April 2, 2024 – Stakeholder News

Xov xwm tshaj plaws 

Case Study: California’s Medi-Cal Redetermination Journey

Over the last year, DHCS and county and federal partners have collaborated to redetermine the eligibility of Californians who receive health coverage through Medi-Cal. Throughout the process, DHCS adopted newly offered federal flexibilities to help reduce the administrative burden on Medi-Cal members and increase efficiencies in renewal processing. Several income-related waivers became effective for the December 2023 redetermination month. With technical assistance from the White House United States Digital Service (USDS), DHCS successfully automated these waivers, resulting in more members being successfully auto renewed without needing to fill out and return a renewal packet to their county. 

USDS and the California Health & Human Services Agency published an issue brief summarizing the flexibilities California leveraged from the federal government to improve the auto-renewal processes. Additionally, the U.S. Department of Health and Human Services announced additional actions to help people maintain coverage as states continue Medicaid and Children’s Health Insurance Program eligibility renewals. 

Mobile Medi-Cal Dental Van Ncig saib

On April 4, DHCS will kick off the second mobile dental van tour in Fresno. DHCS’ Smile, California campaign promotes preventive dental services for children and youth to enhance utilization of essential dental care and improve oral health. In addition to Fresno, the mobile dental van will visit Pixley (April 5), Hollister (April 11), Avenal (April 12), and Huntington Park (May 4). Services performed onsite will include exams, X-rays, cleaning, and fluoride applications. 

Medi-Cal members, medical and dental providers, and community-based organizations can learn more about Medi-Cal’s covered dental services by visiting the Smile, California website, in English at SmileCalifornia.org or in Spanish at SonrieCalifornia.org. The website includes helpful resources, such as informational flyers, videos, fact sheets, and the “Find-A-Dentist” tool to locate a dental provider.

Kev hloov kho tshiab 

CalAIM Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Pabcuam Kev Pabcuam (TA) Kev Ua Lag Luam Chaw Muag Khoom Daim Ntawv Thov qhib rau lub Plaub Hlis 1

Thaum Lub Plaub Hlis 1, DHCS yuav qhib California Advancing and Innovating Medi-Cal (CalAIM) PATH TA Marketplace Round 4 tus neeg muag khoom lub sijhawm thov. 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 raug cai thiab pom zoo. Cov kev pab cuam muag khoom tau pab tsim nyog tau txais Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Cov Chaw Pab Txhawb Hauv Zej Zog 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 tshiab thiab cov neeg ua haujlwm tshiab, siv cov kev pabcuam lus teb, thiab lwm yam. 

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. 

Skilled Nursing Facility (SNF) Interim Payment Performance Data

Lub lim tiam no, DHCS yuav tshaj tawm cov ntaub ntawv them nqi ntawm cov chaw rau xyoo 2023 SNF Workforce and Quality Incentive Program (WQIP), uas txhawb cov chaw kom txhim kho qhov zoo ntawm kev saib xyuas, ua kom muaj kev ncaj ncees hauv kev kho mob, thiab nqis peev rau hauv cov neeg ua haujlwm. Cov ntaub ntawv raug tshaj tawm rau ntawm nplooj ntawv web SNF WQIP. Yog koj muaj lus nug lossis kev txhawj xeeb txog WQIP program, thov email rau SNFWQIP@dhcs.ca.gov. Yog xav paub ntxiv txog lwm cov kev pab cuam hloov kho nyiaj txiag rau chaw saib xyuas neeg mob uas tau tso cai los ntawm AB 186 (Tshooj 46, Cov Cai Lij Choj Xyoo 2022), thov mus saib nplooj ntawv web Nursing Facility Financing Reform (AB 186). 

Telehealth: Sib tham sib siv Dashboard thiab Tshaj Qhia

Lub lim tiam no DHCS yuav tso tawm thawj theem ntawm nws lub dashboard sib tham txog kev kho mob hauv xov tooj thiab daim ntawv qhia txog kev siv xov tooj Biennial Telehealth, ua ib feem ntawm kev pib ua haujlwm tag nrho uas tsom mus rau kev saib xyuas kev siv xov tooj hauv Medi-Cal. Ob lub dashboard thiab daim ntawv qhia yuav pab DHCS tsim kom muaj lub hauv paus zoo dua thiab muaj zog dua rau kev ntsuam xyuas ntxiv txog txoj cai telehealth siv txoj hauv kev uas siv cov ntaub ntawv los tsav. Lub hom phiaj ntawm DHCS yog muab ntau yam kev ntsuas telehealth tas li thiab piav qhia cov ntaub ntawv telehealth hauv hom ntawv uas yooj yim nkag siab thiab nkag siab. DHCS xav tias yuav tshaj tawm daim dashboard thiab daim ntawv qhia ua ob theem. Theem ib yuav suav nrog yim pawg ntsuas ntawm cov ntaub ntawv kev pabcuam kho mob ntsig txog kev siv telehealth. Theem ob yuav nthuav dav lub dashboard kom suav nrog cov ntaub ntawv teeb tsa ntsig txog kev noj qab haus huv ntawm lub hlwb, Lub Chaw Muab Kev Pabcuam Tshuaj Medi-Cal, thiab kev kho hniav. 

The dashboard is anticipated to be completed with all data sets in summer 2024 and will be updated annually thereafter. To serve as a complement to the dashboard, DHCS created the report, which provides an executive summary of Medi-Cal telehealth utilization, trends, and key takeaways from 2019 to 2022. For more information, please visit the Medi-Cal & Telehealth webpage. Please email your questions to Medi-Cal_telehealth@dhcs.ca.gov. 

Health Enrollment Navigators Project Partner Data

On March 29, DHCS released Health Enrollment Navigators Project partner-specific data from January 2020 through September 2022 summarizing the following activities: outreach, application assistance, assistance with accessing and using health care services (navigation), troubleshooting, and redetermination assistance. Enrollment and retention are stratified by age groups, immigration status, race/ethnicity, sex, and written and spoken languages. Please see the Navigators Project Partner webpage for more information. Please email your questions to HealthNavigators@dhcs.ca.gov.

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 

Consumer-Focused Stakeholder Workgroup (CFSW)

Thaum Lub Plaub Hlis 5, txij 10 txog 11:30 sawv ntxov, DHCS yuav sib sau ua ke CFSW, uas muab sijhawm rau cov neeg koom nrog los tshuaj xyuas thiab muab cov lus taw qhia txog ntau yam ntaub ntawv xa xov rau cov neeg siv khoom. Lub rooj sib tham tsom mus rau cov haujlwm ntsig txog kev tsim nyog thiab kev sau npe thiab siv zog los muab kev sib tham qhib txog cov cai thiab kev ua haujlwm ntawm Medi-Cal. Cov ntaub ntawv sib ntsib, suav nrog cov txheej txheem sib ntsib, yuav raug tshaj tawm rau ntawm CFSW nplooj ntawv web tsis pub dhau lub Plaub Hlis 3. Thov xa email rau koj cov lus nug rau DHCSCFSW@dhcs.ca.gov. 

CalAIM PATH TA Marketplace Final Virtual Vendor Fairs

On April 9 and 25, from 9 to 10:30 a.m., DHCS will host the final virtual CalAIM PATH TA Marketplace Vendor Fairs, where vendors pitch their organization and services to potential TA Recipients and encourage utilization of the TA Marketplace. Approved TA Recipients and organizations currently contracted with or planning to contract with a Medi-Cal managed care plan (MCP) or other eligible entity to provide ECM/Community Supports are encouraged to attend.

Lub Rooj Muag Khoom Muag Khoom Plaub Hlis 9 muaj cov muag khoom muab kev pabcuam hauv Cheeb Tsam 2: Kev Txhawb Nqa Hauv Zej Zog thiab Cheeb Tsam 7: Cov Neeg Ua Haujlwm. Thaj Chaw 2 suav nrog cov neeg muag khoom TA uas muaj kev txawj ntse hauv kev tsim qauv, kev siv, thiab kev txhim kho ib lossis ntau qhov kev pabcuam Txhawb Nqa Hauv Zej Zog Medi-Cal. Thaj Chaw 7 suav nrog cov neeg muag khoom TA uas muaj kev txawj ntse hauv kev nrhiav neeg ua haujlwm thiab khaws cov neeg ua haujlwm uas tau npaj zoo, ua tau zoo, tshwj xeeb tshaj yog rau cov neeg ua haujlwm ntawm cov kab pem hauv ntej, cov neeg ua haujlwm hauv chaw kho mob, thiab/lossis "cov neeg ua haujlwm uas tau muaj kev paub dhau los".  

The April 25 Vendor Fair features vendors providing services in Domain 5: Promoting Health Equity and Domain 6: Supporting Cross-Sector Partnerships. Domain 5 includes TA vendors with expertise to help TA recipients advance health equity through their implementation of ECM/Community Supports and in their work with Medi-Cal members. Domain 6 includes TA vendors with the expertise to help TA recipients successfully engage in cross-sector partnerships, including partnerships between Medi-Cal MCPs and counties. 

California Children’s Services (CCS) Advisory Group Meeting

Thaum Lub Plaub Hlis 10, DHCS yuav tuav lub rooj sib tham txhua peb lub hlis ntawm CCS Advisory Group. Pawg Neeg Pab Tswv Yim CCS thiab DHCS ua haujlwm koom tes los xyuas kom meej tias cov menyuam yaus hauv CCS thiab 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 WCM tom qab kev hloov pauv thiab kev nthuav dav, CCS Kev Ua Raws Cai, Kev Saib Xyuas, thiab Kev Saib Xyuas Ua Haujlwm, Kev Noj Qab Haus Huv thiab Kev Tiv Thaiv Kev Tsis Taus rau Menyuam, thiab CCS Redesign Performance Measure Quality Subcommittee.

Additional information is available on the CCS Advisory Group webpage. Please email your questions to CCSProgram@dhcs.ca.gov.

Hauv Case Koj Tsis Tau Nws

California Offering Free Fentanyl Test Strips Through the Naloxone Distribution Project (NDP)

DHCS announced the expansion of the NDP to include fentanyl test strips (FTS), which can be obtained by eligible organizations throughout the state of California. FTS are used to detect the presence of fentanyl in drug samples prior to ingestion. NDP applicants will have the option to request naloxone, FTS, or both at no cost through the online application. Since the NDP began in 2018, it has distributed more than 3,994,000 kits of Naloxone, which have been used to reverse more than 252,000 overdoses.