DHCS Stakeholder News – March 30, 2023
Xov xwm tshaj plaws
DHCS tau txais CMS kev pom zoo ntawm Cov Khoom Siv Txiaj Ntsig Flexibility
On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.
Qhov kev zam txim no ua kom muaj kev pabcuam txuas ntxiv rau cov neeg laus thiab cov neeg xiam oob qhab, thiab yuav tiv thaiv kev cuam tshuam hauv lawv qhov kev pabcuam Medi-Cal thaum rov pib txiav txim dua thaum lub Plaub Hlis 2023. Cov tswv cuab ntawm Medi-Cal tseem yuav tsum ua tau raws li lwm cov qauv tsim nyog ntawm Medi-Cal, xws li cov nyiaj tau los, kom tseem tsim nyog rau Medi-Cal.
DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19 to provide counties with immediate guidance on operationalizing the waiver flexibility.
Kev hloov kho tshiab
Medi-Cal Continuous Coverage Toolkit muaj nyob rau hauv 19 hom lus thiab khaws Medi-Cal cov tswv cuab Covered Webinar
Lub lim tiam no, DHCS tau tshaj tawm cov cuab yeej Medi-Cal Continuous Coverage hauv 17 hom lus Medi-Cal (ntxiv rau lus Askiv thiab lus Mev uas tau tshaj tawm ua ntej). Txhua lub cuab yeej siv muaj cov ntaub ntawv uas tuaj yeem hloov kho kom pab DHCS Coverage Ambassadors thiab cov neeg koom tes pab cov tswv cuab Medi-Cal nrog cov txheej txheem rov txiav txim siab dua. Cov ntsiab lus txhawb kom cov tswv cuab hloov kho lawv cov ntaub ntawv tiv tauj kom ntseeg tau tias lawv tau txais cov ntaub ntawv tseem ceeb txog kev khaws lawv cov kev pab them nqi Medi-Cal. Cov cuab yeej siv hauv cov cuab yeej suav nrog cov ntawv tshaj tawm, cov ntawv tshaj tawm hauv social media, cov lus, suav nrog cov ntawv teb lus, cov qauv email, thiab cov lus ntawv.
On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend.
COVID-19 Uninsured Group Program Toolkit Launch
DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023. Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS’ strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage.
Dementia Care Aware Warmline
Tus xov tooj hu ua Dementia Care Aware Warmline tam sim no nyob ntawm 1-800-933-1789, txij hnub Monday txog hnub Friday ntawm 9 teev sawv ntxov thiab 5 teev tsaus ntuj. Tus xov tooj sov so muab kev qhia thiab kev sab laj txiav txim siab rau cov kws kho mob thiab cov pab pawg saib xyuas thawj zaug hauv California, uas suav nrog cov ncauj lus ntsig txog kev tshuaj ntsuam mob dementia, kev ntsuam xyuas, kev kuaj mob, kev tswj hwm, thiab kev npaj saib xyuas.
Tus xov tooj kub ceev kuj muab kev txhawb nqa rau kev siv qhov kev ntsuam xyuas kev noj qab haus huv ntawm Dementia Care Aware ua ib txoj hauv kev tshuaj xyuas, uas tau piav qhia ntawm no. Cov kws pab tswv yim muaj los teb cov lus nug uas yuav tshwm sim thaum lub sijhawm twg ntawm kev saib xyuas tus kab mob dementia, yuav ua li cas hloov pauv cov txheej txheem hauv lawv txoj kev kho mob, thiab cov kev txiav txim siab txog kev cai lij choj kho mob. Cov lus xa tawm tom qab lub sijhawm ua haujlwm yuav raug xa rov qab rau hnub ua haujlwm tom ntej.
Lus Cim: Kev sab laj tsis yog los hloov kev kho mob lossis kev qhia tswv yim ntawm cov kws tshaj lij, thiab tsis yog los hloov kev txiav txim siab ntawm cov kws kho mob txog lawv tus kheej kev kho mob.
Medi-Cal Rx Reinstatement Plan Update
Raws li lub Peb Hlis 24, Phase III, Lift 1 ntawm Medi-Cal Rx Reinstatement Plan tau ua tiav tiav. Cov kws kho mob yuav tsum tau xa daim ntawv tso cai ua ntej rau cov ntawv sau tshuaj tshiab thiab rov ua dua tshiab hauv cov chav kawm tshwj xeeb rau cov tswv cuab hnub nyoog 22 xyoos thiab laus dua. Cov ntaub ntawv ntxiv muaj nyob rau hauv Medi-Cal Rx Reinstatement Spotlight. Tsis tas li ntawd, DHCS tau tshaj tawm 30-hnub suav rov qab rau cov chaw muag tshuaj thiab cov kws kho mob ntawm Phase III, Lift 2.
Smile, California Kev sib tw rau Medi-Cal Dental Services
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.
Tsis tas li ntawd xwb, Smile, California, Smile Alert yuav txuas ntxiv txhawb nqa cov yeeb yaj kiab Provider Testimonial Video, ceeb toom rau cov tswv cuab tias hnub kawg rau kev ntsuam xyuas kev noj qab haus huv ntawm qhov ncauj rau menyuam kawm ntawv qib Kindergarten yog rau lub Tsib Hlis 31, thiab lees paub lub Peb Hlis ua Lub Hlis Noj Qab Haus Huv Hauv Tebchaws. Sau npe rau peb qhov Kev Ceeb Toom Txog Kev Luag Ntxhi kom paub txog qhov kev sib tw ntawm Smile, California.
Txij lub Plaub Hlis 3 txog rau Lub Rau Hli 2, Smile, California yuav txhawb nqa online 2023 Cov Tswv Cuab Kev Pabcuam Kev Txaus Siab hauv online. Daim ntawv ntsuam xyuas muaj nyob rau hauv 19 hom lus thiab yog npaj los sau cov lus tawm tswv yim los ntawm cov tswv cuab ntawm lawv cov kev paub dhau los nrog Medi-Cal cov neeg sawv cev pabcuam cov neeg siv khoom. Daim ntawv ntsuam xyuas yuav raug luam tawm rau Smile, California thiab Medi-Cal Dental lub vev xaib thiab tshaj tawm hauv Lub Plaub Hlis Cov Tswv Cuab Ntawv Tshaj Tawm, hauv Kev Ceeb Toom Smile, hauv kev tshaj xov xwm, thiab ntawm lub vev xaib homepage ntawm SmileCalifornia.org.
Koom nrog peb pab neeg
DHCS tab tom nrhiav neeg ua haujlwm! DHCS muaj qhov chaw ua haujlwm tam sim ntawd rau Tus Thawj Coj ntawm Lub Chaw Xaiv thiab Nrhiav Neeg Ua Haujlwm hauv Chav Haujlwm Pabcuam Tib Neeg. Txoj haujlwm no muab kev taw qhia hauv kev tsim thiab kev tswj hwm ntawm cov phiaj xwm nrhiav neeg ua haujlwm txhua xyoo, kev lag luam, thiab ntau yam kev ua ub no nrhiav neeg ua haujlwm uas tsim los txhawb DHCS ua tus tswv haujlwm uas koj xaiv.
DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children’s Health Insurance Program.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.
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
California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing
On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. 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. Additional information is available on the CalRHAD webpage.
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar
On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage.
ECM thiab Zej Zog Txhawb Cov Ntaub Ntawv Qhia Webinar
On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.
Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023.
Hauv Case Koj Tsis Tau Nws
California muab khoom plig ntxiv $88.5 lab los pab hloov Medi-Cal
Thaum Lub Peb Hlis Ntuj hnub tim 24, DHCS tau tshaj tawm cov nyiaj pab tag nrho $88.5 lab los pab cov koom haum hauv zos txhim kho lawv lub peev xwm thiab cov khoom siv los txhawb nqa kev sib koom tes, kev tsom mus rau tus neeg, thiab kev ncaj ncees ntawm Medi-Cal rau txhua tus neeg California. Cov nyiaj no txhawb nqa lub zeem muag ntawm California Advancing and Innovating Medi-Cal (CalAIM), California txoj kev cog lus mus sij hawm ntev los hloov pauv thiab txhawb nqa Medi-Cal, thiab yuav siv los tsim thiab xa cov txiaj ntsig Medi-Cal Enhanced Care Management thiab cov kev pabcuam Community Supports thoob plaws lub xeev.
PATH Technical Assistance (TA) Marketplace Round 2 Vendor Application Tam Sim No Qhib
Thaum Lub Peb Hlis 28, DHCS tau qhib lub qhov rais thov kev pabcuam muag khoom Providing Access and Transforming Health (PATH) TA Marketplace Round 2. Lub PATH TA Marketplace yog ib lub khw muag khoom virtual rau cov kev pabcuam TA, ib lub vev xaib ib-nres-khw uas cov chaw ua haujlwm tuaj yeem nkag mus rau cov peev txheej TA dawb los ntawm cov neeg muag khoom uas tau xaiv thiab pom zoo los pab txhim kho lawv lub peev xwm los hloov pauv Medi-Cal. Cov koom haum uas xav thov kom tsim nyog ua tus muag khoom TA Marketplace raug txhawb kom koom nrog lub rooj sib tham hauv online (yuav tsum tau sau npe ua ntej) rau lub Plaub Hlis 6, txij 1 txog 2 teev tsaus ntuj kom paub ntau ntxiv txog cov txheej txheem thov. Lub sijhawm kawg rau kev thov kom tsim nyog ua tus muag khoom yog Lub Plaub Hlis 28, 2023.
Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com.
DHCS Tshaj Tawm Cov Tsev Kho Mob thiab Chaw Kho Mob Kws Kho Mob COVID-19 Cov Neeg Ua Haujlwm Retention Them Nyiaj
Thaum Lub Peb Hlis 28, Lub Peb Hlis 30, thiab Lub Plaub Hlis 5, DHCS tab tom tshaj tawm Tsev Kho Mob thiab Chaw Kho Mob Kws Kho Mob COVID-19 Tus Neeg Ua Haujlwm Retention Payments (WRP) tag nrho ntau dua $ 1 nphom. DHCS yuav faib cov nyiaj mus rau Cov Chaw Pom Zoo (CEs), Cov Neeg Ua Haujlwm Pabcuam Kev Pabcuam (CSEs), Cov Kws Kho Mob Pab Pawg (PGEs), thiab Cov Kws Kho Mob ywj pheej, sawv cev ntau dua 832,000 tus neeg ua haujlwm tag nrho. CEs, CSEs, PGEs, thiab Cov Kws Kho Mob ywj pheej yuav muaj 60 hnub txij li tau txais cov nyiaj los tso nyiaj rau cov neeg ua haujlwm pom zoo. Cov kev xav tau thiab kev taw qhia tau muab tso rau hauv WRP lub vev xaib los txhawb cov koom haum hauv kev faib tawm tag nrho. Thov xa email rau cov lus nug rau wrp@dhcs.ca.gov.
Webinar on Governor Newsom’s Proposal to Modernize California’s Behavioral Health System
On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor’s proposal to modernize California’s behavioral health system. The proposal builds on the Administrations’ previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webpage.