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

Effective December 1, Community Health Worker (CHW) services have been added as a benefit under Medi-Cal Dental. CHWs are important in addressing key barriers to dental care and serve as a bridge between Medi-Cal members and the oral health care system, offering support to help individuals access and maintain oral health. DHCS received federal approval on July 26, 2024, to extend CHW services to Medi-Cal Dental. The added CHW benefit integrates CHWs into the oral health care system to enhance preventive care and provide support services to Medi-Cal members. Medi-Cal Dental providers can now bill for CHW services under the updated dental fee schedule.

Covered CHW services include oral health education and oral health navigation assistance to help members access and maintain care. CHWs provide information, training, and support to help members navigate the oral health care system, understand how it works, and become active participants in their own care. In addition, CHWs connect members with community resources that promote oral health and address specific barriers. This includes connecting members to translation or interpretation services and arranging transportation for dental visits.

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 1, 2025, DHCS yuav qhib daim ntawv thov PATH TA Marketplace Round 5 rau tus muag khoom. 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 will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. The resources must be already fully developed, meet the needs of the TA Marketplace, and include a final cost. Organizations interested in applying to qualify as a TA vendor are encouraged to review the guidance document. Please submit questions to 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.
  

• 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)

On December 6, from 10 to 11:30 a.m. PST, DHCS will convene the monthly meeting of the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage DHCS-Consumer-Focused-Stakholder-Workgroup-CFSW by noon on December 4. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem

DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder treatment system and 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. 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

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 tus cwj pwm, 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 xav tias 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

From January 13 through February 2, 2025, the Family Planning, Access, Care, and Treatment (Family PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs (HAP) Client Eligibility System to a new Family PACT portal. The HAP Client Eligibility System will be disabled on February 3, 2025, after which all Family PACT client enrollment, changes, and deactivations will be completed exclusively through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal.

To access the new portal, existing users must confirm and/or update current site certifier contact information in the Provider Application and Validation for Enrollment (PAVE) portal to receive their login credentials. Family PACT providers who do not have a current site certifier in PAVE must email site certifier information (National Provider Identifier, first and last name, and email address) to providerservices@dhcs.ca.gov as soon as possible.

To support Family PACT providers during this transition, beginning in December 2024, providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before it launches. Detailed instructions for accessing the Family PACT portal will be emailed to all enrolled and actively billing Family PACT providers in early January 2025.