Xov xwm tshaj plaws

DHCS ua kev zoo siab rau Ribbon Cuttings rau Chaw Kho Mob Cwj Pwm

Thaum Lub Plaub Hlis 25 thiab 26, DHCS tau ua kev zoo siab rau qhov ntxiv ob lub chaw tshiab uas yuav muab kev kho mob cawm siav rau cov neeg California uas muaj teeb meem kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb (SUD). Paving the Way Foundation hauv Los Angeles County thiab Center Point Drug Abuse Alternatives Center hauv Sonoma County tab tom nthuav dav kev kho mob kev noj qab haus huv thiab kev kho kom rov zoo hauv lawv cov zej zog. Cov no yog cov thawj ntawm ntau qhov chaw kho mob hauv zej zog uas tau txais kev txhawb nqa los ntawm Behavioral Health Continuum Infrastructure Program thiab tam sim no tab tom tsim kho hauv 49 lub nroog. Yuav muaj ntau qhov chaw ntxiv uas yuav tau txais nyiaj txiag thiab tsim kho, ua tsaug rau cov ntawv cog lus Proposition 1 uas nyuam qhuav pom zoo.

Kev hloov kho tshiab

Txoj Cai Tshiab 1 Kev Ntsuam Xyuas Yuav Tsum Tau Rau Medi-Cal Rx Cov Cai

Effective April 30, Code 1 Diagnosis Requirement – Reject Code 80 claim utilization management (UM) edits will be implemented for members 22 years of age and older. Medi-Cal Rx will use diagnosis code(s) from the member’s Medi-Cal medical record to meet the Code 1 diagnosis restriction. Code 1 drugs are subject to prescription documentation requirements, and prescribers and pharmacy providers must document the treatment diagnosis and keep that information readily available for auditing purposes. Code 1 diagnosis requirements can be met in one of four ways: provide a diagnosis with the prescription, communicate the diagnosis verbally to the pharmacy provider, submit a prior authorization request with the diagnosis, or use an acceptable diagnosis code that is on file in the Medi-Cal data system. Members 21 years of age and younger are not impacted. 

Smile, California Mobile Dental Van Ncig saib txuas ntxiv mus

On May 4, the Smile, California mobile dental van tour will stop in Huntington Park. During the event, individuals will have access to various dental services, such as exams, X-rays, cleaning, and fluoride applications. More information about Medi-Cal-covered dental services is available on the Smile, California website.

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

Medi-Cal Children’s Health Advisory Panel (MCHAP)

Thaum Lub Tsib Hlis 1, txij 10 teev sawv ntxov txog 2 teev tav su, DHCS yuav tuav lub rooj sib tham sib xyaw MCHAP (yuav tsum tau sau npe ua ntej). MCHAP qhia DHCS txog txoj cai thiab cov teeb meem kev ua haujlwm uas cuam tshuam rau cov menyuam yaus hauv Medi-Cal. Pawg neeg muaj 15 tus tswv cuab uas cov tswv cuab suav nrog cov neeg koom nrog thiab cov kws tshaj lij hauv lawv cov teb, cov kws kho mob, cov neeg tawm tswv yim, thiab cov niam txiv. Yog tias koj xav tau cov ntaub ntawv hais txog cov rooj sib tham MCHAP lossis muaj lus nug dav dav, thov xa email rau MCHAP@dhcs.ca.gov. 

Consumer-Focused Stakeholder Workgroup (CFSW)

On May 3, from 10 to 11:30 a.m., 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 to the CFSW webpage no later than May 1. Please email your questions to DHCSCFSW@dhcs.ca.gov. 

Medi-Cal Dental Los Angeles Lub Rooj Sib Tham Cov Neeg Koom Tes

Thaum lub Tsib Hlis 14, thaum 1 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Medi-Cal Dental Los Angeles. DHCS yuav qhia cov kev hloov tshiab thiab cov ntaub ntawv hais txog cov haujlwm tshiab thiab yav tom ntej. Lub rooj sib tham tseem muab cov neeg muaj feem cuam tshuam txog kev kho hniav nrog lub rooj sab laj los qhia tawm tswv yim nrog pab pawg Medi-Cal Dental uas tuaj yeem pab txhim kho kev xa cov kev pab kho qhov ncauj. Cov ntaub ntawv rooj sib tham yuav muab tso rau ntawm DHCS Medi-Cal Dental Los Angeles Stakeholder Meetings webpage. Cov ntaub ntawv ntxiv yuav muab tso rau ntawm nplooj ntawv web ua ntej lub rooj sib tham lossis sai li sai tau thaum lawv muaj. Thov xa email rau koj cov lus nug rau dental@dhcs.ca.gov. 

Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham

On May 29, from 9:30 a.m. to 3 p.m., DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts, as well as helps DHCS further its efforts to provide high-quality, equitable care. 

BH-SAC is a broad-based body that disseminates information and receives coordinated input regarding DHCS behavioral health activities. It was created as part of the ongoing DHCS effort to integrate behavioral health with the rest of the health care system and incorporates existing groups that have advised DHCS on behavioral health topics. 

CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Lub Rooj Sib Tham Duals Integration Workgroup

On May 30 at 10 a.m., DHCS will host the CalAIM MLTSS and Duals Integration Workgroup virtual meeting (advance registration is required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare. 

Cov txheej txheem txheej txheem suav nrog cov kev hloov tshiab ntawm Dual Eligible Special Needs Plan (D-SNP) Lub Xeev Medicaid Agency Daim Ntawv Cog Lus (SMAC) thiab Txoj Cai Qhia, Medicare cov ntaub ntawv rau npe rau ob tus tswvcuab, Tus Thawj Saib Xyuas Kev Nkag Mus Kawm, thiab 2025 Lub Chaw rau Medicare & Medicaid Services (CMS) Medicare Kev Pabcuam Kev Pabcuam Zoo Tshaj Plaws, thiab Kev Tshaj Tawm Txog Kev Pabcuam thiab Kev Pabcuam Zej Zog rau ob tus tswvcuab tsim nyog. 

Cov ntaub ntawv keeb kwm yav dhau, cov ntawv sau tseg, thiab cov ntaub ntawv kaw tseg ntawm pawg neeg ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, tau tshaj tawm rau ntawm CalAIM MLTSS thiab Duals Integration Workgroup lub vev xaib. Rau cov lus nug lossis lus pom, thov email info@calduals.org.