Plaub Hlis Ntuj 8, 2024 - Stakeholder Update
Xov xwm tshaj plaws
DHCS Launches Health Equity Roadmap Initiative
DHCS tau tshaj tawm cov
phiaj xwm Kev Noj Qab Haus Huv Equity Roadmap, ib qho kev siv zog txuas ntxiv los qhia thiab ua kom DHCS cov haujlwm txhawm rau tshem tawm qhov tsis sib xws ntawm kev noj qab haus huv thiab ua kom muaj kev ncaj ncees rau Medi-Cal cov tswv cuab. Txoj Cai Kev Noj Qab Haus Huv Equity Roadmap sawv cev rau cov txheej txheem ua ntu uas tsim los nrog Medi-Cal cov tswv cuab los tsim kom muaj Medi-Cal kev sib raug zoo dua uas ua rau cov tswv cuab xav tau ua ntej. Thawj kauj ruam hauv cov txheej txheem no yog kev ncig xyuas thoob plaws lub xeev, lub sijhawm uas DHCS cov thawj coj thiab cov koom tes hauv zej zog tau mloog Medi-Cal cov tswv cuab cov kev paub dhau los nrog Medi-Cal. Cov ntaub ntawv sau los ntawm cov kev sib tham no yuav qhia txog kev txhim kho ntawm DHCS Health Equity Roadmap uas yuav coj kev txhim kho thiab kev siv cov kev pab cuam DHCS yav tom ntej kom muaj kev ncaj ncees rau kev noj qab haus huv.
Tom qab kev sib tham, DHCS yuav pib txheeb xyuas cov ntsiab lus uas tau hnov los ntawm cov tswv cuab thoob plaws hauv lub xeev. DHCS yuav ua haujlwm ze nrog Medi-Cal cov tswv cuab, cov kws tshaj lij, cov neeg tawm tswv yim, cov kws kho mob, thiab cov neeg muaj feem cuam tshuam kom ntseeg tau tias txhua lub suab thiab cov kev paub muaj feem cuam tshuam nrog hauv kev sib tham. Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv Equity Roadmap, tsim nyob rau theem kev tsim qauv, yuav muab cov tswv yim thiab cov tswv yim tswv yim sib koom nrog peb los hloov Medi-Cal mus rau hauv ib qho kev saib xyuas kev noj qab haus huv sib npaug.
Rau cov lus nug ntsig txog Txoj Cai Kev Noj Qab Haus Huv Equity Roadmap, lossis xav paub txog yuav ua li cas DHCS tuaj yeem ua rau Medi-Cal muaj kev ncaj ncees ntau dua, thov email
HealthEquityRoadmap@dhcs.ca.gov.
Telehealth: Sib tham sib siv Dashboard thiab Tshaj Qhia
Raws li ib feem ntawm tag nrho cov phiaj xwm tsom rau kev saib xyuas kev siv xov tooj hauv xov tooj hauv Medi-Cal, DHCS tau tshaj tawm thawj theem ntawm nws qhov kev sib tham sib tham txog pej xeem
Medi-Cal Telehealth Utilization Dashboard thiab tus khub
Biennial Telehealth Utilization Report. Ob lub dashboard thiab daim ntawv tshaj tawm yuav pab DHCS siv cov ntaub ntawv-tsav mus kom ze rau kev ntsuam xyuas txoj cai telehealth. 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 lub dashboard thiab tshaj tawm hauv ob theem. Theem ib muaj xws li yim teev cov kev pab kho mob cov ntaub ntawv hais txog kev siv telehealth. Theem ob yuav nthuav dav lub dashboard kom suav nrog cov ntaub ntawv hais txog kev noj qab haus huv ntawm lub hlwb, Tshuaj Kho Mob Medi-Cal Organized Delivery System, thiab kev 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 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, cov xwm txheej, thiab cov txiaj ntsig tseem ceeb. Daim ntawv tshaj tawm suav nrog cov ntaub ntawv siv xov tooj cua los 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.
Kev hloov kho tshiab
Child Health and Disability Prevention (CHDP) Program Transition
Senate Bill 184 (Chapter 47, Statutes of 2022) tau tso cai DHCS los txiav tawm CHDP qhov kev pab cuam thiab kev hloov pauv mus rau lwm lub Medi-Cal kev xa khoom los ntawm Lub Xya Hli 1, 2024. Qhov kev hloov pauv no ua kom yooj yim dua thiab ua kom yooj yim rau kev xa cov kev pabcuam rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 21 xyoos, ua raws li cov hom phiaj ntawm California Advancing and Innovating Medi-Cal (CalAIM) teg num. CalAIM txhim kho tus qauv kev saib xyuas thoob plaws Medi-Cal los ntawm kev sib sau cov dej num saib xyuas rau cov menyuam yaus thiab cov hluas nyob rau hauv Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCP).
CHDP Transition Plan tau tsim los ntawm kev koom tes nrog
CHDP Program Transition Workgroup thiab nrog kev tawm tswv yim los ntawm CHDP cov neeg koom nrog thoob plaws lub xeev. Txoj kev hloov pauv khaws cia qhov kev tsim nyog tau txais kev tso npe tam sim no muaj los ntawm CHDP Gateway, cov haujlwm hauv qab CHDP Childhood Lead Poisoning Prevention Program, thiab Txoj Haujlwm Saib Xyuas Kev Noj Qab Haus Huv rau Cov Menyuam hauv Kev Pabcuam. Raws li Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb Ntu 124024, DHCS tau tshaj tawm hauv nws lub vev xaib ib
tsab ntawv tshaj tawm uas tau lees paub tias txhua yam haujlwm uas xav tau rau kev hloov pauv tau ua tiav los ntawm Lub Peb Hlis 27, 2024.
Medi-Cal Rx
Thaum Lub Peb Hlis 29, 30-hnub countdown tsab ntawv tshaj tawm tau tshaj tawm rau
Code 1 Diagnosis Requirement – Reject Code 80 claim utilization management (UM) edits implementation for the member 22 years of age and above. Pib txij lub Plaub Hlis 30, 2024, Medi-Cal Rx yuav siv tus lej kuaj mob los ntawm tus tswv cuab cov ntaub ntawv kho mob Medi-Cal kom ua tau raws li Code I kev txwv. Yog tias tsis pom tus lej kuaj pom muaj nyob hauv cov ntaub ntawv kho mob lossis suav nrog thaum lub sijhawm txiav txim plaub ntug, cov ntaub ntawv xa mus rau Medi-Cal Rx yuav tsis lees paub nrog Reject Code 80. Cov ntaub ntawv sau tshuaj yuav tsum siv rau Code I kuaj cov tshuaj txwv. Cov kws kho mob thiab cov kws kho mob yuav tsum sau cov ntaub ntawv kho mob thiab khaws cov ntaub ntawv no kom yooj yim rau kev tshuaj xyuas.
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
CalAIM Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Technical Assistance (TA) Marketplace
Thaum Lub Plaub Hlis 9 thiab 25, txij thaum 9 txog 10:30 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham virtual CalAIM
PATH TA Marketplace Vendor Fairs, uas cov neeg muag khoom nthuav tawm lawv lub koom haum thiab cov 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 MCP lossis lwm lub koom haum tsim nyog los muab Kev Tswj Xyuas Kev Pabcuam Zoo (ECM) / Kev Txhawb Zej Zog raug txhawb kom tuaj koom. 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 thiab tau txais kev pom zoo. Cov neeg muag khoom cov kev pabcuam pab tsim nyog ECM/Community Txhawb nqa cov neeg muab kev pabcuam 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 uas twb muaj lawm thiab tshiab, siv cov kev pabcuam lus teb, thiab ntau dua.
Lub
Plaub Hlis 9 Vendor Fair muaj cov neeg muag khoom muab kev pab cuam 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.
Tsis tas li ntawd, thaum lub Plaub Hlis 1, DHCS tau qhib CalAIM
PATH TA Marketplace Round 4 daim ntawv thov tus neeg muag khoom. 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. Yog xav paub ntxiv, thov saib
daim ntawv qhia.
California Children's Services (CCS) Advisory Group Meeting
Lub Plaub Hlis 10, txij li 1 txog 4 teev tsaus ntuj, DHCS yuav tuav lub
rooj sib tham CCS Pawg Pabcuam Peb Hlis. 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.
Doula Stakeholder Implementation Workgroup Meeting
Thaum Lub Plaub Hlis 12, thaum 10 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Doula Stakeholder Implementation Workgroup tom ntej txhawm rau tshuaj xyuas kev siv cov txiaj ntsig ntawm Medi-Cal doula, raws li Senate Bill 65 thiab Welfare and Institutions Code section 14132.24. Lub rooj sib tham yuav muaj nyob ntawm Zoom, nrog rau tus kheej xaiv ntawm 1501 Capitol Avenue, Sacramento, CA 95814, Room 71.4003. Qhov txuas mus koom lub rooj sib tham nrog rau cov txheej txheem muaj nyob rau ntawm
Doula Services raws li Medi-Cal Benefit webpage. Thov xa email rau koj cov lus nug rau
DoulaBenefit@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
DHCS Tshaj Tawm Daim Ntawv Qhia Txog Kev Ua Haujlwm Peb Hlis ntawm ECM thiab Kev Txhawb Zej Zog
Thaum Lub Plaub Hlis 4, DHCS
tau tshaj tawm tsab ntawv tshaj tawm ECM thiab Kev Txhawb Zej Zog Kev Txhawb Nqa Peb Lub Hlis uas suav nrog cov ntaub ntawv txij lub Ib Hlis 2022 txog Lub Cuaj Hli 2023. Cov ntaub ntawv tso tawm no ntxiv cov ntaub ntawv siv peb lub hlis twg xyoo 2023 ntawm lub xeev, lub nroog, thiab Medi-Cal MCP qib thiab cov pej xeem, suav nrog haiv neeg, thawj hom lus, hnub nyoog, thiab poj niam txiv neej.
Daim ntawv tshaj tawm cov ntaub ntawv qhia txog kev nce siab hauv ob qho tib si muaj thiab siv Cov Kev Txhawb Zej Zog, qhia txog kev loj hlob tseem ceeb hauv cov nroog uas muab cov kev pabcuam no. Raws li Lub Ib Hlis 2024, 23 lub nroog thoob plaws California tau muab tag nrho 14 Lub Zej Zog Txhawb Nqa, thiab txhua lub nroog muaj tsawg kawg yog xya Lub Zej Zog Txhawb nqa. Qhov no yog qhov nce ntxiv txij li thaum kawg ntawm 2022, thaum tsuas yog peb lub nroog tau muab tag nrho 14 Lub Zej Zog Txhawb Nqa. Zuag qhia tag nrho, kwv yees li 103,000 tus tswv cuab Medi-Cal tshwj xeeb tau siv Kev Txhawb Zej Zog hauv thawj 21 lub hlis ntawm qhov kev pab cuam, nrog ntau tshaj 186,000 tag nrho cov kev pabcuam xa tuaj. Tsis tas li ntawd, tus naj npawb ntawm cov tswv cuab tau txais los ntawm ECM txhua lub hlis twg yog nce; Hauv Q3 2023, kwv yees li 86,000 tus tswv cuab tau txais ECM, nce 28 feem pua los ntawm Q4 2022. Q3 2023 tag nrho suav nrog 6,300 tus tswvcuab hnub nyoog qis dua 21 xyoos, ntau tus uas tau tsim nyog rau ECM thaum Lub Xya Hli 2023. Ua ke, ntau dua 160,000 tus tswv cuab Medi-Cal tshwj xeeb thoob plaws lub xeev tau txais ECM hauv thawj 21 lub hlis ntawm cov txiaj ntsig.
ECM thiab Community Supports aims los txhim kho Medi-Cal cov tswv cuab kev noj qab haus huv thiab kev noj qab haus huv tag nrho los ntawm kev hais txog ob qho kev kho mob thiab kev sib raug zoo uas tuaj yeem cuam tshuam rau tib neeg kev noj qab haus huv, suav nrog kev pab vaj tse, kev pab noj mov, kev cob qhia ua haujlwm, thiab kev sib koom tes hauv nruab nrab ntawm kev saib xyuas. Yog xav paub ntxiv txog daim ntawv tshaj tawm lossis muab kev tawm tswv yim txog cov ntaub ntawv, thov email
CalAIMECMILOS@dhcs.ca.gov.
Mobile Medi-Cal Dental Van Ncig saib
Thaum Lub Plaub Hlis 4, DHCS
tau ncaws tawm qhov thib ob mobile dental van ncig saib hauv Fresno nrog rau xov xwm. DHCS' Smile, California phiaj xwm qhia rau Medi-Cal cov tswv cuab txog 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, tshwj xeeb tshaj yog rau cov pab pawg tsis tau txais kev pab. Ntxiv rau Fresno, lub tsheb kho hniav txawb tau mus xyuas Pixley (Plaub Hlis 5) thiab yuav nres yav tom ntej hauv Hollister (Lub Plaub Hlis 11), Avenal (Lub Plaub Hlis 12), thiab Huntington Park (Tsib Hlis 4).
Medi-Cal cov tswv cuab, cov kws kho mob thiab kws 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 ua 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 ntaub ntawv tseeb, thiab "Find-A-Dentist" cov cuab yeej los nrhiav tus kws kho hniav.
