Xov xwm tshaj plaws​​ 

DHCS Launch Medi-Cal Renewal Campaign​​ 

Thaum Lub Ob Hlis 8, DHCS tau tshaj tawm ib qho kev tshaj tawm xov xwm thoob plaws lub xeev los tsa kev paub txog cov txheej txheem rov ua dua Medi-Cal thiab txhawb kom cov tswv cuab Medi-Cal ua cov kauj ruam los khaws lawv cov kev pov hwm. Lub phiaj xwm no yog tsom rau cov tswv cuab Medi-Cal hauv California uas muaj ntau dua 15 lab tus uas tau raug ncua lawv qhov kev txiav txim siab dua thaum muaj xwm txheej ceev txog kev noj qab haus huv pej xeem COVID-19 vim yog qhov yuav tsum tau them nqi txuas ntxiv mus ntawm tsoomfwv.​​ 

Cov phiaj xwm tshaj tawm xov xwm yuav khiav txij lub Ob Hlis 2023 txog rau Lub Rau Hli 2024, thiab suav nrog kev sib xyaw ntawm cov qauv xov xwm ib txwm muaj thiab cov qauv xov xwm digital kom ncav cuag cov tsev neeg uas muaj nyiaj tsawg hauv txhua 19 hom lus Medi-Cal—xws li xov tooj cua, kev tshaj tawm digital thiab kev tshaj tawm hauv social media, kev tso tawm sab nraum tsev, xws li cov ntawv tshaj tawm loj thiab cov paib thauj neeg pej xeem, xa ntawv ncaj qha thiab xa ntawv. DHCS kuj tau tsim ib nplooj ntawv uas yuav qhib rau cov tswv cuab, KeepMediCalCoverage.org, qhov chaw uas cov tswv cuab Medi-Cal tuaj yeem nrhiav paub txog cov txheej txheem rov ua dua tshiab thiab yuav hloov kho lawv cov ntaub ntawv tiv tauj li cas kom tau txais cov kev hloov tshiab tseem ceeb. Ua ib feem ntawm qhov kev siv zog no, DHCS yuav muab cov ntaub ntawv qhia txog kev sib raug zoo, suav nrog cov ntawv tshaj tawm, cov ntawv qhia ib nplooj ntawv, cov ntawv tshaj tawm hauv social media, cov lus, thiab cov duab qhia rau DHCS Coverage Ambassadors thiab lwm tus neeg koom tes siv.​​ 

Tam sim no cov peev txheej kev sib tw muaj nyob rau ntawm DHCS qhov kev pab cuam txuas ntxiv tsis tu ncua lub vev xaib ua lus Askiv thiab lus Mev thiab yuav muaj nyob hauv 17 yam lus ntxiv nyob rau ob peb lub lis piam tom ntej. Cov peev txheej tshiab yuav raug muab faib rau kev siv tsis tu ncua thoob plaws hauv kev sib tw.​​ 

Kev hloov kho tshiab​​ 

DHCS Kev taw qhia ntawm Carr v. Becerra​​ 

Niaj hnub no, DHCS tau muab cov lus qhia ntawm lub nroog los ntawm tsab ntawv qhia txog Medi-Cal Eligibility Division Information Letter 23-07 rau cov koom haum pabcuam hauv nroog kom nres kev txav mus los ntawm txhua qhov Medicare Savings Programs (MSPs) mus rau lwm qhov MSP txog rau lub Peb Hlis 31, 2023. Qhov no yog qhov tshwm sim ntawm tsoomfwv qib siab txoj cai txwv tsis pub ua (Carr v. Becerra) tawm tsam Centers for Medicare & Medicaid Services (CMS). Yog li ntawd, CMS tab tom rov siv nws cov lus qhia yav dhau los uas cov xeev tsis raug tso cai tsiv cov tib neeg ntawm cov kev pab cuam MSP thaum lawv hloov cov xwm txheej tsim nyog.​​ 

Children and Youth Behavioral Health Initiative (CYBHI) Nyiaj pab muaj​​ 

Thaum Lub Ob Hlis 9, ua ib feem ntawm CYBHI, DHCS tau tshaj tawm Daim Ntawv Thov rau Kev Thov nrhiav cov lus pom zoo rau qhov thib ob ntawm cov nyiaj pab tag nrho $ 100 lab los nthuav dav cov pov thawj raws li pov thawj thiab cov zej zog txhais cov kev coj ua pov thawj (EBPs thiab CDEPs, feem) thoob plaws lub xeev. Rau qhov kev pab nyiaj txiag thib ob ntawm EBP/CDEP, DHCS nrhiav cov lus pom zoo los ntawm cov tib neeg, cov koom haum, thiab cov chaw sawv cev los nthuav dav cov kev pab cuam thiab kev coj ua uas muaj kev paub txog kev raug mob. Cov neeg txaus siab raug txhawb kom thov nyiaj pab los ntawm kev siv daim ntawv thov no thaum Lub Plaub Hlis 10, 2023, thaum 5 teev tsaus ntuj.​​ 

Tsis tas li ntawd xwb, DHCS tau tsim ib txoj kev npaj nyiaj pab CYBHI EBP/CDEP los qhia txog nws txoj kev npaj rau kev nthuav dav EBPs thiab CDEPs thoob plaws ntau qhov kev pab nyiaj txiag. Yog xav paub ntxiv, mus saib CYBHI lub vev xaib.​​ 

Koom nrog peb pab neeg​​  

DHCS is hiring! DHCS has an immediate opening for a new Chief Operating Officer for Programs. This senior executive position provides leadership and oversight for all aspects of three key areas of the Department’s operations: Enterprise Data and Information Management, Enterprise Technology Services, and Program Operations.​​ 

DHCS tseem tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, kev noj qab haus huv txoj cai, thiab pab pawg xov xwm thev naus laus zis. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​   

DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with equitable access to affordable, integrated, high-quality health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.​​  

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

CYBHI Tus Nqi Teem Sijhawm Ua Haujlwm Pab Pawg 3 ​​  

Thaum Lub Ob Hlis 15, txij 3 txog 4:30 teev tsaus ntuj, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC), yuav tuav lub rooj sib tham CYBHI Fee Schedule Workgroup thib peb rau pej xeem (yuav tsum tau sau npe ua ntej) los qhia txog kev tsim cov sijhawm them nqi thoob plaws lub xeev rau cov kev pabcuam kev noj qab haus huv hauv tsev kawm ntawv raws li CYBHI. DHCS thiab DMHC yuav koom nrog cov tswv cuab ntawm pawg neeg ua haujlwm txog ntau yam txoj cai thiab kev ua haujlwm los qhia txog kev tsim thiab kev txhim kho ntawm qhov kev tsim qauv ntawm qhov kev pab cuam.​​  

Stakeholder Advisory Committee (SAC) thiab Behavioral Health Stakeholder Advisory Committee (BH-SAC) Lub Rooj Sib Tham​​  

Thaum Lub Ob Hlis 16, txij 9:30 sawv ntxov txog 3:30 tsaus ntuj, DHCS yuav tuav lub rooj sib tham sib koom ua ke thawj zaug ntawm SAC thiab BH-SAC xyoo 2023 (yuav tsum tau sau npe ua ntej). Nws yuav qhib ua ib lub rooj sib tham ua ke, nrog rau cov ncauj lus uas SAC thiab BH-SAC sib qhia. Yuav muaj kev sib ntsib BH-SAC-tsuas yog tom qab kev sib ntsib ua ke; tsis muaj kev sib ntsib SAC-tsuas yog. Cov neeg tuaj koom tuaj yeem tuaj koom tus kheej ntawm The California Endowment, nyob ntawm 1414 K Street hauv plawv nroog Sacramento, lossis tuaj koom online. Yog xav paub ntxiv, thov mus saib SAC thiab BH-SAC lub vas sab.​​  

DHCS CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Duals Integration Workgroup Lub Ob Hlis Lub Rooj Sib Tham​​ 

On February 23, from 10 to 11:30 a.m., DHCS will virtually host the CalAIM MLTSS and Duals Integration Workgroup meeting (advance registration required). This workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members, and allows stakeholders to provide feedback and share information about policy, operations, and strategy for changes to Medicare and Medi-Cal.​​ 

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.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Daim Ntawv Qhia Txog Kev Ntsuam Xyuas Zaum Kawg (WPC) Program Whole Person Care (WPC).​​ 

Thaum Lub Ob Hlis 8, UCLA Center for Health Policy Research's Health Economics and Evaluation Research Program tau tshaj tawm qhov kev ntsuam xyuas zaum kawg ntawm WPC pilot program. Cov ntaub ntawv ntsuam xyuas piav qhia txog kev siv zog loj thiab dav hauv California los daws cov kev xav tau ntawm cov tswv cuab Medi-Cal uas tsis muaj zog tshaj plaws uas yog cov neeg siv cov kev pabcuam ntau. Daim ntawv tshaj tawm pom tias nyob rau hauv WPC, cov tswv cuab tau txais kev sib txuas lus zoo dua, raws sijhawm, thiab ua tiav rau: kev pabcuam saib xyuas thawj zaug, kev pabcuam tshwj xeeb, kev pabcuam kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv, kev mus ntsib chav kho mob ceev (ED), thiab kev pw hauv tsev kho mob. Qee qhov kev tshawb pom muaj xws li:​​ 

• Member Health Outcomes: Evaluation findings support that member health outcomes improved as a result of WPC interventions. Data showed a reduction in primary care, an increase in specialty care, a decline in mental health care, and an increase in substance use treatment for enrollees overall vs. the control group. Subsequent changes in utilization during the program, including declines in primary care and mental health services, typically resulting from a change in need (e.g., issue(s) was/were addressed or condition(s) stabilized through initial visits), new needs were identified as a result of increased access to care (e.g., substance use disorder was diagnosed and treatment started), or care was transferred to a more appropriate setting (e.g., treatment transferred from primary care to specialty care).​​ 
• ED and Inpatient Utilization (IPU): Compared to control groups, both ED and inpatient utilization rates declined for WPC enrollees. ED: The declining change from before to during WPC was significantly greater for WPC enrollees compared to the control group by 76 visits. IPU: Comparing the changes from before to during WPC, WPC enrollees declining rate was greater by 83 stays compared to controls.​​  
• Kev Ruaj Ntseg Hauv Tsev: Cov kws sim tau ua tiav hauv kev sau npe feem ntau yog cov tswv cuab uas tsis muaj tsev nyob, muab kev pabcuam txhawb nqa vaj tse rau lawv siv cov txheej txheem tshiab thiab zoo, thiab txhim kho lawv cov txiaj ntsig. Coob leej neeg uas tsis muaj tsev nyob kuj muaj feem ntau ntawm cov teeb meem kev noj qab haus huv ntawm tus cwj pwm, siv cov chav kho mob ceev, kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv ntau dua, yog li ntawd cov Pilots tau muab kev pabcuam ntau dua thiab tsom mus rau kev muab tsev nyob tas mus li raws li txoj kev "tsev nyob ua ntej".​​ 
• Tus Nqi Qis Dua: Cov ntaub ntawv ntsuam xyuas qhia tau tias tus nqi tag nrho yuav txo tau kwv yees li $ 99 rau ib tus neeg sau npe hauv ib xyoos. Rau cov neeg koom nrog WPC, tag nrho cov nyiaj them Medi-Cal kwv yees tau nce $ 2,037 rau ib tus tswv cuab hauv ib xyoos ua ntej WPC, thiab tom qab ntawd txo qis $ 865 hauv ib xyoos thaum lub sijhawm WPC. Qhov kev poob qis ntawm cov nqi tag nrho tej zaum yuav ua tiav los ntawm kev poob qis ntawm cov kev pabcuam sab nraud (kev kho mob thawj zaug, kev kho mob tshwj xeeb, kev noj qab haus huv ntawm lub hlwb, thiab cov kev pabcuam kev siv tshuaj yeeb dej cawv) thiab kev pw hauv tsev kho mob. Cov kev tshawb pom no yuav qhia txog qhov muaj peev xwm txuag tau nyiaj thaum kev mus pw hauv tsev kho mob thiab cov kev pabcuam sab nraud raug txo qis.​​ 

CalAIM Tus Cwj Pwm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Kev Tswj Xyuas Kev Ruaj Ntseg Daim Ntawv Qhia Tshaj Tawm rau Cov Lus Qhia rau Pej Xeem thiab Webinar​​   

DHCS tau tso tawm ib daim ntawv qhia txog lub tswv yim rau CalAIM Behavioral Health Administrative Integration initiative, uas lub hom phiaj yog los muab cov kev pab cuam Medi-Cal rau Specialty Mental Health Services thiab Drug Medi-Cal (DMC) lossis DMC-Organized Delivery System cov kev pab cuam ua ib qho kev pab cuam kev noj qab haus huv hauv nroog los ntawm xyoo 2027. DHCS txais cov lus taw qhia los ntawm cov neeg koom nrog txog txoj hauv kev piav qhia hauv daim ntawv tswv yim txog rau lub Ob Hlis 21. Thov xa tag nrho cov lus tawm tswv yim ua ntawv sau rau bhcalaim@dhcs.ca.gov. Txawm hais tias DHCS tsis npaj yuav tso tawm daim ntawv qhia txog lub tswv yim uas tau kho dua tshiab, cov lus taw qhia uas tau txais thaum lub sijhawm tawm tswv yim rau pej xeem yuav qhia rau DHCS cov kev txiav txim siab txog txoj cai, txoj kev siv, thiab kev txiav txim siab txog cov lus qhia thiab lwm yam ntaub ntawv pab txhawb kev txawj ntse. Yog xav paub ntxiv, thov mus saib nplooj ntawv web Behavioral Health CalAIM .​​  

Daim ntawv ua haujlwm tshiab CYBHI​​ 

CYBHI tau tso tawm Daim Ntawv Ua Haujlwm: California's Children & Youth Behavioral Health Ecosystem, ib daim phiaj xwm thaum ntxov uas piav qhia txog qhov kev sib koom ua ke thiab sib luag ntawm lub hlwb thiab tus cwj pwm kev noj qab haus huv yuav zoo li cas. Nws kuj piav qhia txog cov khoom, kev hloov pauv, thiab cov kauj ruam tsim nyog los pab cov menyuam yaus, cov hluas, thiab cov tsev neeg hauv California zoo dua. Tau raug txib los ntawm California Health & Human Services Agency (CalHHS) thiab tsim los ntawm pawg neeg ua haujlwm ntau yam uas tau coj los ntawm Breaking Barriers California, daim ntawv ua haujlwm no qhia txog txoj hauv kev ua haujlwm rau kev ua tiav lub zeem muag ntawm kev hloov pauv kev noj qab haus huv uas tau tsim los ntawm Governor Newsom los ntawm California Txoj Kev Npaj Tseem Ceeb rau Kev Noj Qab Haus Huv ntawm Menyuam thiab CYBHI.​​ 

Cov Nyiaj Txiag Tshiab los Pab Txhawb Kev Siv Tshuaj Kho Mob (MAT) rau Kev Siv Tshuaj Opioid​​ 

DHCS nyuam qhuav muab yuav luag $ 2.4 lab rau 29 lub nroog ua ib feem ntawm MAT hauv Tsev Loj Cuab thiab Tsev Hais Plaub Tshuaj kom txuas ntxiv nws cov kev siv zog los daws qhov teeb meem opioid. Qhov project no coj cov pab pawg hauv nroog los sib koom ua ke los kawm ua ke los txhim kho kev sib koom tes ntawm cov koom haum hauv nroog thiab cov neeg muab kev pabcuam uas pabcuam cov neeg nyob hauv nroog uas raug kev cuam tshuam los ntawm kev ncaj ncees, thiab los tsim cov choj los txhim kho lub peev xwm ntawm lub kaw lus kom ntseeg tau tias muaj kev nkag mus rau kev kho mob thiab kev txhawb nqa zoo. Muaj cov ntaub ntawv ntxiv txog cov haujlwm yav dhau los no, nrog rau daim ntawv teev cov nroog uas koom nrog hauv MAT hauv Jails thiab Drug Courts project, nyob rau ntawm Addiction Free CA webpage. Yog xav paub ntxiv txog kev siv zog los nthuav MAT, mus saib California MAT Expansion Project Overview. Kawm ntxiv txog California MAT Expansion Project.​​ 

Tshaj tawm cov ntaub ntawv COVID-19​​ 

• Hloov tshiab: Tus nqi txhaj tshuaj Medi-Cal COVID-19​​