DHCS Stakeholder News – August 12, 2022
Nyob zoo cov neeg muaj feem xyuam,
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab qhov hloov tshiab no ntawm kev txhim kho tseem ceeb ntawm DHCS cov kev pabcuam.
Xov xwm tshaj plaws
DHCS Cov Teeb Meem Thov rau Tsoom Fwv Teb Chaws Cov Neeg Koom Tes rau Monkeypox Kev Qhia
Thaum Lub Yim Hli 12, DHCS tau xa ib tsab ntawv mus rau Lub Chaw Pabcuam Medicare & Medicaid (CMS) thov kom muaj kev taw qhia tam sim ntawd rau kev tsim tus nqi Medicare rau kev txhaj tshuaj tiv thaiv kab mob pob khaus liab.
Txhawm rau teb rau peb cov neeg tau txais txiaj ntsig thiab cov neeg muab kev pabcuam Medi-Cal, California yuav xa Daim Ntawv Hloov Kho Txoj Kev Npaj Rau Kev Puas Tsuaj Hauv Xeev kom thov kev pom zoo los ntawm tsoomfwv kom them rov qab rau kev txhaj tshuaj tiv thaiv kab mob thiab kev kuaj mob hauv chaw kuaj mob ntawm 100 feem pua ntawm tus nqi Medicare, thaum twg tau tsim tsa. Ua ib feem ntawm daim ntawv thov no, DHCS yuav nrhiav kev pom zoo los ntawm tsoomfwv kom them rov qab rau Cov Chaw Kho Mob uas Tau Txais Kev Pom Zoo los ntawm Tsoomfwv, thiab cov chaw kho mob zoo sib xws uas tau them tus nqi suav nrog txhua yam, tus nqi txhaj tshuaj tiv thaiv kab mob rau kev mus ntsib kws kho mob uas tsuas yog txhaj tshuaj tiv thaiv kab mob xwb, raws li DHCS them rov qab rau kev mus ntsib kws kho mob COVID-19 uas tsuas yog txhaj tshuaj tiv thaiv kab mob xwb. Cov kev pom zoo los ntawm tsoomfwv uas tau thov kuj tseem yuav suav nrog kev them rov qab rau kev txhaj tshuaj tiv thaiv kab mob uas ua los ntawm cov kws kho mob uas tsis yog hauv tsev kho mob.
Tsis tas li ntawd xwb, thov saib ntawm Centers for Disease Control and Prevention's Reducing Stigma in Monkeypox Communication and Community Engagement thiab California Department of Public Health cov cuab yeej xa xov rau kev sib qhia dav dav ntawm koj cov tes hauj lwm.
Medi-Cal Nyiaj Them Nqi Them Nqi Them Rov Qab
Senate Bill 184 (Omnibus Health Bill 2022) tso cai DHCS kom txo cov nqi them rau cov kev pab cuam Medi-Cal kom xoom. Pib txij Lub Xya Hli 1, 2022, cov tswv cuab rau npe hauv cov kev pab cuam hauv qab no tsis tas yuav them tus nqi them raws li qhov yuav tsum tau muaj rau kev tsim nyog:
- Optional Targeted Low Income Children’s Program
- Medi-Cal Access Program
- Medi-Cal Access Infant Program
- County Children’s Health Initiative Program
- 250 feem pua Kev Pabcuam Ua Haujlwm Pabcuam
DHCS released policy guidance via All County Welfare Directors Letter #22-14 and Medi-Cal Eligibility Division Information Letter #I 22-25, and is seeking federal authority to implement this policy through SPA 22-0042 and SPA 22-0034, which are pending CMS approval. Furthermore, DHCS has begun the process of issuing refunds to Medi-Cal and Children’s Health Insurance Program (CHIP) beneficiaries who overpaid their premiums as of July 1.
U.S. Surgeon General’s Comments on the Children and Youth Behavioral Health Initiative (CYBHI)
In a recent SAGE Journals article, U.S. Surgeon General Dr. Vivek H. Murthy highlighted the work that is underway through the CYBHI. The article serves as a call to action for the nation, with a stark reminder of what’s at stake in ensuring that children and youth receive the help they need when and where they need it, especially those in our most underserved communities.
CYBHI, uas suav nrog ntau txoj haujlwm uas coj los ntawm tsib lub chaw haujlwm thiab chaw ua haujlwm hauv California Health & Human Services Agency (CalHHS) - DHCS, Department of Health Care Access and Information, Department of Managed Health Care, California Department of Public Health, thiab Office of the California Surgeon General - tsom mus rau kev txhawb nqa kev noj qab haus huv ntawm lub hlwb, kev xav, thiab kev coj cwj pwm los ntawm kev tiv thaiv kev cov nyom thiab muab kev pabcuam, kev txhawb nqa, thiab kev tshuaj xyuas tsis tu ncua rau txhua tus menyuam yaus thiab cov hluas rau cov kev xav tau tshiab thiab cov kev xav tau uas twb muaj lawm.
Kev hloov kho tshiab
Medi-Cal Kev Tshaj Tawm thiab Kev Pab Cuam Npe rau Cov Neeg Laus California
DHCS tab tom muab kev nthuav qhia thiab kev tso npe nkag rau 28,000 tus neeg laus laus uas muaj peev xwm tsim nyog tau txais kev pab them nqi kho mob Medi-Cal. DHCS tau muab $24 lab rau California State Association of Counties thiab California Coverage & Health Initiatives (CCHI) los koom tes rau kev pab rau kev sau npe mus txog rau lub Rau Hli 30, 2024. Kev siv zog yog tsom rau:
- Ob tus neeg tau txais txiaj ntsig los yog cov neeg tau txais txiaj ntsig muaj hnub nyoog 65 xyoo thiab laus dua nrog rau kev txiav txim siab txog kev tsim nyog Medi-Cal uas tseem tshuav.
- Cov neeg muaj hnub nyoog 65 xyoos thiab laus dua uas twb tau cuv npe hauv Medi-Cal thiab xav tau kev pab los txiav txim qhov tsim nyog ntawm Medicare.
- Cov tib neeg muaj hnub nyoog 65 xyoos thiab laus dua lossis muaj kev xiam oob qhab uas tsim nyog tau txais Medi-Cal, tab sis tam sim no tsis tau cuv npe, suav nrog cov uas tsim nyog rau Medicare Savings Programs.
- Cov tib neeg tshiab tsim nyog tau txais Medi-Cal vim Medi-Cal nthuav dav rau cov neeg laus hnub nyoog 50 xyoo thiab laus dua, tsis hais txog kev nkag tebchaws.
- Cov neeg tau txais txiaj ntsig Medi-Cal uas muaj hnub nyoog 65 xyoos tseem tsis tau tso npe rau hauv Medicare, ua raws li kev pom zoo nrog ib lossis ntau dua Medi-Cal cov kev pab them nqi kho mob (MCP) hauv lub nroog ntawd.
CCHI yuav tau txais kev pab los ntawm cov koom haum hauv zej zog uas muaj ntau xyoo dhau los ua kev nthuav qhia thiab kev pab rau npe rau cov neeg tau txais txiaj ntsig Medi-Cal kom ntseeg tau tias cov neeg tsim nyog tau txais Medi-Cal muaj kev nkag tau mus rau cov kev pab kho mob ntau ntxiv los txhim kho cov txiaj ntsig thiab txo qis kev noj qab haus huv. Yog xav paub ntxiv, thov mus saib hauv Medi-Cal Kev Tshaj Tawm thiab Kev Sau Npe rau Cov Neeg Laus California lub vev xaib.
CHIP Kev Sau Npe thiab Kev Txiav Txim Dua Txoj Cai Hloov Tshiab
Thaum Lub Yim Hli 3, CMS tau pom zoo rau DHCS qhov kev xa tawm Txoj Kev Npaj Xeev (SPA) CA-22-0035 , uas tso cai rau DHCS siv cov kev cai rau kev hloov kho ib ntus rau cov cai rau kev sau npe thiab kev txiav txim siab dua. Txij li Lub Xya Hli 1, 2022, DHCS siv tau qhov kev zam raws sijhawm rau kev ua tiav cov ntawv thov CHIP thiab kev txuas ntxiv rau cov menyuam hauv tsev neeg nyob thiab/lossis ua haujlwm hauv thaj chaw muaj kev puas tsuaj uas tau tshaj tawm hauv xeev lossis tsoomfwv.
Los ntawm qhov SPA no, California tab tom hloov kho cov txheej txheem los ua kom nws cov kev pab cuam daws kev puas tsuaj tau pom zoo los ntawm SPA CA-17-0043 nrog cov qauv tshiab SPA kev pab cuam kev puas tsuaj uas tau tshaj tawm thaum Lub Peb Hlis 2022. Cov kev cai SPA no tuaj yeem siv tau rau yav tom ntej lub xeev- lossis tseem ceeb tshaj tawm kev puas tsuaj los ntawm kev ceeb toom rau CMS ntawm cov hnub siv tau ntawm cov kev cai thiab thaj chaw cuam tshuam los ntawm kev puas tsuaj.
Mobile Crisis Services Request for Information (RFI) Tso tawm
Thaum Lub Yim Hli 8, DHCS tau tshaj tawm RFI rau cov kev pabcuam thaum muaj xwm txheej ceev ntawm xov tooj ntawm tes. RFI caw cov neeg muag khoom los muab cov ntaub ntawv rau DHCS los txhawb kev cob qhia thiab kev siv cov kev pabcuam thaum muaj xwm txheej ceev. DHCS npaj siab yuav xa daim ntawv thov SPA los ntxiv cov kev pabcuam daws teeb meem hauv zej zog uas tsim nyog ua qhov txiaj ntsig Medi-Cal tshiab, uas yuav siv tau tsis pub dhau Lub Ib Hlis Ntuj xyoo 2023. Kev siv cov kev pabcuam thaum muaj xwm txheej ceev ntawm mobile yog ib feem tseem ceeb ntawm California txoj kev siv zog dav dua los txhawb kom muaj kev saib xyuas hauv zej zog rau cov neeg tau txais Medi-Cal uas tab tom ntsib teeb meem kev noj qab haus huv lossis kev siv tshuaj yeeb dej cawv.
DHCS tab tom txhim kho Medi-Cal cov kev pab cuam mobile daws teeb meem, uas yuav suav nrog cov ntaub ntawv thiab cov lus qhia ntsig txog kev cob qhia, kev tshuaj xyuas kev npaj, thiab kev pab cuam.
Tsev Kho Mob thiab Kws Kho Mob Kws Kho Mob COVID-19 Kev Pabcuam Cov Neeg Ua Haujlwm Retention Payments
DHCS tab tom muab cov lus qhia tshiab txog hnub sau tseg thiab hnub kawg ntawm kev xa mus rau qhov kev pab cuam no:
- Txog hnub tim sau tseg, cov neeg ua haujlwm tsim nyog yuav tsum tau ua haujlwm los ntawm ib lub chaw them nyiaj lossis cov chaw ua haujlwm them nyiaj ntawm lub chaw tsim nyog ua ntej lub Kaum Ib Hlis 28, 2022, thiaj li tsim nyog tau txais cov nyiaj tuav pov hwm.
- Txog hnub kawg ntawm kev xa ntawv, cov koom haum thiab cov chaw ua haujlwm them nyiaj yuav tsum xa lawv daim ntawv thov, suav nrog cov npe ntawm cov neeg ua haujlwm tsim nyog, tsis pub dhau 5 teev tsaus ntuj rau lub Kaum Ob Hlis 30, 2022.
Nyob rau lub asthiv tom ntej no, DHCS yuav muab cov lus qhia ntxiv txog cov txheej txheem xa ntawv thiab cov kev hloov tshiab dav dav los ntawm cov lus tshaj tawm txhua lub limtiam ntawm cov neeg muaj feem cuam tshuam thiab hauv Tsev Kho Mob thiab Chaw Pabcuam Kws Kho Mob COVID-19 Cov Neeg Ua Haujlwm Tuav Nyiaj Them Nyiaj hauv lub vev xaib.
Kev Pab Txhawb Kev Mloog Lus Rau Cov Me Nyuam (HACCP) Hloov tshiab
DHCS nthuav dav cov txiaj ntsig tau txais txiaj ntsig rau txoj cai A1 kom suav nrog HACCP cov txiaj ntsig tshiab ntsig txog cov pob txha pob txha pob qij txha (BCHDs), siv tau rov qab rau cov hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2021.
Yog xav paub ntxiv txog HACCP kev pab them nqi ntawm BCHDs, thov saib Medi-Cal Provider Newsflash. Yog xav paub ntxiv txog qhov kev pab cuam no, thov mus saib DHCS lub vas sab HACCP, uas nyuam qhuav nthuav dav kom suav nrog cov peev txheej ntxiv rau cov tsev neeg thiab cov neeg muab kev pab, suav nrog kev xaiv sib tham ruaj ntseg rau kev sib txuas lus nrog HACCP Call Center lossis xa cov ntaub ntawv ntxiv rau daim ntawv thov uas twb tau xa lawm. Tsis tas li ntawd xwb, cov tsev neeg uas xav thov kev pab them nqi HACCP tam sim no tuaj yeem xa lawv daim ntawv thov hauv hluav taws xob los ntawm HACCP Online Application Portal.
Medi-Cal Rx Kev Hloov Kho Kev Ua Haujlwm
DHCS thiab Magellan (MMA) koom nrog cov txheej txheem kev npaj ua haujlwm hnyav rau cov txheej txheem rov ua dua tshiab ntawm kev thov hloov kho thiab kev tso cai ua ntej (PA) cov cai.
- Theem ib, nthwv dej ib, tau muab coj los siv rau lub Xya Hli 22, 2022, txhawm rau rov ua cov ntaub ntawv hloov kho rau National Council for Prescription Drug Programs (NCPDP) Reject Code 88 – Drug Utilization Review (DUR) Reject Error for DUR alerts, such as drug-drug interactions, high dose, early refill, etc. Txoj kev rov ua dua tshiab yog maj mam thiab rov ua dua, nrog rau kev mob siab rau cov neeg koom nrog kev npaj thiab kev saib xyuas kev ua haujlwm. Nws yuav raug kho kom zoo raws li qhov tsim nyog nyob rau lub sijhawm raws li kev txheeb xyuas cov ntaub ntawv, kev paub txog kev ua haujlwm, thiab cov lus tawm tswv yim ntawm cov neeg koom nrog.
- Theem ib, nthwv dej ob, tam sim no muaj txiaj ntsig, tsom mus rau kev txhawb nqa kev siv CoverMyMeds (CMM).
- Theem ib, nthwv peb tau teem sijhawm pib rau lub Cuaj Hlis 16 nrog rau kev rov qab kho dua cov kev cai PA rau 11 chav kawm tshuaj rau cov ntawv qhia pib tshiab rau cov neeg tau txais txiaj ntsig 22 xyoo thiab laus dua. Cov neeg koom tes raug txhawb kom txuas ntxiv xa cov lus tawm tswv yim thiab cov lus taw qhia txog txoj hauv kev rov qab los ntawm Reinstatement@dhcs.ca.gov.
Community Health Workers (CHW) SPA pom zoo
On July 26, DHCS received CMS approval for SPA 22-0001, which adds CHW as a preventive service. Developed in consultation with stakeholders, this SPA created CHW services as a Medi-Cal benefit, effective July 1, 2022, for both fee-for-service and managed care delivery systems. For more information about CHW services, including a link to the provider manual, please see the CHW webpage.
Tshaj tawm cov ntaub ntawv COVID-19
- Daim Ntawv Qhia Ntxiv K rau 1915(c) Daim Ntawv Pom Zoo Tso Cai: HCBS Cov Kev Pab Txhawb Tus Kheej
- Daim Ntawv Ntxiv K rau 1915(c) Kev Zam: HCBS Cov Kev Pab Txhawb Tus Kheej
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
California Advancing and Innovating Medi-Cal (CalAIM) Waiver Renewals Webinar
Thaum Lub Yim Hli 22 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib hais pej xeem hauv online kom tau txais cov lus taw qhia ntawm cov neeg koom nrog txog cov kev hloov kho tshiab rau CalAIM Tshooj 1115 kev ua qauv qhia thiab Tshooj 1915 (b) kev zam. Thov sau npe rau lub webinar no ua ntej.
DHCS launched 30-day public comment and Tribal public comment periods on August 12. DHCS is seeking the CalAIM Section 1115 and 1915(b) amendment approvals from CMS to implement county-based model changes in the Medi-Cal Managed Care (MCMC) program. Through the Section 1915(b) waiver amendment, DHCS also plans to add or update language on policies or programs in the approved CalAIM 1915(b) waiver, including to reflect the MCMC model changes in select counties and direct contracts with the Kaiser Foundation Health Plan available for enrollment of certain Medi-Cal beneficiary populations in select counties. Additional information about the CalAIM Section 1115 demonstration application and Section 1915(b) overview are available on the CalAIM 1115 Demonstration & 1915(b) Waiver webpage. The 30-day public comment and Tribal public comment periods end on September 12.
Tham nrog Family PACT Cov Neeg Siv Khoom Txog Kev Txhaj Tshuaj HPV
On August 17, DHCS and the California Prevention Training Center will hold a webinar to provide information about the effectiveness and safety of the human papillomavirus (HPV) vaccine, review current Centers for Disease Control and Prevention recommendations for the use of the HPV vaccine, and provide advice on how to have effective shared decision-making conversations with clients about being immunized. Advance registration for PACT webinar is required. Effective July 1, 2022, the Family PACT program added HPV vaccination as a clinic benefit for individuals ages 19 through 45. For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website.
Medi-Cal Dental Statewide Stakeholder Meeting
Thaum Lub Yim Hli 18 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham virtual Medi-Cal Dental Statewide Stakeholder. Lub hom phiaj ntawm lub rooj sib tham no yog muab cov neeg muaj feem cuam tshuam txog kev kho hniav thoob plaws hauv lub xeev lub rooj sab laj los qhia tawm tswv yim txog Medi-Cal Dental program, thiab rau DHCS los qhia cov kev hloov tshiab thiab cov ntaub ntawv tseem ceeb ntawm cov tshiab thiab/los yog kev siv zog ua haujlwm yav tom ntej. Cov ntaub ntawv ntxiv muaj nyob rau ntawm Medi-Cal Dental Statewide Stakeholder lub rooj sib tham lub vev xaib.
DHCS CalAIM MLTSS thiab Duals Integration Workgroup Meeting
Thaum Lub Yim Hli 18 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham CalAIM Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration Workgroup hauv online. Thov sau npe rau lub rooj sib tham, uas qhib rau pej xeem.
The meeting will serve as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible beneficiaries. It will also give stakeholders an opportunity to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medicare and Medi-Cal. Agenda items include a summary of January 2023 enrollment changes; a presentation on the January 2023 transitions impacting dual eligible beneficiaries, including noticing, monitoring, and timelines; and an update on the Dementia Care Aware initiative.
Background materials, transcripts, and video recordings of the previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
Smile, California is hosting Facebook Live presentations for Medi-Cal members in Spanish and English. The Spanish presentation will be held on August 24 at 1 p.m.; RSVP on Facebook. The English presentation will be held on August 26 at 1 p.m.; RSVP on Facebook. A Smile, California member outreach representative will deliver the Smile, your Medi-Cal benefits include dental! presentation, and a provider relations trainer will assist with answering audience questions.
PAVE Portal Kev cob qhia rau cov kws kho hniav
Thaum Lub Yim Hli 24 thaum 11 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv online txog PAVE rau cov kws kho hniav. Pib txij lub Kaum Hli Ntuj hnub tim 31, DHCS yuav siv lub portal PAVE rau cov kws kho hniav, muab ib txoj kev tshiab rau kev xa daim ntawv thov rau cov kws kho hniav thiab cov ntaub ntawv xav tau rau DHCS. Qhov no tso cai rau cov neeg thov siv Daim Ntawv Thov Medi-Cal Provider e-Form, vim tias DHCS yuav tsis lees txais cov ntawv thov ntawv ntxiv lawm thaum PAVE raug siv. Yog xav paub ntxiv txog lub rooj sib tham hauv online, suav nrog qhov txuas rau kev sau npe rau kev cob qhia rau lub Yim Hli 24, thov saib daim ntawv xov xwm Medi-Cal Dental Provider Bulletin no. Cov kev qhia txog PAVE yuav raug kaw cia thiab tshaj tawm rau ntawm nplooj ntawv web DHCS PAVE.
DHCS Lub Rooj Sib Tham ntawm Family Planning Stakeholder Meeting
On August 24, DHCS will host a virtual family planning stakeholder meeting. The link to the meeting will be available on the Office of Family Planning webpage prior to the meeting.
Lub Rooj Sib Tham Doula Benefit Stakeholder
On August 24, DHCS will host a virtual stakeholder workgroup meeting about adding doula services as a covered Medi-Cal benefit. The meeting is open to the public. DHCS will engage with workgroup members on policy development details that will be reflected in the Medi-Cal provider manual and other policy guidance documents. All interested stakeholders may listen to the workgroup discussion regarding stakeholder feedback and provide input via email. DHCS will also share an update on the status of formal submission of the SPA to CMS. The link for the stakeholder meeting will be available on the doula webpage prior to the meeting.
CalAIM Webinar: Txhim Kho Kev Tswj Xyuas (ECM) thiab Zej Zog Txhawb Kev Koom Tes rau Cov Tswv Cuab
Thaum Lub Yim Hli 25 thaum 1:30 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online rau txhua tus neeg txog CalAIM ECM thiab Kev Txhawb Nqa Hauv Zej Zog. Cov ncauj lus rau lub rooj sib tham no yuav suav nrog kev sib txuas lus ntawm tus kws kho mob thiab cov tswv cuab, kev xa mus, kev ncav tes, thiab kev sau npe. Qhov kev tshwm sim no yog ib feem ntawm cov kev pab cuam thiab kev qhia txog kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog. Thoob plaws hauv cov yeeb yaj kiab no, cov thawj coj ntawm DHCS yuav koom nrog cov neeg nthuav qhia los ntawm MCPs, cov neeg muab kev pabcuam, thiab CBOs uas siv CalAIM.
Yuav tsum tau sau npe ua ntej rau CalAIM webinar. Cov neeg koom nrog raug caw kom xa cov lus nug los ntawm Lub Yim Hli 22 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom kuj tseem yuav muaj lub sijhawm los nug cov lus nug thaum lub sijhawm webinar. Yuav muaj ib qho kev tshwm sim ntxiv "Lub Sijhawm Ua Haujlwm" rau lub Cuaj Hlis 1 thaum 2 teev tsaus ntuj (saib hauv qab no) rau cov neeg tuaj koom nug lwm cov lus nug uas tsis tau hais txog thaum lub sijhawm webinar.
CYBHI Lub Hlis Webinar
On August 29 at 3 p.m., DHCS will virtually host a webinar to keep stakeholders apprised of DHCS’ progress in implementing various work streams of the CYBHI. Key attendees include, but are not limited to, youth, parents, family members, behavioral health providers, Medi-Cal MCPs, county behavioral health departments, and commercial health plans, as well as education and other cross-sector partners. CYBHI Monthly Webinar advance registration is required.
CalAIM Lub Sijhawm Ua Haujlwm: ECM thiab Zej Zog Txhawb Kev Koom Tes rau Cov Tswvcuab
On September 1 at 2 p.m., DHCS will virtually host an “Office Hours” discussion on CalAIM ECM and Community Supports member engagement. As a follow-up to the August 25 webinar on this topic, this question and answer session will cover provider and member communications, referrals, outreach, and enrollment. This event is part of a series of “Office Hours” events focused on answering implementation questions from the field.
Yuav tsum tau sau npe ua ntej. Cov neeg koom nrog raug caw kom xa cov lus nug los ntawm Lub Yim Hli 29 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom kuj tseem yuav muaj lub sijhawm los nug cov lus nug thaum lub sijhawm sib tham.