DHCS Stakeholder News – April 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 published All Plan Letter (APL) 23-004 and updated the frequently asked questions (FAQ) for the skilled nursing facilities (SNF) long-term care carve-in based on stakeholder feedback. The APL includes updates on transportation to recurring appointments, provider communication on billing protocols, and exclusive services not subject to the directed payment policy. It also includes a new long-term services and supports liaison requirement. The FAQ and additional resources are available on the DHCS LTC Carve-In webpage.
Cov SNFs uas muaj teeb meem tiv tauj lawv cov phiaj xwm kev saib xyuas kev noj qab haus huv (MCP) yuav tsum xa email rau MCQMD@dhcs.ca.gov kom tau kev pab.
California Statewide Automated Welfare System (CalSAWS) Migration Wave Three
On April 24, Orange, Santa Barbara, and Ventura counties will join the CalSAWS consortium. This migration is part of the state’s plan to move all 58 counties, by December 31, 2023, to CalSAWS from the current split between two eligibility and enrollment systems: California Work Opportunity and Responsibility to Kids Information Network (CalWIN) and CalSAWS.
During the migration, the CalWIN system will be unavailable for the migrating counties from 5 p.m. on April 20 until they are active in CalSAWS on April 24 at 7:30 a.m. CalSAWS will be unavailable starting on April 21 at 3:30 p.m., and will be back online on April 24 at 7:30 a.m. The statewide application portal (BenefitsCal) will be available to applicants and members in these counties on April 24. There should be no disruption to the other ten CalWIN counties during this time.
Local county social services offices will be available on April 21 to address emergency services only. CalWIN counties will also have access to a CalWIN environment to allow county staff to see current case information and issue emergency benefits, as needed. Additionally, the CalWIN web portal will redirect applicants and members to county websites and Covered California to apply for benefits.
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 nrog kev ncaj ncees thaum lawv siv cov neeg ua haujlwm, muaj peev xwm, thiab/lossis IT systems uas xav tau rau kev sib koom ua ke 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.
Medi-Cal Rx
On April 21, Reinstatement Phase III, Lift 2 of the Medi-Cal Rx Reinstatement plan will be implemented, lifting the Transition Policy for 17 Standard Therapeutic Classes (STCs) for members age 22 and older. Additional information is available on the Medi-Cal Rx Reinstatement Spotlight. This is the second in a series of lifts to retire or phase out the grandfathering of historical prior authorizations (PAs) and claims. More information is available in the Medi-Cal Rx 30-Day Countdown – Phase III, Lift 2 communication.
Koom nrog peb pab neeg
DHCS is hiring! DHCS has immediate openings for Information Officer I/II positions who will help DHCS keep the public informed about policy changes, program activities and departmental objectives.
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 is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with equitable access to affordable, integrated, high-quality health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.
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, txij 10:30 sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham CalAIM MLTSS thiab Duals Integration Workgroup hauv online (yuav tsum tau sau npe ua ntej). Cov ncauj lus ntawm cov txheej txheem yuav suav nrog cov kev hloov tshiab ntawm qhov yuav tsum tau them nqi tas mus li thiab xyoo 2024 Medicare Medi-Cal Plan nthuav dav cov nroog, kev piav qhia txog cov neeg koom nrog thiab cov lus taw qhia txog kev npaj kho mob ntawm xyoo 2024 State Medicaid Agency Contract templates, thiab kev piav qhia txog cov lus qhia txog txoj cai saib xyuas kev noj qab haus huv rau Dual Eligible Special Needs Plans.
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 tshaj tawm rau ntawm 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.
Population Health Management (PHM) Advisory Group Meeting
Thaum Lub Plaub Hlis 26, txij 12:30 txog 2 teev tav su, 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 cov lus taw qhia txog DHCS cov kev hloov pauv uas tau pom zoo rau kev ntsuam xyuas cov pej xeem xav tau (PNA) uas Medi-Cal MCPs yuav tsum ua kom tiav. DHCS xav txog PNA uas tau hloov kho kom txhawb kev sib koom tes zoo dua nrog cov chaw haujlwm kev noj qab haus huv hauv zos thiab lwm cov neeg koom nrog hauv zej zog, kev koom tes hauv zej zog zoo dua, thiab kev nkag siab tob dua txog kev noj qab haus huv ntawm cov tswv cuab, thiab kev xav tau ntawm zej zog, thiab kev nyiam los ntawm cov zej zog uas lawv nyob. Cov neeg koom tes raug txhawb kom xa cov lus nug ua ntej lub rooj sib tham hauv webinar mus rau CalAIM@dhcs.ca.gov.
PATH Kev Ncaj Ncees-Involved Round 3 Kev Qhia Xov Xwm
Thaum Lub Tsib Hlis 2, txij 3 txog 4 teev tsaus ntuj, DHCS yuav tuav ib qho kev qhia hauv webinar (yuav tsum tau sau npe ua ntej) los muab kev txhawb nqa rau cov koom haum uas xav tau ua ntej lub Xya Hli 30 hnub kawg rau kev thov nyiaj pab PATH Justice-Involved Initiative Round 3. Daim ntawv caw tuaj sib ntsib thiab cov ntaub ntawv ntxiv yuav muaj nyob rau hauv lub vev xaib ntawm Justice-Involved Capacity Building Program. Yog koj muaj lus nug, thov hu rau justice-involved@ca-path.com.
Hauv Case Koj Tsis Tau Nws
California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD)
Thaum Lub Peb Hlis 16, DHCS tau pib lub sijhawm tawm tswv yim rau pej xeem thiab cov neeg hauv pawg neeg 30 hnub los thov cov lus tawm tswv yim txog qhov kev qhia CalRHAD Medicaid Seem 1115; cov lus tawm tswv yim yuav tsum xa tuaj rau lub Plaub Hlis 17. DHCS tab tom nrhiav kev pom zoo los ntawm Lub Chaw rau Medicare & Medicaid Services los muab cov nyiaj pab sib tw rau cov kws kho mob kev noj qab haus huv kom txhim kho peev xwm thiab kev nkag mus rau cov kev pabcuam kev noj qab haus huv kev sib deev thiab kev yug me nyuam, txhawb kev ruaj khov ntawm California txoj kev nyab xeeb ntawm cov kws kho mob kev noj qab haus huv kev yug me nyuam, thiab pab cov tib neeg uas tau sau npe rau hauv Medi-Cal thiab lwm tus neeg uas tam sim no ntsib teeb meem rau kev nkag mus rau qhov no.
Additional information about the CalRHAD application and how to submit public comments are available on the CalRHAD webpage.