Lub Rau Hli 3, 2025​​ 

SACRAMENTO — Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm California (DHCS) hnub no tau tshaj tawm tias muaj cov ntaub ntawv qhia tias Medi-Cal Community Supports ua tiav thiab tsim nyog tus nqi. Cov ntaub ntawv qhia tau tias Community Supports ua raws li lawv cov lus cog tseg los daws cov kev xav tau ntawm cov tswv cuab Medi-Cal—txo kev mus ntsib chav kho mob ceev uas zam tau, kev nyob hauv tsev kho mob, thiab kev siv kev saib xyuas mus sij hawm ntev thaum qhia txog cov cim qhia tias txuag tau nyiaj thaum ntxov. Tag nrho 12 qhov kev txhawb nqa hauv zej zog uas tau kawm txog tab tom txo cov nqi, thiab ntawm cov no, cuaj twb tau ua pov thawj tias siv tau nyiaj tsawg hauv lub sijhawm kawm thawj zaug. Peb qhov seem seem yuav ncav cuag qhov ntsuas ntawd dhau lub sijhawm kawm ntev dua, raws li txoj cai tswjfwm tebchaws rau kev ntsuam xyuas kev siv nyiaj tsim nyog.​​ 

"Kev Txhawb Nqa Hauv Zej Zog yog ib qho kev hloov pauv tseem ceeb hauv peb txoj kev muab kev kho mob rau cov neeg California, txhim kho qhov zoo ntawm kev kho mob rau cov tswv cuab Medi-Cal thiab txhawb nqa tag nrho kev ua haujlwm zoo thiab kev ncaj ncees ntawm peb lub cev kho mob," Tus Thawj Coj DHCS Michelle Baass hais. Cov kev tshawb pom no lees paub tias cov kev pabcuam no tsis yog tsuas yog txhim kho lub neej xwb, tab sis kuj txo cov nqi kho mob uas zam tau. Los ntawm kev nthuav dav cov kev txhawb nqa no thoob plaws lub xeev, peb tab tom ua tiav kev vam meej tseem ceeb rau lub kaw lus Medi-Cal uas tsom mus rau tus neeg uas ntsib cov tswv cuab qhov twg lawv nyob thiab muab qhov tseem ceeb rau kev tiv thaiv, kev hwm, thiab tus nqi.​​ 

Cov Kev Txhawb Nqa Hauv Zej Zog ntawm California tau txais kev pom zoo hauv California Advancing and Innovating Medi-Cal (CalAIM) waivers thiab tau pib ua raws li Medi-Cal managed care plans (MCP) pib xyoo 2022. CalAIM yog lub xeev txoj kev pib los hloov Medi-Cal kom txhim kho qhov zoo ntawm kev saib xyuas, txo qhov nyuaj, thiab ua kom muaj kev ncaj ncees los ntawm kev siv cov ntaub ntawv los saib xyuas tus neeg tag nrho.​​ 

VIM LI CAS QHOV NO TSEEM CEEB: Medi-Cal tam sim no muaj 14 qhov kev txhawb nqa hauv zej zog. Cov kev pabcuam no txhawb kev ruaj ntseg ntawm vaj tse, yooj yim hloov pauv ntawm cov chaw nyob hauv tsev kho mob, txhawb kev saib xyuas hauv tsev, muab cov zaub mov noj qab haus huv, thiab muab kev pabcuam rau cov neeg saib xyuas, pab cov tswv cuab zam kev kho mob kim dua lossis kev kho mob thaum muaj xwm txheej ceev. Daim ntawv tshaj tawm tau tshuaj xyuas 12 ntawm cov kev txhawb nqa no los ntsuas lawv qhov cuam tshuam rau kev noj qab haus huv thiab cov txiaj ntsig ntawm cov nqi. Cov 12 ntawm 14 Qhov Kev Txhawb Nqa Hauv Zej Zog no tau raug kawm vim lawv tau tso cai raws li California txoj cai zam 1915 (b) CalAIM, uas California yuav tsum tau tshaj tawm txhua xyoo rau tsoomfwv tebchaws.​​ 

DHCS submitted its annual 2024 report to the federal Centers for Medicaid & Medicare Services. It analyzes the impact of 12 Community Supports on member health care, including a new cost-effectiveness analysis for calendar year 2023. Key highlights from the report include:​​ 

• Xyoo 2024, ntau dua 494,000 Kev Txhawb Zej Zog tau xa mus rau ntau dua 252,000 tus tswv cuab Medi-Cal.​​ 
• Kaum ob Medi-Cal MCPs thoob plaws 23 lub nroog tam sim no muab tag nrho 14 Kev Pabcuam Zej Zog pom zoo; tag nrho cov MCPs thoob plaws lub xeev muaj tsawg kawg yog yim.​​ 
• Tag nrho 12 cov kev pabcuam tau kawm tau cuam tshuam nrog kev txo qis ntawm cov nqi kho mob hauv tsev kho mob thiab/lossis lub chaw saib xyuas xwm txheej ceev.​​ 
  • Cov tswv cuab uas siv tsawg kawg yog ib qho ntawm Kev Pabcuam Housing Trio Community (Housing Transition Navigation Services, Housing Deposits, and Housing Tenancy and Sustaining Services) tau txo cov neeg mob hauv tsev kho mob thiab kev siv xwm txheej ceev ntawm 24.3% thiab 13.2%, feem, hauv rau lub hlis tom qab.​​ 
  • Cov Pluas Noj Kho Mob/Cov Pluas Noj Txhawb Nqa Kev Kho Mob, uas muaj cov tswv cuab ntau tshaj plaws uas tau kawm, tau cuam tshuam nrog kev txo qis ntawm kev siv chav kho mob hauv tsev kho mob thiab chav kho mob thaum muaj xwm txheej ceev (21.4% thiab 22.0% feem).​​ 

KEV TSOM XAM TXOG TUS NQI: Kev tshawb fawb qhia tau tias 9 ntawm 12 qhov kev txhawb nqa hauv zej zog uas tau kawm twb tau ua pov thawj tias tus nqi tsim nyog, thiab peb qhov yuav raug ua pov thawj tias yog li ntawd dhau sijhawm, raws li txoj cai lij choj hauv tebchaws. Cov tswv cuab siv cov kev pabcuam no feem ntau pom tias muaj kev txo qis hauv (lossis them rov qab ntawm) cov nqi pabcuam uas siv tau. Piv txwv li:​​ 

• Kev tso nyiaj vaj tsev raug cuam tshuam nrog 31.6% Net nqi txo.​​ 
• Hnub Habilitation tau cuam tshuam nrog 17.1% tus nqi txo qis.​​ 
• Sobering Centers tau cuam tshuam nrog 11.7% tus nqi txo qis.​​ 
• Kev Pabcuam Respite tau cuam tshuam nrog 61.3% Net nqi txo.​​ 
• Kev Saib Xyuas Tus Kheej thiab Kev Pabcuam Ua Haujlwm Hauv Tsev tau cuam tshuam nrog 58.4% kev txo nqi tag nrho.​​ 

Qhov kev tshuaj xyuas txog kev siv nyiaj tsis zoo yuav tsis txaus ntseeg vim yog lub sijhawm soj ntsuam luv luv, ua rau cov nqi tam sim ntawd raug suav tag nrho tab sis tsis yog kev txuag nyiaj mus sij hawm ntev. DHCS lees paub tias cov kev pib dav dua, xws li Kev Tswj Xyuas Kev Kho Mob Zoo Dua, yuav cuam tshuam rau cov txiaj ntsig no. Cov kev ntsuam xyuas yav tom ntej yuav txhim kho cov txheej txheem no thaum muaj ntau cov ntaub ntawv, thiab kev ntsuam xyuas ywj pheej yuav raug ua raws li cov cai zam.​​ 

KEV CUAM TSHUAM NTAWM KEV TXHAWB NQA ZEJKHUAM: Kev nthuav dav ntawm Kev Txhawb Nqa ZejKhoom tau ua rau muaj kev nkag mus rau hauv thaj chaw nyob deb nroog thiab thaj chaw tsis tau txais kev pabcuam ntau ntxiv, nrog rau cov phiaj xwm kev noj qab haus huv xws li Anthem Blue Cross, Health Net, thiab Partnership HealthPlan of California ua tus thawj coj hauv kev siv zog los qhia cov kev pabcuam tshiab hauv ob lub nroog thiab thaj chaw nyob deb nroog. Peb txoj kev npaj no yog cov loj tshaj plaws hauv lub xeev thiab tau qhia txog kev nthuav dav ntawm Kev Txhawb Nqa Hauv Zej Zog hauv xyoo 2024, ob qho tib si hais txog tus naj npawb ntawm cov kev pabcuam tshiab uas raug xaiv thiab kev nthuav dav ntawm thaj chaw, tshwj xeeb tshaj yog nyob rau hauv cov nroog nyob deb nroog. Yog li ntawd, cov tswv cuab Medi-Cal hauv tag nrho 58 lub nroog California tam sim no muaj kev nkag mus rau ntau yam Kev Txhawb Nqa Hauv Zej Zog.​​ 

WHAT’S NEXT: DHCS released an updated Community Supports Policy Guide that is aligned with the Enhanced Care Management and Community Supports Action Plan. On July 1, 2025, the new Transitional Rent benefit will be optional for MCPs to offer, and will become the first mandatory Community Support on January 1, 2026.​​ 

DHCS tseem cog lus tias yuav nthuav dav thiab ntxiv dag zog rau Community Supports kom tau raws li kev noj qab haus huv txog kev noj qab haus huv ntawm Medi-Cal cov tswv cuab thoob plaws lub xeev. California tab tom txhim kho nws cov kev siv zog hauv keeb kwm los hais txog kev saib xyuas tag nrho ntawm tib neeg los ntawm kev tiv thaiv, meej mom, thiab kev ruaj ntseg, thaum saib xyuas cov kab hauv qab. Txoj hauv kev no twb tau ua qhov sib txawv, tshwj xeeb hauv kev txo qis kev siv kev saib xyuas kev noj qab haus huv thiab txhim kho kev paub ntawm cov tswv cuab nrog ntau yam kev xav tau kev noj qab haus huv.​​ 

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