DHCS Stakeholder News – April 7, 2023
Kev hloov kho tshiab
Kev txiav tawm ntawm COVID-19 Flexibilities rau Family PACT thiab hloov kho cov cai rau npe rau cov neeg siv khoom
Thaum Lub Peb Hlis Ntuj hnub tim 26, 2020, DHCS tau tshaj tawm cov lus qhia uas tso cai rau cov kws kho mob Family Planning, Access, Care, and Treatment (Family PACT) kom sau npe thiab rov lees paub cov neeg mob los ntawm kev sib txuas lus hauv xov tooj lossis lwm txoj kev sib txuas lus hauv online/xov tooj thaum muaj COVID-19 PHE uas tsoomfwv tshaj tawm. Qhov kev ywj pheej no yog ib ntus xwb thiab yuav xaus rau thaum PHE raug tshem tawm rau lub Tsib Hlis 11, 2023.
Txhawm rau npaj rau qhov kawg ntawm PHE, DHCS tau hloov kho txoj cai rau kev sau npe rau cov neeg siv khoom, tso cai rau cov neeg muab kev pabcuam Family PACT txuas ntxiv mus rau kev sau npe thiab rov lees paub cov neeg siv khoom los ntawm kev sib txuas lus lossis xov tooj tom qab PHE. Daim ntawv qauv cai tau qhib rau pej xeem tawm tswv yim, thiab thaum Lub Plaub Hlis 14, daim ntawv kawg rau cov neeg siv khoom yuav raug tshaj tawm hauv Daim Ntawv Qhia Txog Kev Hloov Kho Tshiab ntawm Tsev Neeg PACT. Tsis tas li ntawd xwb, DHCS cov lus teb rau cov lus tawm tswv yim tau txais yuav raug tshaj tawm rau ntawm nplooj ntawv web Office of Family Planning.
Effective for dates of service on or after May 12, 2023, Family PACT providers must adhere to the updated Client Eligibility section published in the Family PACT Policies, Procedures, and Billing Instructions manual.
Recovery Incentives Program: California’s Contingency Management (CM) Benefit
DHCS pom zoo Social Model Recovery Systems: Pasadena Council on Alcoholism and Drug Dependence, thawj qhov chaw hauv lub xeev pib muab CM cov kev pab cuam raws li ib feem ntawm Txoj Kev Pabcuam Rov Qab. Pib lub lim tiam ntawm lub Plaub Hlis 3, cov tswv cuab Medi-Cal tsim nyog tuaj yeem pib tau txais kev pabcuam CM ntawm qhov chaw no. DHCS cia siab tias qhov chaw ntxiv yuav raug pom zoo raws li qhov yuav tsum tau ua raws li kev cob qhia thiab kev ntsuas kev npaj ua tiav tiav. Yog xav paub ntxiv, thov email RecoveryIncentives@dhcs.ca.gov.
Health Enrollment Navigators Project Funding Update
On April 7, 2023, DHCS sent a mandatory survey to Health Enrollment Navigators Project partners to provide an opportunity for them to receive the remaining project funding. The survey asks partners to describe how they will use additional funds on two focused activities: Medi-Cal renewal activities, and targeted outreach efforts on the Medi-Cal ages 26-49 expansion for undocumented Californians and asset elimination. DHCS worked with key stakeholders on this funding opportunity and how DHCS would strategically utilize these funds. During the week of May 1, DHCS anticipates completing its review of proposals and awarding funding. Approved partners can then begin implementing their funded activities.
The Health Enrollment Navigators Project reconciled partner payments for the $59.72 million appropriated via Assembly Bill 74 (Chapter 23, Statutes of 2019), with a remaining balance of $3.38 million. Also, there is an unallocated balance of $226,000 from the $60 million appropriated via Senate Bill 154 (Chapter 43, Statutes of 2022), for a total of $3.6 million remaining to be allocated.
Additionally, DHCS posted the 35 individual partner work plans for public consumption on the Project Partners Section webpage. These work plans will detail the specific actions, tasks, approaches, and target population groups for each partner’s project activities. The partner’s direct contact information aims to facilitate interaction and collaboration between partners and community-based organizations to maximize project efforts and impact.
Medi-Cal Reinstatements (Carr v. Becerra)
DHCS published Medi-Cal Eligibility Division Information Letter (MEDIL) 23-18 regarding the reinstatement of eligibility for certain individuals enrolled in the Medicare Savings Program during the COVID-19 public health emergency (PHE) from March 1, 2020, through March 31, 2023. This updated guidance for counties was issued by the Centers for Medicare & Medicaid Services (CMS).
On April 5, DHCS restored the original Medicare Savings Program eligibility to 37,796 affected individuals based on refreshed data from the end of March. Medi-Cal members will remain in the same tier of Medicare Savings Program coverage until their continuous coverage unwinding Medi-Cal renewal is completed.
Thaum pib lub Tsib Hlis, DHCS yuav qhia rau cov neeg cuam tshuam txog kev rov qab los thiab muab cov ntaub ntawv hais txog kev them nyiaj rov qab ntawm Medicare Part A cov nqi them tawm ntawm hnab ris los ntawm cov tswv cuab rov qab.
Daim Ntawv Qhia Txog Lub Hom Phiaj Tom Ntej Hnub Kawg rau Indian Health Program (IHP)
DHCS tau faib nyiaj $ 2.55 lab los ntawm qhov muaj $ 11.4 lab rau qhov thib ob ntawm IHP Thov rau Daim Ntawv Thov (RFA), uas yuav tso cai rau cov neeg thov tshiab IHP thov nyiaj. Ob tus neeg thov tuaj yeem thov txog $ 150,000 los txhawb kev nrhiav neeg ua haujlwm thawj zaug thiab khaws cia rau xyoo nyiaj txiag 2022-23. Cov tuam txhab kho mob Indian txaus siab yuav tsum xa tsab ntawv xav tsis pub dhau lub Plaub Hlis 14. DHCS tsuas yog lees txais RFA cov lus teb los ntawm cov neeg thov uas tau xa tsab ntawv xav. Thov xa email rau TribalAffairs@dhcs.ca.gov kom thov ib daim qauv ntawm daim foos. Cov neeg thov uas tau txais nyiaj txiag raws li ib puag ncig ntawm RFA txheej txheem tsis tsim nyog tau txais nyiaj ntxiv.
Luag nyav, California Campaign rau Medi-Cal Dental Services
Thaum lub lim tiam ntawm lub Plaub Hlis 10, los npaj rau Lub Limtiam Txhua Tus Menyuam Noj Qab Nyob Zoo thaum kawg ntawm lub Plaub Hlis, Smile, California yuav tshaj tawm phau ntawv tshiab "Healthy Smiles from Pregnancy Through the Toddler Years" los qhia cov tswv cuab Medi-Cal txog qhov tseem ceeb ntawm kev xyaum ua kom hniav zoo thaum lub sijhawm txhua lub neej thiab mus ntsib kws kho hniav tsis tu ncua. Daim ntawv qhia no yuav muaj ua lus Askiv, lus Mev, lus Suav, lus Nyab Laj, thiab lus Kauslim, thiab yuav muaj nyob rau txhua txoj kev sib txuas lus thaum lub sijhawm tshaj tawm no. Yuav kom paub tseeb tias cov ntaub ntawv tau muab qhia rau ntau tus neeg California li sai tau, Smile, California yuav pib hloov kho lub vev xaib rau SmileCalifornia.org thiab SonrieCalifornia.org, pib cov phiaj xwm organic thiab social media rau Instagram thiab Facebook, tshaj tawm Smile Alert thiab cov ntawv xov xwm rau cov tswv cuab, thiab siv kev sib raug zoo nrog cov neeg koom tes thoob plaws lub xeev los txhawb cov ntawv qhia tshiab. Thaum tshaj tawm phau ntawv qhia no, Smile, California kuj tseem yuav thawb cov ntaub ntawv thiab cov peev txheej uas twb muaj lawm uas tau tsim los rau cov poj niam cev xeeb tub thiab cov niam txiv tshiab.
Koom nrog peb pab neeg
DHCS tab tom nrhiav neeg ua haujlwm rau peb cov pab pawg nyiaj txiag, cov peev txheej tib neeg, kev cai lij choj, kev tshuaj xyuas, txoj cai kev noj qab haus huv, thiab cov ntaub ntawv thev naus laus zis. Yog xav paub ntxiv, thov mus saib lub vev xaib CalCareers.
DHCS tau mob siab rau khaws cia thiab txhim kho 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.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Children and Youth Behavioral Health Initiative (CYBHI) Txhua hli Public Webinar
Thaum Lub Plaub Hlis 10, txij 3 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online rau pej xeem (yuav tsum tau sau npe ua ntej WebEx) kom cov neeg koom nrog paub txog DHCS txoj kev nce qib hauv kev siv ntau yam CYBHI workstreams. Cov neeg tuaj koom tseem ceeb suav nrog, tab sis tsis txwv rau, cov hluas, cov niam txiv, cov tswv cuab, cov chaw muab kev noj qab haus huv tus cwj pwm, cov phiaj xwm kev saib xyuas Medi-Cal, cov chaw haujlwm kev noj qab haus huv tus cwj pwm hauv nroog, thiab cov phiaj xwm kev noj qab haus huv lag luam, nrog rau kev kawm thiab lwm cov neeg koom tes thoob plaws. Lub rooj sib tham hauv online no tau teem tseg ua ntej rau lub Peb Hlis 29.
Txhim Kho Kev Tswj Xyuas (ECM) thiab Zej Zog Txhawb Cov Ntaub Ntawv Qhia Webinar
Thaum Lub Plaub Hlis 13, txij li 12 txog 1 teev tsaus ntuj, DHCS yuav tuav lub ECM thiab Community Supports webinar (yuav tsum tau sau npe ua ntej) los tso tawm cov qauv qhia cov ntaub ntawv tshiab los txhawb kev sib pauv cov ntaub ntawv ntawm cov phiaj xwm tswj hwm (MCPs) thiab Cov Chaw Pabcuam Hauv Zej Zog. DHCS tseem yuav muab cov kev hloov tshiab rau ECM thiab Community Supports CalAIM cov ntaub ntawv qhia, raws li cov neeg koom nrog cov lus tawm tswv yim thaum thawj xyoo ntawm kev ua.
Kev sib qhia cov ntaub ntawv ntawm MCPs, cov chaw muab kev pabcuam, cov nroog, cov koom haum hauv zej zog, thiab DHCS yog qhov tseem ceeb rau kev ua tiav thiab kev txais yuav mus ntev ntawm ECM thiab Kev Txhawb Zej Zog. Qhov webinar no yuav muab MCPs, tam sim no thiab yav tom ntej ECM thiab Community Supports cov chaw muab kev pab, thiab lwm tus neeg muaj feem txaus siab rau lub sijhawm los kawm ntxiv txog ECM thiab Community Supports cov ntaub ntawv sib pauv, nug cov lus nug, thiab paub txog cov kev hloov pauv tseem ceeb rau xyoo 2023.
Hauv Case Koj Tsis Tau Nws
Kev Qhia Txog Kev Nkag Mus Rau Kev Noj Qab Haus Huv Txog Kev Yug Me Nyuam hauv California Tshooj 1115 (CalRHAD)
On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration; comments are due by April 17. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California’s reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access.
Cov ntaub ntawv ntxiv txog daim ntawv thov CalRHAD thiab yuav ua li cas xa cov lus tawm tswv yim rau pej xeem muaj nyob rau ntawm nplooj ntawv web CalRHAD.
Dementia Care Aware tshiab tshuaj ntsuam xyuas
DHCS recently announced that primary care providers in California have a new dementia screening tool, the cognitive health assessment, available to help identify cognitive decline in their patients (age 65 and older) and determine next steps. Dementia Care Aware, a statewide initiative led by DHCS, provides training on this new assessment and support through a warmline to help primary care providers successfully screen for dementia in older adults.