Xov xwm tshaj plaws​​ 

Tshiab DHCS Tsoom Fwv Teb Chaws Kev Thov ntawm Cov Khoom Uas Muaj Kev Nyuaj Siab Thaum Ntxov Kev Pabcuam Nruam Unwinding​​ 

Thaum Lub Peb Hlis 10, DHCS tau xa daim ntawv thov zam kev ywj pheej rau Lub Chaw rau Medicare & Medicaid Services (CMS) los txhawb kev tshem tawm ntawm qhov yuav tsum tau them nqi tas mus li. Txoj cai zam tsis pub them nqi ntawm Tshooj 1902(e)(14)(A) nrhiav kev ua kom yooj yim dua rau Cov Nyiaj Tau Los Tag Nrho Uas Tsis Hloov Kho (MAGI), piv txwv li cov neeg laus thiab cov neeg xiam oob qhab, kom rov ua dua lawv txoj kev pab them nqi Medi-Cal—thiab tseem yuav tau txais kev pab them nqi kom txog thaum California tshem tawm qhov txwv ntawm cov cuab tam rau lub Ib Hlis 1, 2024. Nws yuav tso cai rau cov nroog siv cov ntaub ntawv foob uas twb muaj lawm los pub kev tsim nyog thaum lub sijhawm rov ua dua tshiab, thiab tsis quav ntsej txog kev nce ntxiv ntawm cov cuab tam txij li qhov kev txiav txim siab Medi-Cal zaum kawg. Tsis tas li ntawd xwb, rau cov tib neeg uas thaum xub thawj tsis tau raug kuaj xyuas cov cuab tam thaum lub sijhawm lawv thov Medi-Cal, tab sis tam sim no tau hloov mus rau hauv qhov kev pab cuam uas xav tau ib qho, qhov kev ywj pheej ntawm kev zam yuav tso cai rau California txuas ntxiv raws li lawv qhov kev txiav txim siab tsim nyog zaum kawg uas tau paub hauv cov ntaub ntawv. DHCS thov kom txoj cai no siv tau rov qab mus txog rau lub Peb Hlis Ntuj hnub tim 1, 2023, thiab tseem siv tau mus txog rau lub Kaum Ob Hlis Ntuj hnub tim 31, 2023.​​ 

Qhov kev zam uas tau thov tsuas yog siv rau kev rov ua dua Medi-Cal xwb thiab tsis yog rau cov ntawv thov tshiab. Cov ntawv thov Medi-Cal tshiab, tshwj xeeb rau cov kev pab cuam Non-MAGI, tseem yuav raug kuaj xyuas cov cuab tam kom txog thaum nws raug tshem tawm. Qhov kev sim khoom muaj nqis rau cov ntawv thov Medi-Cal tshiab uas tsis yog MAGI tau nce mus txog $130,000 rau ib tus neeg thiab $65,000 rau ib tus neeg ntxiv rau lub Xya Hli 1, 2022. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tswv cuab uas tsis yog MAGI Medi-Cal tseem yuav tsum ua tau raws li txhua yam kev tsim nyog ntawm Medi-Cal, suav nrog cov nyiaj tau los, kom tseem tsim nyog rau Medi-Cal thaum rov txiav txim siab dua.​​ 

Thaum CMS pom zoo, DHCS yuav tshaj tawm cov lus qhia tam sim rau cov nroog los ntawm Medi-Cal Daim Ntawv Qhia Txog Kev Tsim Nyog Kev Tsim Nyog.​​ 

Kev hloov kho tshiab​​ 

2024 Kev nthuav dav ntawm Medi-Medi Plans mus rau lwm lub nroog​​ 

Txij li Lub Ib Hlis Ntuj hnub tim 1, 2024, DHCS yuav nthuav dav kev muaj Medi-Medi Plans rau cov tswv cuab Medicare thiab Medi-Cal uas tsim nyog rau tsib lub nroog ntxiv hauv central valley: Fresno, Kings, Madera, Sacramento, thiab Tulare. Cov phiaj xwm Medi-Medi rau cov tswv cuab Medicare thiab Medi-Cal uas tsim nyog tau txais ob qho tib si tam sim no muaj nyob rau hauv xya lub nroog Coordinated Care Initiative (CCI) yav dhau los: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, thiab Santa Clara.​​ 

Medi-Medi Plans yog lub npe ntawm cov kev pab cuam tshwj xeeb hauv California rau Medicare Advantage Exclusively Aligned Enrollment Dual Eligible Special Needs Plans (D-SNPs). Raws li Medi-Medi Plans, cov tswv cuab uas tsim nyog ob leeg tuaj yeem sau npe rau hauv D-SNP rau cov txiaj ntsig Medicare thiab hauv Medi-Cal managed care plan (MCP) rau cov txiaj ntsig Medi-Cal, uas ob qho tib si yog khiav los ntawm tib lub koom haum niam txiv rau kev sib koom tes thiab kev koom ua ke zoo dua.​​ 

DHCS tab tom ntsib nrog cov neeg koom nrog hauv cheeb tsam hauv tsib lub nroog nthuav dav los muab cov ntaub ntawv ntxiv txog Medi-Medi Plans, thiab yuav suav nrog cov ncauj lus no hauv cov rooj sib tham yav tom ntej ntawm Pawg Tswj Xyuas Kev Pabcuam Ntev Ntev & Kev Txhawb & Duals Integration Workgroup. Xav paub ntau ntxiv txog Medi-Medi Plans muaj nyob rau ntawm Medicare Medi-Cal Plans lub vev xaib. Thov xa email rau OMII@dhcs.ca.gov muaj lus nug.​​ 

Health Enrollment Navigators Project​​ 

Txoj Haujlwm Navigators tsis ntev los no tau tsim cov nplooj ntawv web tshiab los muab cov ntaub ntawv tseem ceeb ntxiv rau cov neeg tawm tswv yim thiab cov neeg koom nrog kev sib txuas lus, cov koom tes ua haujlwm, thiab tshaj tawm / lwm yam kev sib txuas lus. Lub vev xaib cov koom tes koom tes tseem suav nrog cov ntaub ntawv tshwj xeeb ntsig txog Senate Bill (SB) 154 cov khoom plig nyiaj txiag, cov npe ntawm cov koom haum hauv zej zog hauv zej zog thiab cov koom haum sib koom ua ke los ntawm lub nroog, thiab Cov Lus Qhia Txog Tus Tswv Cuab, uas piav qhia txog kev siv zog ua haujlwm siab, xws li kev tso npe kawm thiab khaws cov hom phiaj, nyiaj txiag, cov neeg ua haujlwm ua haujlwm, thiab cov phiaj xwm pab neeg.​​ 

Tsoom Fwv Teb Chaws Pom Zoo ntawm Mpox Vaccine Administration rau Chaw Kho Mob​​ 

CMS nyuam qhuav pom zoo rau Txoj Kev Hloov Kho Txoj Kev Npaj Hauv Xeev (SPA) los them rov qab rau cov kev txhaj tshuaj tiv thaiv kab mob nkaus xwb ntawm tus nqi them rau kev pabcuam (FFS) ntawm qee lub tsev kho mob, uas siv tau rov qab rau lub Yim Hli 17, 2022. SPA 22-0062 yog hais txog Federally Qualified Health Centers (FQHC), Rural Health Clinics (RHCs), Indian Health Services Memorandum of Agreement (IHS-MOA), thiab Tribal FQHC cov chaw kho mob.​​ 

Txij li lub Peb Hlis Ntuj hnub tim 10, 2023, FQHC, RHC, IHS-MOA, thiab Tribal FQHCs yuav xa cov ntawv thov rau cov tswv cuab uas tau sau npe rau hauv Medi-Cal managed care rau kev ntsib tshuaj tiv thaiv Mpox xwb. Ib yam li ntawd, cov kev thov rau cov tswv cuab FFS tuaj yeem xa los ntawm FQHC, RHC, IHS-MOA, thiab Tribal FQHC cov chaw muab kev pab siv cov lus qhia luam tawm hauv lub Kaum Ob Hlis 13, 2022, tsab xov xwm "Mpox Vaccines Reimbursement at the Medicare Rate ".​​ 

Txoj cai them rov qab no yuav siv tau rau hnub ua haujlwm rau lossis tom qab Lub Yim Hli 17, 2022, txog Lub Ib Hlis 31, 2023, qhov kawg ntawm Mpox xeev xwm txheej ceev kev noj qab haus huv pej xeem (PHE). Thaum kawg ntawm PHE, cov nqi them rov qab rau kev txhaj tshuaj tiv thaiv Mpox rov qab mus rau Medi-Cal FFS cov nqi uas siv tau rau lub sijhawm ntawd. Cov kws kho mob raug ceeb toom tias txhua zaus txhaj tshuaj tiv thaiv Mpox raug suav tias yog kev mus ntsib chaw ua haujlwm lossis kev ntsib tshuaj tiv thaiv xwb, tsis yog ob qho tib si.​​ 

FQHC, RHC, IHS-MOA, and Tribal FQHC providers will receive a 120-day timeliness override to submit the Mpox vaccine-only encounters.​​ 

Ib txwm Indian Kev Noj Qab Haus Huv (TIH) Thov rau Daim Ntawv Thov (RFA) Tso Tawm​​ 

Thaum lub lim tiam ntawm lub Peb Hlis 20, DHCS xav tias yuav muaj kev tso tawm RFA los pab nyiaj rau peb qhov kev kawm ntawm TIH uas yuav pab cov chaw kho mob Is Nrias teb hauv kev muab kev pabcuam rau cov neeg Is Nrias teb Asmeskas hauv txoj kev tsim nyog rau kab lis kev cai thiab los muab lub rooj sib tham rau cov zej zog Is Nrias teb los daws teeb meem kev kawm ntawm TIH. Tag nrho muaj $300,000 los pab nyiaj rau cov kev pab cuam TIH hauv cheeb tsam rau ob xyoos nyiaj txiag. Lub cib fim nyiaj txiag no txhawb nqa kev muab kev kho mob ib txwm muaj ntawm Is Nrias teb. Cov nyiaj rau qhov project no yog ib feem ntawm $11,576,000 uas tau muab faib rau hauv xyoo nyiaj txiag 2022-23 rau kev kho dua tshiab ntawm Indian Health Program cov kev pab cuam nyiaj pab.​​ 

Xav tias yuav muaj $100,000 rau ib cheeb tsam los pab txhawb txhua qhov kev pab cuam hauv cheeb tsam rau ob xyoos nyiaj txiag. Qhov nyiaj pab ntau tshaj plaws yog $ 50,000 rau ib cheeb tsam hauv ib xyoos nyiaj txiag. Lub sijhawm pab nyiaj txiag yuav pib thaum lub Tsib Hlis 2023 thiab txuas ntxiv mus txog rau lub Rau Hli 30, 2024.​​ 

Yog koj muaj lus nug txog RFA, thov email rau TribalAffairs@dhcs.ca.gov.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, thiab pab pawg xov xwm thev naus laus zis. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​ 

DHCS mob siab rau kev tiv thaiv thiab txhim kho kev noj qab haus huv thiab kev nyob zoo ntawm txhua tus neeg California. Lub hom phiaj ntawm DHCS yog muab kev pabcuam kho mob uas pheej yig, sib koom ua ke, thiab zoo rau cov neeg nyob hauv zej zog uas tsis muaj zog tshaj plaws, thiab tam sim no nws tab tom hloov pauv qhov kev pabcuam Medi-Cal kom ntseeg tau tias nws muab kev pabcuam uas cov neeg California xav tau kom muaj lub neej noj qab haus huv thiab zoo siab dua.​​ 

Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

Kev Qhia Txog Kev Nkag Mus Rau Kev Noj Qab Haus Huv Txog Kev Yug Me Nyuam hauv California Tshooj 1115: Kev Sib Tham Hauv Is Nrias teb rau Cov Pab Pawg Neeg thiab Cov Neeg Uas Tau Tsim Nyog ntawm Cov Kev Pab Cuam Kev Noj Qab Haus Huv​​ 

On March 20, from 9 to 10 a.m., DHCS will host a Medi-Cal Tribal and Designee of Indian Health Programs webinar (advance registration required) to provide information and receive feedback on California’s Reproductive Health Access Demonstration (CalRHAD) 1115 request in advance of DHCS’ submission to CMS. Tribal partners have been invited to participate in the webinar via email.​​ 

Kev Qhia Txog Kev Nkag Mus Rau Kev Noj Qab Haus Huv Txog Kev Yug Me Nyuam hauv California Tshooj 1115: Kev Sib Tham Rau Pej Xeem Thawj Zaug​​ 

Thaum Lub Peb Hlis Ntuj hnub tim 29, txij thaum 10 teev sawv ntxov txog 11 teev sawv ntxov, DHCS yuav tuav thawj zaug (yuav tsum tau sau npe ua ntej) ntawm ob lub rooj sib hais rau pej xeem los thov cov neeg koom nrog cov lus tawm tswv yim txog qhov kev qhia CalRHAD Medicaid Seem 1115. DHCS tab tom nrhiav kev pom zoo los ntawm CMS los muab cov nyiaj pab sib tw rau cov kws kho mob kev noj qab haus huv kev yug me nyuam 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.​​ 

Kev tshuaj xyuas thiab kev hloov pauv ntawm Cov Cuab Yeej Saib Xyuas Cov Ntaub Ntawv Webinar​​ 

On March 29, from 3 to 4 p.m., DHCS will hold a Screening and Transition of Care Tools webinar (advance registration required) to discuss the Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services, which went live on January 1, 2023, as part of California Advancing and Innovating Medi-Cal (CalAIM). This initiative is focused on implementing statewide screening and transition of care tools for both adults and individuals under 21 years old for use by Medi-Cal MCPs and county mental health plans. The webinar will include an overview of the purpose of the initiative, a discussion on notable requirements and case examples, and responses to frequently asked questions. For more information, please visit the Screening and Transition of Care Tools webpage.​​ 

Children and Youth Behavioral Health Initiative (CYBHI) Txhua hli Public Webinar: Peb Hlis 2023​​ 

Thaum Lub Peb Hlis 29, txij 3 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online (yuav tsum tau sau npe ua ntej) kom cov neeg koom nrog paub txog DHCS txoj kev nce qib hauv kev siv ntau yam haujlwm rau CYBHI. Cov neeg tuaj koom tseem ceeb suav nrog, tab sis tsis txwv rau, cov hluas, cov niam txiv, cov tswv cuab, cov kws kho mob kev coj cwj pwm, Medi-Cal MCPs, cov chaw haujlwm kev noj qab haus huv kev coj 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.​​ 

Doula Stakeholder Workgroup Lub Rooj Sib Tham​​ 

Thaum Lub Peb Hlis 30, txij 12 txog 2 teev tav su, DHCS yuav tuav lub rooj sib tham ua haujlwm hauv online rau cov neeg koom nrog thawj zaug txog cov kev pabcuam doula. SB 65 xav kom DHCS sib sau ua ke ib pawg neeg ua haujlwm los tshuaj xyuas kev siv cov txiaj ntsig doula hauv Medi-Cal. Pawg neeg ua haujlwm yuav sib tham txog txoj hauv kev los xyuas kom meej tias cov kev pabcuam doula muaj rau cov tswv cuab Medi-Cal, xav txog txoj hauv kev los txo cov teeb meem thiab kev ncua sijhawm hauv kev them nyiaj rau doulas, thiab pom zoo cov kev siv zog ncav cuag kom cov tswv cuab paub txog cov kev pabcuam doula muaj. Qhov txuas rau kev sau npe rau lub rooj sib tham yuav muaj nyob rau ntawm nplooj ntawv web doula thaum Lub Peb Hlis 24.​​ 

CYBHI RFA Technical Assistance Webinar​​ 

Thaum Lub Peb Hlis 30, txij 1 txog 2 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online CYBHI rau pej xeem (yuav tsum tau sau npe ua ntej) sawv cev rau Kev Ua Haujlwm Raws Li Pov Thawj (EBP) thiab Kev Ua Haujlwm Raws Li Zej Zog (CDEP) cov nyiaj pab. Lub rooj sib tham hauv online no yuav tsom mus rau "Round Two: Cov Kev Pabcuam thiab Kev Xyaum Ua Raws Li Kev Raug Mob" RFA. DHCS yuav muab kev pab txog kev siv tshuab los ntawm kev sib qhia cov lus teb rau cov lus nug uas nquag nug raws li cov ntsiab lus. Thaum lub sijhawm webinars, DHCS yuav tsis teb cov lus nug tam sim ntawd. Thov xa email rau cov lus nug ntsig txog RFA Thib Ob mus rau CYBHI@dhcs.ca.gov. DHCS yuav tshaj tawm cov FAQs rau hauv nplooj ntawv CYBHI EBP/CDEP cov nyiaj pab thaum Lub Peb Hlis 17.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

California muab khoom plig $21.6 lab los daws Opioid Crisis​​ 

Thaum Lub Peb Hlis 13, DHCS tau muab $12 lab rau 44 qhov kev pab cuam los ntawm California Youth Opioid Response project, thiab $9.6 lab rau 28 lub koom haum los ntawm Low-Barrier Opioid Treatment at Syringe Services Programs project. Qhov no yog qhov kev nqis peev tshiab tshaj plaws hauv tag nrho ntau dua ib nrab billion daus las los pab tiv thaiv kev siv tshuaj opioid ntau dhau thiab kev quav yeeb quav tshuaj, daws teeb meem kev siv tshuaj opioid kom muaj kev nyab xeeb thiab zoo, thiab txo cov neeg tuag los ntawm kev siv tshuaj ntau dhau.​​ 

DHCS muab kev hloov tshiab ntawm Tus Cwj Pwm Kev Noj Qab Haus Huv Virtual Services Platform rau Cov Me Nyuam thiab Cov Hluas​​ 

Thaum Lub Peb Hlis 15, DHCS tau lees paub tias nws yuav tsim lub Behavioral Health Virtual Services Platform, uas yog ib qho kev daws teeb meem tshiab rau txhua tus menyuam yaus, cov hluas, thiab cov tsev neeg hauv California, thaum Lub Ib Hlis 2024. Lub platform yog ib feem ntawm Governor Newsom's Master Plan for Kids' Mental Health thiab CYBHI. Yog xav paub ntxiv, thov mus saib CYBHI lub vev xaib.​​ 

California Txoj Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Nkag Mus Rau Ntu 1115 Kev Qhia​​ 

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 txog CalRHAD Medicaid Seem 1115. DHCS tab tom nrhiav kev pom zoo los ntawm CMS los muab cov nyiaj pab sib tw rau cov kws kho mob kev noj qab haus huv kev yug me nyuam 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.​​ 

Cov ntaub ntawv ntxiv txog daim ntawv thov CalRHAD muaj nyob rau ntawm nplooj ntawv web CalRHAD.​​