Plaub Hlis Ntuj 2, 2024 - Stakeholder News
Xov xwm tshaj plaws
Case Study: California's Medi-Cal Redetermination Journey
Nyob rau xyoo tas los no, DHCS thiab lub nroog thiab tsoomfwv cov neeg koom tes tau koom tes los txiav txim siab txog kev tsim nyog ntawm California cov neeg uas tau txais kev pab them nqi kho mob los ntawm Medi-Cal. Thoob plaws hauv cov txheej txheem, DHCS tau txais kev hloov pauv tshiab hauv tsoomfwv los pab txo qis kev tswj hwm lub nra ntawm Medi-Cal cov tswv cuab thiab ua kom muaj txiaj ntsig zoo hauv kev rov ua dua tshiab. Ntau qhov kev zam cuam tshuam txog nyiaj tau los tau pib siv rau lub Kaum Ob Hlis 2023 rov txiav txim lub hli. Nrog kev pab cuam los ntawm White House United States Digital Service (USDS), DHCS tau ua tiav cov kev zam no, ua rau ntau tus tswv cuab tau ua tiav rov pib dua yam tsis tas yuav sau thiab xa rov qab daim ntawv rov qab mus rau lawv lub nroog.
USDS thiab California Lub Chaw Pabcuam Kev Noj Qab Haus Huv & Tib Neeg tau tshaj tawm ib qho
teeb meem luv luv hais txog cov kev hloov pauv uas California tau siv los ntawm tsoomfwv los txhim kho cov txheej txheem rov pib dua tshiab. Tsis tas li ntawd, US Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg
tau tshaj tawm cov kev nqis tes ua ntxiv los pab tib neeg kom muaj kev pov hwm raws li lub xeev txuas ntxiv Medicaid thiab Children's Health Insurance Program tau txais kev tsim nyog txuas ntxiv mus.
Mobile Medi-Cal Dental Van Ncig saib
Thaum lub Plaub Hlis 4, DHCS yuav ncaws tawm qhov thib ob mobile dental van ncig xyuas hauv Fresno. DHCS' Smile, California phiaj los nqis tes txhawb kev tiv thaiv kev kho hniav rau cov menyuam yaus thiab cov hluas los txhim kho kev siv cov kev kho hniav tseem ceeb thiab txhim kho qhov ncauj. Ntxiv rau Fresno, lub tsheb kho hniav mobile yuav mus xyuas Pixley (Plaub Hlis 5), Hollister (Lub Plaub Hlis 11), Avenal (Lub Plaub Hlis 12), thiab Huntington Park (Tsib Hlis 4). Cov kev pabcuam uas tau ua nyob rau ntawm qhov chaw yuav suav nrog kev kuaj mob, X-rays, ntxuav, thiab siv tshuaj fluoride.
Medi-Cal cov tswv cuab, cov kws kho mob thiab kho hniav, thiab cov koom haum hauv zej zog tuaj yeem kawm paub ntxiv txog Medi-Cal cov kev pab kho hniav uas tau them los ntawm kev mus saib hauv Smile, California lub vev xaib, ua lus Askiv ntawm
SmileCalifornia.org lossis lus Mev ntawm
SonrieCalifornia.org. Lub vev xaib suav nrog cov peev txheej pab tau, xws li cov ntaub ntawv tshaj tawm, cov yeeb yaj kiab, cov ntawv qhia tseeb, thiab "
Nrhiav-A-Dentist" cuab yeej los nrhiav tus kws kho hniav.
Kev hloov kho tshiab
CalAIM Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Pabcuam Kev Pabcuam (TA) Kev Ua Lag Luam Chaw Muag Khoom Daim Ntawv Thov qhib rau lub Plaub Hlis 1
Thaum Lub Plaub Hlis 1, DHCS yuav qhib California Advancing and Innovating Medi-Cal (CalAIM)
PATH TA Marketplace Round 4 tus neeg muag khoom lub sijhawm thov. PATH TA Marketplace yog ib lub vev xaib ib-stop-shop uas cov koom haum tuaj yeem nkag tau dawb TA cov kev pab cuam los ntawm cov neeg muag khoom raug cai thiab pom zoo. Cov kev pab cuam muag khoom tau pab tsim nyog tau txais Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Cov Chaw Pab Txhawb Hauv Zej Zog tsim lawv cov ntaub ntawv muaj peev xwm, ntxiv dag zog rau kev sib koom tes hauv kev sib koom tes, cob qhia cov neeg ua haujlwm tshiab thiab cov neeg ua haujlwm tshiab, siv cov kev pabcuam lus teb, thiab lwm yam.
Cov koom haum xav thov kom tsim nyog ua tus neeg muag khoom TA tuaj yeem thov rau ntawm PATH TA Marketplace lub vev xaib. Cov ntawv thov yuav tsum xa los ntawm 5 teev tsaus ntuj PDT rau lub Plaub Hlis 30. Cov neeg muag khoom pom zoo yuav tau txais PATH-nyiaj them rov qab rau TA cov kev pabcuam uas lawv muab hauv TA Marketplace.
Skilled Nursing Facility (SNF) Interim Payment Performance Data
DHCS lub lim tiam no yuav tshaj tawm cov ntaub ntawv them nyiaj hauv tsev rau 2023 SNF Workforce and Quality Incentive Program (WQIP), uas txhawb nqa cov chaw los txhim kho kev saib xyuas zoo, ua kom muaj kev ncaj ncees hauv cov txiaj ntsig kev noj qab haus huv, thiab nqis peev hauv cov neeg ua haujlwm. Cov ntaub ntawv tau muab tso rau ntawm
SNF WQIP lub vev xaib. Rau WQIP cov lus nug lossis kev txhawj xeeb, thov xa email rau
SNFWQIP@dhcs.ca.gov. Yog xav paub ntxiv txog lwm qhov kev pab nyiaj txiag kho mob kho mob uas tau tso cai los ntawm AB 186 (Tshooj 46, Txoj Cai ntawm 2022), thov mus saib hauv
Nursing Facility Financing Reform (AB 186) lub vev xaib.
Telehealth: Sib tham sib siv Dashboard thiab Tshaj Qhia
DHCS lub lim tiam no yuav tshaj tawm thawj theem ntawm nws cov pej xeem-ntsib kev sib tham sib tham xov tooj dashboard thiab tus khub Biennial Telehealth Utilization Report, uas yog ib feem ntawm tag nrho cov teg num tsom rau saib xyuas kev siv xov tooj hauv Medi-Cal. Ob lub dashboard thiab daim ntawv tshaj tawm yuav pab DHCS nrog kev tsim kom muaj lub hauv paus zoo dua thiab muaj zog dua rau kev ntsuam xyuas ntxiv txoj cai kev noj qab haus huv siv cov ntaub ntawv-tsav mus kom ze. DHCS lub hom phiaj yog txhawm rau muab ntau yam kev ntsuas kev noj qab haus huv hauv xov tooj thiab qhia cov ntaub ntawv xov xwm kev noj qab haus huv hauv ib hom ntawv uas yooj yim rau kev nkag mus thiab nkag siab. DHCS cia siab tias yuav tshaj tawm cov dashboard thiab daim ntawv tshaj tawm hauv ob theem. Theem ib yuav suav nrog yim qhov kev ntsuas cov ntaub ntawv kho mob ntsig txog kev siv xov tooj. Theem ob yuav nthuav dav lub dashboard kom suav nrog cov ntaub ntawv hais txog kev noj qab haus huv ntawm kev puas siab puas ntsws, Tshuaj Kho Mob Medi-Cal Organized Delivery System, thiab kho hniav.
Lub dashboard tau cia siab tias yuav ua tiav nrog tag nrho cov ntaub ntawv teev nyob rau lub caij ntuj sov 2024 thiab yuav hloov kho txhua xyoo tom qab ntawd. Txhawm rau ua ib qho ntxiv rau lub dashboard, DHCS tau tsim daim ntawv tshaj tawm, uas muab cov ntsiab lus tseem ceeb ntawm Medi-Cal kev siv xov tooj ntawm tes, qhov sib txawv, thiab cov ntsiab lus tseem ceeb ntawm 2019 txog 2022. Yog xav paub ntxiv, thov mus saib hauv
Medi-Cal & Telehealth lub vev xaib. Thov xa email rau koj cov lus nug rau
Medi-Cal_telehealth@dhcs.ca.gov.
Health Enrollment Navigators Project Partner Data
Thaum Lub Peb Hlis 29, DHCS tau tshaj tawm Health Enrollment Navigators Project tus khub cov ntaub ntawv tshwj xeeb los ntawm Lub Ib Hlis 2020 txog Lub Cuaj Hli 2022 uas suav nrog cov dej num hauv qab no: kev nthuav qhia, kev pab thov, kev pab cuam txog kev nkag mus thiab siv cov kev pab kho mob (kev taw qhia), kev daws teeb meem, thiab kev pab rov txiav txim dua. Kev tso npe kawm ntawv thiab kev tuav pov hwm yog stratified los ntawm pawg hnub nyoog, kev nkag tebchaws, haiv neeg / haiv neeg, poj niam txiv neej, thiab cov lus sau thiab hais lus. Thov mus saib
Navigators Project Partner lub vev xaib kom paub ntau ntxiv. Thov xa email rau koj cov lus nug rau
HealthNavigators@dhcs.ca.gov.
Koom nrog peb pab neeg
DHCS tab tom ntiav rau 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
Consumer-Focused Stakeholder Workgroup (CFSW)
Lub Plaub Hlis 5, thaum 10 txog 11:30 teev sawv ntxov, DHCS yuav sib tham txog CFSW, uas muab sijhawm rau cov neeg koom nrog los tshuaj xyuas thiab muab cov lus tawm tswv yim txog ntau yam ntawm cov neeg siv khoom xa xov. Lub rooj sab laj tsom mus rau kev tsim nyog- thiab cov dej num ntsig txog kev tso npe kawm thiab siv zog los muab kev sib tham qhib rau Medi-Cal cov cai thiab kev ua haujlwm. Cov ntaub ntawv sib tham, suav nrog cov txheej txheem kev sib tham, yuav muab tso rau hauv
CFSW lub vev xaib tsis pub dhau lub Plaub Hlis 3. Thov xa koj cov lus nug rau
DHSCCFSW@dhcs.ca.gov.
CalAIM PATH TA Marketplace Final Virtual Vendor Fairs
Thaum Lub Plaub Hlis 9 thiab 25, thaum 9 txog 10:30 teev sawv ntxov, DHCS yuav tuav qhov kawg virtual CalAIM
PATH TA Marketplace Vendor Fairs, uas cov neeg muag khoom nthuav tawm lawv lub koom haum thiab kev pabcuam rau cov neeg tau txais kev pabcuam TA thiab txhawb kev siv TA Marketplace. Pom zoo TA Cov neeg tau txais kev pom zoo thiab cov koom haum tam sim no tau cog lus nrog lossis npaj cog lus nrog Medi-Cal tswj hwm txoj kev npaj kho mob (MCP) lossis lwm lub koom haum tsim nyog los muab ECM/Community Supports raug txhawb kom tuaj koom.
Lub
Plaub Hlis 9 Tus Neeg Muag Khoom Ncaj Ncees muaj cov neeg muag khoom muab kev pabcuam hauv Domain 2: Kev Txhawb Zej Zog thiab Domain 7: Kev Ua Haujlwm. Domain 2 suav nrog TA cov neeg muag khoom nrog cov kws tshaj lij hauv kev tsim, siv, thiab txhim kho ib lossis ntau qhov kev pabcuam Medi-Cal Community Supports. Domain 7 suav nrog TA cov neeg muag khoom nrog cov kws tshaj lij hauv kev nrhiav neeg ua haujlwm thiab khaws cov neeg ua haujlwm tau zoo, ua haujlwm siab, nrog rau kev tsom mus rau cov tswvcuab hauv ntej, chaw kho mob, thiab / lossis "kev ua neej nyob" cov neeg ua haujlwm.
Lub
Plaub Hlis 25 Vendor Fair muaj cov neeg muag khoom muab kev pab cuam hauv Domain 5: Txhawb Kev Noj Qab Haus Huv Equity thiab Domain 6: Txhawb Kev Sib Koom Tes Sib Koom Tes. Domain 5 suav nrog TA cov neeg muag khoom nrog cov kws tshaj lij los pab TA cov neeg tau txais kev noj qab haus huv los ntawm lawv qhov kev siv ECM/Community Supports thiab hauv lawv txoj haujlwm nrog Medi-Cal cov tswv cuab. Domain 6 suav nrog TA cov neeg muag khoom nrog cov kws tshaj lij los pab cov neeg tau txais kev pabcuam TA ua tiav kev koom tes hauv kev sib koom tes, suav nrog kev koom tes ntawm Medi-Cal MCPs thiab cov nroog.
California Children's Services (CCS) Advisory Group Meeting
Thaum Lub Plaub Hlis 10, DHCS yuav tuav lub
rooj sib tham CCS Pawg Kws Pab Tswv Yim rau peb lub hlis twg. Pawg CCS Advisory Group thiab DHCS ua haujlwm hauv kev sib koom tes los xyuas kom cov menyuam yaus hauv CCS thiab Whole Child Model (WCM) kev pabcuam tau txais kev saib xyuas tsim nyog thiab sijhawm sijhawm. Cov txheej txheem txheej txheem suav nrog kev hloov kho tshiab ntawm WCM tom qab kev saib xyuas kev hloov pauv thiab nthuav dav, CCS Kev Ua Raws Cai, Kev Saib Xyuas, thiab Kev Saib Xyuas Kev Ua Haujlwm, Kev Tiv Thaiv Kev Noj Qab Haus Huv Me Me thiab Kev Tiv Thaiv Kev Xiam Oob Qhab, thiab CCS Redesign Performance Measure Quality Subcommittee.
Cov ntaub ntawv ntxiv muaj nyob rau ntawm
CCS Advisory Group lub vev xaib. Thov xa email rau koj cov lus nug rau
CCSProgram@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
California Muab Fentanyl Test Strips Dawb Los Ntawm Naloxone Distribution Project (NDP)
DHCS tshaj tawm qhov nthuav dav ntawm
NDP kom suav nrog fentanyl test strips (FTS), uas tuaj yeem tau txais los ntawm cov koom haum tsim nyog thoob plaws hauv lub xeev California. FTS yog siv los kuaj pom muaj fentanyl hauv cov qauv tshuaj ua ntej noj. NDP cov neeg thov yuav muaj kev xaiv thov naloxone, FTS, lossis ob qho tib si tsis muaj nqi los ntawm
daim ntawv thov online. Txij li thaum NDP tau pib xyoo 2018, nws tau faib ntau dua 3,994,000 cov khoom siv ntawm Naloxone, uas tau siv los thim rov qab ntau dua 252,000 cov tshuaj ntau dhau.
