December 29, 2023 – Stakeholder News
Xov xwm tshaj plaws
Xa lus xaus xyoo los ntawm DHCS Tus Thawj Coj Michelle Baass
Thank you for helping us achieve another banner year at DHCS. We’re implementing a multi-year transformation of Medi-Cal to ensure Californians get the care they need. Every day, Californians are gaining access to new and improved services—or getting covered for the first time. We’re addressing some of the most pressing issues of our time, including homelessness and youth mental health needs. We’re building and expanding our programs to treat the whole person—both their physical and behavioral health—and addressing health-related social needs by offering Enhanced Care Management and Community Supports, such as transitions to stable housing and/or providing access to medically tailored meals.
Together, these changes represent a significant step forward in delivering a more coordinated, person-centered, and equitable health care system that works for everyone, regardless of where they live or their health needs. Although these changes will take time to fully implement, we should feel tremendously proud of what we’re doing to transform people’s lives. Your work brings us closer to realizing our purpose of a healthy California for all.
Nyeem tag nrho cov lus uas qhia txog qee qhov kev ua tiav ntawm Lub Chaw Haujlwm xyoo no.
Kev hloov kho tshiab
Equity and Practice Transformation (EPT) Learning Collaborative
DHCS tab tom tshaj tawm kev koom tes tshiab nrog Population Health Learning Center los khiav EPT Learning Collaborative. EPT Tus Muab Kev Pab Them Nqi Ncaj Ncees yog ib zaug $650 lab kev nqis peev hauv kev hloov pauv kev saib xyuas thawj zaug tsom rau kev noj qab haus huv, kev noj qab haus huv ntawm pej xeem, thiab nqis peev hauv cov qauv kev saib xyuas sab saud. DHCS yuav sai sai no tso tawm cov npe ntawm cov kev coj ua zoo tshaj plaws.
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Pej Xeem yuav ua lub chaw ua haujlwm rau EPT Tus Muab Kev Qhia Txog Kev Them Nyiaj, ua haujlwm ze nrog DHCS, kev koom tes, thiab Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCP). Txhua qhov kev coj ua hauv qhov kev zov me nyuam yuav tsum koom nrog hauv Cov Kev Ua Haujlwm Pabcuam Kev Noj Qab Haus Huv Hauv Pej Xeem.
The Population Health Learning Center will also be responsible for the co-design of a technical assistance (TA) strategy for practices, monitoring practices’ progress in meeting the programs’ goals, and supporting adoption of evidenced-based models. The TA strategy will include partnering with technical experts across the state and country to develop a responsive and impactful program for participating practices. The Population Health Learning Center will leverage tools and resources designed and tested through the Population Health Management Initiative, which focuses on supporting federally qualified health centers working on similar efforts.
Koom nrog peb pab neeg
DHCS tab tom ntiav:
- Tus Lwm Thawj Coj Tus Thawj Coj rau Kev Ua HaujlwmPabcuam Kev Pabcuam hauv kev ua thawj coj, npaj, npaj, thiab ua haujlwm ntawm Kev Ua Haujlwm, uas yog suav nrog California Medicaid Management Information System-Operations, Clinical Assurance, Provider Enrollment, and Third-Party Liability and Recovery. (Hnub kawg ua ntawv thov yog Lub Kaum Ob Hlis 29)
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.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Consumer-Focused Stakeholder Workgroup (CFSW) Lub Rooj Sib Tham
Thaum Lub Ib Hlis 5, txij thaum 10-11:30 sawv ntxov, DHCS yuav tuav lub rooj sib tham tom ntej ntawm CFSW. Cov ntaub ntawv sib tham, suav nrog cov txheej txheem, yuav raug tshaj tawm rau ntawm DHCS CFSW e thaum tav su ntawm lub Ib Hlis 3.
Hauv Case Koj Tsis Tau Nws
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
Thaum Lub Kaum Ob Hlis 18, DHCS tau tshaj tawm 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. 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 rau CITED Round 3 nyiaj txiag siv qhov txuas thov ntawm lub vev xaib PATH CITED.
Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv
As part of Medi-Cal transformation, some MCPs are changing on January 1, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members transitioning to a new MCP received notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.