Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Lub yim hli ntuj 19, 2024 - Stakeholder Update​​ 

Kev hloov kho tshiab​​ 

Children and Youth Behavioral Health Initiative (CYBHI) – Rov Mus Kawm Ntawv​​ 

Thaum Lub Yim Hli 22, thaum 3 txog 5 teev tsaus ntuj PDT, DHCS, koom tes nrog Sacramento County Office of Education, yuav tuav ib lub rooj sib tham rau pej xeem txog kev ua haujlwm hauv tsev kawm ntawv uas yog ib feem ntawm CYBHI. Qhov webinar no yuav hais txog cov kev txiav txim siab tseem ceeb thiab hloov tshiab thoob plaws ntau lub tsev kawm ntawv cov kev pab cuam, suav nrog CYBHI Fee Schedule program thiab School-Linked Partnership and Capacity Grant Program.

Tsis tas li ntawd, California Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv & Tib Neeg (CalHHS) tau tshaj tawm Cov Khoom Siv Rov Qab Rau Tsev Kawm Ntawv Lub Hlis uas suav nrog kev tshaj tawm xov xwm, duab, thiab cov yeeb yaj kiab los pab cov tsev kawm ntawv txhawb cov lus thiab cov peev txheej los pab txhawb kev mob hlwb ntawm cov tub ntxhais hluas thaum rov qab los. - rau lub caij kawm ntawv. Cov tsev kawm ntawv raug txhawb kom siv cov cuab yeej siv thaum lub sij hawm rov qab mus rau tsev kawm ntawv los tshaj tawm cov lus hais txog DHCS ob lub Cwj Pwm Kev Noj Qab Haus Huv Virtual Services Platforms uas muab kev pab dawb, nyab xeeb, thiab tsis pub lwm tus paub txog kev mob hlwb rau cov hluas thiab lawv tsev neeg: BrightLife Kids rau cov menyuam yaus cov hnub nyoog 0-12 thiab lawv niam lawv txiv lossis cov neeg saib xyuas thiab Soluna rau cov tub ntxhais hluas hnub nyoog 13-25. Yog xav paub ntxiv, thov xa email rau CYBHI@dhcs.ca.gov.
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Medi-Cal Reimbursements for Vaccines for Children (VFC) Program​​ 

Medi-Cal yuav them rov qab rau cov chaw muab tshuaj rau npe nyob rau hauv VFC qhov kev pab cuam rau cov tshuaj tiv thaiv VFC nyiaj pab thaum muab rau thiab tom qab Lub Ib Hlis 1, 2023, rau cov tswv cuab Medi-Cal uas muaj hnub nyoog 18 xyoo thiab qis dua. Medi-Cal-cov chaw muab tshuaj rau npe yuav tsum tau rau npe rau hauv qhov kev pab cuam VFC kom tau txais cov nyiaj them rov qab los ntawm Medi-Cal rau cov tshuaj tiv thaiv VFC nyiaj pab rau cov tswv cuab 18 xyoo thiab qis dua. Tus nqi ntawm cov tshuaj tiv thaiv yuav tsis raug them rov qab vim tias cov tshuaj tiv thaiv tau muab pub dawb raws li VFC txoj haujlwm. Pharmacy providers can bill three different services for reimbursement: vaccine administration fee, professional dispensing fee, and pharmacist services (consultation and assessment [vaccine initiation] fee).

Cov kws kho mob uas tsis tau tso npe rau hauv Medi-Cal ua ib qho kev txiav txim, muab tshuaj, thiab sau tshuaj (ORP) tus kws kho mob tuaj yeem sau nqi rau kev tswj hwm tshuaj tiv thaiv yog tias tus kws kho mob uas tus kws kho mob hauv lub tebchaws raug xa mus rau qhov kev thov rau Medi-Cal Rx tau cuv npe ua Medi-Cal tus muab kev pab. Txhawm rau sau npe rau cov kev pabcuam kws muag tshuaj, tus kws muag tshuaj yuav tsum yog tus kws kho mob Medi-Cal ORP.

Yog xav paub ntxiv txog kev taw qhia, thov xa mus rau Medi-Cal Kev Them Nyiaj Rov Los ntawm VFC-Kev Sau Npe Cov Chaw Muag Tshuaj thiab rau VFC thiab Tsis-VFC Cov Tshuaj Tiv Thaiv - Cov Lus Nug Nquag (FAQs) lossis Medi-Cal Rx Alert, Los Sai: Medi-Cal Nyiaj Rov Qab rau VFC - Cov Kev Pab Cuam Npe.
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Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav tus kws tshaj lij, tshwj xeeb tshaj yog tus neeg mob siab los ua haujlwm xws li:​​ 

  • Tus Lwm Thawj Coj Tus Thawj Coj Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag los pab ua tus thawj coj hauv kev npaj, kev siv, kev sib koom tes, kev ntsuam xyuas, thiab kev tswj hwm ntawm DHCS cov kev pab cuam nyiaj txiag kho mob thiab cov cai. (Hnub kawg ua ntawv thov: Lub Yim Hli 21)​​ 
  • Tus Thawj Coj ntawm Lub Chaw Haujlwm Saib Xyuas Tsev Neeg los ua tus thawj coj hauv Family Planning, Access, Care, thiab Treatment (FPACT), uas muab kev pab npaj tsev neeg rau cov neeg tau nyiaj tsawg thiab tsev neeg. Tus Thawj Coj tseem tab tom tsim thiab ua raws li txoj cai nyuaj thiab muaj txiaj ntsig ntsig txog FPACT, kev npaj tsev neeg, thiab kev pabcuam kev sib deev thiab kev ua menyuam yaus hauv Medi-Cal qhov kev pabcuam. (Hnub kawg ua ntawv thov: Cuaj hlis 4)
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DHCS tseem ntiav rau nws txoj cai lij choj thiab tsoomfwv txoj haujlwm, tib neeg cov peev txheej, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, cov ntaub ntawv thev naus laus zis, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib
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Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

Population Health Management Webinar: Txhawb Medi-Cal Cov Tswv Cuab nrog Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (LTSS)​​ 

Thaum Lub Yim Hli 21, txij li 12 txog 1 teev tsaus ntuj PDT, DHCS yuav tuav lub vev xaib ntawm kev txhim kho cov kev pabcuam thiab kev txhawb nqa rau cov tswvcuab uas xav tau LTSS thaum lub sijhawm hloov kho, xws li tsiv tawm hauv tsev kho mob mus rau qhov chaw tu neeg mob lossis los ntawm lub tsev kho mob mus rau tsev (ua ntej yuav tsum tau sau npe). Cov kev npaj khomob uas raug tswj xyuas yog lub luag haujlwm los xyuas kom cov tswvcuab tau txais kev txhawb nqa los ntawm cov txheej txheem kev npaj tawm mus los ntawm kev txuas lawv mus rau txhua qhov kev pabcuam thiab kev txhawb nqa. Given the variety and complexity of available services for the LTSS population across Medi-Cal, stakeholders requested technical assistance to ensure successful transitions into the least restrictive level of care.

Qhov webinar no yuav tsom mus rau yuav ua li cas Kev Txhawb Zej Zog, Txhim Kho Kev Tswj Xyuas, thiab cov kev pabcuam kev hloov pauv tuaj yeem pab txhawb cov tswvcuab zoo tshaj plaws thaum lub sijhawm thiab tom qab lub sijhawm hloov pauv. Guest speakers Anwar Zouehid, Vice President of LTSS at Partners in Care Foundation, and Chris Esguerra, Chief Medical Officer of Health Plan of San Mateo, will share promising practices and discuss new resources, including the Enhanced Care Management Long-Term Care Population of Focus Spotlight and the forthcoming transitional care services technical assistance resource guide for members with LTSS needs.
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CalAIM Kev Ncaj Ncees-Involved Initiative Learning Collaborative Series​​ 

Thaum Lub Yim Hli 22, thaum 10 teev sawv ntxov txog 12 teev tsaus ntuj PDT, DHCS yuav tshaj tawm cov kev kawm sib koom ua ke rau cov neeg koom tes koom tes hauv kev siv California Advancing and Innovating Medi-Cal (CalAIM) txoj kev ncaj ncees-kev koom tes. Cov koob yuav suav nrog cov kev cai zam, cov kev coj ua zoo tshaj plaws, thiab cov tswv yim siv. Cov koom tes ua haujlwm yuav tau txais qhov txuas rau npe los ntawm email, thiab cov kev sib tham yuav raug sau tseg rau yav tom ntej ntawm DHCS Kev Ncaj Ncees-Involved Initiative webpage.

Cov ncauj lus muaj xws li kev soj ntsuam kev ncaj ncees los ntawm lub portal, qauv kev saib xyuas luv luv, kev them nqi thiab kev thov, Kev Tswj Xyuas Kev Kho Mob Zoo Tshaj Plaws, kev ua haujlwm sov so, kev ua haujlwm pib, thiab txoj cai hauv tsev muag tshuaj. Yuav muaj kev sib tham txog kev sib tham rau cov chaw kho, cov koom tes hauv nroog, thiab Medi-Cal cov phiaj xwm saib xyuas. DHCS yuav tuav lub sijhawm ua haujlwm hauv lub limtiam tom qab txhua qhov kev sib tham.

Cov koob no yog rau cov tsev kaw neeg hauv nroog (Sheriff's Office cov neeg ua haujlwm thiab cov koom tes kho mob kho mob kho); Cov chaw kho cov tub ntxhais hluas (cov neeg ua haujlwm raug txiav txim thiab cov chaw kho mob kho mob cuam tshuam); tswj kev npaj kho mob; county cov chaw saib xyuas kev noj qab haus huv; thiab California Department of Corrections and Rehabilitation. DHCS tseem txhawb nqa cov koom tes hauv nroog kom caw cov kws saib xyuas kev noj qab haus huv zoo dua thiab cov neeg muab kev pabcuam rov qab los, nrog rau lwm tus koom tes ua haujlwm tseem ceeb. Yog xav paub ntxiv, email DHCS ntawm CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.
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Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Khab Lub Rooj Sib Tham​​ 

Thaum Lub Yim Hli 26, thaum 9:30 teev sawv ntxov txog 4:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv peb lub hlis twg pab pawg neeg thiab Indian cov neeg sawv cev kev noj qab haus huv lub rooj sib tham hauv Sacramento. Lub rooj sib tham muab cov neeg sawv cev ntawm pab pawg neeg thiab Indian cov neeg sawv cev kev noj qab haus huv rau lub rooj sab laj los muab kev tawm tswv yim txog DHCS cov phiaj xwm uas muaj kev cuam tshuam tshwj xeeb rau cov pab pawg neeg, cov kev pabcuam kev noj qab haus huv Indian, thiab cov tswvcuab Indian Indian Medi-Cal. Cov lus caw thiab cov txheej txheem tau muab tso rau ntawm Indian Health Program lub vev xaib. Lwm cov ntaub ntawv sib tham yuav muab tso tawm thaum lawv muaj.
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Txoj Cai Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm Cov Nyiaj Tau Los thiab Kev Ruaj Ntseg Ua Haujlwm Lub Rooj Sib Tham​​ 

Thaum Lub Yim Hli 27, txij li 1 txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham Behavioral Health Services Act Revenue and Stability Workgroup ntawm DHCS, 1500 Capitol Avenue, Room 72.168, Sacramento, lossis ntawm webinar. Lub rooj sib tham lub hom phiaj yog txhawm rau txheeb xyuas qhov kev hloov pauv ntawm xyoo dhau ib xyoo ntawm cov nyiaj tau los ntawm cov se tau los ntawm Txoj Cai Tswj Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv, txhawm rau paub txog qhov xav tau rau lub tswv yim txhim khu kev qha rau lub sijhawm luv thiab ntev nyiaj txiag ruaj ntseg. Cov lus pom zoo txais tos. Kawm paub ntau ntxiv txog DHCS' Behavioral Health Transformation.
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CalAIM Tswj LTSS thiab Duals Integration Workgroup Meeting​​ 

Thaum Lub Yim Hli 29 thaum 12 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham virtual CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb (MLTSS) thiab Duals Integration Workgroup lub rooj sib tham (yuav tsum tau sau npe ua ntej). Pawg neeg ua hauj lwm ua hauj lwm ua ib lub koom haum koom tes nrog rau CalAIM MLTSS thiab kev saib xyuas kev koom ua ke rau ob tus tswv cuab tsim nyog thiab tso cai rau cov neeg koom nrog los muab cov lus tawm tswv yim thiab qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab cov tswv yim rau kev hloov pauv rau Medi-Cal thiab Medicare yav tom ntej. 

Cov ntaub ntawv keeb kwm yav dhau, cov ntawv sau tseg, thiab cov ntaub ntawv kaw tseg ntawm pawg neeg ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, tau muab tso rau hauv CalAIM MLTSS thiab Duals Integration Workgroup lub vev xaib. Rau cov lus nug lossis lus pom, thov email info@calduals.org.
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SB 770 – Kev them nyiaj kho mob kev noj qab haus huv - Kev sib tham rau pej xeem​​ 

Thaum Lub Yim Hli 30, thaum 9 teev sawv ntxov txog 1 teev tsaus ntuj PDT, CalHHS thiab UCLA Lub Tsev Haujlwm Saib Xyuas Txoj Cai Kev Noj Qab Haus Huv yuav tuav lub rooj sib tham rau pej xeem ntawm SB 770 (Tshooj 412, Txoj Cai Lij Choj ntawm 2023), uas xav kom CalHHS los tsim ib lub hauv paus kev zam rau tsoomfwv thiab xa daim ntawv qhia txog ib qho kev sib koom ua ke nyiaj txiag kho mob hauv California, hauv kev sab laj nrog cov neeg muaj feem. CalHHS tau cog lus nrog UCLA Center rau Kev Tshawb Fawb Txoj Cai Kev Noj Qab Haus Huv los tshawb fawb thiab sau tsab ntawv ceeb toom ib ntus. UCLA yuav nthuav qhia nws cov kev tshawb fawb thawj zaug thiab cov teeb meem tsim qauv tseem ceeb. Cov neeg tuaj koom yuav tuaj yeem tawm tswv yim hauv tsab ntawv ceeb toom ib ntus. Kev tawm tswv yim ntxiv rau pej xeem tuaj yeem muab los ntawm email SB770publiccomment@chhs.ca.gov.
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DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem​​ 

Kev tso npe tam sim no qhib rau thawj ob lub rooj sib tham DHCS Kev Txom Nyem Hauv Lub Nroog Shasta (Lub Kaum Hli 24) thiab Lub Nroog San Mateo (Lub Kaum Ib Hlis 19). Los ntawm cov rooj sib tham no, DHCS vam tias yuav koom tes nrog cov zej zog thoob plaws lub xeev los hloov cov kab lis kev cai nyob ib puag ncig lub tswv yim ntawm kev txo kev puas tsuaj hauv California txoj kev siv tshuaj tsis zoo thiab tsim kom muaj kev cuam tshuam tsawg, kev saib xyuas neeg mob. DHCS txhawb nqa cov kws kho mob thiab cov neeg ua haujlwm (xws li cov neeg ua haujlwm sib raug zoo, cov phooj ywg, cov neeg ua haujlwm pem hauv ntej, cov neeg saib xyuas cov ntaub ntawv, cov kws saib xyuas neeg mob, cov kws kho mob, thiab txhua tus neeg ua haujlwm hauv cov chaw kho mob siv tshuaj yeeb dawb) tuaj koom thiab kawm txog cov kev coj ua zoo tshaj plaws rau kev sib koom ua ke ntawm kev tsim txom. txo mus rau hauv kev siv tshuaj yeeb dej caw kev kho mob. Cov rooj sib tham tseem tshuav yuav nyob hauv Fresno County, Los Angeles County, thiab San Diego County thaum lub caij ntuj no 2025. Sau npe rau ntawm lub vev xaib kev tshwm sim
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Hauv Case Koj Tsis Tau Nws​​ 

CalAIM Dashboard Hloov tshiab​​ 

Thaum Lub Yim Hli 9, DHCS tau tshaj tawm qhov hloov tshiab rau cov pej xeem-fab CalAIM dashboards uas txhawb kev pom thiab pom qhov cuam tshuam, kev vam meej, thiab thaj chaw tseem ceeb ntawm CalAIM. Qhov kev hloov tshiab no suav nrog cov phiaj xwm kev kho hniav tshiab uas qhia txog CalAIM cov phiaj xwm txhawm rau txhim kho cov txiaj ntsig ntawm qhov ncauj. Nws kuj tseem rov kho cov ntaub ntawv thiab txhim kho cov yam ntxwv hauv cov dashboards uas twb muaj lawm, uas yuav txuas ntxiv hloov kho tsis tu ncua thiab yuav nthuav dav ntxiv kom suav nrog cov kev ntsuas zoo, cov ntaub ntawv pej xeem, thiab kev pib ua raws li cov ntaub ntawv ntau ntxiv.
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Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) 1915(C) Kev zam rau Cov Neeg Tsis Taus Kev Loj Hlob thiab 1915(I) Kev Hloov Kho Lub Xeev Txoj Kev Npaj - 30-Hnub Lub Sijhawm Tshaj Tawm​​ 

Thaum Lub Yim Hli 2, Lub Tsev Haujlwm Saib Xyuas Kev Txhim Kho Kev Loj Hlob (DDS), koom tes nrog DHCS, tau tshaj tawm qhov kev thov hloov kho rau HCBS 1915(c) zam thiab HCBS 1915(i) Lub Xeev Txoj Kev Hloov Kho (SPA) rau 30-hnub kev tawm tswv yim rau pej xeem lub sijhawm, ua ntej xa cov ntawv kawg mus rau Lub Chaw rau Medicare & Medicaid Services kom pom zoo.

HCBS 1915(c) zam kev hloov kho thiab 1915(i) SPA yuav siv qhov kev nce ntxiv ntawm tus nqi ntxiv cuam tshuam nrog kev hloov pauv tus nqi pib lub Ib Hlis 1, 2025. Tsis tas li ntawd, kev zam kev hloov kho thiab SPA yuav ntxiv ib qho kev pabcuam tshiab (kev npaj rau yav tom ntej ntawm tus kheej) nrog rau cov neeg muab kev pabcuam thiab cov txheej txheem them nyiaj, nce tus nqi rau cov chaw muab kev pabcuam tswj nyiaj txiag, thiab suav nrog kev pabcuam tshiab tus kheej rau cov kev pabcuam hauv zejzos nrog kev pabcuam. lub sijhawm rau cov neeg koom los tswj hwm lawv tus kheej cov kev pabcuam.

Tag nrho cov lus yuav tsum tau txais ua ntej lub Cuaj Hlis 1, 2024. DDS thiab DHCS caw txhua tus neeg txaus siab los tshuaj xyuas qhov kev hloov kho thiab tawm tswv yim cov lus qhia ntawm DDS HCBS Programs lub vev xaib. Yog tias koj muaj lus nug, lossis xav tawm tswv yim txog kev hloov pauv kev zam thiab / lossis SPA, thov xa email rau federal.programs@dds.ca.gov.
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Muaj peev xwm nrhiav nyiaj txiag tseem ceeb muaj los nthuav tawm Kev Pabcuam Kev Noj Qab Haus Huv​​ 

Thaum Lub Xya Hli 17, DHCS tau tshaj tawm Daim Ntawv Pov Thawj Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Txuas Ntxiv Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications. Cov koom haum tsim nyog tuaj yeem thov nyiaj los tsim, tau, thiab kho cov khoom siv kho mob rau tus cwj pwm zoo rau cov tswv cuab Medi-Cal. DHCS yuav muab nyiaj pub dawb txog li $3.3 nphom rau cov haujlwm uas nthuav dav cov chaw saib xyuas kev noj qab haus huv hauv zej zog thiab kev pabcuam. Cov nyiaj no yog tsom mus daws qhov kev kho mob tseem ceeb los ntawm kev txhim kho kev nkag mus rau kev saib xyuas tus cwj pwm.

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Cov neeg txaus siab tuaj yeem nrhiav cov lus qhia hauv BHCIP lub vev xaib thiab xa lawv daim ntawv thov ua ntej Lub Kaum Ob Hlis 13, 2024. Qhov kev pib no, ib feem ntawm Txoj Cai 1, nrhiav kev hloov pauv California txoj kev noj qab haus huv ntawm kev puas siab puas ntsws thiab kev siv yeeb tshuaj, muab kev saib xyuas ntau dua rau lub xeev cov neeg muaj kev pheej hmoo siab tshaj plaws. Yog xav paub ntxiv, hu rau DHCS ntawm BHTinfo@dhcs.ca.gov.
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Hnub hloov tshiab kawg: 8/20/2024 8:17 AM​​