August 19, 2024 – Stakeholder Update
Kev hloov kho tshiab
Children and Youth Behavioral Health Initiative (CYBHI) – Rov Mus Kawm Ntawv
Thaum Lub Yim Hli 22, txij 3 txog 5 teev tsaus ntuj PDT, DHCS, koom tes nrog Sacramento County Office of Education, yuav tuav lub rooj sib tham hauv online rau pej xeem txog cov haujlwm hauv tsev kawm ntawv ua ib feem ntawm CYBHI. Cov webinar no yuav tham txog cov kev txiav txim siab tseem ceeb thiab cov kev hloov tshiab thoob plaws ntau qhov kev pab cuam hauv tsev kawm ntawv, suav nrog CYBHI Fee Schedule program thiab School-Linked Partnership and Capacity Grant Program.
Ntxiv rau qhov ntawd, California Health & Human Services Agency (CalHHS) tau tshaj tawm Cov Cuab Yeej Siv Rov Qab Mus Kawm Ntawv Lub Hlis uas suav nrog cov ntawv theej hauv social media, cov duab kos, thiab cov yeeb yaj kiab los pab cov tsev kawm ntawv tshaj tawm cov lus thiab cov peev txheej los pab txhawb kev noj qab haus huv ntawm lub hlwb ntawm cov tub ntxhais hluas thaum lub caij rov qab mus kawm ntawv. Cov tsev kawm ntawv raug txhawb kom siv cov cuab yeej thaum lub sijhawm hloov pauv rov qab mus kawm ntawv los tshaj tawm txog DHCS ob lub Behavioral Health Virtual Services Platforms uas muab kev txhawb nqa kev noj qab haus huv ntawm lub hlwb dawb, muaj kev nyab xeeb, thiab zais cia rau cov tub ntxhais hluas thiab lawv tsev neeg: BrightLife Kids rau cov menyuam yaus hnub nyoog 0-12 thiab lawv niam lawv txiv lossis cov neeg saib xyuas thiab Soluna rau cov tub ntxhais hluas hnub nyoog 13-25. Yog xav paub ntxiv, thov email rau CYBHI@dhcs.ca.gov.
Medi-Cal Reimbursements for Vaccines for Children (VFC) Program
Medi-Cal yuav them rov qab rau cov chaw muab tshuaj uas tau sau npe rau hauv qab qhov kev pab cuam VFC rau cov tshuaj tiv thaiv kab mob uas tau txais nyiaj los ntawm VFC thaum muab rau thiab tom qab Lub Ib Hlis 1, 2023, rau cov tswv cuab Medi-Cal uas tsim nyog uas muaj hnub nyoog 18 xyoo thiab qis dua. Cov chaw muab tshuaj uas tau sau npe rau hauv Medi-Cal yuav tsum tau sau npe rau hauv qhov kev pab cuam VFC kom tau txais nyiaj rov qab los ntawm Medi-Cal rau cov tshuaj tiv thaiv kab mob uas tau them nyiaj los ntawm VFC rau cov tswv cuab hnub nyoog 18 xyoo thiab qis dua. Tus nqi ntawm cov tshuaj tiv thaiv kab mob yuav tsis raug them rov qab vim tias cov tshuaj tiv thaiv kab mob tau muab pub dawb raws li qhov kev pab cuam VFC. Cov chaw muab tshuaj tuaj yeem sau nqi rau peb qhov kev pabcuam sib txawv rau kev them rov qab: tus nqi txhaj tshuaj tiv thaiv kab mob, tus nqi muab tshuaj rau cov kws tshaj lij, thiab cov kev pabcuam kws muag tshuaj (tus nqi sab laj thiab kev ntsuam xyuas [kev pib txhaj tshuaj tiv thaiv]).
Cov kws muag tshuaj uas tsis tau sau npe rau hauv Medi-Cal ua tus neeg muab kev pab txog kev xaj, kev muab tshuaj, thiab kev sau tshuaj (ORP) yuav them tus nqi txhaj tshuaj yog tias tus neeg sau ntawv uas muaj National Provider Identifier xa mus rau Medi-Cal Rx tau sau npe ua tus neeg muab kev pab Medi-Cal. Yuav kom them nqi rau cov kev pabcuam kws muag tshuaj, tus kws muag tshuaj yuav tsum yog tus kws muab kev pabcuam Medi-Cal ORP uas tau sau npe.
For more detailed guidance, please refer to Medi-Cal Reimbursement of VFC-Enrolled Pharmacy Providers and for VFC and Non-VFC Vaccines – Frequently Asked Questions (FAQs) or the Medi-Cal Rx Alert, Coming Soon: Medi-Cal Reimbursement for VFC-Enrolled Providers.
Koom nrog peb pab neeg
DHCS tab tom nrhiav tus kws tshaj lij, tshwj xeeb tshaj yog tus neeg mob siab los ua haujlwm xws li:
- 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)
- Tus Thawj Coj ntawm Lub Chaw Haujlwm Saib Xyuas Tsev Neeg los ua tus thawj coj hauv Family Planning, Access, Care, thiab Treatment (FPACT), uas muab kev pab npaj tsev neeg rau cov neeg tau nyiaj tsawg thiab tsev neeg. Tus Thawj Coj tseem tab tom tsim thiab ua raws li txoj cai nyuaj thiab muaj txiaj ntsig ntsig txog FPACT, kev npaj tsev neeg, thiab kev pabcuam kev sib deev thiab kev ua menyuam yaus hauv Medi-Cal qhov kev pabcuam. (Hnub kawg ua ntawv thov: Cuaj hlis 4)
DHCS is also hiring for its legislative and governmental affairs, 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
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 lub sijhawm hloov 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). Cov phiaj xwm kev saib xyuas uas tau tswj hwm yog lub luag haujlwm los xyuas kom meej tias cov tswv cuab tau txais kev txhawb nqa los ntawm cov txheej txheem npaj tso tawm los ntawm kev txuas lawv mus rau txhua qhov 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 txwv ntau.
This webinar will focus on how Community Supports, Enhanced Care Management, and transitional care services can best support members during and after periods of transition. Guest speakers Anwar Zouehid, Vice President of LTSS at Partners in Care Foundation, and Chris Esguerra, Chief Medical Officer of Health Plan of San Mateo, will share promising practices and discuss new resources, including the Enhanced Care Management Long-Term Care Population of Focus Spotlight and the forthcoming transitional care services technical assistance resource guide for members with LTSS needs.
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 rau cov neeg koom tes uas koom nrog kev siv California Advancing and Innovating Medi-Cal (CalAIM) kev pib ua haujlwm ncaj ncees. Cov koob no yuav qhia txog cov kev cai zam, cov kev coj ua zoo tshaj plaws, thiab cov tswv yim siv. Cov neeg koom tes ua haujlwm yuav tau txais qhov txuas rau kev sau npe los ntawm email, thiab cov kev sib tham yuav raug kaw cia rau kev nkag mus rau yav tom ntej ntawm nplooj ntawv web DHCS Justice-Involved Initiative.
Cov ncauj lus suav nrog lub portal tshuaj ntsuam xyuas kev ncaj ncees, tus qauv kev saib xyuas luv luv, kev them nqi thiab kev thov, Kev Tswj Xyuas Kev Saib Xyuas Zoo Dua, kev xa tawm sov so, kev xa khoom tsis siv neeg, thiab txoj cai muag tshuaj. Yuav muaj kev sib tham txog kev sib cais rau cov chaw kaw neeg raug kaw, cov neeg koom tes hauv nroog, thiab cov phiaj xwm saib xyuas kev kho mob Medi-Cal. DHCS yuav tuav cov sijhawm ua haujlwm hauv chaw ua haujlwm txhua lub lim tiam tom qab txhua lub rooj sib tham.
Cov koob no yog rau cov tsev lojcuj hauv nroog (cov neeg ua haujlwm ntawm Chaw Haujlwm Tub Ceev Xwm thiab cov neeg koom tes hauv kev pabcuam kev noj qab haus huv); cov chaw kaw neeg hluas (cov neeg ua haujlwm probation thiab cov neeg muab kev pabcuam kev noj qab haus huv hauv kev kaw neeg); 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. Yog xav paub ntxiv, xa email rau DHCS ntawm CalAIMPusticeAdvisoryGroup@dhcs.ca.gov.
Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Khab Lub Rooj Sib Tham
Thaum Lub Yim Hli 26, txij 9:30 sawv ntxov txog 4:30 tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham txhua peb lub hlis rau cov neeg sawv cev ntawm cov kev pab cuam kev noj qab haus huv ntawm cov neeg hauv pawg neeg thiab cov neeg Isdias hauv Sacramento. Lub rooj sib tham no muab rau cov neeg sawv cev ntawm cov kev pab cuam kev noj qab haus huv ntawm cov haiv neeg thiab cov neeg Isdias ib lub rooj sib tham qhib los muab cov lus taw qhia txog DHCS cov kev pib uas muaj feem cuam tshuam tshwj xeeb rau cov haiv neeg, cov kev pab cuam kev noj qab haus huv ntawm cov neeg Isdias, thiab cov tswv cuab ntawm American Indian Medi-Cal. Daim ntawv caw thiab cov txheej txheem tau muab tso rau ntawm nplooj ntawv web ntawm Indian Health Program. Lwm cov ntaub ntawv sib tham yuav raug tshaj tawm thaum lawv muaj.
Txoj Cai Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm Cov Nyiaj Tau Los thiab Kev Ruaj Ntseg Ua Haujlwm Lub Rooj Sib Tham
Thaum Lub Yim Hli 27, txij 1 txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham ntawm Behavioral Health Services Act Revenue and Stability Workgroup ntawm DHCS, 1500 Capitol Avenue, Room 72.168, Sacramento, lossis los ntawm webinar. Lub hom phiaj ntawm lub rooj sib tham yog los ntsuam xyuas qhov kev hloov pauv txhua xyoo ntawm cov nyiaj tau los ntawm se uas tau tsim los ntawm Txoj Cai Kev Noj Qab Haus Huv Kev Coj Tus Kheej, los lees paub qhov xav tau lub tswv yim txhim khu kev qha rau kev ruaj ntseg nyiaj txiag luv luv thiab ntev. Cov lus tawm tswv yim rau pej xeem raug txais tos. Kawm ntxiv txog DHCS' Kev Hloov Pauv Kev Noj Qab Haus Huv Tus cwj pwm.
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 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.
SB 770 - Kev Pab Nyiaj Txiag Rau Kev Kho Mob - Lub Rooj Sib Tham Txog Kev Muab Tswv Yim Rau Pej Xeem
On August 30, from 9 a.m. to 1 p.m. PDT, CalHHS and UCLA Center for Health Policy Research will host a public webinar on SB 770 (Chapter 412, Statutes of 2023), which requires CalHHS to develop a federal waiver framework for and submit a report on a unified health care financing system in California, in consultation with stakeholders. CalHHS contracted with the UCLA Center for Health Policy Research to research and draft an interim report. UCLA will present its initial research and key design issues. Participants will be able to comment on the interim report. Additional public feedback may be provided by emailing SB770publiccomment@chhs.ca.gov.
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). Through these convenings, DHCS hopes to collaborate with communities across the state to change the culture around the concept of harm reduction within California’s substance use disorder treatment system and to create low-barrier, patient-centered care. 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 the tenets of 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
CalAIM Dashboard Hloov tshiab
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, uas 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.
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.
Muaj peev xwm nrhiav nyiaj txiag tseem ceeb muaj los nthuav tawm Kev Pabcuam Kev Noj Qab Haus Huv
Thaum Lub Xya Hli 17, DHCS tau tshaj tawm qhov Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Kev Thov Npaj Txhij Rau Cov Ntawv Thov. Cov koom haum tsim nyog tuaj yeem thov nyiaj pab los tsim, yuav, thiab kho dua tshiab cov vaj tse rau kev pabcuam kev noj qab haus huv rau cov tswv cuab Medi-Cal. DHCS yuav muab nyiaj pab txog li $3.3 billion rau cov haujlwm uas nthuav dav cov chaw kho mob thiab cov kev pabcuam hauv zej zog. 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.
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.