Xov xwm tshaj plaws​​ 

Managed Care Organization (MCO) Tax Federal pom zoo​​ 

Niaj hnub no Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo rau MCO Tax tsoom fwv zam zam, paving txoj hauv kev rau DHCS mus rau pem hauv ntej nrog kev siv MCO Tax rau lub sij hawm tau tso cai, raug rau yav tom ntej cov kev hloov nyob rau hauv tsoom fwv teb chaws txoj cai hais txog kev noj qab haus huv cov se.

Assembly Bill 119 (Chapter 13, Statutes of 2023) tso cai rau MCO Tax pib txij lub Plaub Hlis 1, 2023, mus txog lub Kaum Ob Hlis 31, 2026. MCO Tax tau kwv yees tias yuav muab $ 19.4 nphom hauv cov nyiaj tsis yog tsoomfwv hauv lub sijhawm 3.75 xyoo. Raws li kev pom zoo thiab tsoomfwv pom zoo rau cov qauv kev them nyiaj thiab tus nqi, MCO cov nyiaj tau los yuav raug siv los txhawb Medi-Cal qhov kev pab cuam suav nrog, tab sis tsis txwv rau, tus kws kho mob cov nqi nce thiab lwm yam kev nqis peev uas ua rau nkag mus tau zoo, zoo, thiab kev ncaj ncees rau Medi-Cal cov tswv cuab thiab txhawb nqa kev koom tes hauv Medi-Cal qhov kev pab cuam.

Raws li lub xeev txoj cai lij choj, DHCS yuav tau lees paub hauv cov hnub sau ntawv tias tsoomfwv tau txais kev pom zoo thiab tshaj tawm cov ntawv ceeb toom rau txhua tus MCO uas raug them se uas qhia txog cov se uas tau them rau txhua lub sijhawm se thiab cov hnub uas yuav them se se tawm. Tsis tas li ntawd, DHCS yuav tshaj tawm hauv nws lub vev xaib cov ntaub ntawv ntsig txog MCO Tax, suav nrog tsab ntawv pom zoo, cov nqi se uas yuav tsum tau them rau txhua lub sijhawm se, thiab lwm yam ntaub ntawv tseem ceeb. Ib qhov txuas mus rau qhov chaw ntawm cov peev txheej no yuav muab rau hauv kev hloov tshiab rau cov neeg koom nrog yav tom ntej.​​ 

Hloov Kho Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb (LTSS) Cov Ntaub Ntawv Dashboard​​ 
DHCS hnub no tau tso tawm lub dashboard LTSS tshiab uas muaj cov kev ntsuas ntxiv thiab txhim kho kev pom tseeb thiab kev nkag mus tau ntawm cov ntaub ntawv. Thaum lub xeev tsav kev txhim kho tseem ceeb hauv kev zoo thiab kev ncaj ncees rau kev noj qab haus huv rau cov tswv cuab Medi-Cal, lub dashboard cov ntaub ntawv LTSS qhia txog kev siv thiab cov ntaub ntawv pej xeem ntawm cov kev pabcuam mus sij hawm ntev thiab kev txhawb nqa uas cov nroog thiab Medi-Cal managed care plans (MCP) muab. Nws yuav tso cai rau cov neeg siv los tshawb nrhiav cov qauv thoob plaws cov kev pabcuam thiab cov pejxeem thoob plaws California.  

Lub dashboard tshiab rau lub Kaum Ob Hlis 2023 LTSS muaj cov ntaub ntawv txij xyoo 2017 txog 2022 thiab muaj 16 qhov kev ntsuas siv ntxiv rau cov kev pabcuam kev noj qab haus huv hauv tsev, qhov project California Community Transitions, thiab cov kev pabcuam uas cov neeg California uas muaj kev tsis taus hauv kev loj hlob siv. Lub dashboard cov ntaub ntawv LTSS yuav raug hloov kho txhua ob xyoos ib zaug, cov kev hloov kho yav tom ntej yuav suav nrog cov kev ntsuas tus nqi thiab qhov zoo ntxiv, thiab cov ntaub ntawv yuav qhia txog kev nce qib mus rau "kev rov ua kom sib npaug" LTSS ntawm kev saib xyuas hauv tsev kho mob mus rau kev pabcuam hauv tsev thiab hauv zej zog. 

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Kev hloov kho tshiab​​ 

Daim Ntawv Qhia Txog Kev Cai Lij Choj Xyoo 2023 ntawm DHCS
Hnub no DHCS tau tshaj tawm daim ntawv qhia txog kev cai lij choj xyoo 2023 . Daim ntawv tshaj tawm no muab cov ntsiab lus luv luv ntawm cov kev cai lij choj uas tau muab faib ua pawg thiab tsis pom zoo rau txhua daim nqi tseem ceeb uas Lub Chaw Haujlwm tau tshuaj xyuas thiab koom nrog thaum lub xyoo thawj zaug ntawm xyoo 2023-2024 kev sib tham txog kev cai lij choj. Thov nco ntsoov tias, daim ntawv tshaj tawm no tsis yog cov npe tag nrho ntawm cov nqi uas Lub Chaw Haujlwm tau ua raws, lossis cov nqi uas tsis tau mus rau lub rooj ntawm Tus Thawj Kav Tebchaws.​​ 

Muaj Hnub Nyoog 26-49 Xyoo Rau Cov Neeg Laus Kev Siv Medi-Cal Uas Muaj Tag Nrho Cov Kev Pab Cuam​​ 
Thaum Lub Kaum Ob Hlis 11, 2023, DHCS tau muab daim ntawv pov thawj ntawm kev npaj txhij rau Lub Tsev Haujlwm Saib Xyuas Nyiaj Txiag los siv Txoj Kev Nthuav Dav rau Cov Neeg Laus Hnub Nyoog 26-49. Qhov Kev Nthuav Dav Rau Cov Neeg Laus Hnub Nyoog 26-49 Xyoo yuav muab cov txiaj ntsig Medi-Cal tag nrho rau cov tib neeg hnub nyoog 26-49 xyoo txawm tias lawv yog neeg nkag tebchaws los xij, yog tias lawv ua tau raws li lwm cov qauv tsim nyog ntawm Medi-Cal. DHCS yuav ua tiav kev hloov pauv ntawm cov neeg laus hnub nyoog 26-49 xyoo uas muaj Medi-Cal txwv mus rau Medi-Cal tag nrho txij li Lub Ib Hlis 1, 2024. Cov Ntawv Ceeb Toom Txog Kev Ua Haujlwm tau raug xa mus rau cov tib neeg uas raug kev cuam tshuam kom ceeb toom rau lawv txog lawv txoj kev hloov mus rau Medi-Cal uas muaj tag nrho cov kev pab cuam pib nrog Lub Ib Hlis 1, 2024.

Yog xav paub ntxiv txog Kev Nthuav Dav Rau Cov Neeg Laus Hnub Nyoog 26-49, thov mus saib nplooj ntawv Web txog Kev Nthuav Dav Rau Cov Neeg Laus Hnub Nyoog 26-49. Yog koj muaj lus nug txog Kev Nthuav Dav Rau Cov Neeg Laus Hnub Nyoog 26-49, thov xa email rau AdultExpansion@dhcs.ca.gov.​​ 

Cov Kev Xaiv Hauv Tsev thiab Hauv Zej Zos (HCBA) Qhov Kev Zam Txim Ntxiv Ntxiv Kev Pom Zoo​​ 
Thaum Lub Kaum Ob Hlis 11, Lub Chaw Haujlwm Saib Xyuas Medicare & Medicaid (CMS) tau pom zoo rau DHCS qhov kev hloov kho rau HCBA Waiver ntxiv qhov muaj peev xwm rau qhov kev zam rau xyoo zam ob txog tsib (2024 - 2027). Daim ntawv pom zoo hloov kho txoj cai zam yuav siv tau rau lub Ib Hlis 1, 2024, uas yog lub sijhawm pib ntawm xyoo zam thib ob (Lub Ib Hlis 1, 2024 – Lub Kaum Ob Hlis 31, 2024). Daim kev hloov kho txoj cai zam uas tau pom zoo ntxiv 1,800 qhov chaw zam ntxiv rau txhua plaub xyoos ntawm qhov kev zam uas tseem tshuav, ua rau tag nrho cov peev xwm zam tau nce ntxiv txog 7,200 qhov chaw thaum lub sijhawm zam. Yog xav paub ntxiv, suav nrog daim ntawv tso cai uas tau pom zoo, mus saib nplooj ntawv web HCBA waiver.
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Tsev Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Peev Xwm thiab Cov Txheej Txheem Kev Hloov Pauv, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Round 3 Daim Ntawv Thov Daim Ntawv Qhia Muaj Lub Kaum Ob Hlis 18​​ 

Thaum Lub Kaum Ob Hlis Ntuj hnub tim 18, 2023, DHCS yuav tshaj tawm daim ntawv qhia txog daim ntawv thov PATH CITED Round 3 los pab cov neeg thov npaj cov peev txheej thiab cov ntaub ntawv xav tau los ua kom tiav lawv daim ntawv thov ua ntej qhib lub qhov rais nyiaj txiag rau lub Ib Hlis Ntuj hnub tim 15, 2023. Lub qhov rais thov CITED Round 3 yuav qhib rau ntawm lub vev xaib PATH CITED rau 30 hnub, txij lub Ib Hlis 15 txog Lub Ob Hlis 15, 2024. Daim ntawv qhia txog daim ntawv thov no yog siv los ua ib qho cuab yeej npaj thiab siv los "saib ua ntej" daim ntawv thov. Nws tsis yog daim ntawv thov raug cai. Cov neeg thov tseem yuav tsum tau thov nyiaj pab CITED Round 3 siv qhov txuas ntawm daim ntawv thov hauv lub vev xaib PATH CITED.

Lub PATH CITED pib muab nyiaj txiag los pab txhawb kev hloov pauv, kev nthuav dav, thiab kev txhim kho Enhanced Care Management (ECM) thiab Community Supports lub peev xwm thiab cov khoom siv. Cov chaw tsim nyog thib 3 suav nrog cov koom haum hauv zej zog; cov koom haum tsoomfwv hauv nroog, nroog, lossis hauv zos; cov chaw kho mob uas tau txais kev tso cai los ntawm tsoomfwv; Medi-Cal Tribal thiab Designee of Indian Health Program; cov chaw muab kev pab; thiab lwm tus raws li DHCS tau pom zoo. Mus saib lub vev xaib PATH CITED kom paub ntau ntxiv.
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Medi-Cal Hloov Kho Tshiab​​ 

DHCS niaj hnub no tau tshaj tawm lub Kaum Hlis 2023 Medi-Cal qhov kev pab cuam tas li unwinding kev tsim nyog ntsuas cov ntaub ntawv nyob rau hauv Medi-Cal Enrollment and Renewal Data webpage. Lub Kaum Hli Ntuj dashboard suav nrog cov ntaub ntawv ntawm Medi-Cal rau npe, cov ntawv thov kev ua tiav, kev txiav txim siab rov qab, thiab kev rho npe. Cov ntaub ntawv tseem suav nrog cov ntaub ntawv pej xeem rau txhua qhov kev txiav txim siab rov qab, nrog rau cov laj thawj saum toj kawg nkaus rau kev rho npe.
 
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Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav. DHCS muaj cib fim rau:​​ 

• Tus Lwm Thawj Coj rau Kev Ua Haujlwm ntawm Qhov Kev Pabcuampab coj, npaj, teeb tsa, thiab coj Kev Ua Haujlwm ntawm Qhov Kev Pabcuam, uas muaj California Medicaid Management Information System - Kev Ua Haujlwm, Kev Lees Paub Txog Kev Kho Mob, Kev Sau Npe Rau Tus Kws Kho Mob, thiab Cov Chaw Haujlwm Saib Xyuas Kev Lav Phib Xaj thiab Kev Rov Qab Tau Nyiaj ntawm Sab Nraud. (Hnub kawg xa daim ntawv thov (FFD) yog Lub Kaum Ob Hlis 29)
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• Tus Thawj Coj ntawm Kev Txhim Kho Tus Nqi Capitated hauv Kev Pab Nyiaj Txiag Kev Kho Mob ua haujlwm ua tus tsim cai tseem ceeb rau txhua yam kev ua ub no teem tus nqi kom ntseeg tau tias kev kho mob zoo thiab siv nyiaj tau zoo los ntawm DHCS cov Medi-Cal MCPs uas tau cog lus. (FFD yog Lub Kaum Ob Hlis 19)
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• Tus Thawj Saib Xyuas Tus Nqi-rau-Kev Pabcuam Kev Loj Hlob hauv Kev Pabcuam Kev Noj Qab Haus Huv tau tsim, txhais, thiab teeb meem txoj cai ntawm Medi-Cal cov txheej txheem them rov qab rau Medi-Cal tus nqi-rau-kev pabcuam (FFS) cov kev pabcuam uas tsis yog lub tsev haujlwm thiab mus sij hawm ntev thiab cov kev pabcuam them nqi khomob. (FFD) yog lub Kaum Ob Hlis 20)​​ 

 
DHCS tseem tab tom ntiav rau peb cov peev txheej tib neeg, 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.
 
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Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

Txhim Kho Kev Tswj Xyuas (ECM) thiab Zej Zog Txhawb Kev Kho Mob Cov Txheej Txheem Txheej Txheem Txheej Txheem (HCPCS) Coding Guidance Webinar​​ 

Thaum Lub Kaum Ob Hlis 18, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav lub vev xaib los muab cov ntsiab lus ntawm cov kev hloov tshiab tsis ntev los no rau ECM thiab Community Supports HCPCS Coding Guidance (yuav tsum tau sau npe ua ntej). DHCS tau pib tshaj tawm cov lus qhia hauv 2021 uas suav nrog HCPCS cov lej thiab cov kev hloov pauv uas yuav tsum tau siv los tshaj tawm thiab sau nqi rau ECM thiab Kev Pabcuam Zej Zog ntsib kev sib ntsib. Qhov no suav nrog cov ntaub ntawv ntsib uas ECM thiab Community Supports cov chaw muab kev pabcuam xa mus rau MCPs rau kev thov lossis kev them nqi, thiab MCPs xa mus rau DHCS los saib xyuas kev ua haujlwm thiab kev ncaj ncees. Raws li kev tawm tswv yim xa los ntawm cov neeg muaj feem cuam tshuam thoob plaws lub xyoo thaum ntxov ntawm ECM thiab Kev Txhawb Zej Zog Kev Ua Haujlwm, DHCS tau hloov kho cov lus qhia no kom nce qib ntawm cov ntaub ntawv thoob plaws lub xeev thiab yooj yim rau kev tswj hwm lub nra.

Tshwj xeeb tshaj yog, DHCS tau ntxiv ECM tshiab thiab Zej Zog Txhawb HCPCS cov lej / hloov pauv kev sib txuas thiab ua tiav cov kev xav tau uas MCPs yuav tsis xav tau lossis tso cai rau lawv cov neeg muab kev pabcuam los tshaj tawm cov lej lossis hloov kho rau ECM thiab Cov Kev Pabcuam Hauv Zej Zos tshaj li tau teev tseg los ntawm DHCS hauv kev taw qhia. Qhov webinar no yuav muab MCPs, ECM thiab Community Supports cov chaw muab kev pab, thiab lwm cov neeg muaj feem txaus siab rau lub sijhawm los kawm ntxiv thiab nug cov lus nug txog cov kev hloov tshiab uas tau ua rau ECM thiab Community Supports HCPCS coding guidance.
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Telehealth Stakeholder Advisory Group Informational Webinar​​ 

Thaum Lub Kaum Ob Hlis 19, txij li 10 txog 11 teev sawv ntxov, DHCS yuav tuav ib qho kev qhia hauv webinar rau Telehealth Stakeholder Advisory Group thiab thov kev tawm tswv yim txog kev hloov tshiab DHCS tau ua tiav rau Medi-Cal Tus Muab Kev Pab Cuam: Telehealth ntsig txog Tus Neeg Mob Kev Xaiv ntawm Telehealth Modality thiab Txoj Cai rau Kev Pabcuam Hauv Tus Neeg. DHCS cia siab tias cov kev hloov tshiab no yuav raug tshaj tawm rau lub caij nplooj ntoos hlav 2024. Cov kev hloov tshiab ua tau raws li qhov yuav tsum tau tsim nyob rau hauv Senate Bill 184 (Tshooj 47, Txoj Cai ntawm 2022) thiab Assembly Bill 1241 (Tshooj 172, Txoj Cai ntawm 2023). Ua raws li qhov webinar, DHCS yuav muab cov tswv cuab pab tswv yim nrog peb lub lis piam tawm tswv yim. Thov xa koj cov lus nug thiab cov lus pom rau pej xeem hauv email rau Medi-Cal_telehealth@dhcs.ca.gov.
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Medi-Cal tus nqi nce Webinar​​ 

Thaum Lub Kaum Ob Hlis 19, DHCS yuav muaj kev sib tham hauv web los qhia cov ntaub ntawv nrog cov kws kho mob txog yuav ua li cas thiab thaum twg Medi-Cal tus nqi nce, pib lub Ib Hlis Ntuj 1, 2024, yuav raug muab coj los siv hauv Medi-Cal FFS thiab cov kev tswj xyuas kev noj qab haus huv. Thaum Lub Kaum Ob Hlis 1, DHCS tau tshaj tawm cov nqi FFS tshiab ntawm DHCS lub vev xaib.

Ua raws li Kev Noj Qab Haus Huv thiab Tsev Kawm Ntawv Txoj Cai Tshooj 14105.201, raws li tsoom fwv pom zoo, DHCS yuav nce FFS tus nqi rau cov txheej txheem phiaj xwm tsis pub tsawg dua 87.5 feem pua ntawm cov nqi Medicare. DHCS yuav coj Medi-Cal MCPs los xyuas kom meej tias cov nyiaj them lawv them rau cov chaw muab kev pabcuam hauv lub network rau cov txheej txheem cov txheej txheem tsis muaj tsawg dua li FFS cov nyiaj them rov qab tshiab. Cov kev pabcuam cuam tshuam yog cov kev pabcuam thawjcoj, suav nrog cov kws khomob thiab cov kws khomob uas tsis yog kws khomob, kev pabcuam obstetric thiab doula, thiab cov kev pabcuam kev puas hlwb uas tsis yog tshwj xeeb.

Thaum Lub Yim Hli 2023, DHCS tau hais kom pej xeem tawm tswv yim ntawm cov phiaj xwm txheej txheem teev npe thiab FFS tus nqi nce cov txheej txheem, thiab nyob rau lub Cuaj Hli tau xa Xeev Txoj Kev Hloov Kho 23-0035 rau CMS. Tsis tas li ntawd, DHCS tau koom tes nrog ib pab pawg neeg ua haujlwm hauv MCP los txhim kho yuav ua li cas qhov kev cia siab ntawm kev them nyiaj tshiab (kev npaj them nyiaj ncaj qha) yuav ua haujlwm nyob rau hauv kev tswj xyuas tus me nyuam. Vim qhov xav tau ntawm MCPs los hloov kho lawv cov kab ke thiab cov ntawv cog lus hauv chaw kho mob, cov nqi nce ntxiv yuav tsis raug them rau hauv kev tswj hwm kev saib xyuas tam sim ntawd. DHCS yuav tsim kev cai, los ntawm kev sau ntawv qhia, lub sijhawm ua raws li MCPs kom ua tiav cov qib kev them nyiaj nce ntxiv, raws li tsim nyog, raws li kev mus tom ntej thiab rov qab mus rau Lub Ib Hlis 1, 2024.

Yog xav paub ntxiv txog qhov webinar, lossis yog tias koj muaj lus nug lossis lus nug, thov email TargetedRateIncreases@dhcs.ca.gov.
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Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav​​ 

Thaum Lub Kaum Ob Hlis 19, txij li 12 txog 1 teev tsaus ntuj, DHCS yuav tuav HACCP webinar (yuav tsum tau sau npe ua ntej) los qhia cov ntaub ntawv nrog cov kws kho mob los pab cov neeg mob me thiab lawv tsev neeg kom tau txais txiaj ntsig HACCP ntau tshaj plaws. Kev cob qhia yuav hais txog cov kev xav tau ntawm cov tsev neeg los thov kev pab them nqi thiab cov txheej txheem xa ntawv thov rau audiologists, otolaryngologists, kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm. Yog xav paub ntxiv, thov mus saib hauv www.dhcs.ca.gov/haccp.
 
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Hauv Case Koj Tsis Tau Nws​​ 

California Launches New Opioid Resource Website​​ 

California launched a new, comprehensive opioid website that gives Californians a single resource for prevention, data, treatment, and support information. The website, OPIOIDS.CA.GOV, is part of Governor Newsom’s multi-pronged approach to connect Californians with information to prevent and reduce overdoses and deaths and support those struggling with substance use and addiction.

All Californians should visit OPIOIDS.CA.GOV to learn more and help us spread awareness and save lives. Together we can make a difference in combating this crisis.

We are also interested in hearing feedback from our partners about this new resource as we continue to iterate and improve the website. Please share your thoughts or comments with us at CommsOutreach@cdph.ca.gov.
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Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv​​ 

Raws li ib feem ntawm kev hloov pauv Medi-Cal, qee cov MCPs yuav hloov pauv rau lub Ib Hlis 1, 2024, thiab kwv yees li 1.2 lab tus tswv cuab yuav muaj cov kev xaiv phiaj xwm kho mob tshiab thiab/lossis yuav tsum hloov mus rau MCPs tshiab. Kev hloov MCPs yuav tsis cuam tshuam rau kev pab them nqi lossis cov txiaj ntsig ntawm Medi-Cal rau cov tswv cuab. Cov tswv cuab uas hloov mus rau MCP tshiab tau txais cov ntawv ceeb toom txog kev hloov pauv. DHCS tau tsim ntau yam kev pab los txhawb cov tswv cuab, cov neeg muab kev pab, thiab lwm cov neeg koom nrog kev hloov pauv, suav nrog nplooj ntawv web Managed Care Plan Transition Member nrog lub cuab yeej "nrhiav" hauv nroog, cov kev sib txuas rau cov ntawv ceeb toom rau cov tswv cuab xa los ntawm Medi-Cal txog kev hloov pauv MCP, cov lus nug nquag nug, thiab nplooj ntawv Tiv Tauj Peb rau cov tswv cuab kom paub ntau ntxiv txog cov phiaj xwm kev noj qab haus huv thiab cov kev xaiv ntawm cov neeg muab kev pab. Kuj tseem muaj cov peev txheej hloov pauv rau cov neeg muab kev pabcuam thiab MCPs thiab cov neeg koom nrog. Muaj cov ntaub ntawv ntxiv txog kev hloov pauv no nyob rau hauv Phau Ntawv Qhia Txog Txoj Cai Hloov Pauv ntawm Txoj Kev Npaj Saib Xyuas Kev Kho Mob Xyoo 2024 thiab Tsab Ntawv Qhia Txog Kev Tsim Nyog ntawm Medi-Cal Tus lej I 23-54.
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