Plaub Hlis Ntuj 2, 2024 – Xov Xwm Txog Cov Neeg Muaj Feem Xyuam​​ 

Xov xwm tshaj plaws​​ 

Kev Kawm Txog Qhov Teeb Meem: California Txoj Kev Rov Txiav Txim Siab Dua Medi-Cal​​ 

Tau ib xyoos dhau los no, DHCS thiab cov neeg koom tes hauv nroog thiab tsoomfwv tau koom tes los txiav txim siab dua seb cov neeg California uas tau txais kev pab them nqi kho mob los ntawm Medi-Cal puas tsim nyog. Thoob plaws hauv txoj kev ua haujlwm, DHCS tau txais yuav cov kev ywj pheej tshiab los ntawm tsoomfwv los pab txo qhov kev nyuaj siab ntawm cov tswv cuab Medi-Cal thiab ua kom muaj kev ua haujlwm zoo dua hauv kev ua cov txheej txheem rov ua dua tshiab. Muaj ntau qhov kev zam txim ntsig txog cov nyiaj tau los tau pib siv rau lub hlis txiav txim siab dua thaum Lub Kaum Ob Hlis 2023. Nrog kev pab los ntawm White House United States Digital Service (USDS), DHCS tau ua tiav qhov kev zam no, ua rau muaj ntau tus tswv cuab tau txuas ntxiv daim ntawv thov yam tsis tas yuav sau thiab xa daim ntawv txuas ntxiv mus rau lawv lub nroog.​​ 

USDS thiab California Health & Human Services Agency tau tshaj tawm ib tsab ntawv xov xwm luv luv uas qhia txog kev ywj pheej uas California tau siv los ntawm tsoomfwv tebchaws los txhim kho cov txheej txheem txuas ntxiv daim ntawv pov hwm tsis siv neeg. Tsis tas li ntawd xwb, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg ntawm Tebchaws Meskas tau tshaj tawm cov haujlwm ntxiv los pab tib neeg kom muaj kev pov hwm thaum cov xeev txuas ntxiv txuas ntxiv kev tsim nyog rau Medicaid thiab Children's Health Insurance Program.​​ 

Mobile Medi-Cal Dental Van Ncig saib​​ 

Thaum Lub Plaub Hlis 4, DHCS yuav pib qhov kev ncig xyuas tsheb thauj hniav thib ob hauv Fresno. DHCS txoj kev sib tw Smile, California txhawb nqa cov kev pabcuam kho hniav tiv thaiv rau cov menyuam yaus thiab cov hluas kom txhim kho kev siv cov kev kho hniav tseem ceeb thiab txhim kho kev noj qab haus huv ntawm qhov ncauj. Ntxiv rau Fresno, lub tsheb thauj hniav mobile yuav mus xyuas Pixley (Plaub Hlis 5), Hollister (Plaub Hlis 11), Avenal (Plaub Hlis 12), thiab Huntington Park (Tsib Hlis 4). Cov kev pabcuam ua nyob rau hauv tsev yuav suav nrog kev kuaj mob, X-rays, kev ntxuav, thiab kev siv fluoride.​​ 

Cov tswv cuab ntawm Medi-Cal, cov kws kho mob thiab cov kws kho hniav, thiab cov koom haum hauv zej zog tuaj yeem kawm paub ntau ntxiv txog Medi-Cal cov kev pabcuam kho hniav uas tau them los ntawm kev mus saib lub vev xaib Smile, California, ua lus Askiv ntawm SmileCalifornia.org lossis ua lus Mev ntawm SonrieCalifornia.org. Lub vev xaib muaj cov peev txheej pab tau, xws li cov ntawv tshaj tawm qhia txog cov ntaub ntawv, cov yeeb yaj kiab, cov ntawv qhia txog qhov tseeb, thiab cov cuab yeej "Find-A-Dentist " los nrhiav tus kws kho hniav.​​ 

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 lub sijhawm thov daim ntawv thov muag khoom ntawm California Advancing and Innovating Medi-Cal (CalAIM) PATH TA Marketplace Round 4. Lub PATH TA Marketplace yog ib lub vev xaib uas muaj txhua yam koj xav tau los pab koj nrhiav cov kev pabcuam TA dawb los ntawm cov neeg muag khoom uas tau xaiv thiab pom zoo. Cov kev pabcuam ntawm cov muag khoom pab cov neeg muab kev pabcuam Enhanced Care Management (ECM) thiab Community Supports uas tsim nyog los txhim kho lawv lub peev xwm ntawm cov ntaub ntawv, txhawb kev koom tes thoob plaws hauv kev lag luam, cob qhia cov neeg ua haujlwm tam sim no thiab cov neeg ua haujlwm tshiab, siv cov kev pabcuam uas teb tau lus, thiab ntau ntxiv.​​ 

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 kho mob rau xyoo 2023 SNF Workforce and Quality Incentive Program (WQIP), uas txhawb cov chaw kho mob 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.​​ 

Lub dashboard xav tias yuav ua tiav nrog txhua cov ntaub ntawv teeb tsa thaum lub caij ntuj sov xyoo 2024 thiab yuav raug hloov kho txhua xyoo tom qab ntawd. Txhawm rau ua ib qho kev ntxiv rau lub dashboard, DHCS tau tsim daim ntawv tshaj tawm, uas muab cov ntsiab lus luv luv ntawm kev siv Medi-Cal telehealth, cov qauv, thiab cov ntsiab lus tseem ceeb txij li xyoo 2019 txog 2022. Yog xav paub ntxiv, thov mus saib nplooj ntawv web Medi-Cal & Telehealth. Thov xa koj cov lus nug mus rau Medi-Cal_telehealth@dhcs.ca.gov.​​ 

Health Enrollment Navigators Project Partner Data​​ 

Thaum Lub Peb Hlis Ntuj hnub tim 29, DHCS tau tshaj tawm cov ntaub ntawv tshwj xeeb ntawm Health Enrollment Navigators Project uas yog cov neeg koom tes txij lub Ib Hlis Ntuj xyoo 2020 txog rau lub Cuaj Hlis Ntuj xyoo 2022 uas qhia txog cov haujlwm hauv qab no: kev ncav cuag, kev pab thov daim ntawv thov, kev pab nkag mus thiab siv cov kev pabcuam kev kho mob (kev taw qhia), kev daws teeb meem, thiab kev pab txiav txim siab dua. Kev sau npe thiab kev khaws cia cov tub ntxhais kawm raug faib ua pawg raws li hnub nyoog, xwm txheej kev nkag tebchaws, haiv neeg/pab pawg neeg, poj niam txiv neej, thiab cov lus sau thiab hais. Thov mus saib nplooj ntawv Navigators Project Partner kom paub ntxiv. Thov xa koj cov lus nug mus rau 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​​ 

Thaum Lub Plaub Hlis 9 thiab 25, txij 9 txog 10:30 sawv ntxov, DHCS yuav tuav lub rooj sib tham zaum kawg ntawm CalAIM PATH TA Marketplace Vendor Fairs, qhov chaw uas cov neeg muag khoom nthuav qhia lawv lub koom haum thiab cov kev pabcuam rau cov neeg tau txais TA thiab txhawb kom siv TA Marketplace. Cov neeg tau txais kev pab cuam TA uas tau pom zoo thiab cov koom haum uas tam sim no tau cog lus nrog lossis npaj yuav cog lus nrog Medi-Cal managed care plan (MCP) lossis lwm lub koom haum tsim nyog los muab ECM/Community Supports raug txhawb kom tuaj koom.​​ 

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".​​ 

Lub Rooj Muag Khoom Muag Khoom rau lub Plaub Hlis 25 muaj cov muag khoom muab kev pabcuam hauv Cheeb Tsam 5: Kev Txhawb Nqa Kev Ncaj Ncees Kev Noj Qab Haus Huv thiab Cheeb Tsam 6: Kev Txhawb Nqa Kev Koom Tes Thoob Plaws Hauv Cheeb Tsam. Thaj Chaw 5 suav nrog cov neeg muag khoom TA uas muaj kev txawj ntse los pab cov neeg tau txais TA txhim kho kev ncaj ncees ntawm kev noj qab haus huv los ntawm lawv txoj kev siv ECM/Kev Txhawb Nqa Hauv Zej Zog thiab hauv lawv txoj haujlwm nrog cov tswv cuab Medi-Cal. Thaj Chaw 6 suav nrog cov neeg muag khoom TA uas muaj kev txawj ntse los pab cov neeg tau txais TA koom nrog kev sib koom tes hla kev lag luam, suav nrog kev sib koom tes ntawm Medi-Cal MCPs thiab cov nroog.​​ 

Lub Rooj Sib Tham Pab Pawg Neeg Qhia Txog Kev Pabcuam Menyuam Yaus hauv California (CCS)​​ 

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.​​ 

Cov ntaub ntawv ntxiv muaj nyob rau ntawm nplooj ntawv web CCS Advisory Group . Thov xa koj cov lus nug mus rau CCSProgram@dhcs.ca.gov.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

California Muab Cov Ntawv Ntsuas Fentanyl Dawb Los Ntawm Qhov Project Naloxone Distribution Project (NDP)​​ 

DHCS tshaj tawm qhov kev nthuav dav ntawm NDP kom suav nrog cov ntawv xeem fentanyl (FTS), uas cov koom haum tsim nyog thoob plaws lub xeev California tuaj yeem tau txais. FTS yog siv los ntes qhov muaj fentanyl hauv cov qauv tshuaj ua ntej noj. Cov neeg thov NDP yuav muaj kev xaiv los thov naloxone, FTS, lossis ob qho tib si yam tsis tau them nqi los ntawm daim ntawv thov online. Txij li thaum NDP pib xyoo 2018, nws tau faib ntau dua 3,994,000 lub pob khoom ntawm Naloxone, uas tau siv los thim rov qab ntau dua 252,000 qhov kev siv tshuaj ntau dhau.​​