Xov xwm tshaj plaws​​ 

CMS Pom Zoo Rau California Txoj Haujlwm BH-CONNECT Los Hloov Kev Pabcuam Kev Noj Qab Haus Huv Tus Kheej​​ 

The Centers for Medicare & Medicaid Services (CMS) approved the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration. This transformative initiative will expand access to essential behavioral health services for Medi-Cal members with significant mental health and substance use needs. Key features of BH-CONNECT include:​​ 

• Kev nqis peev pab rau cov neeg ua haujlwm: Txhawb nqa $ 1.9 txhiab daus las muaj zog thiab muaj ntau yam kev coj noj coj ua kev noj qab haus huv uas suav nrog cov nyiaj pab kawm ntawv, cov nyiaj qiv nyiaj rov qab, kev txhawb nqa neeg ua haujlwm, chaw nyob thiab kev sib raug zoo, thiab kev txhim kho kev ua haujlwm. Txoj kev pib ua haujlwm yuav raug tswj hwm los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Nkag Nkag thiab Xov Xwm (HCAI).​​ 
• Kev Pab Them Nqi Xauj Tsev Thaum Hloov Chaw: Muab kev pab them nqi xauj tsev txog rau lub hlis, los ntawm txoj kev npaj saib xyuas kev noj qab haus huv ntawm tus tswv cuab, rau cov tswv cuab Medi-Cal uas tsim nyog uas hloov ntawm cov tsev kawm ntawv, cov chaw sib sau ua ke, lossis cov neeg tsis muaj tsev nyob. Qhov kev txhawb nqa no yog qhov tseem ceeb heev rau kev ua kom cov tib neeg ruaj khov thaum lub sijhawm muaj kev phom sij, txo qhov kev pheej hmoo ntawm kev rov qab mus rau kev saib xyuas hauv tsev kho mob lossis kev tsis muaj tsev nyob. Cov nqi xauj tsev hloov pauv yuav ua tus choj mus rau qhov chaw nyob tas mus li rau cov tswv cuab uas xav tau. Rau cov tswv cuab uas muaj kev xav tau kev noj qab haus huv tseem ceeb, cov nyiaj pab txhawb nqa Kev Hloov Pauv Kev Noj Qab Haus Huv ntawm Tus Kheej uas mob siab rau Kev Pabcuam Vaj Tse yuav muab kev pab nyiaj xauj tsev tas mus li thiab vaj tse tom qab Kev Hloov Pauv Vaj Tse, muab kev sib txuas lus zoo, thiab txhawb nqa cov tswv cuab kom ua tiav kev ruaj khov vaj tse mus sij hawm ntev.​​ 
• Kev them nyiaj yug rau Cov Me Nyuam thiab Cov Hluas: suav nrog cov nyiaj ua haujlwm los txhim kho kev nkag mus thiab cov txiaj ntsig rau cov tub ntxhais hluas koom nrog kev noj qab haus huv menyuam yaus tau txais kev pabcuam tshwj xeeb rau kev puas hlwb.​​ 
• Kev txhawb siab rau Lub Nroog: Txhawb nqa $ 1.9 billion Access, Reform, and Outcomes Incentive Program: Muab nqi zog rau lub nroog cov phiaj xwm kev noj qab haus huv rau kev txhim kho kev nkag mus, txo qhov tsis sib xws, thiab txhawb kev txhim kho tus cwj pwm kev noj qab haus huv.​​ 
• Kev Pabcuam Hauv Zej Zog Kev Hloov Mus Rau Hauv Zej Zog: Txhawb cov tswvcuab hloov pauv los ntawm cov chaw ua haujlwm mus sij hawm ntev kom ntseeg tau tias muaj kev saib xyuas txuas ntxiv thiab ua tiav kev sib koom ua ke hauv zej zog.​​ 
• Short-term Inpatient Psychiatric Care: Muab kev hloov pauv tshiab rau tsoomfwv Medi-Cal cov nyiaj pab rau kev kho mob puas siab puas ntsws nyob rau lub sijhawm luv luv uas tau muab rau hauv cov chaw kho mob hauv tsev kho mob thiab chaw nyob uas ua tau raws li tsoomfwv lub koomhaum rau cov kab mob puas hlwb.​​ 

Nyob rau tib lub sijhawm nrog kev siv nyiaj thiab zam kev tso cai tso cai ua ib feem ntawm Tshooj 1115 kev pom zoo, DHCS tab tom siv lwm yam ntawm BH-CONNECT kev ua qauv qhia uas tsis tas yuav tsum muaj cai ua qauv qhia Tshooj 1115, suav nrog:​​ 

• Medi-Cal kev pab them nqi rau kev coj ua pov thawj (EBP), suav nrog (muaj nyob hauv lub nroog xaiv):​​ 
  • Assertive Community Treatment (ACT), ib qho kev qhia dav dav, hauv zej zog, kev sib koom ua haujlwm pab pawg ua qauv los pab cov tib neeg uas muaj kev puas siab puas ntsws loj tiv thaiv cov tsos mob ntawm lawv cov kev mob hlwb thiab txhim kho lossis kho cov kev txawj ua haujlwm hauv zej zog.​​ 
  • Forensic ACT, ib qho kev pabcuam ACT tsim rau cov tib neeg uas koom nrog kev ncaj ncees.​​ 
    • Coordinated Specialty Care for First Episode Psychosis, ib qho kev qhia dav dav, hauv zej zog, kev sib koom ua haujlwm pab pawg ua qauv los pab cov tib neeg daws cov tsos mob ntawm kev puas siab puas ntsws thaum ntxov thiab koom nrog hauv zej zog.​​ 
    • Kev Tso Npe Rau Tus Kheej thiab Kev Txhawb Nqa Tus Qauv ntawm Kev Txhawb Kev Ua Haujlwm, cov kev pabcuam hauv zej zog thiab pab pawg uas pab cov tib neeg uas muaj tus cwj pwm noj qab haus huv los ua kom muaj kev ua haujlwm zoo thiab muaj txiaj ntsig hauv zej zog, suav nrog kev tau txais thiab / lossis tswj kev ua haujlwm sib tw.​​ 
    • Cov Kev Pabcuam Kev Noj Qab Haus Huv Hauv Zej Zog, cov kev pabcuam tiv thaiv xa tawm los ntawm cov txheej txheem tshwj xeeb ntawm kev coj tus cwj pwm kev noj qab haus huv los ntawm cov tswvcuab hauv zej zog uas ntseeg siab muab kev qhia txog kev noj qab haus huv, kev tawm tswv yim, thiab kev pabcuam navigation los txhawb cov tswvcuab uas xav tau kev saib xyuas kev noj qab haus huv thiab cov peev txheej hauv zej zog los daws cov neeg tsav tsheb kev noj qab haus huv.​​ 
    • Cov Kev Pabcuam Hauv Tsev, cov kev pabcuam muaj nyob rau hauv cov kev pabcuam khomob uas muab lub cev qhov chaw rau cov neeg nyob nrog kev noj qab haus huv tseem ceeb los tsim kev sib raug zoo, koom nrog kev ua haujlwm thiab kev kawm, thiab tau txais kev pabcuam txhawb nqa.​​ 
• Kev piav qhia txog cov kev cai ntawm Medi-Cal rau cov kev coj ua raws li pov thawj (EBPs) rau cov menyuam yaus thiab cov hluas, suav nrog Multisystemic Therapy, Functional Family Therapy, Parent-Child Interaction Therapy, thiab High-Fidelity Wraparound (siv thoob plaws lub xeev). Los ntawm kev muab cov lus qhia meej dua thiab cov kev cai them rau cov EBPs no, BH-CONNECT lub hom phiaj yog xyuas kom meej tias ntau tus menyuam yaus thiab cov hluas hauv California muaj kev nkag mus rau cov kev kho mob zoo no.​​ 
• Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Cheeb Tsam Hauv Cheeb Tsam Hauv Cheeb Tsam Kev Pabcuam Kev Noj Qab Haus Huv nyob rau hauv cov phiaj xwm kev saib xyuas los saib xyuas thiab xa Cov Kev Pabcuam Kev Khomob, tuaj koom nrog Pabcuam Menyuam Yaus thiab Tsev Neeg lub rooj sib tham, xyuas kom cov kev pabcuam saib xyuas raug tswj hwm tau koom tes nrog lwm cov kev pabcuam, thiab ua ib qho kev nce ntxiv rau cov thawj coj saib xyuas yog tias lawv ntsib teebmeem kev ua haujlwm (ua haujlwm thoob plaws lub xeev).​​ 
• Cov Chaw Zoo Tshaj Plaws muab kev cob qhia thiab kev pab cuam rau kev coj tus cwj pwm kev noj qab haus huv thiab cov chaw muab kev pabcuam los txhawb kev ncaj ncees ntawm kev kho mob thiab kev xa khoom ntawm EBPs (ua tiav thoob lub xeev).​​ 
• Child welfare/specialty mental health kev sib koom ua ke thaum tus menyuam nkag mus rau kev noj qab haus huv (ua haujlwm thoob lub xeev).​​ 

Qhov kev pib ua lag luam ntau txhiab lab daus las no muab kev nqis peev hauv tsoomfwv tebchaws, xeev, thiab hauv zos los tsim kom muaj lub cev kev noj qab haus huv zoo dua thiab ncaj ncees uas muab qhov tseem ceeb rau cov kev daws teeb meem hauv zej zog. Los ntawm kev txo cov kev mus ntsib chav kho mob thaum muaj xwm txheej ceev thiab kev nyob hauv tsev kho mob, BH-CONNECT yuav pab cov neeg California kom muaj kev ruaj khov thiab rov zoo thaum tsim kom muaj cov neeg ua haujlwm thiab cov khoom siv kho kom zoo dua qub los txhawb kev txhim kho mus sij hawm ntev.​​ 

Nyob twj ywm mloog kom paub ntxiv txog cov xov xwm tshiab, suav nrog cov cib fim koom nrog cov neeg koom tes thiab cov ntsiab lus ntxiv ntawm cov kev pab cuam. Mus saib nplooj ntawv web DHCS BH-CONNECT kom paub ntxiv.​​ 

Tsis tas li ntawd xwb, CMS tau pom zoo rau kev hloov kho rau California Advancing and Innovating Medi-Cal (CalAIM) ntu 1115, uas yuav siv tau txog rau lub Kaum Ob Hlis 31, 2026. Txoj kev hloov kho CalAIM nthuav dav lub sijhawm pabcuam thiab cov qauv zaus rau ntau qhov Kev Txhawb Nqa Hauv Zej Zog, suav nrog Kev Kho Mob Rov Qab Zoo (Kev So Kho Mob) thiab cov kev pabcuam Vaj Tse Tom Qab Mus Tsev Kho Mob Lub Sijhawm Luv, ua raws li CMS txoj cai hauv tebchaws, thiab ua lwm yam kev hloov pauv.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav ib tus neeg muaj peev xwm thiab muaj kev txhawb siab los ua haujlwm xws li:​​ 

• Chief of the Managed Care Quality and Monitoring Division to lead compliance-related activities for the state’s Medi-Cal managed care plans. These activities include, but are not limited to, developing and implementing policies, establishing standard operating procedures, engaging in continual improvement efforts, providing technical assistance, and conducting risk analysis for managed care plan audit programs in partnership with DHCS’ Contract and Enrollment Review Division. Applications must be submitted by December 26.​​ 

DHCS tseem tab tom ntiav rau nws 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.​​ 

Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

Long-Term Care (LTC) Kawm Series: Tswj Kev Pabcuam Kev Kho Mob rau LTC Cov Kws Kho Mob​​ 

Thaum Lub Kaum Ob Hlis 17, txij 9 txog 10:30 sawv ntxov. PST, DHCS yuav tuav lub rooj sib tham Managed Care Resources rau LTC Providers (yuav tsum tau sau npe ua ntej) ua ib feem ntawm nws cov kev kawm LTC Learning Series. Lub rooj sib tham no yog tsim los rau cov neeg muab kev pab ua haujlwm hauv cov chaw saib xyuas neeg mob uas muaj kev txawj ntse, cov chaw saib xyuas mob me me, thiab cov chaw saib xyuas mob nruab nrab rau cov neeg xiam oob qhab hauv kev loj hlob. Cov ncauj lus suav nrog kev tsim nyog Medi-Cal thiab kev sau npe rau txoj kev npaj kho mob, kev tso cai LTC, thiab kev them nqi kho mob thiab kev them nyiaj. Tsis tas li ntawd xwb, cov txheej txheem suav nrog kev piav qhia txog cov peev txheej tshiab uas tau tsim los uas muab cov ntaub ntawv thiab cov lus qhia pab tau txog ntau yam kev tswj hwm kev saib xyuas. Lub rooj sib tham yuav muaj cov neeg hais lus qhua txog kev npaj kho mob.​​ 

Cov neeg koom nrog LTC Learning Series raug txhawb kom xa cov lus nug ua ntej thaum sau npe rau lub rooj sib tham lossis xa email rau LTCtransition@dhcs.ca.gov. Cov ntaub ntawv ntxiv txog LTC Learning Series muaj nyob rau ntawm nplooj ntawv web CalAIM LTC Carve-In hloov pauv.​​ 

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem​​ 

DHCS aims to collaborate with communities across the state to promote harm reduction and low-barrier, patient-centered care within California’s substance use disorder treatment system. 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. Summits will be held in Fresno, Los Angeles, and San Diego counties in winter 2025. Register on the event website.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Hloov mus rau Medicare Tshooj Ib Daim Ntawv Pom Zoo Yuav​​ 

Thaum Lub Ib Hlis Ntuj hnub tim 1, 2025, California yuav dhau los ua lub xeev Medicare Part A uas yuav tau txais kev pab, txhais tau tias cov tswv cuab Medi-Cal uas tsim nyog yuav tau txais cov kev pabcuam Medicare Part A dawb yog tias lawv tau sau npe rau hauv Medicare Part B thiab lawv tsim nyog rau qhov kev pab cuam Qualified Medicare Beneficiary (QMB). Rau cov tswv cuab no, Medicare, es tsis yog Medi-Cal, yuav muab kev pab them nqi thawj zaug rau kev pw hauv tsev kho mob thiab lwm yam txiaj ntsig rau cov neeg mob uas tau them los ntawm Medicare Part A. California daim ntawv cog lus tshiab ntawm Medicare Part A nrog rau Lub Chaw Pabcuam Medicare & Medicaid hauv tebchaws yuav tshem tawm cov kev cai rau kev sau npe rau Medicare Part A ntawm Social Security Administration. Ua ib lub xeev uas yuav tsum tau them nqi kho mob ntawm Tshooj A, California tuaj yeem sau npe rau cov tswv cuab QMB uas tsim nyog rau hauv Medicare Tshooj A txhua xyoo los ntawm kev sau npe yooj yim yam tsis muaj kev nplua rau kev sau npe lig.​​ 

Muab Kev Nkag Mus Rau Thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Lub Peev Xwm Thiab Kev Tsim Kho Vaj Tse, Kev Hloov Pauv, Kev Nthuav Dav, Thiab Kev Txhim Kho (CITED) Daim Ntawv Thov Thib 4​​ 

Thaum Lub Ib Hlis Ntuj hnub tim 6, 2025, DHCS yuav qhib lub qhov rais thov PATH CITED Round 4. Lub hom phiaj PATH CITED muab nyiaj txiag los tsim kom muaj peev xwm thiab cov khoom siv rau cov neeg koom tes hauv zej zog, suav nrog cov koom haum hauv zej zog, tsev kho mob, cov koom haum hauv nroog, Cov Pab Pawg Neeg, thiab lwm tus, kom koom nrog Medi-Cal tau zoo. Lub sijhawm kawg rau kev thov nyiaj pab CITED Round 4 yog 11:59 teev tsaus ntuj PST rau lub Peb Hlis 7, 2025. Cov koom haum uas xav tau kev pab txhawb kom nkag mus saib daim ntawv thov thiab daim ntawv qhia kev pab kom pab npaj lawv daim ntawv thov. Thov xa cov lus nug rau cited@ca-path.com.​​