DHCS Stakeholder News – December 9, 2022
DHCS tab tom muab qhov hloov tshiab ntawm kev txhim kho tseem ceeb ntawm DHCS cov kev pab cuam.
Xov xwm tshaj plaws
Kev kho rau Cal MediConnect (CMC) Daim Ntawv Ceeb Toom xa hauv yuam kev
Thaum kawg ntawm lub Kaum Ib Hlis, DHCS tau xa tsab ntawv rho npe tawm (DL) yuam kev rau cov tswv cuab CMC hauv Los Angeles, Riverside, San Bernardino, San Diego, thiab Santa Clara counties. DHCS tuaj yeem lees paub tias cov tswv cuab tsis tau raug rho tawm ntawm lawv cov phiaj xwm CMC ua ntej thiab lawv tsis tas yuav ua dab tsi los teb rau daim ntawv ceeb toom no. Cov tswv cuab yuav nyob hauv lawv cov phiaj xwm kom txog rau thaum Lub Kaum Ob Hlis 31, 2022, thiab yuav raug sau npe cia, tsis muaj qhov sib txawv hauv kev them nqi, rau hauv lawv cov phiaj xwm Medicare-Medi-Cal uas koom tes rau lub Ib Hlis 1, 2023.
DHCS, los ntawm Health Care Options, tab tom ua ib qho kev hu xov tooj mus rau txhua tus tswv cuab uas tau txais tsab ntawv, qhia rau lawv kom tsis txhob quav ntsej txog daim ntawv ceeb toom xa tuaj yuam kev thiab tias tsis muaj kev cuam tshuam rau lawv txoj kev npaj CMC tam sim no.
DHCS tau tshaj tawm tag nrho cov ntawv ceeb toom rau cov tswv cuab thiab cov ntaub ntawv ntxiv rau ntawm nplooj ntawv web Future of Cal MediConnect. Thov xa cov lus nug rau info@calduals.org.
Behavioral Health Continuum Infrastructure Program (BHCIP) Round 4: Cov Nyiaj Pab Me Nyuam thiab Cov Hluas
On December 7, DHCS awarded $480.5 million in funding to 54 behavioral health projects in California serving children, youth, transition-age youth, and pregnant and postpartum women. These awards are being made through the BHCIP Round 4: Children and Youth grants. BHCIP represents the largest provision of resources for mental health and/or substance use disorder infrastructure in the state’s history, and an unprecedented opportunity to address historic gaps and effect meaningful, sustainable change in California’s behavioral health continuum. Additional information about BHCIP Round 4: Children and Youth awardees is available at BHCIP Grant Award Information.
Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Ncaj Ncees-Involved Round 2 Daim Ntawv Thov Hnub Kawg Ntxiv
DHCS tau ncua lub sijhawm kawg rau daim ntawv thov nyiaj pab rau California Advancing and Innovating Medi-Cal (CalAIM) PATH Justice-Involved Round 2 mus txog rau lub Peb Hlis Ntuj hnub tim 31, 2023. Tus Thawj Coj Sab Nraud (TPA) rau PATH qhov kev pib tab tom koom ua ke cov kev hloov tshiab ntawm daim ntawv thov los ntawm ACWDL 22-27 luam tawm rau lub Kaum Ib Hlis 10, 2022, rau hauv daim ntawv thov Round 2. Daim ntawv thov Kev Ncaj Ncees-Muaj Kev Koom Tes Zaum 2 yuav raug tshem tawm mus txog rau Lub Ib Hlis 25, 2023 kom ua tiav cov kev hloov tshiab ntawm daim ntawv thov. Cov neeg uas tab tom ua haujlwm rau daim ntawv thov yuav tsum tos kom xa daim ntawv thov thaum daim ntawv thov rov qhib dua rau lub Ib Hlis 25. Yuav muab cov ntaub ntawv ntxiv rau koj sai li sai tau.
Thov xa email rau justice-involved@ca-path.com yog tias koj muaj lus nug txog kev ncua sijhawm thov rau Round 2.
Medi-Cal Rx Kev Tso Cai Ua Ntej (PA).
DHCS tau pib lub rooj sib tham nrog Medi-Cal Rx cov neeg koom nrog (tswj cov phiaj xwm saib xyuas, cov chaw muag tshuaj, cov kws kho mob, tsev kho mob, thiab cov tswv cuab tawm tswv yim thiab lawv cov koom haum) los nthuav tawm cov ntaub ntawv ntawm peb theem kawg rau kev rov ua dua PA cov cai thiab nyiaj laus ntawm Txoj Cai Hloov Pauv.
- Thaum Lub Ob Hlis 24, 2023, tag nrho cov kev cai PA yuav raug muab rov qab rau cov neeg laus hnub nyoog 22 xyoos thiab laus dua tau txais cov tshuaj pib tshiab.
- Txog rau lub Rau Hli 23, 2023, Txoj Cai Hloov Pauv rau yawg PAs rau cov neeg laus hnub nyoog 22 xyoos thiab laus dua yuav raug txiav tawm.
- Lub sijhawm kawg yuav rov ua dua PA cov cai thaum so tawm Txoj Cai Hloov Pauv rau cov menyuam yaus hnub nyoog 21 xyoos thiab qis dua, nrog rau cov khoom noj khoom haus nkag mus.
DHCS has presented the timelines and scope of each phase, including the impact of the policy changes to members of Medi-Cal, California Children’s Services (CCS), Genetically Handicapped Persons Program, and Early and Periodic Screening, Diagnostic, and Treatment. DHCS will continue to engage stakeholders throughout the process.
Telehealth: Daim Ntawv Qhia Txog Tswv Cuab
DHCS tau tsim ib tsab ntawv ceeb toom txog Tswv Cuab Cov Lus Ceeb Toom rau pej xeem cov lus hais txog thaum lub Kaum Ob Hlis 16. Daim ntawv ceeb toom rau cov tswv cuab yuav raug muab qhia rau xyoo 2023, ceeb toom rau cov tswv cuab ntawm cov kev pabcuam hauv xov tooj thiab qhia lawv txog lawv txoj cai:
- Nkag mus rau cov kev pab cuam kho mob los ntawm kev mus ntsib nrog ib tus kws kho mob uas tsis yog telehealth.
- Xaiv telehealth raws li tus qauv.
- Tau txais cov kev pab thauj mus los rau kev teem caij kho mob.
- Paub txog cov kev txwv/kev pheej hmoo cuam tshuam nrog kev siv telehealth.
- Ua ntawv tsis txaus siab ntsig txog telehealth.
Cov lus qhia tuaj yeem xa email rau Medi-Cal_Telehealth@dhcs.ca.gov.
Kev hloov kho tshiab
Long-Term Services and Supports (LTSS) Dashboard
On December 12, DHCS will launch the LTSS Data Dashboard, an initiative of the Home and Community-Based Services (HCBS) Spending Plan . The dashboard will track demographic, utilization, quality, and cost data related to LTSS. It will include statewide nursing home and HCBS data, with the goal of increased transparency to make it possible for regulators, policymakers, and the public to be informed while the state continues to expand, enhance, and improve the quality of LTSS in all home, community, and congregate settings.
Lub LTSS dashboard yuav raug tso tawm siv txoj hauv kev ua ntu zus, thiab cov ntaub ntawv pib yuav suav nrog 38 qhov kev ntsuas tsom mus rau kev siv. Yuav muaj cov kev ntsuas ntxiv rau txhua lub hlis tom ntej. Cov kev hloov pauv yav tom ntej ntawm lub dashboard yuav txhim kho cov peev xwm pom cov ntaub ntawv thiab ntxiv cov ntaub ntawv hais txog qhov zoo thiab tus nqi.
This initial release of the dashboard shows that California continues to have a strong rate of LTSS “rebalancing”, otherwise known as HCBS utilization, compared to overall LTSS use. This is due to the state’s robust array of HCBS programs. In 2021, 85 percent of Medi-Cal members that used LTSS services used HCBS; only about 15 percent of LTSS members stayed in a long-term care (LTC) facility, but did not use HCBS.
This release also shows an increase in HCBS utilization each year, as well as a decline in average monthly census and overall use of LTC facilities in 2020 and 2021 due to the impact of the COVID-19 pandemic.
Tsis ntev los no: Txais Daim Ntawv Thov Kev Pabcuam Kev Ua Haujlwm Pabcuam Kev Ruaj Ntseg Nyiaj Them Nqi (CWSRP)
On December 29, DHCS will begin accepting applications for CWSRP. All successfully registered qualified clinics will receive a link to the application for submitting employee information. All requests for payment must be submitted no later than 5 p.m. on January 27, 2023. DHCS encourages early submissions so that all applications can be validated before the final due date. Additional application guidance and templates for submission will be posted on the CWSRP webpage on or before the opening of the application period.
Tsis tas li ntawd xwb, DHCS tab tom ceeb toom rau txhua lub tsev kho mob uas tsim nyog kom sau npe rau CWSRP, vim tias kev sau npe yuav kaw rau lub Kaum Ob Hlis 20, 2022. Cov Lus Nug Feem Ntau (FAQs) tau hloov kho tshiab lawm. Yog xav tau kev qhia thiab qhov txuas mus sau npe, thov mus saib CWSRP nplooj ntawv web.
Hnub kawg ntawm daim ntawv thov rau Tsev Kho Mob thiab Cov Kws Pabcuam Kho Mob (SNF) COVID-19 Cov Neeg Ua Haujlwm Retention Payments (WRP)
DHCS ceeb toom rau txhua tus Neeg Ua Haujlwm Pabcuam Uas Tau Sau Npe Lawm (CEs), Cov Neeg Ua Haujlwm Pabcuam Uas Tau Sau Npe Lawm (CSEs), Cov Neeg Ua Haujlwm Pab Pawg Kws Kho Mob (PGEs), thiab Cov Kws Kho Mob Ywj Pheej kom xa lawv daim ntawv thov rau Tsev Kho Mob thiab SNF WRP. Txhua qhov kev thov them nyiaj yuav tsum xa tsis pub dhau 5 teev tsaus ntuj rau lub Kaum Ob Hlis 30, 2022. DHCS txhawb kom xa daim ntawv thov ua ntej kom txhua daim ntawv thov tuaj yeem raug lees paub sai tom qab hnub kawg xa daim ntawv thov. Yog tias koj yog CE, CSE, PGE, lossis ib tug kws kho mob ywj pheej thiab koj tseem tsis tau sau npe, thov mus saib WRP webpage kom sau npe ua ntej Lub Kaum Ob Hlis 21, 2022.
Rau kev sau npe thiab daim ntawv thov kev taw qhia, daim ntawv thov video qhia, thiab tag nrho lwm cov ntaub ntawv txhawb nqa, thov mus saib ntawm WRP lub vev xaib.
CMS Pom Zoo Rau California Txoj Kev Npaj Siv Nyiaj HCBS Cov Ntawv Qhia Txhua Peb Hlis
On November 29, CMS approved DHCS’ quarterly reports for California’s HCBS Spending Plan for Quarters 1 and 2 of federal fiscal year 2022-23. California remains in compliance with program requirements, set forth in CMS’ State Medicaid Director Letters #21-003 and #22-002. Under the American Rescue Plan Act of 2021, the HCBS Spending Plan permits California to receive a temporary 10 percentage point increase to the Federal Medical Assistance Percentage for certain Medicaid expenditures for HCBS. The approved quarterly reports and more information are available on the HCBS Spending Plan webpage.
Preadmission Screening and Resident Review (PASSR) Pilot Testing for Online System
On December 1, DHCS began a pilot project to allow general acute care hospitals (GACHs) to test PASRR’s online system. The initial pilot group consists of six GACHs, and testing will be facilitated from December 1, 2022, through January 31, 2023. The remaining GACHs will be enrolled by region from February through April 2023.
PASRR is a federal and state-mandated program designed to identify evidence of a serious mental illness, intellectual and/or developmental disability, or related condition in all individuals (regardless of insurance type), who are seeking admission to a skilled nursing facility (SNF). To comply with federal regulations, the PASRR process must be completed prior to a beneficiary being admitted to a SNF.
DHCS is required to be fully compliant with California’s PASRR process by July 1, 2023. To achieve this, all GACHs will be enrolled in PASRR’s online system and must incorporate the PASRR screening protocol in their discharge process. The online system will streamline their efforts to complete the PASRR process before discharging a member to a Medicaid-certified SNF. For more information, visit the PASRR webpage.
Kev Pab Txhawb Kev Mloog Lus rau Cov Me Nyuam (HACCP) Kev Tsim Nyog Kev Tsim Nyog
Txij li thaum Lub Ib Hlis 1, DHCS txais tos cov tub ntxhais hluas tshiab uas muaj hnub nyoog 18 txog 20 xyoo uas tsim nyog thiab ua tau raws li lwm cov qauv ntawm qhov kev pab cuam thiab xav tau kev pab them nqi rau lawv cov khoom siv pab hnov lus thiab cov kev pabcuam cuam tshuam los thov rau kev sau npe HACCP. Tsis tas li ntawd xwb, txij li lub Ib Hlis tim 1, cov neeg thov uas muaj hnub nyoog qis dua 21 xyoo uas ua tau raws li cov cai tsim nyog ntawm txoj kev pab cuam yuav thov tau rau npe rau hauv HACCP txawm tias lawv muaj ib feem ntawm lwm yam kev pov hwm kho mob rau cov khoom siv pab hnov lus uas raug txwv tsis pub them nqi ntawm $1,500 lossis tsawg dua ib xyoos. Cov ntaub ntawv ntxiv txog qhov kev pab cuam muaj nyob rau ntawm nplooj ntawv web HACCP. Cov tsev neeg tuaj yeem thov rau kev them nqi los ntawm HACCP's Online Application Portal.
Koom nrog peb pab neeg
DHCS tab tom nrhiav neeg ua haujlwm! Peb tab tom nrhiav peb tus neeg uas muaj lub hom phiaj thiab mob siab rau txoj haujlwm no los ua Tus Thawj Coj ntawm Pawg Neeg Saib Xyuas Kev Them Nyiaj Raws Li Tus Nqi, Tus Thawj Coj ntawm Pawg Neeg Saib Xyuas Kev Ntsuam Xyuas thiab Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Noj Qab Haus Huv, thiab Tus Thawj Coj ntawm Pawg Neeg Saib Xyuas Kev Hloov Pauv Kev Ncaj Ncees thiab Kev Noj Qab Haus Huv rau Qhov Kev Pab Cuam Tswj Xyuas Kev Noj Qab Haus Huv thiab Kev Noj Qab Haus Huv rau Cov Neeg. Cov hauj lwm Public Health Medical Administrator I no yuav pab DHCS pab cov neeg California uas muaj kev phom sij tshaj plaws.
DHCS is also hiring Californians to join our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.
DHCS mob siab rau kev tiv thaiv thiab txhim kho kev noj qab haus huv thiab kev nyob zoo ntawm txhua tus neeg California. Lub hom phiaj ntawm DHCS yog muab kev pabcuam kho mob uas pheej yig, sib koom ua ke, zoo, thiab ncaj ncees rau cov neeg nyob hauv zej zog uas tsis muaj zog tshaj plaws, thiab tam sim no nws tab tom hloov pauv qhov kev pab cuam Medi-Cal kom ntseeg tau tias nws muab kev pabcuam uas cov neeg California xav tau kom muaj lub neej noj qab haus huv thiab zoo siab dua.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Dementia Care Aware Webinar
On December 13, from 12 to 1 p.m., DHCS’ Dementia Care Aware will virtually host the “Next Steps in Assessment and Management After a Positive Cognitive Health Assessment (advance registration required)” webinar. The webinar will include an update on next steps in assessment and management after a positive cognitive health assessment.
Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit) Additional information about the Dementia Care Aware Initiative is available at www.dementiacareaware.org.
CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Txhawb Nqa (MLTSS) thiab Duals Integration Workgroup Lub Kaum Ob Hlis Lub Rooj Sib Tham
Thaum Lub Kaum Ob Hlis 15, txij 10 teev sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham CalAIM MLTSS thiab Duals Integration Workgroup hauv online (yuav tsum tau sau npe ua ntej). Cov txheej txheem teev tseg suav nrog cov ntsiab lus ntawm kev hloov pauv rau kev sau npe thaum Lub Ib Hlis 2023, kev piav qhia txog xyoo 2024 Dual Eligible Special Needs Plans (D-SNP) cov lus qhia txog kev sib koom tes saib xyuas kev kho mob palliative, kev hloov kho tshiab ntawm cov kev pabcuam mus sij hawm ntev thiab kev txhawb nqa dashboard, kev hloov kho tshiab ntawm cov tshooj lus qhia txoj cai CalAIM D-SNPs xyoo 2023 uas nyuam qhuav tso tawm, thiab kev tshuaj xyuas ntawm lub Ib Hlis 2023 kev hloov pauv mus rau kev saib xyuas mus sij hawm ntev ntawm cov chaw saib xyuas neeg mob txawj.
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. Please email your questions to DHCS at info@calduals.org.
CalAIM Kev Tshuaj Ntsuam Xyuas thiab Hloov Kho Cov Cuab Yeej Kho Mob rau Medi-Cal Kev Pabcuam Kev Puas Siab Puas Ntsws
Thaum Lub Kaum Ob Hlis 15, thaum 3 txog 4 teev tsaus ntuj, DHCS yuav tuav ib lub webinar (yuav tsum tau sau npe ua ntej) rau cov neeg muaj feem tau kawm txog Kev Tshuaj Ntsuam Xyuas thiab Hloov Kho Cov Cuab Yeej rau Medi-Cal Kev Pabcuam Kev Puas Siab Puas Ntsws, uas mus nyob rau lub Ib Hlis 1, 2023, uas yog ib feem ntawm CalAIM. Qhov kev pib no yog tsom mus rau kev txhim kho kev tshuaj xyuas thoob plaws lub xeev thiab kev hloov pauv cov cuab yeej saib xyuas rau cov neeg laus thiab cov tib neeg hnub nyoog qis dua 21 xyoos rau kev siv los ntawm lub nroog cov phiaj xwm kev puas siab puas ntsws (MHP) thiab Medi-Cal MCPs. Lub webinar yuav tshuaj xyuas cov sijhawm teem sijhawm thiab kev cia siab rau kev siv, qhia txog cov kauj ruam MCPs thiab MHPs tuaj yeem ua los txhawb kev ua tiav, thiab hais cov lus nug nquag. Thov xa email rau BHCalAIM@dhcs.ca.gov muaj lus nug.
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar
Ntawm Lub Kaum Ob Hlis 21, txij li 3 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham nrog cov neeg koom nrog virtual los tham txog Txoj Haujlwm Pabcuam Ua Haujlwm thiab Kev Pabcuam Zoo (WQIP), tau tso cai los ntawm Assembly Bill 186 (Tshooj 46, Txoj Cai ntawm 2022). Lub rooj sib tham no yuav nthuav qhia qhov kev tsim qauv kawg ntawm WQIP thiab muab sijhawm ntxiv rau cov neeg koom tes tawm tswv yim. Cov ntaub ntawv hais txog kev koom nrog lub Kaum Ob Hlis 21 webinar yuav raug muab tso rau hauv Nursing Facility Financing Reform AB 186 webpage ze rau hnub sib tham.