más información, visite el sitio web de CalCareers.
DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.
Próximas reuniones de partes interesadas y seminarios web
Reunión del Grupo de Trabajo de Partes Interesadas Centrado en el Consumidor (CFSW)
El 6 de octubre, de 10 a 11:30 a.m., DHCS acogerá la reunión de CFSW. El propósito de la CFSW es ofrecer a las partes interesadas la oportunidad de revisar y dar feedback sobre una variedad de materiales de mensajería para consumidores. El foro se centrará en actividades relacionadas con la elegibilidad y la inscripción, y ofrecerá un debate abierto sobre las políticas y funcionalidades de Medi-Cal. Los participantes de la CFSW son defensores de la comunidad de protección al consumidor, representantes de asociaciones de proveedores y expertos en el ámbito sanitario. Por favor, envíe cualquier pregunta a DHCSCFSW@DHCS.CA.GOV. Todos los materiales de la reunión se publicarán en la sitio web del DHCS CFSW a más tardar el 4 de octubre.
Seminario web sobre prácticas prometedoras de CalAIM ICF/DD Carve-In
On October 6, from 9:30 to 11 a.m., DHCS will virtually host the third in a series of educational webinars (advance registration required) on the California Advancing and Innovating Medi-Cal (CalAIM) intermediate care facility for the developmentally disabled (ICF/DD) carve-in. The goal of these webinars is to provide stakeholders with an understanding of the ICF/DD carve-in policy requirements and how to support members when all Medi-Cal MCPs will be required to cover and coordinate institutional long-term care for members residing in an ICF/DD beginning on January 1, 2024. The webinar will focus on promising practices that MCPs, ICF/DD homes, and Regional Centers can consider as they prepare for the ICF/DD carve-in to take effect. Webinars are open to the public.
En la página web sobre la transición del programa de atención a largo plazo de CalAIM ICF/DD se puede encontrar más información sobre los próximos seminarios web. Envíe sus preguntas o comentarios por email a LTCtransition@DHCS.CA.GOV.
Opciones de cobertura de Medicare en California: seminario web
On October 11 at 1 p.m., DHCS and the California Department of Aging will jointly host a webinar entitled, “Navigating Medicare Coverage Choices in California, Including Medicare Advantage Supplemental Benefits” (advance registration required). Presenters will include Stephanie Fajuri from the Center for Health Care Rights, an expert in Medicare choices for consumers, and Nils Franco from ATI Advisory, a lead analyst for the review of Medicare Advantage Plan supplemental benefits in California.
The webinar will share helpful information for consumers, families, health care providers, and the public policy community. It will include a presentation and question and answer session on Medicare coverage choices for consumers during the Medicare Open Enrollment period from October 15 to December 7, as well as highlight a newly released DHCS chartbook on supplemental benefits in Medicare Advantage Plans in California for contract year 2023. The chartbook is part of a series of chartbooks available on the DHCS Office of Medicare Innovation and Integration webpage. For questions or comments, please email OMII@dhcs.ca.gov.
Reunión del Comité Asesor de Partes Interesadas (SAC) y Salud Conductual-SAC (BH-SAC)
On October 19, from 9:30 a.m. to 3:30 p.m., DHCS will host the next SAC and BH-SAC hybrid meeting (advance registration required). It will open as a joint meeting, with topics shared by SAC and BH-SAC. A BH-SAC-only meeting will be held after the joint meeting; there is no SAC-only meeting. Participants may attend in person at The California Endowment, located at 1414 K Street in downtown Sacramento, or virtually. For more information, please visit the SAC and BH-SAC webpages.
Por si te lo perdiste
Planes Medicare Medi-Cal: Información para las partes interesadas
El 22 de septiembre, el DHCS publicó hojas informativas de los planes Medicare Medi-Cal en inglés, español, hmong, vietnamita, chino tradicional/cantonés, ruso y jemer/camboyano en la sitio web del Plan Medicare Medi-Cal.
The 2024 Medicare open enrollment period is from October 15 to December 7, with plan coverage taking effect on January 1, 2024. Californians in 12 counties will be eligible to enroll in Medicare-Medi-Cal Plans, a type of Medicare Advantage plan in California only available to dual eligible members. Medicare Medi-Cal Plans provide more comprehensive care, and benefits in both programs are coordinated by one managed care plan. In 2024, Medicare Medi-Cal Plans will be available in the following counties: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, and Tulare. Please contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org.