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​​ 

On March 10, DHCS submitted a waiver flexibility request to the Centers for Medicare & Medicaid Services (CMS) to support the unwinding of the continuous coverage requirement. The Section 1902(e)(14)(A) waiver flexibility seeks to make it easier for Non-Modified Adjusted Gross Income (MAGI), for example seniors and persons with disabilities, to renew their Medi-Cal coverage—and remain covered until California eliminates the asset limit on January 1, 2024. It will allow counties to use existing case file information to grant eligibility during renewals, and disregard any increases in assets since the last Medi-Cal determination. Also, for individuals who were not initially subject to an asset test at the time of their Medi-Cal application, but have now transitioned into a program requiring one, the waiver flexibility would allow California to renew based on their last known eligibility determination on file. DHCS is requesting this authority to be effective retroactive to March 1, 2023, and remain in effect through December 31, 2023.​​ 

The requested waiver flexibility only applies to Medi-Cal renewals and not to new applications. New Medi-Cal applications, specifically for Non-MAGI programs, are still subject to the asset test until it is eliminated. The asset test for new Medi-Cal non-MAGI applications was raised to $130,000 per individual and $65,000 per additional person on July 1, 2022. It is important to note that non-MAGI Medi-Cal members will still need to meet all other Medi-Cal eligibility criteria, including income, to remain Medi-Cal eligible at redetermination.​​ 

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 recently approved a State Plan Amendment (SPA) to reimburse vaccine-only encounters at the fee-for-service (FFS) rate at certain clinics, retroactive to August 17, 2022. SPA 22-0062 pertains to Federally Qualified Health Centers (FQHC), Rural Health Clinics (RHCs), Indian Health Services Memorandum of Agreement (IHS-MOA), and Tribal FQHC clinic providers.​​ 

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.​​ 

It is anticipated that $100,000 per region will be made available to support each regional program for two fiscal years. The maximum funding is $50,000 per region per fiscal year. The grant term is projected to start in May 2023 and continue through June 30, 2024.​​ 

For questions about the RFA, please email 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 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, and 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’s Reproductive Health Access Section 1115 Demonstration: Tribal and Designee of Indian Health Programs Webinar​​ 

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.​​ 

California’s Reproductive Health Access Section 1115 Demonstration: First Public Hearing​​ 

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 li 12 txog 2 teev tsaus ntuj, DHCS yuav tuav thawj lub rooj sib tham rau pej xeem cov neeg koom nrog koom nrog kev sib tham txog kev pabcuam doula. SB 65 xav kom DHCS los tsim ib pab 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 tswvcuab Medi-Cal, xav txog txoj hauv kev los txo cov teebmeem thiab kev ncua sijhawm ntawm kev them nyiaj rau doulas, thiab qhia kom muaj kev tshaj tawm kom cov tswvcuab paub txog cov kev pabcuam doula. Lub rooj sib tham sau npe txuas yuav muaj nyob rau ntawm doula lub vev xaib los ntawm 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.​​