DHCS Stakeholder News – April 24, 2023
Xov xwm tshaj plaws
Cov ntaub ntawv hais txog kev pheej hmoo ntawm kev dag rau Medi-Cal cov tswv cuab
DHCS paub txog cov neeg dag ntxias thiab cov neeg ua phem phem thoob tebchaws hu rau Medicaid cov tswvcuab thov kom them tus nqi los pab lawv thov lossis txuas ntxiv lawv cov kev pabcuam Medicaid. Medi-Cal cov tswv cuab hauv California kuj raug tsom.
Medi-Cal cov tswv cuab yuav tsum paub tias Medi-Cal yeej tsis xav kom them nyiaj thaum lub sij hawm thov kev pab los yog txheej txheem txuas ntxiv.
DHCS hais kom cov neeg muaj feem cuam tshuam siv peb cov cuab yeej cuab tam hauv txhua qhov kev tshaj tawm. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau qhia Medi-Cal cov tswv cuab txog seb lawv tuaj yeem cia siab tias yuav raug hu los ntawm cov chaw raug cai. Yog tias muaj lus nug, Medi-Cal cov tswv cuab tuaj yeem ua haujlwm nrog lawv cov neeg koom tes hauv zej zog lossis tiv tauj lawv lub nroog Medi-Cal chaw ua haujlwm.
Kev hloov kho tshiab
California’s Federal Unwinding Baseline Report
DHCS submitted California’s “Unwinding Baseline Report” to the Centers for Medicare & Medicaid Services (CMS) as part of the continuous coverage unwinding federal requirements. The report includes California’s estimate of total pending applications received between March 1, 2020, and March 31, 2023; total members enrolled as of March 31, 2023; and total Medi-Cal fair hearings pending more than 90 days as of March 31, 2023. The report also includes a description of California’s renewal timeline and policy during the unwinding period. The report will be posted monthly to the DHCS website under “DHCS Continuous Coverage Unwinding Data.”
Medi-Cal Rx Hloov tshiab
Lub cuab yeej nrhiav tshuaj Medi-Cal Rx Find A Pharmacy tau hloov kho tshiab nrog cov yam ntxwv tshiab los pab cov tswv cuab yooj yim nrhiav cov chaw muag tshuaj Medi-Cal uas tau sau npe. Cov kev txhim kho no suav nrog kev tshawb nrhiav dav dua kom pab tau cov zej zog nyob deb nroog, kev xa xov zoo dua yog tias lub tsev muag tshuaj tsis nyob hauv qhov tshwm sim tshawb nrhiav, thiab kev lim cov txiaj ntsig zoo dua rau "Kev Xa Ntawv", "IV Infusion", thiab "Indian Health Services" kom yooj yim txheeb xyuas cov tsev muag tshuaj thiab cov kev xaiv xa ntawv.
Koom nrog peb pab neeg
DHCS is hiring! DHCS has an immediate opening for Chief, Data Management and Analytics Division. This executive role presents a unique opportunity for a mission-driven, exceptionally motivated individual to further the Department’s priority to be a data-literate, data-driven decision-making organization.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, information technology, and communications teams. For more information, please visit the CalCareers website.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
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 thov rau kev ntsuam xyuas cov pej xeem xav tau (PNA) uas Medi-Cal Managed Care Plans (yuav tsum ua kom tiav). HCS 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, kev xav tau ntawm zej zog, thiab kev nyiam ntawm cov zej zog uas lawv nyob. Cov neeg koom tes raug txhawb kom xa cov lus nug ntxiv ua ntej lub rooj sib tham hauv webinar mus rau CalAIM@dhcs.ca.gov.
Health Enrollment Navigators Project Meeting
Thaum Lub Tsib Hlis 1, txij thaum 1 txog 2:30 teev tsaus ntuj, DHCS yuav zoo li tuav lub rooj sib tham nrog cov neeg koom nrog hauv lub nroog thiab cov koom haum hauv zej zog (CBO) cov koom tes, cov neeg tawm tswv yim, thiab lwm tus neeg txaus siab los muab cov kev hloov tshiab thiab teb cov lus nug txog Navigators Project, uas muab nyiaj txiag rau cov nroog thiab CBOs los ua haujlwm nyuaj rau Medi-Ces cov pej xeem. Cov ntaub ntawv hais txog lub rooj sib tham no, lwm cov ntaub ntawv dav dav, thiab kev hloov tshiab yuav muaj nyob rau ntawm Health Enrollment Navigators Project Stakeholder & Advocate Communication webpage. Cov neeg txaus siab kuj tuaj yeem thov ntxiv rau hauv daim ntawv ceeb toom lub rooj sib tham los ntawm email HealthNavigators@dhcs.ca.gov.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
Lub Tsib Hlis 4, thaum 10 teev sawv ntxov txog 2 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham MCHAP hybrid tom ntej (yuav tsum tau sau npe ua ntej) ntawm California Endowment (1414 K Street, Sacramento). Cov ntaub ntawv rooj sib tham yuav muab tso rau ntawm MCHAP lub vev xaib ze dua rau hnub lub rooj sib tham.
Hauv Case Koj Tsis Tau Nws
California muab khoom plig $ 2.5 lab los txhawb kev coj cwj pwm kev noj qab haus huv Navigator Program
Thaum Lub Plaub Hlis 17, DHCS tau muab ntau dua $ 2.5 lab rau 103 lub tsev kho mob uas muaj cov chav kho mob ceev, nrog rau txhua lub tau txais $ 25,000 los siv cov tswv yim los txhawb nqa CalBridge Behavioral Health Navigator Program (CalBridge) thiab tswj hwm cov kws qhia kev noj qab haus huv ua haujlwm nrog cov tib neeg. Txog niaj hnub
,
385 lub tsev kho mob hauv California tau txais nyiaj pab los ntawm CalBridge program.DHCS kuj tau tso tawm cov cib fim nyiaj txiag rau ob qho kev pab cuam tiv thaiv kev siv tshuaj opioid thiab tshuaj stimulant hauv zej zog: Kev Siv Opioid thiab Kev Kawm Txog Kev Siv Tshuaj Stimulant thiab Kev Tshaj Tawm hauv 2S/LGBTQ+ Cov Zej Zog (RFA muaj nyob ntawm no) thiab Kev Tiv Thaiv Kev Siv Tshuaj Opioid thiab Tshuaj Stimulant thiab Kev Kawm Txog Kev Siv Tshuaj Stimulant hauv Cov Zej Zog Xim (RFA ntawm no). Ob qho project no yog ib feem ntawm DHCS txoj kev siv zog dav dua los daws SUD, uas hu ua California MAT Expansion Project, kom nce kev nkag mus rau MAT, txo cov kev xav tau kev kho mob uas tsis tau txais kev pab, thiab txo cov neeg tuag uas muaj feem cuam tshuam nrog kev siv tshuaj opioid ntau dhau los ntawm kev muab kev tiv thaiv, kev kho mob, thiab kev rov zoo.