Tsev Chav Xov Xwm - Chaw Ua Haujlwm Sib Txuas Lus Xov Xwm Txog Cov Neeg Muaj Feem Cuam Tshuam ntawm DHCS - Lub Ob Hlis 3, 2023​​ 

DHCS Stakeholder News – February 3, 2023​​ 

Xov xwm tshaj plaws​​ 

Hloov tshiab Go-Live Hnub rau Cov Haujlwm Loj DHCS Txoj Haujlwm Pib​​ 

Txij li California Advancing and Innovating Medi-Cal (CalAIM) mus rau kev hloov pauv cov kev pab cuam kev noj qab haus huv ntawm lub xeev, DHCS cov kev pib ua kom muaj kev noj qab haus huv thiab kev nyob zoo ntawm txhua tus neeg California. Cov kev sib txuas hauv qab no qhia txog peb cov kev pib tseem ceeb ntawm cov kev pab cuam thiab cov hnub uas yuav pib siv, tos kev npaj txhij thiab kev pom zoo los ntawm tsoomfwv. Cov ntaub ntawv no tau hloov kho zaum kawg rau lub Xya Hli 1, 2022, thiab yuav raug hloov kho raws li qhov tsim nyog.​​ 

CalAIM: DHCS Tshaj Tawm Kev ncua Carve-In ntawm Ob Qhov Kev Pabcuam rau hauv Medi-Cal Managed Care​​ 

Thaum Lub Ob Hlis 1, Lub Tsev Haujlwm Saib Xyuas Nyiaj Txiag (DOF) tau tshaj tawm cov lus piav qhia los ntawm DHCS thov kom ncua qhov kev siv ntawm carve-in of intermediate care facility for the developmentally disabled (ICF/DD), thiab cov neeg laus thiab menyuam yaus cov kev pab cuam subacute txij Lub Xya 1 1, 2023, mus rau Lub Ib Hlis 1, 2024 2024.Effect, cov tswv cuab Cov kev pab cuam kho mob subacute yuav tsum tau tso npe rau hauv Medi-Cal cov kev npaj saib xyuas kev tswj hwm (MCP), thiab DHCS yuav xav kom MCPs los them cov kev pabcuam no.

DHCS yuav txuas ntxiv koom tes nrog cov neeg muaj feem cuam tshuam los qhia txog kev ua haujlwm ntawm cov cai no, suav nrog kev txhim kho Daim Ntawv Qhia Tag Nrho thiab cov lus qhia ntsig txog kev hloov pauv ICF/DD thiab cov kev pabcuam subacute nyob rau hauv Medi-Cal tswj kev saib xyuas los ntawm Lub Ib Hlis 1, 2024. Cov ntsiab lus ntxiv thiab kev hloov tshiab muaj nyob rau ntawm CalAIM LTC Carve-In kev hloov lub vev xaib.

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Kev hloov kho tshiab​​ 

New Children and Youth Behavioral Health Initiative (CYBHI).​​ 

Ib daim ntawv tshaj tawm tshiab uas tau txib los ntawm California Health & Human Services Agency's CYBHI tau tso tawm tsis ntev los no, qhia txog yam uas cov menyuam yaus, cov hluas, cov tsev neeg, thiab cov tswv cuab hauv zej zog xav tau hauv ib lub ecosystem kev noj qab haus huv uas tau xav dua tshiab.

Daim ntawv tshaj tawm no yog qhov tshwm sim ntawm kev sib ntsib nrog ntau dua 600 tus tib neeg uas tau pab los ntawm 26 lub koom haum koom tes. Nws muab 12 qhov kev hu kom ua thiab lub zeem muag rau kev hloov pauv cov kab ke, rov xav txog cov kev pabcuam, thiab hloov kev xav. Yog xav paub ntxiv, thov mus saib lub vev xaib CYBHI.
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Qhov Kev Pab Txhawb Kev Mloog Lus rau Cov Me Nyuam (HACCP) Phau Ntawv Qhia Tshiab Muab Kev Pabcuam​​ 

HACCP tau ntxiv ib phau ntawv qhia chaw kho mob tshiab, muaj cai Hearing Aid Coverage for Children Program, los pab cov kws kho mob kom nkag siab zoo txog kev tsim nyog, kev pab cuam, thiab cov txheej txheem rau kev kho mob uas yuav tsum tau muaj thiab Daim Ntawv Tso Cai Kho Mob (TARs). HACCP txuas ntxiv kev pab them nqi kho mob hauv xeev nkaus xwb ntawm Medi-Cal cov kev pab cuam hnov lus tshwj xeeb rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog 0 txog 20 xyoo uas tsis tsim nyog rau Medi-Cal thiab ua tau raws li lwm yam kev tsim nyog. Cov ntaub ntawv xov xwm ntxiv muaj nyob rau ntawm HACCP lub vev xaib.​​ 

Daim ntawv thov online muaj nyob rau hauv Cov Lus Ntxiv​​ 

Families using HACCP’s Online Application Portal to apply for hearing aid coverage may now complete their application in Chinese or Korean, in addition to English and Spanish. Additional threshold language translations are coming soon. Families requiring language assistance, or other support to complete their application, may call HACCP at (833) 956-2878 (Multilingual, TTY/TTD, Video Relay Service) or email HACCP@maximus.com. Additional program information is available on the HACCP webpage.
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Smile, California Kev Sib Tw rau Medi-Cal Dental Services​​ 

Oh February 1, the National Children’s Dental Health Month (NCDHM) promotion launched. For NCDHM 2023, Smile, California is focusing on the importance of preventive dental care by inspiring Medi-Cal members to love their teeth and visit the dentist regularly during the month of February, with resources available on SmileCalifornia.org and SonrieCalifornia.org.

A Smile, California Smile Alert for the NCDHM promotion will be sent the week of February 6 to partners, providers, and stakeholders who are subscribed to receive the monthly e-newsletter. Sign up for Smile Alerts to stay informed about the Smile, California campaign, new resources, and updates.

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Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Hloov Kho​​ 

PATH Technical Assistance (TA) Marketplace Tam sim no qhib​​ 

DHCS tau tshaj tawm PATH TA Marketplace, ib lub vev xaib ib-stop-shop uas cov chaw muab kev pabcuam, cov koom haum hauv zej zog, Medi-Cal Tribal thiab Designees ntawm Indian Health Programs, counties, thiab lwm lub koom haum tsim nyog uas tab tom npaj los muab Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Txhawb Zej Zog (CS) Medi-Cal cov txiaj ntsig tuaj yeem nkag mus rau cov kev pab cuam los ntawm curated thiab pom zoo v. Cov peev txheej no yuav pab cov neeg koom tes ntxiv peb lub zeem muag sib koom ntawm CalAIM, kev cog lus ntev mus rau kev tsim kho tshiab thiab txhim kho Medi-Cal.​​ 

DHCS caw cov neeg tau txais kev tsim nyog TA los tshawb xyuas TA Marketplace hnub no thiab kawm seb cov kev pabcuam no tuaj yeem txhawb lawv lub peev xwm los siv ECM thiab CS li cas. TA Marketplace cov kev pabcuam yuav muaj pib thaum Lub Ob Hlis 27, 2023, kawm ntxiv ntawm PATH lub vev xaib.​​ 

Cov nyiaj tau nthuav dav rau CalAIM Infrastructure Initiative​​ 

Thaum Lub Ib Hlis 31, DHCS tau tshaj tawm cov khoom plig rau thawj zaug ntawm PATH Capacity and Infrastructure Transition, Expansion, and Development (CITED) nyiaj pab txhawb ECM thiab CS cov kev pabcuam. DHCS tau nce cov peev nyiaj thawj zaug rau Round 1 vim qhov kev txaus siab siab thiab zoo ntawm daim ntawv thov. Round 1A tau txais txiaj ntsig rau lub lim tiam no, nrog kev tshaj tawm tias cov nyiaj pab ntxiv, Round 1B, yuav tsum tau muab rau lub Peb Hlis 2023. Ob qhov Round 1A thiab Round 1B cov khoom plig yuav raug xaiv los ntawm Round 1 tus neeg thov kev pab pawg.

Yog xav paub ntxiv txog PATH thiab daim ntawv thov CITED, thov mus saib PATH CITED lub vev xaib. Rau lwm cov lus nug, thov email cited@ca-path.com.​​ 

PATH Kev Ncaj Ncees-Kev Koom Tes (JI) Round 2 Daim Ntawv Thov rov qhib dua​​ 

On January 30, DHCS reopened the PATH JI Round 2 application window, which closes on March 31. Round 2 funding supports correctional agencies, institutions, and other JI stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes. Visit ca-path.com/justice-involved for more information about the upcoming virtual sessions and to learn more about JI Round 2.

Please contact CalAIMJusticePreReleaseApps@dhcs.ca.gov with any questions.

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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 is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.

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.

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

Kev Ntsuas Tus Neeg Saib Xyuas Tag Nrho (WPC) thiab Pej Xeem Webinar​​ 

On February 8, from 12 to 1 p.m., UCLA will release the final evaluation of the WPC pilot project and host a webinar (advanced registration required) to present selected findings from the final WPC evaluation report. The evaluation findings describe a major and expansive effort in California to address the needs of the most vulnerable Medi-Cal members who were high utilizers of services. The presentation will outline changes, as well as challenges faced by the 25 participating pilots. Additionally, Susan Philip, Deputy Director of DHCS’ Health Care Delivery Systems, will discuss the relevance of the findings for CalAIM, and share next steps in caring for high-need, high-cost Medi-Cal members.

In 2016, California launched the WPC pilot project to integrate medical, behavioral health, and social services for a vulnerable group of Medi-Cal members identified as high users of multiple systems and who continue to have poor health outcomes. The UCLA Center for Health Policy Research’s Health Economics and Evaluation Research Program was chosen to conduct the statewide evaluation of the WPC pilot project, which ended in 2021.
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CalAIM Population Health Management (PHM) Pawg Kws Pab Tswv Yim​​ 

Thaum Lub Ob Hlis 8, txij 1:30 txog 3 teev tsaus ntuj DHCS yuav tuav lub rooj sib tham PHM Advisory Group tom ntej no hauv online (yuav tsum tau sau npe ua ntej). Lub rooj sib tham no yuav tsom mus rau kev pab txhawb cov tswv cuab ntawm PHM Advisory Group cov lus taw qhia txog DHCS txoj kev saib xyuas rau kev siv cov phiaj xwm kev saib xyuas kev tswj hwm ntawm PHM Program. Cov neeg koom tes raug txhawb kom xa cov lus nug ntxiv ua ntej lub rooj sib tham hauv webinar mus rau CalAIM@dhcs.ca.gov. Cov ntaub ntawv thiab cov ntaub ntawv ntawm lub rooj sib tham yuav muaj nyob rau ntawm nplooj ntawv web CalAIM PHM.
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Cov Chaw Pabcuam Kev Sau Npe Cov Chaw Pabcuam Kev Tshaj Tawm Txog Cov Neeg Koom Tes Sib Tham​​ 

On February 9, DHCS will hold two public stakeholder meetings via webinar to discuss regulatory provider bulletins. “Requirements and Procedures for the Medi-Cal Enrollment of Providers Offering Services Remotely or Indirectly from their Business Address” will be held from 10 to 11:30 a.m. “Discontinuation of COVID-19 Emergency Fee-for-Service Medi-Cal Enrollment” will be held from 1:30 to 3 p.m. Stakeholders will have the opportunity to submit questions and suggestions during the hearing; written comments will be accepted on the day of the hearings until 5 p.m. Based on the public comments received, DHCS will publish the final bulletins on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.
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PATH JI Initiative Round 2 Nyiaj Txiag Cov Ntaub Ntawv Webinar thiab Lub Sijhawm Ua Haujlwm Virtual​​ 

Thaum Lub Ob Hlis 9, txij li 1 txog 2:30 teev tsaus ntuj, DHCS yuav tuav cov ntaub ntawv webinar (yuav tsum tau sau npe ua ntej) los muab kev txhawb nqa rau cov koom haum txaus siab ua ntej lub Peb Hlis 31 hnub kawg ntawm daim ntawv thov rau PATH JI pib puag ncig 2 nyiaj. Lub sijhawm ua haujlwm virtual (yuav tsum tau sau npe ua ntej) tseem yuav tuav lub Ob Hlis 16, txij 12 txog 1 teev tsaus ntuj, txhawm rau muab kev txhawb nqa ntxiv rau daim ntawv thov. Cov ntsiab lus ntxiv muaj nyob rau ntawm Kev Ncaj Ncees-Involved Capacity Building Program lub vev xaib. Yog xav paub ntxiv, thov xa email rau kev ncaj ncees-involved@ca-path.com.
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CYBHI Tus Nqi Teem Sijhawm Ua Haujlwm Pab Pawg 3​​  

Thaum Lub Ob Hlis 15, thaum 3 txog 4:30 teev tsaus ntuj, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC), yuav ua kom zoo tshaj plaws rau lub rooj sib tham rau pej xeem CYBHI Fee Schedule workgroup thib peb (yuav tsum tau sau npe ua ntej) los qhia txog kev txhim kho lub xeev cov nqi them tag nrho rau tsev kawm ntawv cov kev pabcuam kev noj qab haus huv raws li CYBHI. DHCS thiab DMHC yuav koom nrog pab pawg neeg ua haujlwm ntawm ntau txoj cai thiab cov ncauj lus ua haujlwm los qhia txog kev txhim kho thiab kho kom zoo ntawm qhov kev tsim qauv.
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Stakeholder Advisory Committee (SAC) thiab Behavioral Health Stakeholder Advisory Committee (BH-SAC) Lub Rooj Sib Tham​​ 

Thaum Lub Ob Hlis 16, thaum 9:30 teev sawv ntxov txog 3:30 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham tom ntej SAC thiab BH-SAC hybrid (yuav tsum tau sau npe ua ntej). Nws yuav qhib raws li lub rooj sib tham sib koom ua ke, nrog cov ncauj lus qhia los ntawm SAC thiab BH-SAC. Lub rooj sib tham BH-SAC nkaus xwb yuav muaj tom qab lub rooj sib tham sib koom ua ke; tsis muaj lub rooj sib tham SAC nkaus xwb. Cov neeg tuaj koom tuaj yeem tuaj koom tus kheej ntawm Lub Xeev California Endowment, nyob ntawm 1414 K Street hauv plawv nroog Sacramento, lossis zoo li. Yog xav paub ntxiv, thov mus saib hauv SAC thiab BH-SAC lub vev xaib.

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Tshaj tawm cov ntaub ntawv COVID-19​​