CALIFORNIA DAIM NTAWV THOV NYIAJ KAWM NTAWV $ 147 lab txhawm rau txhim kho kev pabcuam hauv zej zog

Cov nyiaj yuav pab Medi-Cal cov kws kho mob ntxiv peev xwm hauv cov zej zog cov tswv cuab - muab kev nkag mus rau kev saib xyuas neeg nyob qhov twg lawv nyob  

SACRAMENTO — The California Department of Health Care Services (DHCS) today awarded $146.6 million to 133 organizations to support the provision of Enhanced Care Management (ECM) and Community Supports services to Medi-Cal members. These awards are part of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative, designed to help providers strengthen their ability to participate in the Medi-Cal delivery system and provide whole-person care to Californians.

"Cov nyiaj no yuav pab cov chaw muab kev pab hauv zos txhim kho peev xwm hauv Medi-Cal managed care system kom nthuav lawv cov kev pabcuam, kom ntseeg tau tias cov tswv cuab Medi-Cal tau txais cov kev pabcuam Enhanced Care Management thiab Community Supports uas lawv xav tau hauv lawv cov zej zog," DHCS Director Michelle Baass hais. Peb cog lus tias yuav txhim kho cov txiaj ntsig kev noj qab haus huv los ntawm kev txhawb nqa cov tib neeg thiab cov koom haum nyob rau pem hauv ntej.

ECM thiab Kev Txhawb Nqa Hauv Zej Zog tsom mus rau kev muab kev saib xyuas tus kheej rau cov tswv cuab Medi-Cal uas muaj kev xav tau siab tshaj plaws, muab kev sib koom tes saib xyuas tus kheej, kev pab txog vaj tse, thiab lwm yam kev pabcuam tseem ceeb rau cov tswv cuab tsim nyog. Cov nyiaj PATH CITED yuav txhawb nqa cov kev siv zog no los ntawm kev nqis peev rau kev txhim kho cov neeg ua haujlwm, kev tsim kho vaj tse, thiab thev naus laus zis.

CAPACITY FOR ECM AND COMMUNITY SUPPORTS INCREASING: The latest ECM and Community Supports Quarterly Implementation Report shows an increase in the availability and use of Community Supports, showing significant growth in the number of counties offering these services. As of January 2024, 19 counties across California offered all 14 Community Supports, and all counties offered at least eight Community Supports. About 140,000 unique Medi-Cal members used Community Supports in the first two years of the program, with more than 350,000 total services delivered. ECM participation also grew, with around 96,000 members served in quarter four 2023, a 40 percent increase from the same period in 2022.

“We’re very grateful for the funding and support from this initiative. We would not be here without this opportunity,” said John Bodtker, California Advancing and Innovating Medi-Cal (CalAIM) Director for California Health Collaborative, a statewide nonprofit serving community members since 1982, which received more than $1.9 million in PATH CITED Round 3 funding. “This funding will help us invest in our workforce and information systems to not only build relationships with nontraditional providers, like food banks and clothing closets, but to also foster relationships with clinical providers to try and identify people experiencing gaps in care.”

WHY THIS IS IMPORTANT: PATH CITED is helping ECM and Community Supports providers bolster their workforce, invest in infrastructure and information technology systems, and develop their capacity to serve Medi-Cal members. Examples of capacity-building efforts that CITED awardees will undertake include: 

• Tsim kev tsim kho vaj tse sab hauv thiab cov neeg ua haujlwm muaj peev xwm ua kom tau raws li cov tswv cuab xav tau thiab kaw qhov sib txawv hauv thaj chaw lawv ua haujlwm. 
• Siv cov software tshiab los pab ECM tus neeg saib xyuas nrog kev hloov kho neeg mob, kev sib koom tes, thiab kev tswj xyuas kev saib xyuas. 
• Kev nthuav dav kev coj noj coj ua hauv zej zog Kev txhawb nqa kom zoo dua rau cov tswv cuab los ntawm ntau hom lus thiab kab lis kev cai keeb kwm.

"Ua tsaug rau PATH CITED, peb tau hloov pauv peb cov thev naus laus zis thiab cov peev xwm ua haujlwm," Jeff Little, CEO ntawm Inland Housing Solutions thiab tus neeg tau txais txiaj ntsig CITED yav dhau los tau hais. "Kev pab nyiaj txiag CITED tau tso cai rau peb hloov zuj zus mus ua tus thawj coj hauv cheeb tsam ntawm Kev Txhawb Nqa Zej Zog thoob plaws San Bernardino thiab Riverside counties thiab tau tseem ceeb heev rau kev txhim kho peb lub peev xwm kom ua tau zoo hauv Medi-Cal."

BIGGER PICTURE: ECM is a statewide Medi-Cal benefit addressing the clinical and non-clinical needs of the highest-need members by building trusting relationships and providing intensive coordination of health and health-related services. Lead care managers meet members where they are—on the street, in a shelter, in their doctor’s office, or at home. Through ECM, members can also be connected to Community Supports services to help address their health-related social needs, such as access to healthy foods or safe housing to help with recovery from an illness. 

Cov kev nqis peev no txuas ntxiv pab cov chaw muab kev pabcuam Medi-Cal hauv zos ua haujlwm hauv lub kaw lus saib xyuas kev tswj hwm los ntawm kev txhawb zog rau lawv los tsim thiab xa cov kev pab cuam, ntiav thiab cob qhia cov neeg ua haujlwm tshwj xeeb, nqis peev rau hauv cov txheej txheem cov ntaub ntawv, thiab ntau ntxiv. Nws kuj tseem qhia txog peb txoj kev cog lus los txhawb kev koom tes ruaj khov ntawm cov phiaj xwm kev saib xyuas thiab cov neeg muab kev pabcuam hauv zej zog, thiab tsim kom muaj ib txoj kev xa khoom uas muaj peev xwm muab kev saib xyuas rau tus neeg mob, rau txhua tus neeg, "said Susan Philip, Tus Lwm Thawj Coj rau DHCS' Health Care Delivery Systems. "Ua ke, peb tab tom tsav tsheb mus rau qhov txiaj ntsig zoo dua ntawm kev noj qab haus huv thiab kev muab kev kho mob sib npaug zos rau txhua tus neeg California."

YUAV UA LI CAS PEB TAU TXAIS NTAWM NO: PATH yog ib qho kev pib ua haujlwm tsib xyoos, $ 1.85 billion uas tau pib xyoo 2022 uas muab nyiaj rau cov koom haum hauv zej zog, cov koom haum hauv nroog, cov tsev kho mob, cov pab pawg neeg, thiab lwm cov neeg muab kev pabcuam hauv zej zog los txhawb kev tswj hwm kev kho mob thiab kev xa khoom zoo dua los ntawm Medi-Cal system.  

Recipients of PATH CITED awards include cities, counties, local governmental agencies, tribal entities, nonprofit community-based organizations, public hospitals, and others. Awardees must be actively contracted to provide ECM/Community Supports or have a signed attestation from a Medi-Cal managed care plan or their subcontractor that they intend to contract with to provide ECM/Community Supports.  

Daim ntawv thov CITED Round 4 yuav qhib rau xyoo no. Yog xav paub ntxiv txog PATH CITED, thov mus saib lub vev xaib PATH.