Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

DHCS Stakeholder News - Plaub Hlis Ntuj 14, 2023​​ 

Kev hloov kho tshiab​​ 

Hloov tshiab: Kev Pabcuam Rau Lub Sijhawm Ntev Kev Pabcuam Kev Pabcuam thiab Kev Hloov Pauv ntawm cov tswvcuab mus rau Kev Tswj Xyuas​​ 

DHCS tau luam tawm Txhua Daim Ntawv Npaj (APL) 23-004 thiab hloov kho cov lus nug uas nquag nug (FAQ) rau cov chaw tu neeg mob (SNF) mus sij hawm ntev carve-in raws li cov tswv yim tawm tswv yim. APL suav nrog kev hloov kho tshiab ntawm kev thauj mus los rau kev teem sijhawm rov ua dua, kev sib txuas lus ntawm tus kws kho mob ntawm cov txheej txheem them nqi, thiab cov kev pabcuam tshwj xeeb uas tsis raug raws li txoj cai them nqi. Nws kuj suav nrog cov kev pabcuam mus sij hawm ntev tshiab thiab txhawb kev sib txuas lus. Cov FAQ thiab cov peev txheej ntxiv muaj nyob rau ntawm DHCS LTC Carve-In webpage.

SNFs ntsib teeb meem hu rau lawv cov kev npaj khomob (MCP) yuav tsum xa email rau MCQMD@dhcs.ca.gov rau kev pab.
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California Statewide Automated Welfare System (CalSAWS) Migration Wave Three​​ 

Lub Plaub Hlis 24, Orange, Santa Barbara, thiab Ventura counties yuav koom nrog CalSAWS koom nrog. Qhov kev tsiv teb tsaws chaw no yog ib feem ntawm lub xeev txoj kev npaj txav mus rau tag nrho 58 lub nroog, los ntawm Lub Kaum Ob Hlis 31, 2023, mus rau CalSAWS los ntawm kev sib cais tam sim no ntawm ob txoj kev tsim nyog thiab kev tso npe kawm: California Txoj Haujlwm Ua Haujlwm thiab Lub Luag Haujlwm rau Kids Information Network (CalWIN) thiab CalSAWS.

Thaum lub sijhawm tsiv teb tsaws chaw, CalWIN system yuav tsis muaj rau cov nroog tsiv teb tsaws chaw txij li 5 teev tsaus ntuj rau lub Plaub Hlis 20 txog rau thaum lawv tau ua haujlwm hauv CalSAWS lub Plaub Hlis 24 thaum 7:30 sawv ntxov. CalSAWS yuav tsis muaj nyob rau lub Plaub Hlis 21 thaum 3:30 teev tsaus ntuj, thiab yuav rov qab online rau lub Plaub Hlis 24 thaum 7:30 teev sawv ntxov Daim ntawv thov thoob plaws lub xeev (BenefitCal) yuav muaj rau cov neeg thov thiab cov tswv cuab hauv cov nroog no thaum lub Plaub Hlis 24. Yuav tsum tsis muaj kev cuam tshuam rau lwm kaum lub nroog CalWIN lub sijhawm no.

Cov chaw saib xyuas kev noj qab haus huv hauv nroog hauv nroog yuav muaj rau lub Plaub Hlis 21 txhawm rau hais txog kev pabcuam xwm txheej ceev nkaus xwb. CalWIN cov nroog tseem yuav nkag mus rau CalWIN ib puag ncig kom tso cai rau cov neeg ua haujlwm hauv nroog saib cov ntaub ntawv tam sim no thiab muab cov txiaj ntsig xwm txheej ceev, raws li xav tau. Tsis tas li ntawd, CalWIN lub vev xaib lub vev xaib yuav xa cov neeg thov thiab cov tswvcuab mus rau lub nroog lub vev xaib thiab Covered California thov cov txiaj ntsig.
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Qhib Tsis ntev: Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Ncaj Ncees-Involved Round 3 Daim Ntawv Thov Nyiaj Txiag​​  

Thaum Lub Tsib Hlis 1, DHCS yuav qhib daim ntawv thov PATH Kev Ncaj Ncees-Involved Initiative Round 3 . Qhov 3 qhov nyiaj pab yuav txhawb nqa cov koom haum kho, cov koom haum saib xyuas kev noj qab haus huv hauv nroog, thiab lwm cov neeg muaj feem cuam tshuam txog kev ncaj ncees thaum lawv siv cov neeg ua haujlwm, muaj peev xwm, thiab/lossis IT systems uas xav tau rau kev sib koom tes npaj thiab kev siv cov txheej txheem ua ntej tso tawm. Yog xav paub ntxiv, mus saib ntawm Kev Ncaj Ncees-Involved Capacity Building Program lub vev xaib
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Medi-Cal Rx​​ 

Thaum Lub Plaub Hlis 21, Kev Rov Kho Dua Phaj III, Lift 2 ntawm Medi-Cal Rx Txoj Haujlwm Rov Qab Rov Qab yuav raug muab coj los siv, tshem Txoj Cai Hloov Pauv rau 17 Standard Therapeutic Classes (STCs) rau cov tswv cuab hnub nyoog 22 xyoos thiab laus dua. Cov ntaub ntawv ntxiv muaj nyob rau ntawm Medi-Cal Rx Reinstatement Spotlight.  Qhov no yog qhov thib ob ntawm kev nqa nqa mus rau cov laus lossis theem tawm ntawm yawg koob ntawm keeb kwm kev tso cai ua ntej (PAs) thiab thov. Cov lus qhia ntxiv muaj nyob rau hauv Medi-Cal Rx 30-Hnub Countdown - Phase III, Lift 2 kev sib txuas lus. 
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Koom nrog peb pab neeg​​  

DHCS tab tom ntiav! DHCS muaj kev qhib tam sim ntawd rau Cov Tub Ceev Xwm Xov Xwm I/II txoj haujlwm uas yuav pab DHCS kom cov pej xeem paub txog kev hloov pauv txoj cai, kev ua ub no thiab cov hom phiaj ntawm lub tuam tsev.

DHCS tseem tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, kev noj qab haus huv txoj cai, thiab pab pawg xov xwm thev naus laus zis. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.  

DHCS mob siab rau kev khaws cia thiab txhim kho tag nrho cov kev noj qab haus huv thiab kev noj qab haus huv ntawm txhua tus neeg California. DHCS lub luag haujlwm yog los muab cov neeg nyob hauv lub xeev uas muaj kev pheej hmoo siab tshaj plaws kom muaj kev ncaj ncees rau kev pheej yig, kev sib koom ua ke, kev saib xyuas kev noj qab haus huv zoo, thiab tam sim no tab tom hloov kho Medi-Cal kev pab cuam kom paub tseeb tias nws muab kev saib xyuas cov neeg California xav tau kev noj qab haus huv, lub neej zoo siab dua. 
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Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

California Advancing and Innovating Medi-Cal (CalAIM): Lub Rooj Sib Tham Pab Pawg rau Kev Pabcuam Sijhawm Ntev thiab Kev Pabcuam (MLTSS)​​ 

Thaum Lub Plaub Hlis 19, thaum 10:30 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav zoo rau lub rooj sib tham CalAIM MLTSS thiab Duals Integration Workgroup (yuav tsum tau sau npe ua ntej). Cov txheej txheem txheej txheem yuav suav nrog cov kev hloov kho tshiab ntawm qhov yuav tsum tau muaj kev pab them nqi tas mus li tsis tu ncua thiab 2024 Medicare Medi-Cal Plan nthuav dav cov nroog, cov ntsiab lus ntawm cov neeg koom nrog thiab cov lus qhia txog kev noj qab haus huv ntawm 2024 State Medicaid Agency Daim Ntawv Cog Lus, thiab cov ntsiab lus ntawm palliative care policy guidance for Dual Eligible Special Needs.

Cov ntaub ntawv keeb kwm yav dhau, cov ntawv sau tseg, thiab cov ntaub ntawv kaw tseg ntawm pawg neeg ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, tau muab tso rau hauv CalAIM MLTSS thiab Duals Integration Workgroup lub vev xaib. Rau cov lus nug lossis lus pom, thov xa email rau DHCS ntawm info@calduals.org.
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Population Health Management (PHM) Advisory Group Meeting​​ 

Lub Plaub Hlis 26, thaum 12:30 txog 2 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham PHM Advisory Group tom ntej (yuav tsum tau sau npe ua ntej). Lub rooj sib tham yuav muab kev tawm tswv yim txog DHCS cov kev hloov pauv rau cov pej xeem xav tau kev ntsuam xyuas (PNA) uas Medi-Cal MCPs yuav tsum ua kom tiav.  DHCS xav txog qhov hloov kho PNA los txhawb kev sib raug zoo nrog cov chaw saib xyuas kev noj qab haus huv hauv zos thiab lwm cov neeg koom nrog hauv zej zog, kev koom tes hauv zej zog muaj zog dua, thiab kev nkag siab tob txog cov tswv cuab kev noj qab haus huv, thiab kev xav tau ntawm tib neeg, thiab nyiam los ntawm cov zej zog uas lawv nyob. Cov neeg muaj feem raug txhawb kom xa cov lus nug ua ntej qhov webinar rau CalAIM@dhcs.ca.gov.
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PATH Kev Ncaj Ncees-Involved Round 3 Kev Qhia Xov Xwm​​ 

Thaum Lub Tsib Hlis 2, thaum 3 txog 4 teev tsaus ntuj, DHCS yuav tuav cov ntaub ntawv xov xwm hauv webinar (yuav tsum tau sau npe ua ntej) los muab daim ntawv thov kev txhawb nqa rau cov koom haum txaus siab ua ntej lub Xya Hli 30 hnub kawg ntawm daim ntawv thov rau PATH Kev Ncaj Ncees-Involved Initiative Round 3 nyiaj. Kev caw tuaj sib ntsib thiab cov ntsiab lus ntxiv yuav muaj nyob rau ntawm Kev Ncaj Ncees-Involved Capacity Building Program lub vev xaib. Yog xav paub ntxiv, thov hu rau kev ncaj ncees-involved@ca-path.com.
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Hauv Case Koj Tsis Tau Nws​​ 

California's Reproductive Health Access Section 1115 Demonstration (CalRHAD)​​ 

Thaum Lub Peb Hlis 16, DHCS tau tshaj tawm 30-hnub rau pej xeem thiab pab pawg neeg tawm tswv yim lub sij hawm los tawm tswv yim tawm tswv yim ntawm CalRHAD Medicaid Tshooj 1115 ua qauv qhia; cov lus hais yuav dhau los ntawm Lub Plaub Hlis 17. DHCS tab tom nrhiav kev pom zoo los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv & Medicaid los muab kev sib tw nyiaj pab rau cov kws kho mob menyuam yaus txhawm rau txhim kho kev muaj peev xwm thiab kev nkag mus rau kev pabcuam kev sib deev thiab kev ua menyuam yaus, txhawb kev ruaj ntseg ntawm California tus kws saib xyuas kev noj qab haus huv kev yug me nyuam, thiab muaj txiaj ntsig zoo rau cov tib neeg rau npe hauv Medi-Cal thiab lwm tus neeg uas tam sim no ntsib teeb meem rau kev nkag tau.  

Cov ntaub ntawv ntxiv txog CalRHAD daim ntawv thov thiab yuav ua li cas xa cov lus pom rau pej xeem muaj nyob rau ntawm CalRHAD lub vev xaib
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Tshaj tawm cov ntaub ntawv COVID-19​​ 

 


Hnub hloov tshiab kawg: 4/17/2023 9:08 AM​​