Dhia mus rau cov ntsiab lus​​ 

Txhim Kho Kev Tswj Xyuas & Kev Txhawb Zej Zog | Kev hloov pauv ntawm Medi-Cal​​ 

Nplooj ntawv no ntes cov xov xwm tshiab tshaj plaws txog kev tswj hwm kev kho mob​​ 

Tam sim no muaj: Cov ntaub ntawv tshiab lees paub tias kev txhawb nqa hauv zej zog txhim kho cov txiaj ntsig thiab txiav cov nqi​​ 

Hauv nws daim ntawv tshaj tawm xov xwm 3Lub Rau Hli, 2025 , DHCS tau hais txog cov ntaub ntawv txhawb nqa los ntawm Community Supports Annual Report los qhia tias Community Supports ua tau zoo thiab muaj nqi tsim nyog. Cov ntaub ntawv qhia tau tias Community Supports ua raws li lawv cov lus cog tseg los daws cov kev xav tau ntawm cov tswv cuab Medi-Cal—txo kev mus ntsib chav kho mob ceev uas zam tau, kev nyob hauv tsev kho mob, thiab kev siv kev saib xyuas mus sij hawm ntev thaum qhia txog cov cim qhia tias txuag tau nyiaj thaum ntxov. Tag nrho 12 qhov kev txhawb nqa hauv zej zog uas tau kawm txog tab tom txo cov nqi, thiab ntawm cov no, cuaj twb tau ua pov thawj tias siv tau nyiaj tsawg hauv lub sijhawm kawm thawj zaug. Peb qhov seem seem yuav ncav cuag qhov ntsuas ntawd dhau lub sijhawm kawm ntev dua, raws li txoj cai tswjfwm tebchaws rau kev ntsuam xyuas kev siv nyiaj tsim nyog. Thov saib daim ntawv qhia txog Kev Txhawb Nqa Hauv Zej Zog no kom paub ntau ntxiv.​​ 

Kev Tso Tawm Tshiab ntawm Phau Ntawv Qhia Txog Txoj Cai Txhawb Nqa Zej Zog - Tam Sim No Muaj Nyob Hauv Ob Phau Ntawv​​ 

DHCS txaus siab los qhia txog Cov Kev Pabcuam Hauv Zej Zog Txoj Cai Qhia Tawm Tshiab, tshaj tawm rau lub Plaub Hlis 30, 2025.​​ 

To accommodate new policies related to Transitional Rent and other Community Supports for Members experiencing or at risk of homelessness, DHCS has reorganized the guide into two separate volumes:​​ 

  • Volume 1 muaj cov lus txhais cov kev pab cuam rau yim ntawm Lub Zej Zog Txhawb nqa uas hais txog Cov Tswv Cuab cov kev xav tau kev noj qab haus huv ntsig txog kev noj qab haus huv, suav nrog plaub Cov Kev Pabcuam Zej Zog uas tau hloov kho yav dhau los los ntawm DHCS thaum Lub Ob Hlis 2025: Cov Khoom Noj Khomob Kho Mob / Cov Khoom Noj Kho Mob, Kev Kho Mob Kho Mob, Kev Pabcuam Nyob Hauv Kev Hloov Pauv thiab Kev Pabcuam Hauv Zej Zog lossis Tsev Hloov Kho.​​ 
  • Volume 2 muaj cov ntsiab lus ntawm kev pabcuam rau xya qhov Kev Pabcuam Hauv Zej Zog ntxiv, suav nrog Kev Hloov Hloov Pauv, uas cuam tshuam txog vaj tse lossis muaj chav thiab pawg thawj coj saib xyuas, thiab tshwj xeeb yog tsim los txhawb cov tswvcuab uas muaj lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob.​​ 

Txhawm rau txhawb kev siv cov kev hloov tshiab no, DHCS tab tom tuav ob lub vev xaib xov xwm:​​ 

Sau npe rau Volume 1 Webinar: Friday, Tsib Hlis 16, 2025 | 11:00 Nws – 12:30 p.m. PT​​ 

Sau npe rau Volume 2 (Housing-specific) Webinar: Wednesday, May 14, 2025 | 12:00 – 01:30 PT​​ 

Peb xav kom koj saib ob phau ntawv qhia no thiab koom nrog peb ntawm cov webinars tom ntej. DHCS kuj txhawb kom pej xeem mus saib nplooj ntawv Medi-Cal ECM thiab Community Supports kom paub txog cov xov xwm tshiab tas li thiab nplooj ntawv tshiab DHCS Housing for Health kom paub txog cov xov xwm tshiab txog vaj tse los ntawm ntau yam kev pab cuam ntawm DHCS hauv thiab sab nraud Medi-Cal.​​ 

Kev Tshaj Tawm Tshaj Tawm: Txhim Kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Txhawb Zej Zog Txhawb Kev Ua Haujlwm Peb Hlis Lub Plaub Hlis mus txog Q2 2024​​ 

Thaum Lub Kaum Ob Hlis 20, 2024, DHCS tau tshaj tawm daim ntawv qhia txog Kev Tswj Xyuas Kev Kho Mob Zoo Dua (ECM) thiab Kev Txhawb Nqa Hauv Zej Zog uas qhia txog cov ntaub ntawv txij Lub Ib Hlis 2022 txog Lub Rau Hli 2024. ECM muab kev tswj hwm kev saib xyuas ua pab pawg rau cov tswv cuab Medi-Cal uas muaj kev xav tau nyuaj, thaum Lub Zej Zog Txhawb Nqa muab cov kev pabcuam kho mob uas pheej yig thiab tsim nyog rau kev kho mob piv rau cov kev pabcuam ib txwm muaj, daws cov teeb meem kev noj qab haus huv hauv zej zog xws li vaj tse thiab kev noj haus. Ua ke, cov kev pib no yog qhov tseem ceeb rau kev ua kom muaj kev saib xyuas txhua tus neeg uas tsom mus rau tus neeg uas txhim kho cov txiaj ntsig kev noj qab haus huv thiab lub neej zoo rau cov tswv cuab Medi-Cal. Daim ntawv tshaj tawm qhia txog kev loj hlob tas mus li, peb lub hlis dhau ib lub hlis hauv kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog, vim tias cov pej xeem ntxiv uas xav tau kev pab tau tsim nyog rau ECM thiab muaj ntau cov kev pabcuam thoob plaws lub xeev.​​ 

Daim ntawv tshaj tawm kuj tseem muab cov ntaub ntawv thawj zaug ntawm ECM cov tswv cuab hauv qhov kev qhia tshiab Kev Ncaj Ncees Kev Ncaj Ncees Kev Ncaj Ncees (POF) thiab Cov Tib Neeg Hloov Los ntawm Kev Raug Ncua POF, ob qho tib si tau tshaj tawm lossis nthuav tawm thaum Lub Ib Hlis 2024.​​ 

Cov ntsiab lus tseem ceeb suav nrog 244,750 tus tswv cuab Medi-Cal tau txais cov txiaj ntsig ECM, nrog rau 127,024 cov tswv cuab tau ua haujlwm hauv Q2 2024. Qhov no sawv cev rau qhov nce ntau dua 50% ntawm cov tswv cuab ECM txhua peb lub hlis txij li Q2 2023. Muaj li ntawm 239,500 tus tswv cuab tau siv cov kev pabcuam Txhawb Nqa Hauv Zej Zog, thiab 89% ntawm cov tswv cuab Medi-Cal tau txais tsawg kawg yog 10 qhov kev pabcuam. Qhov no sawv cev rau qhov nce ntau dua 120% ntawm cov tswv cuab ntawm Community Supports txhua peb lub hlis txij li Q2 2023. Hauv Q2 2024, ntau dua 59% ntawm cov tswv cuab uas siv Kev Txhawb Nqa Hauv Zej Zog tau txais Cov Khoom Noj Kho Mob / Cov Khoom Noj Txhawb Nqa Kho Mob, thiab kwv yees li 35% tau txais ib lossis ntau qhov kev pabcuam los ntawm Housing Trio (Housing Transition Navigation Services, Housing Tenancy and Sustaining Services, thiab Housing Deposits).​​ 

Cov Cai Tshiab los Ua Kom Kev Nkag Mus Rau ECM Yooj Yim Dua​​ 

DHCS tab tom tso tawm cov cai tshiab uas yuav ua kom yooj yim thiab txhim kho kev nkag mus rau ECM los ntawm kev ua kom cov kev xa mus rau tus qauv thiab ua kom cov txheej txheem kev tso cai sai dua. DHCS tau ua haujlwm ntau nrog cov neeg koom tes los tsim cov Qauv Kev Xa Mus Rau ECM thoob plaws lub xeev thiab txoj cai tso cai ECM uas tau hloov kho tshiab. Ob txoj cai no yuav siv tau rau lub Ib Hlis 1, 2025, thiab MCPs tam sim no tab tom ua haujlwm cov lus qhia tshiab. Qhov no ntxiv rau ntau qhov kev hloov pauv uas DHCS tau ua los ua kom yooj yim nkag mus rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog uas tau teev tseg hauv 2023 ECM/Community Supports Action Plan.​​ 

Cov Txheej Txheem Kev Xa Mus Rau ECM txhais cov ntaub ntawv uas txhua tus MCPs yuav sau los ntawm kev xa mus rau ECM. Cov chaw ua haujlwm xa mus rau ECM yuav xa cov ntaub ntawv zoo ib yam hauv lawv cov ntaub ntawv xa mus rau ECM thoob plaws cov nroog thiab MCPs es tsis txhob siv cov ntaub ntawv sib txawv ntawm cov ntawv xa mus lossis cov qauv ua pawg. Tsis tas li ntawd xwb, MCPs yuav tsis xav tau cov ntaub ntawv ntxiv (piv txwv li, ICD-10 codes, cov npe teev ntxiv, lossis daim ntawv thov kev tso cai kho mob (TAR)) los ntawm cov neeg koom tes xa mus lossis cov neeg muab kev pab ECM dhau ntawm cov ntaub ntawv muab rau hauv ECM xa mus rau kev tso cai ECM. Lub hom phiaj yog kom txo cov teeb meem thiab cov nra hnyav rau cov chaw xa mus thiab txhawb nqa DHCS lub hom phiaj uas feem ntau ntawm ECM xa mus los ntawm lub zej zog, uas kuj cuam tshuam nrog kev nce ntxiv ntawm ECM.​​ 

DHCS kuj tseem tso tawm cov kev cai tshiab rau MCPs kom nthuav dav kev siv ECM kev tso cai xav tau. Cov chaw muab kev pab ECM uas tau cog lus tseg hauv MCP lub network muab kev pab ECM yuav muaj peev xwm tso cai ncaj qha rau ECM rau cov tswv cuab thiab tau txais nyiaj rau cov kev pabcuam ECM thaum lub sijhawm 30 hnub yam tsis tas tos MCP qhov kev txiav txim siab tso cai. Cov chaw muab kev pab ECM uas nyob hauv qab kev tso cai xav tias yuav tseem yuav tsum xa daim ntawv xa mus rau MCP kom tau kev tso cai tag nrho hauv 30 hnub. Lub hom phiaj yog xyuas kom meej tias cov chaw muab kev pab ECM xaiv tau tuaj yeem pib muab cov txiaj ntsig ECM tam sim ntawd thaum lawv ncav cuag ib tus tswv cuab yam tsis tas tos kev tso cai, uas yuav ua rau cov kev pabcuam qeeb. Yog xav paub ntxiv txog txoj cai thiab cov chaw muab kev pabcuam ECM uas tsim nyog, thov saib Phau Ntawv Qhia Txoj Cai ECM uas tau hloov kho tshiab.​​ 

Tsis tas li ntawd xwb, thaum Lub Kaum Hli 9, txij 11 teev sawv ntxov txog 12 teev tav su PDT, DHCS yuav tuav ib lub Rooj Sab Laj Txhua Tus Neeg los qhia cov ntsiab lus ntawm Cov Txheej Txheem Kev Xa Mus Rau ECM thoob plaws lub xeev thiab txoj cai tso cai ECM. Yuav tsum tau sau npe ua ntej. Cov neeg koom tes hauv pawg neeg thiab cov neeg koom tes kuj tseem tuaj yeem xa cov lus nug txog cov lus qhia tshiab mus rau DHCS ntawm CalAIMECMILOS@dhcs.ca.gov.​​ 

Daim Ntawv Qhia Txog Kev Them Nqi Xauj Tsev Hloov Chaw ntawm CalAIM rau Cov Lus Qhia rau Pej Xeem​​ 

Thaum Lub Yim Hli 30, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Kev Hloov Chaw Xauj Tsev rau pej xeem tawm tswv yim. Daim ntawv qhia txog lub tswv yim no piav qhia txog kev tsim ntawm Transitional Rent, ib qho kev pib tshiab raws li California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 waiver demonstration los muab kev pab them nqi xauj tsev/tsev nyob ib ntus rau cov tswv cuab Medi-Cal uas tab tom ntsib lossis muaj feem yuav tsis muaj tsev nyob thiab ua tau raws li qee yam kev tsim nyog ntxiv. Kev them nqi ntawm Transitional Rent ua kev pabcuam txhawb nqa hauv zej zog yuav yog xaiv tau rau cov phiaj xwm kev saib xyuas Medi-Cal uas pib thaum Lub Ib Hlis 1, 2025, thiab nws yuav yog qhov txiaj ntsig yuav tsum tau muab los ntawm txhua txoj kev npaj rau Lub Ib Hlis 1, 2026. DHCS yuav nrhiav cov tswv yim los ntawm ntau tus neeg koom tes hauv daim ntawv tswv yim.​​ 

Txhawm rau txhim kho kev noj qab haus huv thiab kev noj qab haus huv ntawm cov tswv cuab ntawm Medi-Cal thaum muaj kev hloov pauv tseem ceeb lossis uas ua tau raws li qee qhov kev pheej hmoo siab, California nrhiav kev pabcuam txog rau rau lub hlis ntawm Transitional Rent services rau cov tswvcuab tsim nyog uas tsis muaj tsev nyob lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob thiab hloov tawm ntawm tsev kho mob theem, koom ua ke cov chaw nyob, cov chaw kho mob, cov tsev kho mob luv luv, kev saib xyuas menyuam yaus. vaj tse nyob, vaj tse nyob mus ib txhis, cov tsev tsis muaj vaj tse nyob, los yog vaj tse nyob ib ntus, nrog rau cov tswv cuab uas ua tau raws li cov txheej txheem rau kev tsis muaj vaj tse nyob los yog rau qhov kev pab cuam Full Service Partnership (FSP). Kev Rent Kev Pabcuam yuav raug muab tsuas yog yog tias nws tau txiav txim siab kho mob uas tsim nyog siv kev kho mob thiab lwm yam kev xav tau ntawm kev noj qab haus huv.​​ 

DHCS invites the public to comment on this concept paper. Comments are due by 5 p.m. PT, September 20, 2024. Comments may be submitted to CalAIMECMILOS@dhcs.ca.gov with the subject line “Comments on Transitional Rent.”​​ 

CalAIM rau Cov Neeg thiab Tsev Neeg uas Muaj Kev Tsis Muaj Tsev Nyob​​ 

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tuav ib qho webinar rau txhua tus neeg los ntawm Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Pabcuam Zej Zog rau cov tib neeg thiab cov tsev neeg uas ntsib kev tsis muaj tsev nyob rau hnub Friday, Tsib Hlis 31 thaum 1:30–3:00 teev tsaus ntuj PT.​​ 

Hauv qhov webinar no, DHCS cov thawj coj tau koom nrog los ntawm pawg neeg saib xyuas los ntawm cov kws kho mob thiab cov kev tswj xyuas kev saib xyuas xa ECM thiab cov kev pab cuam hauv zej zog tseem ceeb. Lawv muab:​​ 

  • Kev piav qhia txog seb ECM thiab Kev Txhawb Nqa Hauv Zej Zog lub hom phiaj yog li cas los daws cov kev xav tau kev kho mob thiab tsis yog kev kho mob ntawm cov tswv cuab;​​ 
  • Kev pom los ntawm cov chaw muab kev pabcuam ntawm kev sib txuas Cov Tswvcuab rau Cov Kev Pabcuam Hauv Zej Zog tseem ceeb xws li Cov Nyiaj Them Nqi thiab Cov Kev Pabcuam Housing Transition Navigation Services thiab braiding ECM thiab Zej Zog Kev Pabcuam rau cov tib neeg thiab cov tsev neeg uas tsis muaj tsev nyob;​​ 
  • Kev taw qhia rau cov neeg koom tes hauv zej zog thiab cov neeg muab kev pab cuam txog kev xa cov tib neeg thiab tsev neeg mus rau ECM thiab Kev Txhawb Zej Zog thiab koom nrog Cov Tswv Cuab uas ntsib kev tsis muaj tsev nyob hauv ECM thiab Kev Txhawb Zej Zog.​​ 

Cov ntaubntawv kaw suab, cov ntawv sau thiab cov duab qhia muaj nyob rau hauv qab "Webinar & Meetings". Cov ntaub ntawv no yuav yog qhov txaus siab tshwj xeeb rau MCPs, cov chaw muab kev pabcuam, thiab cov koom haum ua haujlwm nrog cov tib neeg thiab cov tsev neeg uas muaj kev tsis muaj tsev nyob, suav nrog cov nroog thiab CBOs.​​ 

Kev Tshaj Tawm Tshaj Tawm: Txhim Kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Txhawb Zej Zog Txhawb Kev Ua Haujlwm Peb Hlis mus txog Q2 2023​​ 

Thaum Lub Ib Hlis Ntuj hnub tim 29, 2024, DHCS tau tshaj tawm nws daim ntawv qhia txog kev siv ECM thiab Kev Txhawb Nqa Zej Zog rau Q2 2023. Daim ntawv tshaj tawm no sau luv luv txog cov qauv thiab cov ntaub ntawv ntawm kev siv ECM thiab Kev Txhawb Nqa Zej Zog rau 18 lub hlis thawj zaug ntawm cov kev pab cuam, txij lub Ib Hlis 2022 txog rau Lub Rau Hli 2023. Ib yam li Daim Ntawv Qhia Txog Kev Siv Xyoo Ib Xyoo 2022 uas tau tshaj tawm thaum Lub Yim Hli tas los, daim ntawv qhia no muab kev nkag siab txog cov ntaub ntawv ntawm lub xeev, lub nroog, thiab cov phiaj xwm kev npaj kho mob.​​ 

In the first 18 months, 140,886Medi-Cal MCP members across the state received the ECM benefit and 75,834 members received 167,960 Community Supports services. As California continues advancing its Medi-Cal transformation, ECM and Community Supports play a critical role in supporting whole-person care for Medi-Cal members with complex medical and health-related social needs. DHCS expects to see more enrollment growth across both programs in the coming months and years, including as additional Populations of Focus become eligible for ECM and additional Community Supports services are offered in counties across the state. DHCS remains committed to supporting and sustaining this growth through program monitoring, design improvements, and standardization.​​ 

Qhia Link:​​  ECM thiab Zej Zog Txhawb Nqa Daim Ntawv Qhia Txog Kev Ua Haujlwm Peb Hlis (arcgis.com)​​ 

Cov Ntawv Qhia Txog Txoj Cai Tshiab: Kev Txhawb Nqa Hauv Zej Zog​​ 

  • Thaum Lub Xya Hli 2023, DHCS tau tso tawm nws daim Ntawv Qhia Txog Txoj Cai Txhawb Nqa Zej Zog uas tau hloov kho tshiab. Cov kev hloov tshiab no qhia txog kev txhim kho txoj cai uas tau tham txog ntawm Lub Rooj Sib Tham thaum Lub Rau Hli9, 2023 thiab npog cov ntsiab lus tseem ceeb suav nrog kev tsim nyog, kev xa mus thiab kev tso cai, cov tes hauj lwm muab kev pabcuam, kev them nyiaj, kev paub txog kev ua lag luam, thiab kev sib pauv cov ntaub ntawv.​​ 

Cov Teeb Pom Kev Zoo ntawm ECM​​ 

DHCS cog lus tias yuav muab kev pab txhawb nqa thiab kev txhawb nqa rau California lub network ntawm ECM Providers uas tab tom loj hlob, thiab tab tom tso tawm cov ECM Spotlights los muab cov lus qhia ntxiv txog seb Cov Kws Muab Kev Pab kho ECM li cas kom tau raws li qhov xav tau ntawm cov pej xeem sib txawv (POFs). Cov Chaw Qhia Txog Kev Ua Lag Luam no yog tsim los pab cov neeg cog lus thiab cov neeg yuav muab kev pabcuam ECM los tsim thiab txhim kho lawv cov qauv ECM.​​ 

  • Thaum Lub Kaum Ob Hlis Ntuj xyoo 2025, DHCS tau tshaj tawm nws qhov ECM California Children's Services (CCS) Technical Assistance Resource Spotlight thiab cov slides uas nrog los: ECM CCS Resource Slides. Cov peev txheej no muab cov tswv yim los txheeb xyuas cov menyuam yaus uas tau txais cov kev pabcuam CCS uas yuav tau txais txiaj ntsig los ntawm ECM, txhawb kev koom tes ntawm CCS thiab cov pab pawg saib xyuas ECM, thiab tsim kom muaj peev xwm ntawm cov neeg muab kev pabcuam ECM los ua kom tau raws li cov kev xav tau tshwj xeeb ntawm cov menyuam yaus hauv CCS.​​ 
  • Thaum Lub Ob Hlis Ntuj xyoo 2024, DHCS tau tso tawm nws daim ntawv qhia txog ECM rau Cov Neeg Tsis Muaj Tsev Nyob POF Spotlight. Qhov Spotlight qhia txog cov tswv yim los txuas ECM nrog Kev Txhawb Nqa Hauv Zej Zog kom txo qhov kev tsis muaj kev nyab xeeb ntawm cov tswv cuab.​​ 
  • Thaum Lub Kaum Ib Hlis 2023, DHCS tau tshaj tawm nws qhov ECM rau Cov Menyuam Yaus thiab Cov Hluas POFs Spotlight uas lub hom phiaj yog txhawb nqa cov koom haum muab kev pabcuam uas tab tom xav txog seb kev muab ECM rau cov menyuam yaus thiab cov hluas puas yog rau lawv.​​ 

Cov Lus Nug Txog Kev Sib Luag ntawm Cov Neeg Yug Los Ntawm ECM​​ 

The ECM Birth Equity POF that launched on January 1, 2024 is one component of DHCS’ overall approach to improving prenatal and postpartum care and is aimed at addressing specific disparities in access to prenatal care and pregnancy-related mortality. In February 2024, DHCS released answers to frequently asked questions on Member eligibility and dual enrollment in additional Medi-Cal services for the ECM Birth Equity POF. Additional information can be found in DHCS ECM Policy Guide. DHCS welcomes additional questions via email at CalAIMECMILOS@dhcs.ca.gov.​​ 

Txheej txheem cej luam​​ 

Rub tawm cov ntsiab lus ntawm ECM thiab Zej Zog Txhawb Txoj Cai Hloov Tshiab rau cov neeg muab kev pabcuam thiab lwm tus neeg muaj feem cuam tshuam. Nws piav qhia txog cov cai tseem ceeb nrog rau qhov sib txawv ntawm lub xeev-txheej txheem cov cai thiab qhov twg muaj kev hloov pauv rau MCPs los txheeb xyuas lawv tus kheej cov cai thiab cov txheej txheem.​​