Kev hloov kho tshiab​​ 

2024 Kev Cai Lij Choj Summary Ua tiav​​ 

DHCS Lub Chaw Haujlwm Saib Xyuas Kev Cai Lij Choj thiab Tsoomfwv tau tshaj tawm cov Lus Qhia Txog Kev Cai Lij Choj Xyoo 2024 zaum kawg. Daim ntawv qhia txog txhua txoj cai thiab cov nqi nyiaj txiag uas cuam tshuam rau DHCS qhia txog cov uas tau kos npe lossis tsis pom zoo los ntawm Tus Thawj Kav Tebchaws. Nws kuj tseem muaj cov ntawv theej tag nrho ntawm cov lus tsis pom zoo, muab cov kev nkag siab tseem ceeb rau hauv cov txheej txheem txiav txim siab uas tsim California txoj kev kho mob.​​  

This year’s legislative activity addressed critical topics, such as behavioral health reforms, Medi-Cal enhancements, and innovative approaches to community health and pharmacy benefits, showcasing California’s commitment to advancing health care for all.​​ 

Medi-Cal Dental Community Health Worker Services​​ 

Txij li thaum Lub Kaum Ob Hlis 1, cov kev pabcuam ntawm Cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog (CHW) tau ntxiv rau hauv Medi-Cal Dental. Cov CHWs tseem ceeb heev rau kev daws cov teeb meem tseem ceeb rau kev kho hniav thiab ua tus choj ntawm cov tswv cuab Medi-Cal thiab lub cev kho mob qhov ncauj, muab kev txhawb nqa los pab cov tib neeg nkag mus thiab tswj kev noj qab haus huv qhov ncauj. DHCS tau txais kev pom zoo los ntawm tsoomfwv thaum Lub Xya Hli 26, 2024, los txuas ntxiv cov kev pabcuam CHW mus rau Medi-Cal Dental. Cov txiaj ntsig ntxiv ntawm CHW no muab CHWs rau hauv lub cev kho mob qhov ncauj kom txhim kho kev kho mob tiv thaiv thiab muab kev pabcuam txhawb nqa rau cov tswv cuab Medi-Cal. Cov kws kho hniav Medi-Cal tam sim no tuaj yeem them nqi rau cov kev pabcuam CHW raws li daim ntawv teem sijhawm them nqi kho hniav tshiab.​​ 

Cov kev pabcuam CHW suav nrog kev qhia txog kev noj qab haus huv ntawm qhov ncauj thiab kev pabcuam qhia txog kev noj qab haus huv ntawm qhov ncauj los pab cov tswv cuab nkag mus rau thiab tswj kev kho mob. CHWs muab cov ntaub ntawv, kev cob qhia, thiab kev txhawb nqa los pab cov tswv cuab taug kev hauv lub txheej txheem kev kho mob qhov ncauj, nkag siab txog nws ua haujlwm li cas, thiab koom nrog lawv txoj kev kho mob. Ntxiv rau qhov ntawd, CHWs txuas cov tswv cuab nrog cov peev txheej hauv zej zog uas txhawb kev noj qab haus huv ntawm qhov ncauj thiab daws cov teeb meem tshwj xeeb. Qhov no suav nrog kev txuas cov tswv cuab mus rau cov kev pab txhais lus lossis kev txhais lus thiab npaj kev thauj mus los rau kev mus ntsib kws kho hniav.​​ 

Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Technical Assistance (TA) Kev Ua Lag Luam Round 5 Kev Muag Khoom Muag​​ 

Thaum Lub Ib Hlis Ntuj hnub tim 1, 2025, DHCS yuav qhib daim ntawv thov muag khoom PATH TA Marketplace Round 5. Lub sijhawm kawg rau kev thov yog Lub Ib Hlis 31, 2025. Lub Caij Thib 5 yuav yog kev nrhiav neeg ua haujlwm rau cov kev pabcuam tshiab thiab cov kev pabcuam uas twb muaj lawm uas daws cov teeb meem ntawm TA Marketplace. Qhov kev yuav khoom thib 5 yuav nrhiav cov ntawv thov TA rau txhua xya qhov chaw TA, tab sis yuav tsom mus rau cov kev pabcuam rau cov hom kev pabcuam hauv qab no: cov kev pabcuam hauv nroog, Medi-Cal Tribal thiab Designee of Indian Health Program cov kev pabcuam, cov kev pabcuam niam thiab menyuam, thiab cov kev pabcuam xauj tsev hloov pauv.​​ 

DHCS yuav tsis lees txais cov ntawv xa tuaj rau cov haujlwm tshiab uas twb muaj lawm lossis kev hloov pauv rau cov haujlwm uas twb muaj lawm thaum lub sijhawm yuav khoom thib 5. Hloov chaw, daim ntawv thov Round 5 yuav thov cov peev txheej raws li qhov xav tau los ntawm cov neeg muag khoom TA uas twb muaj lawm. Cov peev txheej yuav tsum tau tsim kho tiav lawm, ua tau raws li qhov xav tau ntawm TA Marketplace, thiab suav nrog tus nqi kawg. Cov koom haum uas xav thov kom tsim nyog ua tus muag khoom TA raug txhawb kom saib daim ntawv qhia. Thov xa cov lus nug rau ta-marketplace@ca-path.com.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav cov neeg muaj peev xwm thiab txhawb nqa los ua haujlwm xws li:​​ 

• Tus Thawj Saib Xyuas Kev Cog Lus thiab Kev Sau Npe Sau Npe (CERD) hauv Kev Tshawb Fawb thiab Kev Tshawb Fawb. Tus Thawj Coj yog lub luag haujlwm rau kev npaj, npaj, thiab coj cov dej num rau kev soj ntsuam kev ua raws li cov phiaj xwm kev noj qab haus huv, cov neeg muab kev pabcuam, thiab Cov Tshuaj Medi-Cal Organized Delivery Systems. Tus Thawj Coj tseem ua tus thawj coj txhim kho thiab ua raws li cov cai thiab cov txheej txheem ntsig txog kev ncaj ncees ntawm Medi-Cal thiab lwm yam kev pab cuam DHCS. Cov ntawv thov yuav tsum xa ua ntej lub Kaum Ob Hlis 6.
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• Tus Lwm Thawj Coj Tus Lwm Thawj Coj rau Lub Chaw Haujlwm Saib Xyuas Kev Sib Koom Tes los pab ua tus thawj coj hauv kev npaj, kev tsim kho, thiab kev siv DHCS cov phiaj xwm loj uas tsim cov kev sib koom tes sib koom ua ke tshiab tshaj li Medi-Cal, suav nrog lwm cov tuam haujlwm, cov tuam txhab tuav pov hwm kev lag luam, thiab cov neeg tsim kho tshiab hauv kev siv thev naus laus zis thiab kev pab nyiaj txiag, xws li Children and Youth Behavioral-H.O. Kev Ncaj Ncees-Involved Reentry Initiative. Cov ntawv thov yuav tsum xa ua ntej lub Kaum Ob Hlis 13.​​ 

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​​ 

Qhov Kev Pab Txhawb Kev Mloog Lus rau Cov Me Nyuam Webinar​​ 

Thaum Lub Kaum Ob Hlis 3, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj PST, DHCS yuav tuav lub webinar los qhia cov kev taw qhia rau cov tsev neeg thiab cov neeg koom tes hauv zej zog txog kev thov kev pab cuam mloog lus thiab ua kom tau txais txiaj ntsig Hearing Aid Coverage for Children Program ib zaug. Yog xav paub ntxiv thiab sau npe ua ntej, thov mus saib ntawm Qhov Kev Pab Hniav Hniav rau Cov Menyuam Yaus lub vev xaib.​​ 

PATH Collaborative Planning and Implementation (CPI) Qhov Zoo Tshaj Plaws Webinar​​ 

On December 6, from 10 to 11 a.m. PST, DHCS will host a public webinar, Hospital Engagement in CalAIM: Supporting Connection to Enhanced Care Management (ECM) Services Among Eligible Medi-Cal Members (advance registration required). Guest presenters include Dignity Health, University of California, San Francisco Medical Center, and Marshall Medical Center.​​ 

Lub webinar yuav piav qhia thiab hais txog qhov tseem ceeb ntawm cov tsev kho mob koom tes nrog cov kws kho mob California Advancing and Innovating Medi-Cal (CalAIM) hauv lawv cheeb tsam, lees paub cov cib fim rau kev koom tes zoo dua ntawm kev npaj tso tawm ntawm cov neeg ua haujlwm hauv tsev kho mob thiab ECM lossis cov kws kho mob txhawb nqa hauv zej zog, thiab txheeb xyuas cov cib fim rau kev sib pauv thiab lwm yam kev sib koom tes ntawm cov neeg ua haujlwm hauv tsev kho mob thiab cov kws kho mob ECM los txhim kho kev sib txuas lus ntawm cov tswv cuab rau ECM thiab cov kev pabcuam txhawb nqa hauv zej zog. Thov xa cov lus nug rau collaborative@ca-path.com.​​ 

Consumer-Focused Stakeholder Workgroup (CFSW)​​ 

Thaum Lub Kaum Ob Hlis 6, txij 10 txog 11:30 sawv ntxov PST, DHCS yuav tuav lub rooj sib tham txhua hli ntawm CFSW, uas muab sijhawm rau cov neeg koom nrog los tshuaj xyuas thiab muab cov lus taw qhia txog ntau yam ntaub ntawv xa xov ntawm cov neeg siv khoom. Lub rooj sib tham tsom mus rau cov haujlwm ntsig txog kev tsim nyog thiab kev sau npe thiab siv zog los muab kev sib tham qhib txog cov cai thiab kev ua haujlwm ntawm Medi-Cal. Cov ntaub ntawv sib tham, suav nrog cov txheej txheem sib tham, yuav raug tshaj tawm rau ntawm CFSW nplooj ntawv web DHCS-Consumer-Focused-Stakholder-Workgroup-CFSW thaum tav su ntawm lub Kaum Ob Hlis 4. Thov xa koj cov lus nug mus rau DHCSCFSW@dhcs.ca.gov.​​ 

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem​​ 

DHCS lub hom phiaj yog koom tes nrog cov zej zog thoob plaws lub xeev los txhawb kev txo qis kev raug mob hauv California txoj kev kho mob siv tshuaj yeeb thiab tsim kom muaj kev saib xyuas uas tsis muaj teeb meem ntau, tsom mus rau tus neeg mob. DHCS txhawb kom cov neeg muab kev pab kho mob thiab cov neeg ua haujlwm kho mob siv tshuaj yeeb (xws li cov neeg ua haujlwm pabcuam zej zog, cov phooj ywg, cov neeg ua haujlwm pem hauv ntej, cov thawj tswj xyuas cov ntaub ntawv, cov kws tu mob, cov kws kho mob, thiab txhua tus neeg ua haujlwm hauv qhov chaw kho mob siv tshuaj yeeb) tuaj koom thiab kawm txog cov kev coj ua zoo tshaj plaws rau kev siv cov ntsiab cai ntawm kev txo kev raug mob rau hauv kev kho mob siv tshuaj yeeb. Cov rooj sib tham yuav muaj nyob rau hauv Fresno, Los Angeles, thiab San Diego counties thaum lub caij ntuj no xyoo 2025. Sau npe rau ntawm lub vev xaib ntawm qhov kev tshwm sim.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

DHCS Major Program Initiatives – Go-Live Dates (Updated)​​ 

Txij li CalAIM mus rau kev hloov pauv lub xeev cov kev pab cuam kev noj qab haus huv, DHCS cov kev pib muab kev nkag mus rau kev kho mob zoo, ua rau California noj qab haus huv rau txhua tus. Cov kev sib txuas hauv qab no qhia txog DHCS cov kev pib tseem ceeb ntawm cov kev pab cuam thiab cov hnub uas yuav pib siv, tos kev npaj txhij thiab kev pom zoo los ntawm tsoomfwv. Cov peev txheej muaj txiaj ntsig no muaj nyob rau ntawm lub vev xaib DHCS tau hloov kho tshiab, txij li lub Kaum Ib Hlis 22, thiab cov ntaub ntawv tshiab yuav raug ntxiv raws li qhov xav tau: DHCS Cov Kev Pabcuam Tseem Ceeb - Hnub Pib Ua Haujlwm.​​ 

Tsev Neeg Tshiab PACT Portal tuaj rau lub Ib Hlis 2025​​ 

Txij lub Ib Hlis 13 mus txog rau lub Ob Hlis 2, 2025, qhov kev pab cuam Family Planning, Access, Care, and Treatment (Family PACT) cov kev pab cuam tsim nyog rau cov neeg siv khoom thiab kev sau npe yuav hloov pauv ntawm Health Access Programs (HAP) Client Eligibility System mus rau lub portal Family PACT tshiab. Lub HAP Client Eligibility System yuav raug kaw rau lub Ob Hlis 3, 2025, tom qab ntawd txhua qhov kev sau npe, kev hloov pauv, thiab kev kaw cov neeg siv khoom Family PACT yuav ua tiav los ntawm California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal.​​ 

Yuav kom nkag mus rau lub portal tshiab, cov neeg siv uas twb muaj lawm yuav tsum paub meej thiab/lossis hloov kho cov ntaub ntawv tiv tauj ntawm tus neeg pov thawj hauv lub portal Provider Application and Validation for Enrollment (PAVE) kom tau txais lawv cov ntaub ntawv nkag mus. Cov neeg muab kev pab cuam hauv tsev neeg PACT uas tsis muaj daim ntawv pov thawj chaw nyob hauv PAVE yuav tsum xa email cov ntaub ntawv pov thawj chaw nyob (Lub Npe Tus Neeg Muab Kev Pab Cuam Hauv Tebchaws, lub npe thiab lub xeem, thiab chaw nyob email) mus rau providerservices@dhcs.ca.gov sai li sai tau.​​ 

Txhawm rau txhawb nqa cov neeg muab kev pab cuam Family PACT thaum lub sijhawm hloov pauv no, pib txij lub Kaum Ob Hlis 2024, cov neeg muab kev pab cuam yuav muaj kev nkag mus rau cov ntaub ntawv qhia kev cob qhia thiab cov webinars los ntawm Family PACT Online Training Center Learning Management System. Cov peev txheej no yuav ua kom cov neeg muab kev pabcuam tau npaj txhij los siv lub portal Family PACT kom zoo ua ntej nws pib siv. Cov lus qhia ntxaws txog kev nkag mus rau Family PACT portal yuav raug xa email rau txhua tus neeg muab kev pabcuam Family PACT uas tau sau npe thiab them nqi rau thaum pib Lub Ib Hlis 2025.​​