Plaub Hlis Ntuj 1, 2025
Xov xwm tshaj plaws
DHCS Tshaj Tawm Tshaj Tawm Tshaj Tawm Txog Kev Tswj Xyuas Kev Noj Qab Haus Huv thiab Kev Pabcuam Hauv Zej Zos Peb Lub Hlis
Thaum Lub Peb Hlis 27, DHCS tau tshaj tawm daim ntawv qhia txog Kev Tswj Xyuas Kev Kho Mob Zoo Dua (ECM) thiab Kev Txhawb Nqa Hauv Zej Zog uas qhia txog cov ntaub ntawv siv txij lub Xya Hli 2024 txog rau lub Cuaj Hli 2024. Cov ntsiab lus tseem ceeb ntawm daim ntawv tshaj tawm suav nrog:
- Kev loj hlob zoo ib yam: Txij li thaum ECM tau tsim tawm thaum Lub Ib Hlis 2022, 279,824 tus tswv cuab Medi-Cal tshwj xeeb tau ua tiav rau hauv cov txiaj ntsig ECM. Hauv lub quarter thib peb ntawm 2024 ib leeg, 143,188 tus tswv cuab tshwj xeeb tau nkag mus rau ECM cov txiaj ntsig, nce 13 feem pua los ntawm lub quarter thib ob ntawm 2024.
- Kev koom tes nrog cov tub ntxhais hluas: Hauv Q3 2024, 28,342 cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 21 xyoos tau txais cov txiaj ntsig ECM, ua rau 13 feem pua nce los ntawm Q2 2024.
- Kev Pabcuam Hauv Zej Zog: Kwv yees li 296,500 tus tswvcuab tshwj xeeb Medi-Cal tau siv Cov Kev Pabcuam Hauv Zej Zog, nrog ntau dua 754,000 tag nrho cov kev pabcuam xa tuaj. Hauv lub quarter thib peb ntawm 2024 ib leeg, 136,031 tus tswv cuab tshwj xeeb tau txais Kev Txhawb Zej Zog, nce 7.5 feem pua los ntawm peb lub hlis thib ob ntawm 2024.
- Kev nkag tau txais kev pabcuam ntxiv: Txog Q3 2024, ze li 90 feem pua ntawm Medi-Cal cov tswvcuab tau nkag mus rau yam tsawg kawg 10 ntawm 14 Cov Kev Pabcuam Hauv Zej Zog. Ntau tshaj 41 feem pua ntawm cov tswv cuab tau nkag mus rau tag nrho cov kev pabcuam.
- Cov kev pabcuam tseem ceeb tau siv: Ntau tshaj 61 feem pua ntawm cov tswvcuab siv Cov Kev Pabcuam Hauv Zej Zog tau nkag mus rau Cov Khoom Noj Khomob Khomob / Cov Khoom Noj Khomob Khomob, thiab kwv yees li 32 feem pua tau siv ib lossis ntau qhov kev pabcuam los ntawm Housing Trio (Housing Transition Navigation Services, Housing Tenancy and Sustaining Services, and Housing Deposits).
Daim ntawv tshaj tawm ECM thiab Kev Pab Txhawb Zej Zog qhov tseeb no qhia tau hais tias muaj kev nce ntxiv ntawm kev siv lub quarter dhau-lub hlis twg raws li cov neeg ntxiv ntawm kev tsom xam tau dhau los tsim nyog rau ECM thiab cov kev pabcuam hauv zej zog ntxiv muaj nyob hauv cov nroog thoob plaws lub xeev. DHCS cia siab tias yuav pom kev nce npe kawm ntau ntxiv thoob plaws ECM thiab Kev Txhawb Zej Zog hauv lub hlis thiab xyoo tom ntej. Xyoo 2025, DHCS yuav txhawb nqa thiab txhawb nqa qhov kev loj hlob no los ntawm kev nthuav dav ECM thiab Zej Zog Txhawb Kev Pabcuam Kev Saib Xyuas Kev Ua Haujlwm, kev koom tes nrog cov neeg muaj feem muaj zog, thiab kev tsim kho txoj cai.
Kev hloov kho tshiab
Cov neeg ua haujlwm noj qab haus huv hauv zej zog
Txij li thaum Lub Plaub Hlis 1, DHCS tau hloov kho Medi-Cal txoj cai Community Health Worker (CHW) uas twb muaj lawm kom tso cai rau cov neeg saib xyuas Medi-Cal them nqi rau cov kev pabcuam CHW uas CHWs muab los ntawm kev siv ob tus lej tshiab ntawm Healthcare Common Procedure Coding System (HCPCS) uas nyuam qhuav ntxiv los ntawm Centers for Medicare & Medicaid Services (CMS). DHCS tab tom hloov kho txoj cai no kom cov CHWs daws tau zoo dua cov teeb meem kev lag luam thiab kev sib raug zoo uas cuam tshuam rau cov tswv cuab Medi-Cal thiab kev noj qab haus huv hauv zej zog, xws li kev tsis muaj kev nyab xeeb ntawm zaub mov, vaj tse, thiab kev thauj mus los thiab kev nkag mus rau cov khoom siv tseem ceeb. DHCS txoj cai CHW tshiab lub hom phiaj yog txhawb nqa thiab txhawb kom muaj txiaj ntsig zoo dua rau kev noj qab haus huv rau cov tswv cuab Medi-Cal los ntawm kev daws cov kev xav tau uas cuam tshuam los ntawm cov neeg tsav tsheb ntawm kev noj qab haus huv hauv zej zog. DHCS kuj tau tshaj tawm Daim Ntawv Ceeb Toom Txog Kev Hloov Kho Txoj Kev Npaj Hauv Xeev los teeb tsa cov nqi rau ob daim code no rau 100 feem pua ntawm tus nqi Medicare, raws li Welfare & Institutions Code Seem 14105.25.
Tsis tas li ntawd xwb, thaum Lub Plaub Hlis 1, DHCS tau tshaj tawm cov lus pom zoo thoob plaws lub xeev tias txhua tus tswv cuab Medi-Cal uas ua tau raws li cov qauv tsim nyog tau txais kev pabcuam CHW yuav tau txais txiaj ntsig los ntawm cov kev pabcuam CHW. Daim ntawv pom zoo no, uas tau muab los txhim kho kev nkag mus thiab txo cov teeb meem rau cov tswv cuab Medi-Cal uas tau txais thiab cov neeg muab kev pabcuam Medi-Cal uas muab cov kev pabcuam CHW, tau kos npe los ntawm Dr. Karen Mark, DHCS' Tus Thawj Coj Kho Mob rau Txoj Cai thiab Kev Ntsuam Xyuas. Sib xws nrog txoj cai uas twb muaj lawm, cov lus pom zoo no tso cai rau CHWs muab cov kev pabcuam Medi-Cal CHW, suav nrog kev kawm txog kev noj qab haus huv, kev taw qhia kev noj qab haus huv, kev tshuaj xyuas thiab kev ntsuam xyuas, thiab kev txhawb nqa thiab kev tawm tswv yim rau tus kheej.
Koom nrog peb pab neeg
DHCS tab tom nrhiav ib tus neeg muaj peev xwm thiab muaj kev txhawb siab los ua haujlwm xws li:
- Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.
DHCS tseem ntiav rau nws cov ntawv cog lus, kev tshuaj xyuas, kev saib xyuas, kev tswj xyuas pej xeem kev noj qab haus huv, 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
DHCS posts upcoming public meetings on the Calendar of Events.
Strong Start & Beyond Partner Webinar
Thaum Lub Plaub Hlis 2, txij 12 txog 12:45 teev tsaus ntuj PDT, California Surgeon General Dr. Diana E. Ramos yuav tuav lub rooj sib tham hauv online Strong Start & Beyond tom ntej txog kev tiv thaiv kom txhim kho kev noj qab haus huv mus tas li. Strong Start & Beyond yog ib qho kev tawm tsam siab tawv los txo California tus nqi tuag ntawm cov niam yug menyuam los ntawm 50 feem pua thaum Lub Kaum Ob Hlis 2026. Los ntawm kev siv lub xeev cov peev txheej thiab kev koom tes, peb tuaj yeem txhawb kev paub, txhawb kom muaj kev koom tes nquag hauv kev noj qab haus huv, thiab tsim kom muaj kev nkag mus rau cov peev txheej rau cov niam, cov poj niam cev xeeb tub, thiab lawv tsev neeg. Cov neeg koom nrog Dr. Ramos yog Dr. Erica Pan, Tus Thawj Coj ntawm California Department of Public Health thiab State Public Health Officer; Dr. Bernadette Lim, Tus Tsim thiab Tus Thawj Coj ntawm Freedom Community Clinic; thiab Dr. Atul Nakhasi, Tus Thawj Coj ntawm Transformational Physician. Thov hu rau Chaw Haujlwm ntawm California Surgeon General yog tias koj muaj lus nug dab tsi.
Consumer Focused Stakeholder Workgroup (CFSW)
On April 4, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted by April 2 on the DHCS Consumer-Focused Stakeholder Workgroup webpage.
California Children’s Services (CCS) Advisory Group Meeting
Thaum Lub Plaub Hlis 9, txij 1 txog 4 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham txhua peb lub hlis ntawm CCS Advisory Group (yuav tsum tau sau npe ua ntej). DHCS thiab CCS Advisory Group koom tes ua ke los xyuas kom meej tias cov menyuam yaus hauv CCS/Whole Child Model (WCM) tau txais kev saib xyuas zoo thiab raws sijhawm. Cov ncauj lus ntawm cov txheej txheem suav nrog kev hloov tshiab ntawm xyoo 2025 qhov tseem ceeb, suav nrog xyoo 2025 WCM kev nthuav dav; kev ua raws li lub nroog, kev saib xyuas thiab kev saib xyuas; thiab kev koom ua ke ntawm Medi-Cal Rx rau menyuam yaus. Cov ntaub ntawv ntxiv thiab cov ntsiab lus ntawm lub rooj sib tham muaj nyob rau ntawm nplooj ntawv web CCS Advisory Group .
Doula Implementation Stakeholder Workgroup
On April 11, from 10 a.m. to 12 p.m. PDT, DHCS will host the next Doula Implementation Stakeholder Workgroup meeting, as required by Senate Bill 65 (Statutes of 2021, Chapter 449), to examine the implementation of the Medi-Cal doula benefit, in accordance with section 14132.24 of the Welfare and Institutions Code. The meeting will be held at 1501 Capitol Avenue, Sacramento, CA, and is open to the public. The link for this meeting will be available on the DHCS Doula Implementation Stakeholder Workgroup webpage. The workgroup will discuss ways to minimize barriers to doula services and continue discussions regarding the workgroup’s report to the Legislature, which must be posted on DHCS’ website by July 1, 2025.
Tiv thaiv Access to Health Care Act (PAHCA)-Stakeholder Advisory Committee (SAC)
On April 14, from 11:30 a.m. to 3:30 p.m. PDT, DHCS will host the PAHCA-SAC meeting (advance registration for online participation required) at 1700 K Street (first-floor conference room 17.1014), Sacramento. The committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). For general inquiries or to receive more information about meetings, please email DHCSPAHCA@dhcs.ca.gov.
Txoj Kev Kho Mob Ncauj Ncauj Qhia Kev Ua Haujlwm Pabcuam
Thaum Lub Plaub Hlis 22, DHCS yuav nthuav qhia txog kev piav qhia txog Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm (BHIN) 25-007 - Kev Siv Cov Nyiaj Pab Kho Mob Ib Txwm Muaj ntawm lub rooj sib tham ntawm Cov Neeg Sawv Cev ntawm Cov Pab Pawg Neeg thiab Cov Neeg Indian Health Program (yuav tsum tau sau npe ua ntej). Cov lus nthuav qhia no qhib rau pej xeem thiab yuav tshuaj xyuas cov lus qhia txoj cai los txhawb cov Neeg Indian Health Care Providers thiab Drug Med-Cal Organized Delivery System cov nroog hauv kev siv cov txiaj ntsig tshiab no. Cov neeg tuaj koom raug txhawb kom xa cov lus nug ua ntej mus rau traditionalhealing@dhcs.ca.gov nrog rau kab ntawv "Kev Siv Cov Kev Kho Mob Ib Txwm." Yog koj muaj lus nug txog kev kho mob ib txwm muaj los yog BHIN no, thov email rau traditionalhealing@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
DHCS tshaj tawm Opioid Siv Cov Khoom Siv Kho Mob Tsis Zoo
Thaum Lub Peb Hlis Ntuj hnub tim 25, DHCS tau muab $800,000 rau ob lub koom haum pabcuam kho mob thaum muaj xwm txheej ceev hauv zos los txhawb kom muaj kev nkag mus rau kev kho mob opioid use disorder (OUD) uas tau lees paub tias muaj kev nyab xeeb rau cov neeg mob hauv qhov chaw pabcuam kho mob thaum muaj xwm txheej ceev (EMS) uas muaj feem yuav siv tshuaj ntau dhau thiab feem ntau tsis muaj kev nkag mus rau cov kev pabcuam hauv lwm qhov chaw. Cov nyiaj pab—uas tau muab los ntawm Emergency Medical Services Buprenorphine Use Pilot Program (EMSBUP) rau Stanislaus County EMS Agency thiab Ventura County EMS Agency—yuav ua rau ob lub koom haum no daws teeb meem kev siv tshuaj yeeb dej cawv ua ib qho mob ceev uas kho tau, siv cov kws kho mob los txheeb xyuas thiab kho cov neeg mob uas yuav tau txais txiaj ntsig los ntawm cov tshuaj kho mob quav yeeb quav tshuaj (MAT). MAT yog kev siv tshuaj ua ke nrog kev sab laj thiab kev kho tus cwj pwm, uas muaj txiaj ntsig zoo rau kev kho OUDs thiab pab qee tus neeg kom rov zoo.
Tam sim no Qhib: Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Muaj Peev Xwm thiab Cov Txheej Txheem Hloov Kho, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Daim Ntawv Thov Round 4
On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.
Lub sijhawm kawg rau kev thov nyiaj pab PATH CITED Round 4 yog 11:59 teev tsaus ntuj PDT rau lub Tsib Hlis 2, 2025. Cov ntaub ntawv qhia thiab daim ntawv thov muaj nyob rau ntawm PATH CITED nplooj ntawv web. Thov xa cov lus nug rau cited@ca-path.com.