Dhia mus rau cov ntsiab lus​​ 
Tsev Chav Xov Xwm - Chaw Ua Haujlwm Sib Txuas Lus Xov Xwm Txog Cov Neeg Muaj Feem Cuam Tshuam ntawm DHCS - Lub Yim Hli 19, 2022​​ 

Xov Xwm Txog Cov Neeg Muaj Feem Cuam Tshuam ntawm DHCS - Lub Yim Hli 19, 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​​ 

Tus Thawj Kav Xeev Qhia Txog California Txoj Kev Npaj Txhawb Kev Noj Qab Haus Huv Lub Siab ntawm Cov Hluas; Kev Pib Noj Qab Haus Huv Rau Cov Menyuam Yaus thiab Cov Hluas (CYBHI) yog Ib Feem Tseem Ceeb​​ 

Hnub tim 18 lub Yim Hli hauv Fresno, Tsoomfwv Gavin Newsom tau tham txog California txoj kev npaj loj rau kev noj qab haus huv ntawm menyuam yaus. Nws hais tias, "Kev noj qab haus huv ntawm lub hlwb thiab tus cwj pwm yog ib qho ntawm cov teeb meem loj tshaj plaws ntawm peb lub sijhawm ... Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv ntawm Lub Siab ntawm Cov Menyuam yog tsim los ntawm kev ntseeg yooj yim heev: txhua tus menyuam yaus tsim nyog tau txais kev txhawb nqa lawv txoj kev noj qab haus huv ntawm lub hlwb."

Ib qho tseem ceeb ntawm Master Plan yog CYBHI, uas yog ib pob kev nqis peev ntau xyoo, ntau lub koom haum uas hloov tshiab cov txheej txheem uas txhawb kev noj qab haus huv kev coj cwj pwm rau txhua tus menyuam yaus, hluas, thiab lawv tsev neeg hauv California. Cov kev siv zog tsom mus rau kev txhawb nqa kev noj qab haus huv hauv zej zog thiab kev xav, tiv thaiv kev nyuaj siab rau kev noj qab haus huv ntawm tus cwj pwm, thiab muab cov kev pabcuam uas ncaj ncees, tsim nyog, raws sijhawm, thiab nkag tau rau cov kev xav tau kev noj qab haus huv ntawm tus cwj pwm tshiab thiab cov uas twb muaj lawm rau cov menyuam yaus thiab cov hluas hnub nyoog 0-25.

Kev nqis peev $4.7 billion ntawm State General Funds rau CYBHI yuav pab kom txhua tus menyuam yaus thiab hluas hauv California tau txais kev pabcuam kev noj qab haus huv kev xav, tsis hais tus them nyiaj twg. Tsis tas li ntawd, nws yuav muaj kev cuam tshuam loj rau Medi-Cal program vim muaj 5.4 lab (kwv yees li 54 feem pua) cov menyuam yaus thiab hluas tau sau npe rau Medi-Cal. CYBHI yuav txhim kho thiab hloov txoj kev uas Medi-Cal cov menyuam yaus thiab cov hluas nkag mus rau kev pabcuam kev noj qab haus huv tus cwj pwm—yuav luag, los ntawm lawv cov zej zog thiab tsev kawm ntawv, thiab los ntawm lawv txoj kev sib raug zoo uas twb muaj lawm nrog Medi-Cal cov phiaj xwm kev saib xyuas kev noj qab haus huv (MCP) thiab Lub Nroog Cov Phiaj Xwm Kev Noj Qab Haus Huv Tus cwj pwm.

Raws li ib feem ntawm CYBHI, DHCS yuav tsim thiab tsav kev siv Behavioral Health Virtual Services Platform rau txhua tus menyuam yaus, hluas, thiab tsev neeg hauv California, tsis hais tus them nyiaj. Lub platform no yuav txhawb nqa kev muab kev pabcuam kev noj qab haus huv kev coj cwj pwm uas ncaj ncees, tsim nyog, thiab raws sijhawm los ntawm kev tiv thaiv mus rau kev kho mob thiab rov zoo, thiab muab ib lub platform e-Consult rau cov kws kho mob menyuam yaus thiab cov kws kho mob thawj zaug txuas nrog cov kws kho mob BH.​​ 

CYBHI kuj suav nrog kev siv zog thoob plaws lub xeev uas yuav ua rau nws yooj yim dua rau cov menyuam yaus, cov hluas, thiab cov tub ntxhais hluas kom nkag mus rau cov kev pabcuam kev noj qab haus huv hauv California cov tsev kawm ntawv. Txog Lub Ib Hlis Ntuj hnub tim 1, 2024, DHCS, koom tes nrog California Department of Managed Health Care (DHMC), yuav tsim thiab tswj xyuas:​​ 

  • Ib lub sijhawm them nqi kawm ntawv thoob plaws lub xeev los them rov qab rau cov neeg mob sab nraud kev puas siab puas ntsws thiab kev siv tshuaj yeeb dawb uas muaj rau cov tub ntxhais kawm, hnub nyoog 25 xyoos lossis qis dua, ntawm lossis ze ntawm lub tsev kawm ntawv;​​ 
  • Ib lub tsev kawm ntawv txuas nrog lub xeev tus kws kho mob network ntawm tsev kawm ntawv cov kws pab tswv yim kev noj qab haus huv.​​ 

Daim ntawv teev nqi them tag nrho hauv lub xeev rau cov kev pab cuam BH hauv tsev kawm ntawv yuav muab ib qho kev tshwj xeeb ntawm cov txiaj ntsig thiab cov kev xav tau ntawm cov phiaj xwm kev noj qab haus huv kev lag luam thiab Medi-Cal cov txheej txheem xa khoom, uas yuav tsum tau them nyiaj rov qab rau cov kws kho mob ntawm tus nqi tsim los muab kev pabcuam rau cov menyuam kawm ntawv. Tsim kom muaj lub sijhawm them nqi yuav ua kom yooj yim dua thiab pab txhawb kev them nyiaj rov qab rau tsev kawm ntawv cov kev pabcuam kev coj tus cwj pwm kev noj qab haus huv, yog li nthuav dav cov kev pabcuam kev coj tus cwj pwm rau cov menyuam kawm ntawv ntawm, lossis nyob ze, cov tsev kawm ntawv, thiab txhim kho kev nkag mus rau cov kev pabcuam thiab cov txiaj ntsig rau menyuam yaus, hluas, thiab cov hluas.​​ 

DHCS yog tus thawj coj hauv qab no ntxiv dag zog los nthuav kev nkag mus rau tsev kawm ntawv-txuas kev pabcuam kev coj tus cwj pwm:​​ 

  • Qhov Kev Pabcuam Tub Ntxhais Kawm Tus Cwj Pwm Kev Noj Qab Haus Huv (SBHIP) muab nyiaj txhawb siab, tag nrho $389 lab hauv peb lub xyoos (Lub Ib Hlis 1, 2022 - Kaum Ob Hlis Ntuj 31, 2024), rau Medi-Cal MCPs los tsim kev sib koom tes ruaj khov thiab kev tsim vaj tsev ntawm MCPs, Cov Chaw Saib Xyuas Kev Kawm Hauv Zos (LEAs), thiab cov nroog​​ 
    • Txhim kho kev sib koom tes ntawm cov tub ntxhais kawm tus cwj pwm kev noj qab haus huv (BH) kev pabcuam;​​ 
    • Txhim kho kev tiv thaiv thiab kev cuam tshuam ntxov BH cov kev pab cuam hloov pauv qib kindergarten mus rau cov tub ntxhais kawm qib 12;​​ 
    • Ua kom cov kev pabcuam kev puas siab puas ntsws uas tsis yog tshwj xeeb ntawm / ze ntawm tsev kawm ntawv cov tsev kawm ntawv;​​ 
    • Nce kev nkag mus rau BH cov kev pab cuam ntawm / ze lub tsev kawm ntawv cov tsev kawm ntawv thiab / lossis los ntawm cov tsev kawm ntawv koom nrog BH cov kws kho mob.​​ 
  • DHCS yuav muab Kev Koom Tes Ncaj Qha thiab Cov Nyiaj Pab Txhawb Nqa Lub Peev Xwm los txhawb cov kev pabcuam tshiab rau cov tib neeg hnub nyoog 25 xyoo thiab qis dua los ntawm cov tsev kawm ntawv, cov kws kho mob hauv tsev kawm ntawv, cov koom haum hauv zej zog uas koom nrog tsev kawm ntawv (CBOs), lossis cov chaw kho mob hauv tsev kawm ntawv. Los ntawm kev txhim kho lub peev xwm, kev koom tes, thiab kev tsim kho vaj tse, DHCS yuav txuas ntxiv nthuav kev nkag mus rau cov kev pabcuam hauv tsev kawm ntawv rau cov tub ntxhais kawm. Cov nyiaj pab no yuav raug tsim los txhawb kev siv cov txheej txheem them nqi thoob plaws lub xeev rau xyoo 2024.​​ 
  • Los ntawm nws txoj kev pib CalHOPE, DHCS tab tom nqis peev rau hauv kev kawm txog kev sib raug zoo thiab kev xav (SEL) rau cov menyuam yaus thiab cov hluas hauv tsev kawm ntawv. Lub Chaw Haujlwm tab tom cog lus nrog Sacramento County Office of Education (COE), uas muaj cov ntawv cog lus nrog tag nrho 57 lwm COE thoob plaws lub xeev, los coj kev siv zog, suav nrog kev tsim kom muaj SEL Community of Practice thoob plaws lub xeev. Txhua tus COE tab tom tsim ib qho kev ntsuam xyuas kev xav tau thiab txoj kev npaj ua haujlwm los nthuav dav cov tswv yim SEL.​​ 

Txij li Lub Ib Hlis Ntuj xyoo 2023, Medi-Cal yuav them rau kev kuaj mob lub cev thiab tus cwj pwm thiab cov kev pabcuam rau tag nrho tsev neeg, tsis yog tus menyuam uas yog tus neeg mob uas tau txheeb xyuas xwb. Qhov kev nthuav dav no tseem ceeb heev rau cov tsev neeg uas tus menyuam tau sau npe rau hauv Medi-Cal tab sis niam txiv lossis tus neeg saib xyuas tsis muaj kev pov hwm, thiab tseem muaj qhov xav tau kev kho mob dyadic. Cov kev pab cuam Dyadic muaj kev kho mob tib lub sijhawm rau tus menyuam thiab niam txiv/tus saib xyuas, nrog rau kev tshawb fawb qhia txog kev txhim kho tseem ceeb hauv cov teeb meem kev coj cwj pwm ntawm menyuam yaus thiab kev nce ntxiv ntawm kev sib raug zoo ntawm niam txiv/tus menyuam. Cov kev pabcuam no yuav suav nrog ntau yam kev tshuaj xyuas, kev ntsuam xyuas, kev soj ntsuam, thiab kev tswj xyuas cov ntaub ntawv, ntxiv rau cov kev pabcuam BH sib xyaw ua ke, kev qhia txog kev tso luam yeeb, thiab kev tshuaj xyuas kev siv cawv thiab/lossis tshuaj yeeb, Kev cuam tshuam luv luv thiab kev xa mus rau kev kho mob.

Ntxiv rau qhov ntawd, nrog cov tswv yim los ntawm cov neeg koom nrog, DHCS yuav xaiv cov kev coj ua raws li pov thawj (EBPs) thiab cov kev coj ua hauv zej zog (CDPs) tsawg tsawg los nthuav dav thoob plaws lub xeev raws li cov pov thawj muaj zog rau kev ua haujlwm zoo, kev cuam tshuam rau kev sib luag ntawm haiv neeg, thiab kev ruaj khov. Cov MCPs ntawm Medi-Cal, cov phiaj xwm BH hauv nroog, cov chaw muab kev pab cuam Medi-Cal thiab cov kev pab cuam Indian Health yuav tsim nyog tau txais nyiaj txiag los txhawb cov kev coj ua no. Los ntawm kev nthuav dav EBPs thiab CDPs thoob plaws lub xeev, DHCS lub hom phiaj yog txhim kho kev nkag mus rau cov kev cuam tshuam tseem ceeb ntawm BH, suav nrog cov uas tsom mus rau kev tiv thaiv, kev cuam tshuam thaum ntxov thiab kev rov zoo/kev kho mob, rau cov menyuam yaus thiab cov hluas, tshwj xeeb tshaj yog tsom mus rau cov menyuam yaus thiab cov hluas los ntawm Dub, Indigenous, thiab cov neeg xim av thiab cov zej zog poj niam nyiam poj niam, txiv neej nyiam txiv neej, bisexual, transgender, queer thiab intersex+.

Yog xav muab lus tawm tswv yim, muab cov lus qhia, lossis tau txais cov ntaub ntawv ntxiv txog CYBHI, thov email rau CYBHI@dhcs.ca.gov.​​ 

Contingency Management (CM) Thov Kev Pom Zoo (RFP)​​ 

Thaum Lub Yim Hli 19, 2022, DHCS tau tshaj tawm RFP los txhawb kev siv California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Los ntawm qhov kev sim no, DHCS tau cog lus tias yuav nthuav kev nkag mus rau kev kho tus cwj pwm raws li pov thawj los daws qhov teeb meem kev siv tshuaj stimulant uas tseem muaj nyob hauv California. CM, uas muab kev txhawb zog kom txo kev siv cov tshuaj stimulants, yog tib txoj kev kho mob uas tau ua pov thawj tias muaj txiaj ntsig zoo rau cov tib neeg uas muaj teeb meem siv cov tshuaj stimulants, suav nrog kev txo qis lossis tso tseg kev siv tshuaj thiab kev kho mob ntev dua.

DHCS yuav siv qhov kev pab cuam CM pilot siv tus neeg muag khoom tswj kev txhawb siab. Daim RFP nrhiav tus neeg muag khoom uas yuav txhawb nqa, kev tswj hwm, kev taug qab, thiab kev faib cov nyiaj txhawb siab. Qhov kev sim tau teem sijhawm pib rau lub Xya Hli 1, 2022, tab sis qhov tsis muaj peev xwm nrhiav tau tus thawj tswj kev txhawb siab ua rau ncua kev siv. Yog li ntawd, tus neeg muag khoom tshiab uas tswj hwm kev txhawb siab yuav zoo li yuav koom nrog hauv lub Kaum Ib Hlis, thiab hnub pib ntawm qhov kev pab cuam CM pilot yuav yog lub Kaum Ob Hlis lossis Lub Ib Hlis 2023.​​ 

Yog xav paub ntxiv, thov mus saib ntawm DHCS CM qhov webpage.
​​ 

Kev hloov kho tshiab​​ 

Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Pab Nyiaj Txiag rau Kev Ncaj Ncees Koom Tes (PATH JI) Txoj Haujlwm Txhim Kho Lub Peev Xwm​​ 

Thaum Lub Yim Hli 9, DHCS tau tshaj tawm daim ntawv thov online rau qhov thib ob ntawm PATH JI Capacity Building Program los txhawb cov haujlwm uas tsom mus rau kev tsim nyog Medi-Cal ua ntej tso tawm thiab kev sau npe rau kev ncaj ncees uas cuam tshuam nrog cov neeg California.

Cov nyiaj pab txhawb nqa PATH JI Capacity Building Program txhawb nqa kev npaj ua ke nrog rau kev hloov kho cov txheej txheem thev naus laus zis (IT) uas tsim nyog los siv cov txheej txheem thov Medi-Cal ua ntej tso tawm thiab kev ncua. Qhov kev pab cuam no muab tag nrho $ 151 lab rau cov koom haum thiab cov tsev kawm ntawv thiab cov chaw pabcuam kev sib raug zoo hauv nroog, suav nrog cov chaw ua haujlwm ntawm tub ceev xwm, cov chaw saib xyuas kev sim siab hauv nroog, thiab California Department of Corrections and Rehabilitation. Cov ntawv thov rau qhov thib ob yuav tsum xa los ntawm lub portal thov online tsis pub dhau lub Kaum Ob Hlis 31, 2022.

Mus saib CalAIM PATH nplooj ntawv web kom paub ntxiv txog PATH thiab JI txoj haujlwm. Thov xa email rau justice-involved@ca-path.com yog tias koj muaj lus nug txog cov txheej txheem thov.​​ 

Daim Ntawv Thov Kev Pabcuam thiab Kev lees paub rau Kev Sau Npe (PAVE) Portal rau Family PACT Cov Chaw Pabcuam​​ 

Thaum Lub Yim Hli 15, DHCS tau tshaj tawm lub portal PAVE rau cov neeg muab kev pab cuam Family PACT (Planning, Access, Care, and Treatment). Lub PAVE portal yog ib daim ntawv thov hauv web uas tsim los kom yooj yim thiab ua kom cov txheej txheem sau npe sai dua, nws yog ib txoj hauv kev tshiab rau kev xa daim ntawv thov rau Family PACT provider thiab cov ntaub ntawv xav tau rau DHCS. Txij li Lub Ib Hlis Ntuj hnub tim 1, 2023, DHCS yuav tsis txais daim ntawv thov ua ntawv los ntawm cov neeg muab kev pab uas tab tom nrhiav kev sau npe ua tus neeg muab kev pab Family PACT lawm.​​ 

CMS Kev Pom Zoo ntawm Peb Lub Xeev Txoj Kev Hloov Kho (SPA) rau cov txiaj ntsig​​ 

  1. Thaum Lub Yim Hli 5, CMS tau pom zoo SPA 22-0044 kom tso cai rau "cov kws kho mob uas tau txais daim ntawv tso cai" sau ntawv kho lub cev. Qhov kev hloov kho no tso cai rau cov neeg pab kws kho mob thiab cov kws saib mob sau ntawv rau kev kho mob ntawm kws kho mob, ntxiv rau cov kws kho mob, cov kws kho hniav, thiab cov kws kho mob ko taw.​​ 
  2. Thaum Lub Yim Hli 10, CMS tau pom zoo SPA 22-0003 ntxiv cov kev pabcuam tiv thaiv kab mob hawb pob. Qhov txiaj ntsig tshiab no tso cai rau cov chaw muab kev pab tiv thaiv kab mob hawb pob uas tsis muaj ntawv tso cai thiab cov kws kho mob muaj ntawv tso cai los muab kev qhia kev mob ntsws asthma thiab kev ntsuas hauv tsev.​​ 
  3. Thaum Lub Yim Hli 12, CMS tau pom zoo SPA 22-0017 tso cai rau tus neeg mob cov nqi ib txwm siv rau kev sim tshuaj, raws li qhov xav tau los ntawm Consolidated Appropriations Act of 2021. Yav dhau los, Medi-Cal tau them cov nqi niaj hnub rau kev sim tshuaj kho mob nkaus xwb rau cov koom nrog hauv kev sim tshuaj kho mob qog noj ntshav.​​ 

Tshaj tawm cov ntaub ntawv COVID-19​​ 

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

CalAIM Waiver Amendment Public Hearing​​ 

Thaum Lub Yim Hli 22, DHCS tab tom tuav lub rooj sib hais rau pej xeem hauv online los txhawb thiab thov cov neeg koom nrog cov lus taw qhia txog kev hloov kho kev zam uas tau thov txog kev siv cov qauv hloov pauv hauv nroog hauv Medi-Cal Managed Care (MCMC) program. Yuav tsum tau sau npe ua ntej rau CalAIM lub rooj sib hais pej xeem.​​ 

Cov ntaub ntawv ntxiv txog CalAIM Tshooj 1115 ua qauv qhia daim ntawv thov thiab Tshooj 1915(b) cov lus qhia muaj nyob rau ntawm CalAIM 1115 Demonstration & 1915(b) Waiver webpage. Lub sijhawm 30-hnub cov lus tshaj tawm pej xeem xaus rau lub Cuaj Hlis 12, 2022.
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PATH Capacity and Infrastructure Transition, Expansion and Development (CITED) Initiative Update​​ 

Thaum Lub Yim Hli 23 thaum 12 teev tsaus ntuj, DHCS yuav zoo li tuav lub vev xaib xov xwm los txhawb cov koom haum tsim nyog nrog lawv daim ntawv thov CITED. Lub nkoj tab tom xa khoom mus rau qhov chaw nres nkoj DHCS, thiab kev cia siab yuav tuaj txog muaj Lub Ob Hlis 8, 08:30 Cov webinars yuav muab cov ncauj lus kom ntxaws txog cov nyiaj CITED thiab cov txheej txheem thov.​​ 

Yog xav paub ntxiv, thov mus saib https://www.ca-path.com/cited. Cov lus nug txog CITED pib thiab cov txheej txheem thov tuaj yeem xa mus rau cited@ca-path.com. DHCS yuav teb rau cov lus nug uas xa tuaj thaum lub rooj sib tham hauv webinar thiab hauv kev sib tham tom qab.
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CalAIM Webinar: ECM thiab Zej Zog Txhawb Cov Tswv Cuab Kev Koom Tes​​ 

Thaum Lub Yim Hli 25 thaum 1:30 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online txog CalAIM ECM thiab Kev Txhawb Nqa Zej Zog rau cov tswv cuab. 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.

Yuav tsum tau sau npe ua ntej rau CalAIM Cov Tswv Cuab Kev Koom Tes hauv 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 sib tham. Yuav muaj ib qho kev tshwm sim "Lub Sijhawm Ua Haujlwm" ntxiv rau lub Cuaj Hlis 1 thaum 2 teev tsaus ntuj rau cov neeg tuaj koom nug cov lus nug uas tsis tau hais txog thaum lub sijhawm webinar.​​ 

CYBHI Lub hli Public Webinar​​ 

Thaum Lub Yim Hli 29 thaum 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online rau pej xeem kom cov neeg koom nrog paub txog DHCS txoj kev nce qib hauv kev siv ntau yam haujlwm rau CYBHI. Cov neeg tuaj koom tseem ceeb suav nrog, tab sis tsis txwv rau, cov hluas, cov niam txiv, cov tswv cuab, cov chaw muab kev noj qab haus huv tus cwj pwm, cov phiaj xwm kev saib xyuas Medi-Cal, cov chaw haujlwm kev noj qab haus huv tus cwj pwm hauv nroog, thiab cov phiaj xwm kev noj qab haus huv lag luam, nrog rau kev kawm thiab lwm tus neeg koom tes thoob plaws. Yuav tsum sau npe ua ntej rau CYBHI webinar no .​​ 

CalAIM "Lub Sijhawm Ua Haujlwm": ECM thiab Lub Zej Zog Txhawb Kev Koom Tes ntawm Cov Tswv Cuab​​ 

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 Q&A session will cover provider and member communications, referrals, outreach, and enrollment. Advance registration is required. Participants are invited to submit questions by August 29 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.​​ 

CalAIM Webinar: ECM Cov Neeg Saib Xyuas Lub Sij Hawm Ntev ntawm Kev Pom Zoo​​ 

Thaum lub Cuaj Hlis 8 thaum 1:30 teev tsaus ntuj, DHCS yuav zoo rau txhua tus neeg tuaj koom lub vev xaib ntawm CalAIM ECM Kev Saib Xyuas Lub Sijhawm Ntev Rau Cov Pej Xeem. Yuav tsum sau npe ua ntej. Cov neeg koom nrog raug caw kom xa cov lus nug ua ntej lub Cuaj Hlis 5 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom kuj yuav muaj sijhawm los nug cov lus nug thaum lub sijhawm sib tham.
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