Medi-Cal Targeted Rate nce (TRI) Raws li Tsab Cai Sib Tham (AB) 118 (Tshooj 42, Txoj Cai Lij Choj ntawm 2023), DHCS tau tshaj tawm, uas yog ib feem ntawm 2024-25 Tus Thawj Kav Tebchaws Cov Nyiaj Txiag, ib txoj kev npaj rau kev nce qib rau Medi-Cal kev them nyiaj lossis lwm yam kev nqis peev, siv tau rau xyoo 2025, thoob plaws kev saib xyuas thawj zaug, kev saib xyuas poj niam, kev saib xyuas menyuam yaus cov kev pab cuam, cov kev pab cuam hauv zej zog thiab tsev kho mob sab nraud, kev pabcuam xwm txheej ceev, thiab lwm yam. Cov kev nqis peev uas tau hais tseg yuav tau txais kev txhawb nqa los ntawm Lub
Koom Haum Saib Xyuas Kev Noj Qab Haus Huv (MCO) Tax, tau tso cai los ntawm AB 119 (Tshooj 13, Txoj Cai ntawm 2023), thiab raug tsim los txhawb kev nkag mus tau zoo, kev ua tau zoo, thiab kev ncaj ncees rau Medi-Cal cov tswv cuab thiab txhawb nqa kev koom tes hauv Medi-Cal program. Cov kev nqis peev uas tau hais tseg no yog yuav tsum tau txais tag nrho cov kev cai lij choj tsim nyog thiab tsoomfwv kev pom zoo, raws li muaj. Yog xav paub ntxiv, thov mus saib hauv
Medi-Cal Targeted Provider Rate nce thiab nqis peev hauv lub vev xaib thiab saib
Medi-Cal TRI tsab cai lij choj daim ntawv thiab
MCO Tax-funded peev.
Extension ntawm Kev Pabcuam Nruam Unwinding Waivers thiab Flexibilities
Thaum Lub Kaum Ob Hlis Ntuj Tim 18, 2023, Lub Chaw rau Medicare & Medicaid Services (CMS) tau tshaj tawm ib
tsab ntawv xov xwm hais txog kev tuav pov hwm hauv Medi-Cal rau cov me nyuam. Cov ntawv xov xwm no tau txuas ntxiv tag nrho cov kev zam thiab kev hloov pauv mus txog lub Kaum Ob Hlis 31, 2024. Thoob plaws lub sij hawm tsis tu ncua kev pab them nqi kho mob, DHCS tau thov thiab tau txais kev pom zoo rau ntau lub tseem fwv zam kev zam thiab kev hloov pauv tau teev tseg hauv
Medi-Cal COVID-19 Kev Noj Qab Haus Huv Pej Xeem Kev Kub Ntxhov thiab Kev Pabcuam Nruam Unwinding Operational Plan. Cov kev zam thiab kev hloov pauv tau tsim los txhawm rau txhim kho kev rov ua dua tshiab rau cov tswv cuab Medi-Cal, yooj yim yuav tsum tau muab cov ntaub ntawv ntxiv lossis cov ntaub ntawv ntxiv, thiab txo cov txheej txheem txiav tawm. Yav dhau los, cov kev zam no tau pom zoo los ntawm qhov kawg ntawm lub sijhawm tsis muaj kev sib tw, uas xaus rau lub Tsib Hlis 2024. Kev taw qhia ntxiv yuav tau los ntawm CMS rau txhua lub xeev.
Kev hloov kho tshiab
Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Peev Xwm thiab Cov Txheej Txheem Kev Hloov Pauv, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Round 3 Daim Ntawv Thov Qhib
Thaum Lub Ib Hlis 15, DHCS tau qhib PATH CITED Round 3 daim ntawv thov qhov rai. PATH CITED teg num muab nyiaj txiag los tsim kom muaj peev xwm thiab kev tsim kho ntawm cov neeg koom tes hauv av, suav nrog cov koom haum hauv zej zog, tsev kho mob pej xeem, cov koom haum hauv nroog, pab pawg neeg, thiab lwm tus, kom koom nrog Medi-Cal kom tiav. Hnub kawg rau kev thov rau PATH CITED Round 3 nyiaj yog Lub Ob Hlis 15. Cov xwm txheej hauv qab no yuav pab pab cov neeg thov yav tom ntej:
PATH Collaborative Planning and Implementation (CPI) Best Practices Webinar #2 Materials Now available
Nyob rau lub Kaum Ob Hlis 7, DHCS tau tuav ib lub webinar rau pej xeem, hu ua "Kev Sib Raug Zoo nrog Cov Koom Haum hauv California Advancing and Innovating Medi-Cal (CalAIM) Environment." Thov mus saib PATH CPI lub vev xaib kom nkag mus thiab sib qhia cov ntaub ntawv kaw lus webinar thiab slides thiab kawm yuav ua li cas:
- Txheeb xyuas tus nqi tshwj xeeb ntawm ib lub koom haum ua tus koom tes zoo rau cov neeg muaj feem cuam tshuam hauv CalAIM.
- Siv cov txheej txheem tsim kev sib raug zoo los tsim ib txoj kev npaj rau kev txhim kho kev sib koom tes thiab kev koom tes nrog cov phooj ywg Txhim Kho Kev Tswj Xyuas Kev Noj Qab Haus Huv (ECM) thiab Cov Chaw Pabcuam Hauv Zej Zog thiab Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCP).
Cov ntaub ntawv zoo tshaj plaws hauv webinar yuav raug tshaj tawm rau ntawm
PATH CPI lub vev xaib hauv qab "Cov Kev Cai Zoo Tshaj Plaws thiab Kev Pabcuam" ntu. Cov ntaub ntawv hais txog Kev Ua Zoo Tshaj Plaws hauv webinar tom ntej no yuav muab qhia rau lub hlis tom ntej.
Koom nrog peb pab neeg
DHCS tab tom ntiav:
- Chief of Capitated Rates Development Division nyob rau hauv Health Care Financing ua tus thawj tswj hwm txoj cai rau txhua qhov kev nqis tes ua los xyuas kom muaj kev noj qab haus huv zoo thiab raug nqi zoo los ntawm DHCS cov ntawv cog lus Medi-Cal MCPs. (Hnub kawg ua ntawv thov txuas ntxiv mus rau Lub Ib Hlis 30)
DHCS tseem ntiav peb cov kev sib txuas lus, tib neeg cov peev txheej, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, kev siv thev naus laus zis, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib hauv
CalCareers lub vev xaib.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Population Health Management Updated Transitional Care Services (TCS) Policy Webinar
Thaum Lub Ib Hlis 22, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav
lub vev xaib los muab cov ntsiab lus ntawm kev hloov tshiab tsis ntev los no rau TCS txoj cai (yuav tsum tau sau npe ua ntej), raws li tau teev tseg hauv
Phau Ntawv Qhia Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem. Txoj cai kho dua tshiab qhia meej txog qhov yuav tsum tau muaj rau cov tswv cuab muaj kev pheej hmoo siab los ntawm kev hloov kho lub ntsiab lus ntawm "cov pab pawg muaj kev pheej hmoo siab", rov lees paub DHCS qhov kev tsom mus rau kev saib xyuas tus me nyuam thiab cov pej xeem nrog kev xav tau kev noj qab haus huv, hais txog MCP saib xyuas cov txheej txheem kev npaj tawm hauv tsev, thiab qhia txog qhov tseem ceeb ntawm cov tswv cuab koom nrog.
TCS txoj cai rau cov tswvcuab uas pheej hmoo qis dua kuj tau hloov kho rau xyoo 2024 thiab 2025 los muab kev pabcuam rau cov tswvcuab kev hloov pauv hloov pauv nrog kev sib zog-kov dua li tus qauv rau cov tswvcuab uas muaj kev pheej hmoo siab. Thaum qhov kev hloov kho qis dua tus qauv tshem tawm ib qho kev xav tau ntawm kev sib cuag, nws ua kom pom tseeb tab sis tsawg dua cov neeg ua haujlwm-hnyav rau pawg MCP xov tooj kom muaj rau txhua tus tswvcuab hloov pauv thiab yuav tsum tau rov qab nrog thawj tus kws kho mob lossis chaw kho mob hauv 30 hnub tom qab tso tawm. Nws kuj tseem hais txog cov cai uas twb muaj lawm hauv tsev kho mob hais txog cov txheej txheem tawm. Lub webinar yuav muab sijhawm rau cov neeg koom nrog txaus siab kawm ntxiv thiab nug cov lus nug txog cov kev hloov tshiab tsis ntev los no.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
Thaum Lub Ib Hlis Ntuj Tim 23, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS 'Smile, California kev sib tw yuav tuav lub
qhov ncauj Health Champion webinar los txhawb kev koom tes hauv National Children's Dental Health Month (NCDHM) kev txhawb nqa (kev sau npe ua ntej). Cov neeg koom nrog, suav nrog cov kev pab cuam kev noj qab haus huv hauv lub qhov ncauj, cov koom haum hauv zej zog, California Department of Education cov koom tes, cov kws saib xyuas mob hauv tsev kawm ntawv, thiab lwm tus thawj coj saib xyuas kev noj qab haus huv hauv zos, yuav tau txais kev nkag siab txog cov haujlwm uas txhawb nqa qhov tseem ceeb ntawm kev tiv thaiv kev kho hniav. Lub hom phiaj ntawm qhov webinar yog los txhawb kev noj qab haus huv tas mus li ntawm cov menyuam yaus thiab cov hluas cov hniav thiab cov pos hniav los ntawm Medi-Cal Dental Program.
Tsis tas li ntawd, thaum Lub Ob Hlis 1, hauv kev lees paub ntawm NCDHM, Smile, California yuav tshaj tawm kev tshaj tawm kom paub txog qhov tseem ceeb ntawm kev kuaj hniav txhua hnub rau cov menyuam yaus thiab Medi-Cal Dental Program. Kev txhawb nqa NCDHM hais txog qhov tseem ceeb ntawm kev tiv thaiv kev kho hniav thiab hais kom cov niam txiv, cov neeg saib xyuas, thiab cov neeg saib xyuas teem caij teem caij kuaj hniav rau lawv cov menyuam.
CalAIM Intermediate Care Facility for the Developmentally Disabled (ICF/DD) Carve-In Office Teev
Thaum Lub Ib Hlis 24, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj DHCS yuav tuav lub sijhawm ua haujlwm ua haujlwm ua ib feem ntawm nws qhov kev kawm webinar series ntawm CalAIM qhov chaw saib xyuas nruab nrab rau cov neeg xiam oob qhab (ICF/DD) carve-in (yuav tsum tau sau npe ua ntej). Lub sijhawm ua haujlwm yuav muab lub rooj sib tham tshwj xeeb rau DHCS thiab Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS) los koom nrog ICF/DD Cov Tsev, Lub Chaw Hauv Cheeb Tsam, thiab Medi-Cal MCP cov neeg sawv cev los teb cov lus nug ntsig txog ICF/DD carve-in txoj cai xav tau thiab ua raws li kev hloov pauv mus rau kev saib xyuas uas tau siv rau lub Ib Hlis 1, 2024.
Cov neeg koom nrog cov sijhawm ua haujlwm raug txhawb kom xa cov lus nug ua ntej thaum sau npe rau kev sib tham lossis xa email rau LTCtransition@dhcs.ca.gov. Cov ntsiab lus ntxiv txog cov webinars tom ntej no muaj nyob rau ntawm CalAIM ICF/DD Long-Term Care Carve-In webpage.
Statewide Home and Community-Based Services (HCBS) Gap Analysis and Multi-Year Roadmap Stakeholder Meeting
Thaum Lub Ib Hlis 24, thaum 1 teev tsaus ntuj txog 2:30 teev tsaus ntuj, DHCS thiab California Lub Tsev Haujlwm Saib Xyuas Kev Laus (CDA) yuav tuav lub rooj sib tham nrog cov neeg koom nrog (yuav tsum tau sau npe ua ntej) rau kev soj ntsuam HCBS Gap Analysis thiab Multi-Year Roadmap. Cov neeg hais lus yuav muab cov ntaub ntawv hloov tshiab thiab kev nce qib ntawm txoj hauv kev rau kev tsom xam qhov tsis sib xws nrog rau cov ntsiab lus hais txog kev koom tes nrog cov neeg koom tes thiab cov neeg siv khoom mloog cov kev sib tham ua ib feem ntawm txoj haujlwm no.
Yog xav paub ntxiv txog cov haujlwm thiab cov ntaub ntawv sib tham yav dhau los, thov mus saib ntawm DHCS lub vev xaib thiab CDA lub vev xaib. Yog tias koj muaj lus nug, thov xa email rau HCBSGapAnalysis@dhcs.ca.gov.
Doula Stakeholder Implementation Workgroup Meeting
Thaum Lub Ib Hlis 31, txij thaum 2 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Doula Stakeholder Implementation Workgroup los tshuaj xyuas qhov kev siv ntawm Medi-Cal doula cov txiaj ntsig, raws li Senate Bill 65 (Tshooj 449, Statutes of 2021) thiab tshooj 14132.24 ntawm Txoj Cai Lij Choj thiab Lub Tsev Haujlwm.
Lub rooj sib tham yuav muaj nyob ntawm Zoom, nrog rau tus kheej xaiv ntawm 1700 K Street, Room 1014, Sacramento, CA 95811. Lub rooj sib tham qhib rau pej xeem. Qhov txuas mus koom lub rooj sib tham zoo thiab cov txheej txheem yuav muab tso rau ntawm Doula Services raws li Medi-Cal Benefit webpage. Pawg neeg ua haujlwm yuav sib tham txog yuav ua li cas kom ntseeg tau tias cov kev pabcuam doula muaj rau cov tswvcuab Medi-Cal thiab ua cov lus pom zoo rau kev nthuav dav. Thov xa email rau DoulaBenefit@dhcs.ca.gov nrog rau cov lus nug.
Launching ECM for Birth Equity Populations: Webinar
Thaum Lub Ob Hlis 2, thaum 1:30 txog 3 teev tsaus ntuj, DHCS yuav tuav lub vev xaib ntawm Kev Tshaj Tawm ECM rau Cov Neeg Yug Me Nyuam (yuav tsum tau sau npe ua ntej) los tshuaj xyuas lub zeem muag ntawm ECM rau cov neeg yug me nyuam ntawm kev tsom xam (POF) thiab cov hnub pib ntawm kev siv. DHCS, koom tes nrog Medi-Cal MCPs thiab cov chaw muab kev pabcuam thoob plaws lub xeev, tau pib ECM rau kev sib npaug POF thaum Lub Ib Hlis 1.
Qhov webinar no yuav muab cov ntsiab lus ntawm kev tsim thiab kev taw qhia kev ua haujlwm rau kev yug me nyuam POF; muab kev pom zoo rau tus kws kho mob txog seb lawv npaj li cas rau kev tshaj tawm ECM rau kev yug me nyuam POF thiab cov txheej txheem tsim los muab ECM; thiab muab kev taw qhia rau MCPs, cov nroog, thiab cov chaw muab kev cog lus thiab npaj xa cov txiaj ntsig ECM los daws qhov tsis sib xws hauv kev noj qab haus huv thiab kev yug me nyuam hauv cov haiv neeg thiab haiv neeg uas muaj leej niam muaj mob hnyav thiab cov neeg tuag coob.
Lub webinar yog qhib rau txhua tus, tab sis yuav muaj kev txaus siab tshwj xeeb rau MCPs thiab cov chaw zov me nyuam ua haujlwm nrog cov neeg yug me nyuam, suav nrog cov nroog thiab cov koom haum hauv zej zog. Cov kws kho mob xav paub ntau ntxiv txog ECM rau kev sib npaug ntawm kev yug me nyuam POF lossis hais txog cov tswv cuab tuaj yeem tuaj koom. Cov neeg koom nrog raug caw kom xa cov lus nug ua ntej Lub Ib Hlis 29 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom yuav tuaj yeem nug cov lus nug thaum lub webinar.
Hauv Case Koj Tsis Tau Nws
California nqis peev $ 70.5 lab hauv Nonprofits los txhim kho kev ncaj ncees hauv kev saib xyuas tus cwj pwm
Thaum Lub Ib Hlis 17,
DHCS tau tshaj tawm qhov khoom plig ntawm $ 70.5 lab rau 101 lub koom haum tsis muaj txiaj ntsig thoob plaws lub xeev uas yog ib feem ntawm Kev Noj Qab Haus Huv Equity in Behavioral Health Recovery Services (HEAR US). Cov kev nqis peev no yuav pab nthuav nkag mus rau, thiab siv, kev pabcuam kev noj qab haus huv ntawm tus cwj pwm ntawm cov zej zog ntawm cov xim thiab lwm cov zej zog uas muaj keeb kwm tsis zoo.
CalAIM Kev Pabcuam Nruam rau Cov Menyuam Hloov Kho Qhib rau pej xeem tawm tswv yim
Thaum Lub Ib Hlis Ntuj Tim 12, DHCS tau pib 30-hnub rau pej xeem thiab pab pawg neeg tawm tswv yim lub sij hawm los tawm tswv yim tawm tswv yim txog kev hloov kho rau CalAIM
Tshooj 1115 ua qauv qhia ntsig txog
kev pab them nqi tas mus li rau cov me nyuam. Cov lus hais yuav dhau los ua ntej Lub Ob Hlis 12. DHCS tab tom nrhiav kev pom zoo los ntawm CMS kom suav nrog txoj cai siv nyiaj raws li Tshooj 1115(a)(2) kom tau txais cov nyiaj tseemfwv qib siab los muab kev pabcuam txuas mus ntxiv rau cov menyuam mus txog rau thaum kawg ntawm lub hli uas lawv hnub yug 5 xyoos, txawm lawv thawj zaug rau npe hauv Medi-Cal lossis lwm yam Kev Pabcuam Menyuam Yaus yuav ua rau muaj teebmeem kev noj qab haus huv. ntawm kev tsim nyog. Cov ntaub ntawv ntxiv txog qhov kev thov hloov kho thiab yuav ua li cas xa cov lus pom rau pej xeem muaj nyob rau ntawm
CalAIM 1115 Demonstration thiab 1915(b) Waiver webpage.
Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv
Thaum Lub Ib Hlis 1, DHCS tau ua tiav qhov tseem ceeb hauv nws
qhov kev hloov pauv ntawm Medi-Cal nrog rau kev tshaj tawm daim ntawv cog lus saib xyuas tshiab thiab
hloov MCP, nyob rau hauv uas kwv yees li 1.2 lab tus tswv cuab tau txais cov kev xaiv kho mob tshiab thiab/lossis hloov mus rau MCPs tshiab (ceeb toom: hloov MCPs tsis cuam tshuam rau Medi-Cal cov tswv cuab lossis cov txiaj ntsig). Txhawm rau pab txhawb txoj kev hloov pauv ntawm MCPs rau cov tswv cuab, DHCS tau tsim kev tiv thaiv
kev saib xyuas txuas ntxiv kom txo qis kev cuam tshuam rau cov tswv cuab kev saib xyuas.
DHCS tau tsim ntau yam kev pabcuam los txhawb cov tswvcuab, cov neeg muab kev pabcuam, thiab lwm cov neeg muaj feem cuam tshuam nrog kev hloov pauv, suav nrog
MCP Transition Member webpage nrog lub nroog "lookup", txuas mus rau cov tswvcuab
cov ntawv ceeb toom xa los ntawm Medi-Cal txog kev hloov MCP,
cov tswvcuab nquag nug cov lus nug hauv txhua hom lus, thiab nplooj ntawv
tiv tauj peb rau cov tswv cuab kom paub ntau ntxiv txog kev hloov pauv kev npaj khomob. Kuj tseem muaj kev hloov pauv rau
cov chaw muab kev pabcuam,
MCPs, thiab cov neeg muaj feem cuam tshuam. Cov ntaub ntawv ntau ntxiv txog kev hloov pauv muaj nyob rau hauv
2024 MCP Txoj Cai Lij Choj Hloov Pauv Txoj Cai thiab
Medi-Cal Kev Tsim Nyog Kev Pabcuam Cov Ntaub Ntawv Tsab Ntawv Tus lej I 23-54.
MCP Transition Member lub vev xaib suav nrog cov peev txheej thiab cov ntaub ntawv los txhawb cov tswv cuab hloov pauv. Cov tswvcuab tsis tuaj yeem daws teebmeem lossis cov lus nug tomqab ua haujlwm nrog lawv MCP tuaj yeem tiv tauj DHCS Lub Chaw Haujlwm Saib Xyuas Haujlwm ntawm tus xovtooj hu dawb (888) 452-8609 lossis xa email rau MMCDOmbudsmanOffice@dhcs.ca.gov.
