Dhia mus rau cov ntsiab lus​​ 

Plaub Hlis Ntuj 14, 2025​​ 

Xov xwm tshaj plaws​​  

DHCS tau pom zoo los koom nrog Medi-Cal Cell thiab Gene Therapy Access Model​​ 

Lub Chaw rau Medicare thiab Medicaid Innovation ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS) tau pom zoo DHCS txoj kev koom tes hauv Cell thiab Gene Therapy (CGT) Access Model pib thaum Lub Xya Hli 1, 2025. Qhov kev pib ua haujlwm ntau xyoo no yuav nthuav dav cov tswv cuab Medi-Cal txoj kev nkag mus rau kev kho mob gene cawm txoj sia rau tus kab mob sickle cell (SCD), uas yog ib qho kab mob ntshav loj heev uas cuam tshuam rau cov neeg African. Cov kev kho mob no muaj peev xwm hloov pauv lub neej, thiab qhov kev pib no pab ua kom ntseeg tau tias tus nqi tsis yog qhov teeb meem rau cov neeg California uas xav tau lawv tshaj plaws.​​ 

Thaum xub thawj, tus qauv nkag mus rau CGT yuav tsom mus rau kev nkag mus rau kev kho mob gene rau cov neeg uas muaj SCD, tshwj xeeb tshaj yog tsom mus rau kev kho mob xws li Vertex's Casgevy thiab Bluebird's Lyfgenia. Nws lub hom phiaj yog los txhim kho cov txiaj ntsig kev kho mob rau cov tswv cuab Medi-Cal los ntawm kev pab txhawb kev nkag mus rau kev kho mob hloov pauv, thaum tswj hwm cov nqi los ntawm kev pom zoo raws li cov txiaj ntsig ntawm CMS, cov chaw tsim khoom, thiab cov koom haum Medicaid hauv xeev. DHCS yuav ua haujlwm nrog CMS rau cov haujlwm onboarding hauv ob peb lub lis piam tom ntej thiab yuav qhia cov ntaub ntawv ntxaws ntxiv thaum nws muaj.​​ 

Kev hloov kho tshiab​​ 

Cov Kev Pom Zoo Tso Cai 1115 ntawm California Tseem Tsis Tau Cuam Tshuam​​ 

Cov neeg koom tes ntawm DHCS tej zaum yuav paub tias thaum Lub Plaub Hlis 10, CMS tshaj tawm tias nws yuav tsis pom zoo rau cov kev thov tshiab los ntawm cov xeev rau cov nyiaj sib phim ntawm tsoomfwv rau cov kev siv nyiaj ntawm lub xeev rau Cov Kev Pabcuam Kev Noj Qab Haus Huv Hauv Xeev (DSHP) thiab Cov Kev Pabcuam Kev Nqis Peev Hauv Xeev (DSIP). Cov nyiaj no, uas CMS tau pom zoo, tso cai rau cov xeev los txhawb kev hloov pauv ntawm cov txheej txheem kev kho mob uas feem ntau tsis them los ntawm Medicaid.​​ 

Daim ntawv tshaj tawm no tsis cuam tshuam rau California cov nyiaj pab DSHP uas tau pom zoo ua ntej, suav nrog cov kev pib ua raws li California Advancing and Innovating Medi-Cal (CalAIM) thiab Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, uas tseem tau txais kev pom zoo los ntawm tsoomfwv thiab ua haujlwm. Tshwj xeeb, qhov kev pib ua haujlwm Providing Access and Transforming Health (PATH) hauv CalAIM yuav txuas ntxiv mus. Hauv BH-CONNECT, cov nyiaj DSHP txhawb nqa kev siv txoj haujlwm Behavioral Health Workforce Initiative, uas tab tom nthuav dav kev muab thiab kev txawj ntse ntawm cov kws kho mob behavioral uas cog lus tias yuav pab cov tswv cuab Medi-Cal. Qhov kev pib no yog tsim los tshwj xeeb los txhawb cov neeg ua haujlwm kho mob Medi-Cal uas muaj cov kev cai nruj rau kev koom nrog cov chaw muab kev pabcuam Medi-Cal ntau thiab tsis yog qhov kev pab cuam them rov qab qiv nyiaj kawm ntawv dav dav.​​ 

DHCS tseem cog lus tias yuav pab cov neeg California kom tau txais kev kho mob zoo, ua rau California muaj kev noj qab haus huv zoo rau txhua tus. Peb ua tsaug rau peb cov kws kho mob Medi-Cal thiab cov neeg koom tes hauv zej zog, thiab peb yuav ua ke sib zog ua kom peb txoj kev kho mob hloov pauv thiab txhim kho cov txiaj ntsig kev noj qab haus huv.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav cov neeg muaj peev xwm thiab txhawb nqa los ua haujlwm xws li:​​ 

  • Tus Thawj Coj ntawm Pawg Nyiaj Pab (BD). Tus Thawj Coj ntawm BD yog tus coj kev tsim, kev siv, thiab kev tswj hwm cov cai tswjfwm kev pov hwm kho mob rau cov kev pabcuam kho mob uas muab los ntawm lub xeev txoj haujlwm Medi-Cal. Tus Thawj Coj kuj tseem saib xyuas ntau qhov kev pab cuam tshwj xeeb hauv Cov Nyiaj Pab Kho Mob thiab Kev Tsim Nyog, suav nrog Txhua Tus Poj Niam suav, Kev Kho Mob Cancer Prostate, thiab Kev Pab Cuam Hnov Lus rau Cov Menyuam. Cov ntawv thov yuav tsum xa tuaj rau lub Plaub Hlis 18.​​ 
  • Tus Thawj Coj ntawm Lub Chaw Tshawb Nrhiav (ID). Tus Thawj Coj ntawm ID ua tus coj txhua yam kev tshawb nrhiav rau cov kev pab cuam DHCS, suav nrog Medi-Cal. Cov haujlwm no suav nrog kev tshuaj xyuas cov ntaub ntawv kev dag ntxias, Medi-Cal Fraud Hotline, kev txais cov lus tsis txaus siab, kev tshuaj xyuas kev tshawb nrhiav, thiab kev tshawb nrhiav kev dag ntxias ntawm cov kws kho mob thiab cov tswv cuab. Tsis tas li ntawd xwb, tus Thawj Coj ntawm ID muaj lub luag haujlwm rau kev tsim thiab siv cov cai thiab cov txheej txheem ntsig txog kev dag ntxias, kev pov tseg, thiab kev tshawb nrhiav kev siv tsis raug raws li lub luag haujlwm ntawm lub chaw haujlwm thiab xyuas kom ua raws li txhua txoj cai lij choj, cov cai, thiab cov kev cai lij choj hauv tebchaws thiab xeev. Cov ntawv thov yuav tsum xa tuaj rau lub Plaub Hlis 25.​​ 

DHCS tseem ntiav rau nws cov accounting, tus cwj pwm noj qab haus huv, 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​​ 

DHCS tshaj tawm cov rooj sib tham pej xeem yav tom ntej ntawm Daim Ntawv Teev Npe ntawm Cov Txheej Txheem
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Txoj Kev Kho Mob Ncauj Ncauj Qhia Kev Ua Haujlwm Pabcuam​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.​​ 

DHCS tuav lub rooj sib tham txhua peb lub hlis rau Cov Neeg Sawv Cev ntawm Tribal thiab Indian Health Program los pab txhawb kev koom tes thiab kev sib tham thaum ntxov nrog cov neeg koom tes ntawm Tribal txog kev tsim cov kev pib ntawm DHCS uas cuam tshuam rau Tribes, Indian kev pab cuam kev noj qab haus huv, thiab cov tswv cuab ntawm American Indian Medi-Cal. Yog xav paub ntxiv, thov mus saib nplooj ntawv web ntawm Indian Health Program.
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Xaiv Tsev Neeg, Ntu 2: Kev Tiv Thaiv Kev Tiv Thaiv thiab Fertility rau Transgender thiab Poj Niam Txiv Neej Txawv Tebchaws​​  

Lub Tsib Hlis 5, los ntawm 10 txog 11:30 sawv ntxov PDT, DHCS yuav tuav lub Tsev Neeg Xaiv, Ntu 2: Kev Tiv Thaiv thiab Fertility rau Transgender thiab Poj Niam Txiv Neej Txawv Tebchaws webinar (yuav tsum tau sau npe qib siab). Cov neeg hloov pauv poj niam txiv neej thiab poj niam txiv neej sib txawv (TGD) sawv cev rau cov neeg mob coob zuj zus tuaj, tab sis ntau tus tseem ceeb tshaj tawm qhov tsis muaj kev paub txog tus kws kho mob thaum hais txog TGD kev noj qab haus huv. Qhov kev sib tham no yuav tsim los ntawm TGD cov lus hais txog kev noj qab haus huv thiab kev muaj peev xwm tseem ceeb tau nthuav tawm hauv Tshooj 1 ntawm qhov webinar series los ntawm kev tshuaj xyuas cov pov thawj raws li cov lus pom zoo rau kev tiv thaiv kab mob, kev xeeb tub, thiab kev sib tham hauv tsev neeg. Yog tias koj tuaj yeem tsis tuaj yeem tuaj koom lub webinar nyob, daim ntawv teev npe thiab cov ntaub ntawv teev tseg ntawm lub vev xaib, nrog rau cov peev txheej ntxiv, yuav muaj nyob rau ntawm Family PACT lub vev xaib tom qab hnub.
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Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham​​ 

Thaum Lub Tsib Hlis 21, txij 9:30 teev sawv ntxov txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hybrid SAC/BH-SAC (kev tso npe ua ntej yuav tsum muaj rau kev koom tes hauv online thiab ntawm tus kheej) ntawm 1700 K Street (thaum lub rooj sib tham chav 17.1014), Sacramento. SAC muab DHCS nrog cov tswv yim tseem ceeb thiab cov lus tawm tswv yim txog kev siv zog los muab kev ncaj ncees rau kev saib xyuas kev noj qab haus huv zoo. BH-SAC muab DHCS nrog cov tswv yim ntawm kev coj tus cwj pwm kev noj qab haus huv thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev coj tus cwj pwm kev noj qab haus huv nrog rau kev saib xyuas kev noj qab haus huv ntau dua. Cov txheej txheem thiab lwm cov ntaub ntawv sib tham yuav raug tshaj tawm thaum hnub lub rooj sib tham mus txog. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.
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Hauv Case Koj Tsis Tau Nws​​ 

Txoj Cai 35: Tiv Thaiv Kev Nkag Mus Rau Txoj Cai Kho Mob-SAC​​  

Niaj hnub no, DHCS tau tuav lub rooj sib tham thawj zaug ntawm Protect Access to Health Care Act-SAC. Pawg neeg no muaj lub luag haujlwm los qhia DHCS txog kev tsim thiab siv cov khoom ntawm Protect Access to Health Care Act of 2024 (Proposition 35). Lub rooj sib tham no yog qhov pib ntawm cov txheej txheem kev sib tham nrog cov neeg muaj feem cuam tshuam raws li Txoj Cai 35. Thov mus saib nplooj ntawv web Protect Access to Health Care Act-SAC kom paub ntxiv txog lub rooj sib tham. Tsis tas li ntawd xwb, los pab piav qhia qhov tseeb txog California's Managed Care Organization Tax thiab piav qhia txog kev siv Proposition 35 li cas, DHCS tau tshaj tawm cov lus nug nquag nug. Yog xav paub ntxiv, thov email rau DHCSPAHCA@dhcs.ca.gov.
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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.

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