DHCS Stakeholder News – August 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
Governor Unveils California’s Strategy to Support Youth Mental Health; Children and Youth Behavioral Health Initiative (CYBHI) is a Key Component
Thaum Lub Yim Hli 18 hauv Fresno, Tus Thawj Kav Xeev Gavin Newsom tau tham txog California Txoj Kev Npaj Tseem Ceeb rau Kev Noj Qab Haus Huv ntawm Cov Menyuam. 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 ntawm cov khoom tseem ceeb ntawm Txoj Kev Npaj Loj yog CYBHI, uas yog pob peev txheej ntau xyoo, ntau lub chaw haujlwm uas rov xav txog cov txheej txheem uas txhawb nqa kev noj qab haus huv rau txhua tus menyuam yaus, cov 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.
Qhov kev nqis peev $ 4.7 billion ntawm lub xeev Cov Nyiaj Txiag rau CYBHI yuav txhim kho kev nkag mus rau cov kev pabcuam kev noj qab haus huv rau txhua tus menyuam yaus thiab cov hluas hauv California, tsis hais tus neeg them nyiaj. Ntxiv mus, nws yuav muaj cov txiaj ntsig tseem ceeb rau qhov kev pab cuam Medi-Cal txij li thaum muaj 5.4 lab (kwv yees li 54 feem pua) cov menyuam yaus thiab cov hluas tau sau npe rau hauv 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 - zoo li, 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.
Ua ib feem ntawm CYBHI, DHCS yuav tsim thiab tsav kev siv Behavioral Health Virtual Services Platform rau txhua tus menyuam yaus, cov hluas, thiab tsev neeg hauv California, tsis hais tus neeg them nyiaj. Lub platform no yuav txhawb nqa kev xa cov kev pabcuam kev noj qab haus huv ntawm tus cwj pwm uas ncaj ncees, tsim nyog, thiab raws sijhawm txij li kev tiv thaiv mus rau kev kho mob mus rau kev rov zoo, thiab muab lub platform e-Consult rau cov kws kho mob menyuam yaus thiab cov kws kho mob thawj zaug kom 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 rau Tsev Kawm Ntawv Kev Sib Koom Tes thiab Cov Nyiaj Pab Muaj Peev Xwm los txhawb cov kev pabcuam tshiab rau cov tib neeg hnub nyoog 25 xyoos thiab qis dua los ntawm cov tsev kawm ntawv, cov chaw muab kev pabcuam hauv tsev kawm, cov koom haum hauv zej zog hauv tsev kawm ntawv (CBOs), lossis cov chaw kho mob hauv tsev kawm ntawv. Los ntawm kev txhim kho kev muaj peev xwm, kev sib koom tes, thiab kev tsim kho vaj tse, DHCS yuav txuas ntxiv mus txuas ntxiv kev nkag mus rau cov kev pabcuam hauv tsev kawm ntawv rau cov menyuam kawm ntawv. Cov nyiaj pab yuav raug tsim los txhawb kev ua raws li lub xeev tus nqi them tag nrho hauv 2024.
- Los ntawm nws txoj haujlwm CalHOPE, DHCS tab tom nqis peev hauv kev kawm txog kev sib raug zoo thiab kev xav (SEL) ib puag ncig rau cov menyuam yaus thiab cov hluas hauv tsev kawm ntawv. Lub Tsev Haujlwm tau cog lus nrog Sacramento County Office of Education (COE), uas muaj kev nkag siab nrog tag nrho 57 lwm COE thoob plaws lub xeev, los coj kev siv zog, suav nrog tsim kom muaj lub xeev SEL Community of Practice. Txhua COE tab tom tsim cov kev ntsuas xav tau thiab kev npaj ua kom nthuav dav SEL cov tswv yim.
Effective January 2023, Medi-Cal will cover integrated physical and behavioral health screenings and services for the whole family, not just the child who is the identified patient. This expansion is especially important for families in which the child is enrolled in Medi-Cal but the parent or caregiver is uninsured, and yet there is a need for dyadic treatment. Dyadic services involve simultaneous treatment for the child and parent/caregiver, with studies showing significant improvements in child behavior issues and increases in positive parent/child attachment. These services will include a number of screening, assessment, evaluation, and case management, in addition to integrated BH services, tobacco cessation counseling, and alcohol and/or drug use Screening, Brief Interventions and Referral to Treatment.
In addition, with input from stakeholders, DHCS will select a limited number of evidence-based practices (EBPs) and community-defined practices (CDPs) to scale throughout the state based on robust evidence for effectiveness, impact on racial equity, and sustainability. Medi-Cal MCPs, county BH plans, Medi-Cal providers and Indian Health programs would then be eligible to receive funding for scaling up these practices. By scaling EBPs and CDPs throughout the state, DHCS aims to improve access to critical BH interventions, including those focused on prevention, early intervention and resiliency/recovery, for children and youth, specifically focused on children and youth from Black, Indigenous, and people of color and lesbian, gay, bisexual, transgender, queer and intersex+ communities.
To provide comments, make recommendations, or obtain additional information about the CYBHI, please email CYBHI@dhcs.ca.gov.
Contingency Management (CM) Thov Kev Pom Zoo (RFP)
On August 19, 2022, DHCS issued a RFP to support implementation of the California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Through the pilot, DHCS is committed to expanding access to evidence-based behavioral treatment to address the stimulant use disorder crisis that persists in California. CM, which provides motivational incentives to reduce the use of stimulants, is the only treatment that has demonstrated strongly positive outcomes for individuals with stimulant use disorder, including a reduction in or cessation of drug use and longer retention in treatment.
DHCS will implement the CM pilot program using an incentive manager vendor. The RFP seeks a vendor that would support the, management, tracking, and distribution of incentives. The pilot was scheduled to begin on July 1, 2022, but the inability to procure an incentive manager delayed implementation. Therefore, the new incentive manager vendor will likely onboard in November, and the anticipated CM pilot program start date will be in December or January 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
- On August 5, CMS approved SPA 22-0044 to allow “licensed practitioners” to prescribe physical therapy. This revision allows physician assistants and nurse practitioners to prescribe physician therapy, in addition to physicians, dentists, and podiatrists.
- 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.
- 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
- Hloov tshiab: Tus nqi txhaj tshuaj Medi-Cal 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.
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.
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.