Tsev CalAIM: Hloov Medi-Cal Cov peev txheej​​ 

Cov peev txheej​​ 

CalAIM: Hloov Medi-Cal​​ 

CalAIM Concept Paper​​ 

DHCS tab tom tuav lub sijhawm tawm tswv yim rau pej xeem 30 hnub txij lub Xya Hli 23 txog rau Lub Yim Hli 22, 2025, los thov cov lus tawm tswv yim txog Daim Ntawv Qhia Txog Kev Hloov Pauv ntawm Medi-Cal. Daim ntawv no tsom mus rau California txoj kev hloov pauv Medi-Cal txog niaj hnub no thiab qhia txog DHCS lub zeem muag thiab lub hom phiaj rau tsib xyoos, pib xyoo 2027, tom qab cov kev zam tseem ceeb ntawm tsoomfwv uas tso cai rau California Advancing and Innovating Medi-Cal (CalAIM) tas sij hawm rau lub Kaum Ob Hlis 2026.​​ 

DHCS thov kom cov neeg muaj feem cuam tshuam xa cov lus tawm tswv yim ntawm Daim Ntawv Pom Zoo no ua ntej hnub Thursday, Lub Yim Hli 21, 2025, mus rau 1115Waiver@dhcs.ca.gov. DHCS tseem yuav zoo siab txais tos cov lus tawm tswv yim thaum lub rooj sib tham muaj feem cuam tshuam nrog rau cov rooj sib tham uas yuav muaj nyob rau lub caij ntuj sov.​​ 

CalAIM ASCMI Pilot​​ 

CalAIM Initiative Nplooj ntawv​​ 

CalAIM Hloov Kho Cov Lus Qhia​​ 

DHCS tau tshaj tawm tsab ntawv thov CalAIM hloov kho thaum Lub Ib Hlis 8, 2021:​​ 

DHCS tau tshaj tawm tsab ntawv thov CalAIM thaum Lub Kaum Hli 29, 2019, ntawm Pawg Neeg Tawm Tswv Yim Pab Koom Tes (SAC) thiab Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv (BH-SAC) cov rooj sib tham. Thaum lub Kaum Ib Hlis 2019 txog Lub Ob Hlis 2020, DHCS tau ua ntau yam kev koom tes nrog cov neeg koom nrog CalAIM thiab kev rov ua dua tshiab ntawm tsoomfwv cov cai uas Medi-Cal ua haujlwm (piv txwv li 1115 thiab 1915b zam).​​ 

DHCS tau ncua sijhawm qhov kev npaj ua raws li CalAIM teg num, thawj zaug tau teem rau Lub Ib Hlis 1, 2021 kom DHCS thiab tag nrho peb cov neeg koom tes tuaj yeem tsom lawv cov peev txheej tsawg ntawm cov kev xav tau tshwm sim los ntawm kev noj qab haus huv rau pej xeem xwm txheej ceev vim yog COVID-19.​​ 

DHCS tau tuav lub rooj sib tham hauv online los muab kev piav qhia txog Daim Ntawv Thov CalAIM xyoo 2021 thaum Lub Ib Hlis 2021 los tshuaj xyuas cov khoom ntawm daim ntawv thov, suav nrog cov kev hloov pauv uas tau ua rau daim ntawv thov thawj raws li cov lus taw qhia ntawm cov neeg koom nrog.​​ 

Waiver Resources​​ 

CalAIM Workgroups​​ 

Xyoo 2019, DHCS tau tsim cov pab pawg neeg ua haujlwm tshwj xeeb rau cov ncauj lus los tshawb nrhiav cov ntu tshwj xeeb ntawm CalAIM daim ntawv thov. Txawm hais tias cov pab pawg ua haujlwm no tau xaus rau lub Ob Hlis 2020, ntau pab pawg ua haujlwm tshiab tseem txuas ntxiv sib ntsib los qhia cov lus taw qhia thiab kawm paub ntau ntxiv txog CalAIM cov kev pib. Yog xav paub ntxiv txog cov rooj sib tham uas yuav los txog, mus saib CalAIM Webinars thiab Meetings.​​ 

Cwj Pwm Kev Noj Qab Haus Huv Pab Pawg​​ 

Thaum Lub Ib Hlis 20, 2022, DHCS tau tuav Pawg Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Coj Tus Cwj Pwm los tshuaj xyuas qhov kev nce qib ntawm CalAIM Behavioral Health cov kev pib uas tau pib ua haujlwm thaum Lub Ib Hlis 2022 thiab tom qab ntawd, thiab xav txog kev siv thiab kev txiav txim siab ua haujlwm ntsig txog CalAIM Behavioral Health cov kev pib.​​ 

Mus saib nplooj ntawv web CalAIM Behavioral Health kom nkag mus saib cov ntaub ntawv los ntawm cov rooj sib tham yav dhau los. Xa cov lus nug txog Pawg Neeg Ua Haujlwm Kev Noj Qab Haus Huv Kev Coj Tus Kheej mus rau calaimbh@dhcs.ca.gov.​​ 

Foster Care Model of Care Workgroup​​ 

Thaum sib tham nrog cov neeg koom tes tseem ceeb, DHCS thiab California Department of Social Services (CDSS) tau tshaj tawm pawg neeg ua haujlwm Foster Care Model of Care thaum Lub Rau Hli 2020. Xa cov lus nug txog Foster Care Workgroup mus rau CalAIMFoster@dhcs.ca.gov.​​ 

Kev Ncaj Ncees-Involved Advisory Group​​ 

Pawg Neeg Pab Tswv Yim Txog Kev Ncaj Ncees yog ib lub koom haum dav dav los thov cov tswv yim los ntawm cov neeg koom nrog txog txoj cai thiab kev siv txoj haujlwm CalAIM Justice-Involved. Mus saib nplooj ntawv web CalAIM Justice-Involved kom nkag mus saib cov ntaub ntawv los ntawm txhua lub rooj sib tham ntawm Pawg Neeg Saib Xyuas Kev Ncaj Ncees yav dhau los. Xa cov lus nug txog Pawg Neeg Pab Tswv Yim Txog Kev Ncaj Ncees mus rau CalAIMPusticeAdvisoryGroup@dhcs.ca.gov.​​ 

Txhawm rau kom tau txais cov xov xwm tshiab txog cov rooj sib tham ntawm Pawg Neeg Qhia Txog Kev Ncaj Ncees, sau npe rau DHCS Stakeholder Announcements.​​ 

Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa thiab Duals Integration Workgroup​​ 

Los ntawm kev sib tham nrog cov neeg koom tes tseem ceeb, thiab kev sib koom tes nrog Tus Thawj Kav Tebchaws Txoj Kev Npaj rau Kev Laus, DHCS tau tshaj tawm Pawg Neeg Ua Haujlwm Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration thaum Lub Ob Hlis 2021. Lub hom phiaj ntawm pawg neeg ua haujlwm yog los koom tes nrog cov neeg koom tes ntawm kev hloov pauv ntawm Cal MediConnect (CMC) mus rau MLTSS thoob plaws lub xeev thiab Dual Eligible Special Needs Plan (D-SNP) uas sib haum nrog cov qauv kev sau npe. Txoj cai no yog los pab ua kom tau raws li lub hom phiaj thoob plaws lub xeev ntawm kev txhim kho kev koom ua ke ntawm kev saib xyuas thiab kev saib xyuas tus neeg, raws li CalAIM thiab California Master Plan for Aging.​​ 

Xa txhua lo lus nug txog pab pawg no mus rau info@calduals.org.​​ 

Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg (PHM)​​ 

Pawg Neeg Pab Tswv Yim PHM tau tsim tsa xyoo 2022, muaj cov neeg koom tes thoob plaws hauv zej zog uas muab cov lus taw qhia thiab cov lus pom zoo txog ntau yam ntawm CalAIM PHM program thiab PHM Service. Cov tswv cuab suav nrog ntau pawg thawj coj los ntawm thoob plaws lub xeev nrog cov neeg sawv cev los ntawm cov phiaj xwm kev noj qab haus huv, cov kws kho mob, cov nroog, cov chaw haujlwm hauv xeev, cov koom haum neeg siv khoom, thiab lwm pab pawg. Cov ncauj lus tshwj xeeb rau kev sib tham yuav txawv ntawm ib lub rooj sib tham thiab yuav suav nrog kev tshuaj xyuas thiab kev ntsuam xyuas, kev faib ua pawg thiab kev faib ua pawg ntawm kev pheej hmoo, kev tswj hwm kev noj qab haus huv ntawm cov pej xeem, suav nrog kev noj qab haus huv thiab kev tiv thaiv, kev tswj hwm kev saib xyuas, thiab kev koom tes ntawm cov neeg mob. Txawm hais tias Pawg Neeg Saib Xyuas PHM yuav qhib rau pej xeem, kev koom tes nquag yuav tsuas yog cov tswv cuab ntawm Pawg Neeg Saib Xyuas xwb. Pawg neeg yuav sib ntsib tsis tu ncua txog xyoo 2022.​​ 

Mus saib nplooj ntawv web ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg kom nkag mus rau cov ntaub ntawv thiab cov ntaub ntawv ntawm pawg neeg PHM Advisory Group lub rooj sib tham yav dhau los. Cov lus nug txog PHM Advisory Group tuaj yeem xa mus rau PHMSection@dhcs.ca.gov. Yog xav tau cov xov xwm tshiab txog cov rooj sib tham ntawm PHM Advisory Group, sau npe rau DHCS Stakeholder Announcements.​​ 

Cov pawg neeg ua haujlwm teev hauv qab no tau ntsib txij lub Kaum Ib Hlis 2019 - Lub Ob Hlis 2020:​​ 

Medi-Cal Strategy los txhawb kev noj qab haus huv thiab lub sijhawm rau menyuam yaus thiab tsev neeg​​ 

DHCS tau tso tawm rau lub Peb Hlis 2, 2022, ib txoj kev npaj rau cov tsev neeg uas tau sau npe rau hauv Medi-Cal uas koom ua ke cov xov xwm sib xws ntawm cov kev pib kho mob rau menyuam yaus thiab tsev neeg uas twb muaj lawm thiab cov tshiab uas tau thov thiab txhawb nqa DHCS txoj kev lav ris thiab kev saib xyuas cov kev pabcuam rau menyuam yaus. DHCS tab tom txhim kho nws txoj kev tsom mus rau cov menyuam yaus thiab cov tsev neeg uas tau sau npe rau hauv Medi-Cal, suav nrog kev kho mob tiv thaiv kab mob thiab lub hauv paus EPSDT, daws teeb meem kev tsis sib luag hauv kev saib xyuas menyuam yaus thiab cov txiaj ntsig, koom tes nrog cov tsev neeg kom suav nrog cov neeg sau npe lub suab hauv kev txiav txim siab, thiab daws teeb meem kev noj qab haus huv ntawm cov tub ntxhais hluas.​​ 

Lwm Lub Rooj Sib Tham​​ 

Mandatory Managed Care Enrollment Initiative​​ 

Kev hloov pauv ntawm CMC thiab CCI mus rau lub xeev MLTSS thiab D-SNP qauv​​