August 12, 2024 – Stakeholder Update
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California Advancing and Innovating Medi-Cal (CalAIM) Dashboard Update
On August 9, DHCS posted an update to the public-facing CalAIM dashboards that promote transparency and demonstrate the impact, progress, and key opportunity areas of CalAIM. This update includes a new dental initiative dashboard that highlights CalAIM initiatives to improve oral health outcomes. It also refreshes data and enhances features in existing dashboards, including Behavioral Health, Community Supports, Enhanced Care Management, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health, and Bold Goals initiative. The dashboards will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.
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
On August 2, the Department of Developmental Services (DDS), in partnership with DHCS, posted a proposed amendment to the HCBS 1915(c) waiver and the HCBS 1915(i) State Plan Amendment (SPA) for a 30-day public comment period, prior to submitting the final versions to the Centers for Medicare & Medicaid Services for approval.
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 hosted a public webinar, “Tools to Better Engage Eligible Members in CalAIM,” in June as part of a series of Providing Access and Transforming Health (PATH) Collaborative Planning and Implementation webinars. The webinars are designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to develop and deliver quality, equitable services to Medi-Cal members.
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:
- Assistant Deputy Director for Health Care Financing to assist in leading the planning, implementation, coordination, evaluation, and management of DHCS’ health care financing programs and policies. (Final filing date: August 21)
DHCS is also hiring for its human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.
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
On August 15, from 12 to 1 p.m. PDT, DHCS will host its quarterly HACCP webinar for medical providers and hearing professionals. For more information and to pre-register, please visit 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.
The primary learning collaborative audience is county adult jails (Sheriff’s Office staff and correctional health care services partners); county youth correctional facilities (probation staff and associated correctional health care services providers); managed care plans; county behavioral health agencies; and the California Department of Corrections and Rehabilitation. DHCS also encourages county partners to invite Enhanced Care Management providers and reentry providers, as well as any other key implementation partners, to the sessions. For more information, email DHCS at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.
CalAIM Tswj LTSS thiab Duals Integration Workgroup Meeting
On August 29 at 12 p.m. PDT, DHCS will host the virtual CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advanced registration 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.
Agenda topics include updates on Medicare enrollment data for dual eligible members, the 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 for dual eligible members, and Enhanced Care Management and Community Supports resources, and a presentation on dental care coordination for dual eligible members.
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
Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). The DHCS Harm Reduction Summits aim to reduce stigma and educate substance use disorder treatment providers about harm reduction approaches to treatment services. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating harm reduction into substance use disorder treatment settings. The remaining summits will be in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.
Hauv Case Koj Tsis Tau Nws
Medi-Cal Cov ntaub ntawv nthuav dav rau cov neeg laus
On August 1, DHCS published age 26-49 adult expansion population datasets for the January 2024, February 2024, March 2024, and April 2024 months of eligibility on the California Health & Human Services Agency Open Data Portal. The datasets include the monthly count of individuals 26-49 years of age, by county, receiving full scope Medi-Cal benefits because of the age 26-49 adult expansion. The counts reflect the total number of eligible individuals enrolled during the month. The datasets also include total counts for ethnicity, written language, and spoken language, by county, reported by members. DHCS will publish ongoing datasets monthly.
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.
This funding aims to address significant treatment gaps by improving access to behavioral health care. Interested parties can find application instructions on the BHCIP website and submit their applications by December 13, 2024. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.