March 1, 2024 – Stakeholder Update
NOTE: Beginning Monday, March 11, DHCS will issue the weekly stakeholder update on Monday mornings (not Friday evenings).
Principales noticias
Colaboración Nacional de Aprendizaje y Acción de Doulas
On February 27, René Mollow, MSN, RN, Deputy Director of Health Care Benefits and Eligibility, represented DHCS as a member of the National Advisory Committee for the planning phase of the Institute for Medicaid Innovation’s (IMI) new project, the National Doula Learning and Action Collaborative. She was invited to participate following her involvement in last year’s IMI learning series about doulas and perinatal community health workers. Through her participation, Medi-Cal’s work has been a great example for programs across the country to follow.
The planning phase for this learning collaborative, funded by the Pritzker Children’s Initiative, will launch an intensive three-year national learning collaborative that will provide structured support, resources, and guidance for state-based teams to increase access to and coverage of doula services for birthing people of color with Medicaid coverage.
Program Actualizaciones
Guía de políticas actualizada de Enhanced Care Management (ECM)
El DHCS publicó una Guía de políticas de ECM actualizada en febrero. Esta versión incluye políticas actualizadas sobre la inscripción doble en ECM y la administración de casos específicos basada en el condado; cambios en la política de continuidad de la atención para los miembros del plan de atención administrada (MCP) de Medi-Cal inscritos en un Plan de Necesidades Especiales de Doble Elegibilidad de inscripción no exclusiva que fueron autorizados a recibir ECM a fines de 2023; la Guía Operativa y de Política para la Planificación e Implementación de la Iniciativa de Reingreso Involucrado en la Justicia de CalAIM de octubre de 2023; y requisitos que aclaran que los MCP no pueden exigir ni permitir que los proveedores informen códigos o modificadores para los servicios de ECM y Community Supports más allá de los incluidos en la guía de codificación del Sistema de Codificación de Procedimientos Comunes de ECM y Community Supports Healthcare.
Informe de evaluación del Programa de Incentivos para la Vacuna contra el COVID-19
On February 26, DHCS posted the COVID-19 Vaccine Incentive Program Evaluation Report, which covers the program period of August 29, 2021, through March 6, 2022. The report shows changes in COVID-19 vaccination rates for Medi-Cal members statewide and by MCP across 10 outcome measures. The COVID-19 Vaccine Incentive Program was a $350 million incentive payment program in which MCPs were eligible to earn incentive payments for activities designed to improve vaccination rates among their enrolled members. All 25 MCPs in California participated.
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Próximas reuniones de partes interesadas y seminarios web
Feria Virtual de Proveedores de CalAIM Brindando Acceso y Transformando la Salud (PATH) Asistencia Técnica (TA)
On March 12, from 9 to 10:30 a.m., DHCS will host a virtual California Advancing and Innovating Medi-Cal (CalAIM) PATH TA Marketplace Vendor Fair that will feature presentations from vendors providing services in Domain 4 of the PATH TA Marketplace: “Strengthening Care for ECM Populations of Focus.”
TA Vendor Fairs are an opportunity for vendors to pitch their organization and services to potential TA Recipients and encourage utilization of the TA Marketplace. TA Recipients and organizations interested in learning more about the TA Marketplace, including how to apply to receive free services, are invited to attend. Visit the PATH TA Marketplace to register and learn more about future Vendor Fairs.
Additional upcoming TA Vendor Fairs include the Building Data Capacity Vendor Fair on March 28, from 9 to 10:30 a.m., and the Community Supports and Workforce Vendor Fair on April 9, from 9 to 10:30 a.m.
Seminario web del Programa de Cobertura de Audífonos para Niños (HACCP)
On March 13, from 11 a.m. to 12 p.m., DHCS will host a HACCP webinar (advance registration required) to share guidance with families and community partners about applying for hearing aid coverage and maximizing HACCP benefits once enrolled. DHCS welcomes interested families, families currently participating in HACCP, and community partners to join this webinar for program updates, tips, and a question-and-answer session. For more information, please visit the HACCP webpage.
Grupo de trabajo de salud conductual de CalAIM
On March 15 at 10 a.m., DHCS will hold the virtual CalAIM Behavioral Health Workgroup to provide updates on the Recovery Incentives Program and the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT). Workgroup members can provide feedback on implementation and operational considerations. The meeting is open to members of the public, who may comment at the end of the meeting. Please email your questions to BHCalAIM@dhcs.ca.gov.