August 12, 2024 – Stakeholder Update
Xov xwm tshaj plaws
California Advancing and Innovating Medi-Cal (CalAIM) Dashboard Update
Thaum Lub Yim Hli 9, DHCS tau tshaj tawm qhov hloov tshiab rau CalAIM dashboards uas pej xeem pom uas txhawb kev pom tseeb thiab qhia txog qhov cuam tshuam, kev nce qib, thiab cov cib fim tseem ceeb ntawm CalAIM. Qhov hloov tshiab no suav nrog lub dashboard tshiab rau kev pib kho hniav uas qhia txog CalAIM cov kev pib los txhim kho cov txiaj ntsig kev noj qab haus huv ntawm qhov ncauj. Nws kuj tseem hloov kho cov ntaub ntawv thiab txhim kho cov yam ntxwv hauv cov dashboards uas twb muaj lawm, suav nrog Kev Noj Qab Haus Huv Tus Kheej, Kev Txhawb Nqa Hauv Zej Zog, Kev Tswj Xyuas Kev Kho Mob Zoo Dua, Kev Them Nyiaj Txhawb Siab, Kev Saib Xyuas Sib Koom Tes rau Cov Tswv Cuab Tsim Nyog Ob Leeg, Kev Tswj Xyuas Kev Noj Qab Haus Huv Rau Cov Pej Xeem, Kev Muab Kev Nkag Mus Rau Thiab Hloov Kev Noj Qab Haus Huv, thiab Kev Pib Ua Kom Muaj Lub Hom Phiaj Loj. Cov dashboards yuav txuas ntxiv hloov kho tsis tu ncua thiab yuav nthuav dav kom suav nrog cov kev ntsuas zoo ntxiv, cov ntaub ntawv txog pej xeem, thiab cov kev pib ua thaum muaj ntau cov ntaub ntawv ntxiv.
Kev hloov kho tshiab
Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) 1915(C) Kev zam rau Cov Neeg Tsis Taus Kev Loj Hlob thiab 1915(I) Kev Hloov Kho Lub Xeev Txoj Kev Npaj - 30-Hnub Lub Sijhawm Tshaj Tawm
Thaum Lub Yim Hli 2, Lub Tsev Haujlwm Saib Xyuas Kev Txhim Kho (DDS), koom tes nrog DHCS, tau tshaj tawm qhov kev hloov kho tshiab rau HCBS 1915 (c) kev zam thiab HCBS 1915 (i) Kev Hloov Kho Txoj Kev Npaj Hauv Xeev (SPA) rau 30 hnub rau pej xeem tawm tswv yim, ua ntej xa cov ntawv kawg mus rau Lub Chaw rau Medicare & Medicaid Services kom pom zoo.
The HCBS 1915(c) waiver amendment and 1915(i) SPA would implement the next round of rate increases associated with rate reform effective on January 1, 2025. Additionally, the waiver amendment and SPA would add a new service (person-centered future planning) along with a corresponding provider type and payment methodology, increase rates for financial management service providers, and include new provider personal assistance to community living arrangement services with the opportunity for participants to manage their own services.
All comments must be received by September 1, 2024. DDS and DHCS invite all interested parties to review the amendment and comment instructions on the DDS HCBS Programs webpage. If you have any questions, or to comment on the waiver amendment and/or SPA, please email federal.programs@dds.ca.gov.
CalAIM Cov Kev Cai Zoo Tshaj Plaws Webinar Cov Khoom Siv Tam sim no muaj
DHCS tau tuav lub rooj sib tham hauv online rau pej xeem, "Cov Cuab Yeej Los Koom Tes Zoo Dua Nrog Cov Tswv Cuab Tsim Nyog Hauv CalAIM," thaum Lub Rau Hli ua ib feem ntawm cov rooj sib tham hauv online ntawm Kev Muab Kev Nkag Mus Rau Thiab Kev Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Npaj Ua Haujlwm thiab Kev Siv. Cov webinars no yog tsim los qhia txog cov kev coj ua zoo tshaj plaws rau kev siv Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog, ua kom cov neeg muab kev pab koom tes zoo dua hauv CalAIM, thiab txhim kho kev koom tes nrog Medi-Cal cov phiaj xwm kev kho mob, cov koom haum tsoomfwv hauv xeev thiab hauv zos, thiab lwm tus los tsim thiab xa cov kev pabcuam zoo, ncaj ncees rau cov tswv cuab Medi-Cal.
Organizations may now access and share the webinar recording and other supporting materials by visiting the “Best Practices & Resources” library on the PATH webpage. Please submit your questions to collaborative@ca-path.com.
Koom nrog peb pab neeg
DHCS tab tom nrhiav ib tus neeg txawj ntse, tshwj xeeb tshaj yog kev txhawb siab rau ib tus neeg los ua:
- Tus Lwm Thawj Coj rau Kev Pab Nyiaj Txiag Kho Mob los pab coj kev npaj, kev siv, kev sib koom tes, kev ntsuam xyuas, thiab kev tswj hwm ntawm DHCS cov kev pab cuam thiab cov cai nyiaj txiag kho mob. (Hnub kawg xa daim ntawv thov: Lub Yim Hli 21)
DHCS kuj tseem tab tom nrhiav neeg ua haujlwm rau nws cov peev txheej tib neeg, kev tshuaj xyuas, txoj cai kev noj qab haus huv, kev siv thev naus laus zis, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib lub vev xaib CalCareers.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav
Thaum Lub Yim Hli 15, txij 12 txog 1 teev tsaus ntuj PDT, DHCS yuav tuav nws lub rooj sib tham hauv online HACCP rau cov kws kho mob thiab cov kws tshaj lij hnov lus. Yog xav paub ntxiv thiab xav sau npe ua ntej, thov mus saib DHCS' HACCP webpage.
Population Health Management Webinar: Txhawb Medi-Cal Cov Tswv Cuab nrog Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (LTSS)
Thaum Lub Yim Hli 21, txij 12 txog 1 teev tav su PDT, DHCS yuav tuav lub rooj sib tham hauv online txog kev txhim kho cov kev pabcuam thiab kev txhawb nqa rau cov tswv cuab uas muaj kev xav tau LTSS thaum lawv ntsib kev hloov pauv ntawm kev saib xyuas, xws li tsiv ntawm tsev kho mob mus rau chaw saib xyuas neeg mob lossis ntawm chaw mus rau tsev (yuav tsum tau sau npe ua ntej). Nyob rau hauv CalAIM Population Health Management program, cov phiaj xwm kev saib xyuas uas tau tswj hwm yog lub luag haujlwm los muab cov kev pabcuam kev saib xyuas hloov pauv kom ntseeg tau tias cov tswv cuab tau txais kev txhawb nqa txij thaum pib ntawm txoj kev npaj tso tawm mus txog rau lawv txoj kev hloov pauv, kom txog thaum lawv tau txuas nrog txhua yam kev pabcuam thiab kev txhawb nqa uas xav tau. Vim muaj ntau yam thiab nyuaj ntawm cov kev pabcuam muaj rau cov pej xeem LTSS thoob plaws Medi-Cal, cov neeg koom nrog tau thov kev pab txog kev txawj ntse kom ntseeg tau tias kev hloov pauv mus rau qib kev saib xyuas uas tsis muaj kev txwv ntau. Txawm hais tias kev sau npe qhib rau txhua tus neeg uas xav paub, lub webinar no yuav muaj txiaj ntsig zoo rau cov phiaj xwm kev saib xyuas thiab cov neeg ua haujlwm hauv chaw kho mob uas muaj lub luag haujlwm saib xyuas kev saib xyuas rau cov tswv cuab uas muaj kev xav tau LTSS.
Cov webinar no yuav tsom mus rau seb Kev Txhawb Nqa Hauv Zej Zog, Kev Tswj Xyuas Kev Saib Xyuas Zoo Dua, thiab cov kev pabcuam saib xyuas kev hloov pauv tuaj yeem txhawb nqa cov tswv cuab zoo tshaj plaws thaum lub sijhawm hloov pauv thiab tom qab lub sijhawm hloov pauv. Anwar Zouehid, Tus Lwm Thawj Coj ntawm LTSS ntawm Partners in Care Foundation, thiab Chris Esguerra, Tus Thawj Coj Saib Xyuas Kev Kho Mob ntawm Health Plan ntawm San Mateo, yuav koom nrog DHCS ua cov neeg hais lus rau kev sib tham kom qhia txog cov kev coj ua zoo rau kev hloov pauv zoo rau cov tswv cuab no. Lub webinar yuav qhia txog cov peev txheej tshiab, suav nrog Enhanced Care Management Long-Term Care Population of Focus Spotlight thiab phau ntawv qhia kev pabcuam kev pabcuam kev hloov pauv rau cov tswv cuab uas muaj kev xav tau LTSS.
CalAIM Kev Ncaj Ncees-Involved Initiative Learning Collaborative Series
Thaum Lub Yim Hli 22, txij 10 teev sawv ntxov txog 12 teev tav su PDT, DHCS yuav tshaj tawm cov kev kawm sib koom tes hauv online tshiab rau cov neeg koom tes ua haujlwm ncaj ncees los tham txog cov kev cai zam CalAIM, sib qhia cov kev coj ua zoo tshaj plaws thiab cov lus qhia uas tau kawm, thiab xyuas kom meej tias txhua tus neeg koom tes taug txoj kev zoo. Qhov txuas rau kev sau npe rau lub rooj sib tham yuav raug xa email rau cov neeg koom tes hauv txhua lub nroog. Cov kev sib tham yuav raug kaw cia thiab muab tso rau ntawm nplooj ntawv web DHCS Justice-Involved Initiative.
Cov kev sib tham yuav tsom mus rau kev npaj txhij thiab cov tswv yim siv rau lub nroog thiab yuav suav nrog cov ncauj lus xws li lub rooj vag tshuaj ntsuam xyuas kev ncaj ncees, tus qauv kev saib xyuas luv luv, cov kev pabcuam uas tau them, kev them nqi thiab kev thov nyiaj, Kev Tswj Xyuas Kev Saib Xyuas Zoo Dua, kev xa mus rau lwm tus, kev xa mus rau lwm tus, thiab txoj cai muag tshuaj. Lub rooj sib tham yuav suav nrog kev sib tham sib cais rau cov chaw kaw neeg raug kaw, cov neeg koom tes hauv nroog, thiab cov phiaj xwm kev saib xyuas Medi-Cal los ua haujlwm ua ke rau kev siv zog hauv cheeb tsam. Hauv lub lim tiam tom qab txhua lub rooj sib tham, DHCS yuav tuav lub sijhawm ua haujlwm los muab lub rooj sib tham qhib thiab teb cov lus nug tseem ceeb los ntawm lub lim tiam dhau los.
Cov neeg tuaj koom kev kawm ua ke tseem ceeb yog cov tsev lojcuj laus hauv nroog (cov neeg ua haujlwm hauv Chaw Haujlwm Tub Ceev Xwm thiab cov neeg koom tes hauv kev pabcuam kev kho mob hauv tsev lojcuj); cov chaw kho mob rau cov tub ntxhais hluas hauv nroog (cov neeg ua haujlwm probation thiab cov neeg muab kev pabcuam kev kho mob hauv tsev lojcuj); cov phiaj xwm kev saib xyuas uas tau tswj hwm; cov koom haum kev noj qab haus huv ntawm lub nroog; thiab California Department of Corrections and Rehabilitation. DHCS kuj txhawb kom cov neeg koom tes hauv nroog caw cov kws kho mob Enhanced Care Management thiab cov kws kho mob rov qab los, nrog rau lwm cov neeg koom tes tseem ceeb, tuaj koom cov kev sib tham. Yog xav paub ntxiv, xa email rau DHCS ntawm CalAIMPusticeAdvisoryGroup@dhcs.ca.gov.
CalAIM Tswj LTSS thiab Duals Integration Workgroup Meeting
Thaum Lub Yim Hli 29 thaum 12 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham virtual CalAIM Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration Workgroup (yuav tsum tau sau npe ua ntej). Pawg neeg ua haujlwm no ua lub hauv paus rau kev koom tes ntawm cov neeg koom tes rau CalAIM MLTSS thiab kev saib xyuas sib koom ua ke rau cov tswv cuab uas tsim nyog ob leeg thiab tso cai rau cov neeg koom tes muab cov lus taw qhia thiab sib qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab lub tswv yim rau kev hloov pauv yav tom ntej rau Medi-Cal thiab Medicare.
Cov ncauj lus ntawm cov txheej txheem suav nrog kev hloov tshiab ntawm cov ntaub ntawv sau npe Medicare rau cov tswv cuab uas tsim nyog ob leeg, Dual Eligible Special Needs Plan (D-SNP) dashboard, D-SNP State Medicaid Agency Contract and Policy Guide, D-SNP Default Enrollment Pilot, Medi-Cal Matching Plan Policy rau cov tswv cuab uas tsim nyog ob leeg, thiab Enhanced Care Management thiab Community Supports resources, thiab kev nthuav qhia txog kev sib koom tes kho hniav rau cov tswv cuab uas tsim nyog ob leeg.
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.
DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem
Kev sau npe tam sim no qhib rau ob lub rooj sib tham txo kev ua phem ntawm DHCS thawj zaug hauv Shasta County (Lub Kaum Hli 24) thiab San Mateo County (Kaum Ib Hlis 19). Lub Rooj Sib Tham Txog Kev Txo Kev Mob DHCS lub hom phiaj yog kom txo qhov kev ntxub ntxaug thiab qhia cov neeg muab kev kho mob siv tshuaj yeeb dej cawv txog cov kev pab kho mob kom txo tau kev mob. DHCS txhawb kom cov neeg muab kev pab kho mob thiab cov neeg ua haujlwm kho mob siv tshuaj yeeb (xws li cov neeg ua haujlwm pabcuam zej zog, cov phooj ywg, cov neeg ua haujlwm pem hauv ntej, cov thawj tswj xyuas rooj plaub, cov kws tu mob, cov kws kho mob, thiab txhua tus neeg ua haujlwm hauv qhov chaw kho mob siv tshuaj yeeb) tuaj koom thiab kawm txog cov kev coj ua zoo tshaj plaws rau kev siv kev txo kev raug mob rau hauv qhov chaw kho mob siv tshuaj yeeb. Cov rooj sib tham saum toj kawg nkaus uas tseem tshuav yuav nyob hauv Fresno County, Los Angeles County, thiab San Diego County thaum lub caij ntuj no xyoo 2025. Sau npe rau ntawm lub vev xaib ntawm qhov kev tshwm sim.
Hauv Case Koj Tsis Tau Nws
Medi-Cal Cov ntaub ntawv nthuav dav rau cov neeg laus
Thaum Lub Yim Hli 1, DHCS tau tshaj tawm cov ntaub ntawv txog cov neeg laus hnub nyoog 26-49 xyoo rau lub Ib Hlis 2024, Lub Ob Hlis 2024, Lub Peb Hlis 2024, thiab Lub Plaub Hlis 2024 ntawm California Health & Human Services Agency Open Data Portal. Cov ntaub ntawv suav nrog kev suav txhua hli ntawm cov tib neeg hnub nyoog 26-49 xyoo, los ntawm lub nroog, tau txais cov txiaj ntsig Medi-Cal tag nrho vim yog qhov kev nthuav dav ntawm cov neeg laus hnub nyoog 26-49. Cov suav suav qhia txog tag nrho cov neeg tsim nyog tau sau npe thaum lub hli ntawd. Cov ntaub ntawv kuj suav nrog tag nrho cov suav rau haiv neeg, hom lus sau, thiab hom lus hais, los ntawm lub nroog, uas cov tswv cuab tau tshaj tawm. DHCS yuav tshaj tawm cov ntaub ntawv qhia txog kev ua haujlwm txhua hli.
Muaj peev xwm nrhiav nyiaj txiag tseem ceeb muaj los nthuav tawm Kev Pabcuam Kev Noj Qab Haus Huv
On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award up to $3.3 billion in grants to projects that expand community-based behavioral health facilities and services.
Cov nyiaj pab no lub hom phiaj yog los daws cov teeb meem loj ntawm kev kho mob los ntawm kev txhim kho kev nkag mus rau kev kho mob tus cwj pwm. Cov neeg txaus siab tuaj yeem nrhiav cov lus qhia txog kev thov ntawm lub vev xaib BHCIP thiab xa lawv daim ntawv thov ua ntej Lub Kaum Ob Hlis 13, 2024. Qhov kev pib no, ib feem ntawm Proposition 1, nrhiav kev hloov pauv California txoj kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv, muab kev saib xyuas zoo dua rau cov pej xeem uas muaj kev phom sij tshaj plaws hauv lub xeev. Yog xav paub ntxiv, hu rau DHCS ntawm BHTinfo@dhcs.ca.gov.