DHCS Stakeholder News – January 13, 2023
Xov xwm tshaj plaws
Kev hloov kho tshiab rau Medi-Cal COVID-19 Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Hauv Pej Xeem Kev Kub Ntxhov (PHE) thiab Kev Pabcuam Nruam Ntxiv Unwinding Operational Plan
Thaum Lub Ib Hlis 13, DHCS tau hloov kho Medi-Cal COVID-19 PHE thiab Continuous Coverage Unwinding Operational Plan kom suav nrog cov kev hloov pauv txoj cai raws li qhov tshwm sim ntawm tsoomfwv Consolidated Appropriations Act of 2023 uas tau tsim tsa thaum Lub Kaum Ob Hlis 29, 2022, thiab cov lus qhia sib xws uas tau tso tawm los ntawm Centers for Medicare & Medicaid Services (CMS) hauv daim ntawv ntawm CMCS Informational Bulletin thaum Lub Ib Hlis 5, 2023. Daim phiaj xwm tshiab no qhia txog kev tshem tawm qhov yuav tsum tau them nqi txuas ntxiv los ntawm PHE txij li lub Plaub Hlis 1, 2023, teeb tsa theem rau kev rov pib dua ntawm Medi-Cal kev txiav txim siab dua.
The plan is intended to inform the public about DHCS’ approach to return Medi-Cal to a normal state of operations. The plan also includes additional resources, including information about the DHCS Coverage Ambassadors campaign and links to CMS guidance documents.
Lub caij ntuj no cua daj cua dub kuaj xyuas
California has experienced a series of devastating storms, with predicted severe weather continuing, potentially resulting in damaging winds, heavy rain, and flooding. We must double down on our communication efforts over the coming days as additional rain is expected statewide through the next several days.
Nyob rau peb hnub tom ntej no, peb thov kom nej tsom nej lub zog rau Kev Kuaj Xyuas Kev Noj Qab Haus Huv rau nej cov pej xeem. Thov txhawb kom lwm tus siv cov peev txheej no los xyuas cov neeg zej zog, tsev neeg, thiab cov phooj ywg.
Kev Tshawb Fawb Kev Noj Qab Haus Huv 101s
During inclement weather, the priority should be on ensuring people’s safety in emergencies and making it easier for them to access shelter and other resources by removing all possible barriers.
Peb xav kom peb cov neeg koom tes hauv zej zog ua tib zoo xyuas cov tib neeg uas laus dua, muaj kev tsis taus, tsis muaj tsev nyob, thiab/lossis muaj mob ntev uas yuav ua rau lawv muaj kev pheej hmoo. Tiv tauj lawv kom paub seb lawv ua li cas thiab txuas lawv mus rau cov peev txheej thaum tsim nyog.
Peb xav kom koj ua haujlwm nrog koj lub nroog thiab Chaw Haujlwm Saib Xyuas Kev Kub Ntxhov kom pab koj cov zej zog. Peb kuj xav kom koj thiab koj cov neeg ua haujlwm paub txog cov peev txheej hauv zos uas koj tuaj yeem muab rau cov neeg xav tau kev pab, suav nrog cov chaw nkaum hauv zos lossis cov chaw sov so.
To assist stakeholders with wellness checks, the California Health & Human Services Agency (CalHHS) developed an Emergency Resource Guide, Appendix I: Universal Wellness Checks Questionnaire that can be used when conducting wellness checks.
Phau Ntawv Qhia Txog Kev Npaj Thaum Muaj Xwm Ceev/Toolkit for Individual Disabilities
The California Office of Emergency Services (CalOES) and Department of Rehabilitation have developed an Emergency Preparedness Guide/Toolkit for Individuals with Disabilities available in multiple languages that includes information and emergency preparedness tips for individuals with specific types of disabilities.
Evacuation: Please make sure that if local officials issue evacuation orders, please evacuate.
Stay Updated: Follow CalOES and your local emergency officials for real-time updates about the storm and its threats. Sign up for local alerts at calalerts.org.
We appreciate your efforts as we work together to improve preparedness and response to disasters and emergencies.
Xyoo Nyiaj Txiag ntawm Tus Thawj Kav Tebchaws (FY) 2023-24 Cov Nyiaj Txiag Uas Tau Npaj Tseg
Governor Gavin Newsom proposed a $144.4 billion budget for DHCS programs and services in the next FY. The budget for DHCS supports vital services that reinforce the state’s commitment to preserve and improve the overall health and well-being of all Californians while operating within a responsible budgetary structure. Highlights include the expansion of full scope Medi-Cal coverage to all adults regardless of immigration status beginning January 1, 2024, CalAIM justice-involved initiatives, and provider rate changes. DHCS is also proposing the Behavioral Health Community-Based Continuum (CalBH-CBC) demonstration to expand access and strengthen mental health services for Medi-Cal members living with serious mental health illness and serious emotional disturbance. Additionally, DHCS will develop an 1115 demonstration waiver to support the state’s reproductive health safety net.
- DHCS FY 2023-24 Governor’s Budget Highlights (January 10)
- Cov Nyiaj Txiag uas Tus Thawj Kav Tebchaws Tau Npaj Tseg (Lub Ib Hlis 10)
- Medi-Cal Kev Pabcuam Hauv Zos Kev kwv yees
- Kev kwv yees Family Health Local Assistance
- SMHS Budget Supplement – M22 (January 10)
- Daim Ntawv Qhia Tshuaj Ntxiv Medi-Cal (Lub Ib Hlis 10)
US Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg (HHS) Rov Ntxiv PHE
On January 11, HHS renewed the federal COVID-19 PHE for a full 90-day extension through April 11. The formal PHE declaration was posted on the HHS website. The Biden Administration has committed to providing a minimum 60-day advance notice before it ends the PHE. Please contact the DHCS Medi-Cal Eligibility Division COVID inbox at MCED.COVID@dhcs.ca.gov with any questions.
Kev hloov kho tshiab
Medi-Cal Telehealth Updates
DHCS has released several updates to the Medi-Cal Telehealth webpage that reflect DHCS’ current telehealth policy:
- Cov lus nug nquag nug (FAQ) nplooj
- Daim NtawvTxoj Cai Kev Noj Qab Haus Huv Hauv Xov Tooj
- Telehealth Research and Evaluation Plan
- Telehealth Phau Ntawv Qhia (tshwj xeeb yuav hloov kho thaum Lub Ib Hlis 13)
Raws li tau pom nyob rau hauv Daim Ntawv Txoj Cai Telehealth, feem ntau cov cai tswjfwm kev them nqi telehealth yuav raug tswj hwm tom qab lub sijhawm tas sij hawm ntawm COVID-19 PHE uas tau tshaj tawm los ntawm tsoomfwv.
Thov xa email rau Medi-Cal Telehealth@dhcs.ca.gov yog tias muaj lus nug lossis lus tawm tswv yim.
Medi-Cal Rx Hloov tshiab
Pib txij lub Ib Hlis 20, qhov kev rov qab siv dua ntawm kev tso cai ua ntej (PA) tom ntej yuav suav nrog PA rau 39 chav kawm kho mob ntxiv, ua raws li cov chav kawm kho mob uas tseem tshuav (tsis suav nrog cov khoom noj khoom haus hauv plab) rau lub Ob Hlis 24. Lub sijhawm ntawd, cov kev cai PA yuav raug rov qab siv dua rau cov tswv cuab hnub nyoog 22 xyoo thiab laus dua. Rau cov kev thov uas tau them nyiaj raws li Txoj Cai Hloov Pauv vim yog keeb kwm thov, tus neeg muab kev pabcuam tuaj yeem xa daim ntawv PA ua ntej lub sijhawm hloov pauv xaus, pib thaum Lub Ob Hlis 24. Yog xav paub ntxiv, mus saib nplooj ntawv rov qab kho dua ntawm lub vev xaib Medi-Cal Rx. Tsis tas li ntawd xwb, Medi-Cal Rx tau pib tshaj tawm tsab ntawv xov xwm txhua lub lim tiam ("Reinstatement Spotlight") los txhawb kev koom tes thiab kev kawm ntawm cov neeg koom nrog, thiab muab cov kev sib txuas rau cov peev txheej tshiab thiab cov ntaub ntawv tshiab.
Elevate Youth California (EYC) Thov rau Daim Ntawv Thov (RFA)
Thaum Lub Ib Hlis 16, DHCS yuav tshaj tawm lwm EYC RFA rau cov koom haum hauv zej zog thiab Pab Pawg Pab Pawg los tsim kom muaj peev xwm ua kom muaj peev xwm ua tau raws li kev ncaj ncees rau cov hluas, kev cob qhia, thiab kev txhawb pab phooj ywg kev tiv thaiv hauv zej zog uas cuam tshuam los ntawm kev ua tsov rog ntawm yeeb tshuaj. Tau txais nyiaj los ntawm Proposition 64 Cov Hluas Kev Kawm, Kev Tiv Thaiv, Kev Pabcuam Thaum Ntxov, thiab Kev Kho Mob, muaj ze li $ 17 lab, thiab cov koom haum tuaj yeem thov nyiaj txog $ 400,000 txhua. Yog xav paub ntxiv, mus saib hauv EYC lub vev xaib.
Behavioral Health Choj Housing (BHBH)
Tam sim no DHCS tab tom ua haujlwm nrog cov neeg muaj feem cuam tshuam los ua kom tiav cov tswv yim nyiaj txiag thiab kev tso cai siv rau BHBH qhov kev pab cuam los daws cov kev xav tau ntawm tsev nyob tam sim ntawd thiab kev kho mob ntawm cov neeg uas muaj kev tsis muaj vaj tse nyob tsis muaj vaj tse thiab cov uas muaj tus cwj pwm mob hnyav. RFA yuav raug tshaj tawm thaum lub Ib Hlis Ntuj xyoo 2023 rau lub nroog cov koom haum saib xyuas kev noj qab haus huv rau kev koom tes hauv qhov kev pab cuam thawj zaug nyiaj pab. Rau qhov thib ob ntawm kev pab nyiaj, RFA yuav raug tso tawm rau lub caij nplooj ntoo hlav 2023 rau Pawg Neeg Saib Xyuas kom thov nyiaj. Yog xav paub ntxiv, thov mus saib ntawm BHBH lub vev xaib.
Daim ntawv thov Deadline rau Clinic Workforce Stabilization Retention Payments (CWSRP)
DHCS reminds all successfully registered qualified clinics to submit their CWSRP applications before the deadline. All requests for payment must be submitted no later than 5 p.m. on January 27. DHCS encourages early submissions so all applications can be validated shortly after the application submission deadline.
For application guidance, an application video tutorial, and all other supporting information, please visit the CWSRP webpage.
CalAIM Behavioral Health Administration Integration Initiative Concept Paper
Thaum Lub Ib Hlis, DHCS yuav tshaj tawm ib daim ntawv qhia txog California Advancing and Innovating Medi-Cal (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 lossis Drug Medi-Cal Organized Delivery System ua ib qho kev pab cuam kev noj qab haus huv hauv nroog los ntawm FY 2027-28. Daim ntawv qhia txog lub tswv yim yuav muaj xws li kev piav qhia txog lub hauv paus thiab lub hom phiaj ntawm qhov kev pib no, txoj hauv kev uas yuav siv tau txij tam sim no mus txog rau xyoo 2027-28, thiab DHCS cov lus pom zoo rau kev koom tes nrog cov neeg koom nrog thiab kev pab txhawb nqa kev txawj ntse.
DHCS will accept stakeholder feedback on the concept paper through February 13. The concept paper will be available on the CalAIM Behavioral Health webpage.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
In the coming weeks, Smile, California will debut a new tri-fold brochure for new and expecting parents, entitled “Healthy Smiles from Pregnancy Through the Toddler Years”. The brochure will be available in English, Spanish, Vietnamese, Chinese, and Korean, and will be available to view and download on SmileCalifornia.org.
Koom nrog peb pab neeg
DHCS is hiring! We are currently searching for a mission-driven, motivated individual to serve as the Chief of the Medi-Cal Eligibility Division. This position provides leadership, direction, and coordination of Medi-Cal and Children’s Health Insurance Program eligibility policy and operations. We are also hiring a Chief of the Human Resources Division.
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 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, and 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
CalAIM Population Health Management (PHM) Webinar on Transitional Care Services
Thaum Lub Ib Hlis 19, txij 2:30 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online los tham txog Cov Kev Pabcuam Saib Xyuas Kev Hloov Chaw (yuav tsum tau sau npe ua ntej) raws li PHM Program, uas yog lub hauv paus ntawm CalAIM. Cov Kev Pabcuam Saib Xyuas Kev Hloov Pauv pab cov tib neeg uas tab tom hloov pauv ntawm ib qho chaw lossis theem kev saib xyuas mus rau lwm qhov (piv txwv li, tawm hauv tsev kho mob mus rau tsev) los txhawb kev saib xyuas txuas ntxiv mus thiab txwv tsis pub muaj kev cuam tshuam rau kev pabcuam. Lub rooj sib tham hauv web yuav muaj kev sib tham txog cov kev coj ua tshiab rau kev siv Cov Kev Pabcuam Saib Xyuas Kev Hloov Pauv rau cov tswv cuab uas muaj kev pheej hmoo siab hauv xyoo 2023, thiab kev piav qhia txog cov kev cai tshiab, suav nrog lub sijhawm ua haujlwm ib theem zuj zus.
CalAIM Kev Ntsuam Xyuas Cov Neeg Laus thiab Cov Hluas thiab Hloov Kho Cov Cuab Yeej rau Medi-Cal Kev Pabcuam Kev Puas Siab Puas Ntsws Webinar
Thaum Lub Ib Hlis Ntuj Tim 19, txij li 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 Cov Neeg Laus thiab Cov Hluas Kev Tshuaj Ntsuam Xyuas thiab Hloov Kho Cov Cuab Yeej rau Medi-Cal Cov Kev Pab Cuam Rau Kev Puas Hlwb, uas tau mus nyob rau lub Ib Hlis 1. Raws li ib feem ntawm CalAIM, qhov kev pib no yog tsom rau kev siv thoob plaws lub xeev Kev Tshuaj Ntsuam Xyuas thiab Hloov Kho Cov Cuab Yeej Kho Mob rau cov neeg laus thiab cov neeg muaj hnub nyoog qis dua 21 xyoos rau kev siv los ntawm Medi-Cal cov phiaj xwm tswj hwm (MCPs) thiab cov phiaj xwm kev noj qab haus huv hauv nroog. Lub webinar yuav suav nrog cov ntsiab lus ntawm lub hom phiaj ntawm kev pib, kev tshuaj xyuas cov lus qhia zaum kawg thiab cov cuab yeej, thiab cov lus teb rau cov lus nug nquag.
Statewide Home and Community-Based Services (HCBS) Gap Analysis Webinar
On January 20, from 1 to 3 p.m., DHCS, in partnership with the California Department of Aging (CDA), will host a stakeholder engagement webinar (join at scheduled time) to present the preliminary approach for the Statewide HCBS Gap Analysis. This analysis will inform the development of a multiyear roadmap to address identified gaps in the service delivery system. DHCS’ gap analysis will focus on the Medi-Cal population and services and CDA’s will target aging and disability populations and services outside of Medi-Cal. This will be the first of multiple stakeholder engagement efforts. To be included on the invitation list for upcoming webinars, please email HCBSGapAnalysis@dhcs.ca.gov.
Hearing Aid Coverage for Children Program (HACCP) Webinar rau cov kws kho mob
Thaum Lub Ib Hlis 24, thaum 12 txog 12:50 teev tsaus ntuj, DHCS yuav tuav HACCP webinar (yuav tsum tau sau npe ua ntej) los qhia cov ntaub ntawv rau cov neeg muab kev pab kom lawv tuaj yeem pab tau zoo dua rau cov neeg mob thiab lawv tsev neeg kom tau txais txiaj ntsig HACCP ntau tshaj plaws. Kev cob qhia yuav hais txog cov kev xav tau ntawm cov tsev neeg los thov kev pab them nqi thiab cov txheej txheem xa ntawv thov rau audiologists, otolaryngologists, kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm.
CalAIM Behavioral Health Administration Integration Concept Paper Overview Webinar
Thaum Lub Ib Hlis Ntuj hnub tim 26, txij thaum 3 teev txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online los muab kev piav qhia txog daim ntawv qhia txog CalAIM Behavioral Health Administrative Integration (yuav tsum tau sau npe ua ntej). Lub rooj sib tham hauv webinar yuav suav nrog kev piav qhia txog lub hauv paus thiab lub hom phiaj ntawm qhov kev pib no, txoj hauv kev uas tau muab faib ua theem rau kev siv tam sim no thiab xyoo 2027-28, thiab DHCS cov lus pom zoo rau kev koom tes nrog cov neeg koom nrog thiab kev pab txhawb nqa kev txawj ntse. Yog xav paub ntxiv, mus saib nplooj ntawv web CalAIM Behavioral Health Initiative.
Lub Rooj Sib Tham Kawg Cov Neeg Koom Tes Ua Haujlwm rau Doula Txoj Cai Txhim Kho
Thaum Lub Ib Hlis Ntuj Tim 26, thaum 1 txog 3 teev tsaus ntuj, DHCS yuav zoo tshaj plaws rau lub rooj sib tham rau pej xeem cov neeg koom nrog ua haujlwm kawg (sib koom nrog webinar ntawm lub sijhawm teem tseg) txog kev ntxiv cov kev pabcuam doula raws li cov txiaj ntsig Medi-Cal. Ntawm lub rooj sib tham zaum kawg, DHCS yuav muab kev nthuav qhia txog yuav ua li cas doulas tuaj yeem cog lus nrog MCPs, thiab yuav sib tham txog cov phiaj xwm rau doula workgroup tom ntej, uas yuav pib rau lub Peb Hlis. Raws li qhov xav tau los ntawm Senate Bill 65 (Tshooj 449, Txoj Cai ntawm 2021), Doula Implementation Workgroup yuav tshuaj xyuas qhov kev siv ntawm cov txiaj ntsig.
Hauv Case Koj Tsis Tau Nws
California tshaj tawm $ 52 lab nqis peev hauv Opioid Kev Tiv Thaiv thiab Kev Kho Mob
On January 11, Governor Newsom issued a news release announcing that DHCS awarded $52 million to providers of Medication-Assisted Treatment (MAT) services to support the prevention, assessment, diagnosis, and treatment of opioid and substance use disorders, as well as recovery. To learn more about the California MAT Expansion project, visit the California MAT website.
Youth Opioid Response California 3 (YOR 3) Daim Ntawv Thov
DHCS tau tso tawm RFA los txhawb kom muaj peev xwm thiab nkag mus rau kev tiv thaiv, kev kho mob, thiab kev rov zoo, nrog rau cov chaw nkag mus rau MAT, rau cov hluas (hnub nyoog 12-24) thiab lawv tsev neeg. Lub cib fim no yog tsim los txhawb kev sib koom tes thiab kev txhawb zog ntawm cov tes hauj lwm ntau lub cev uas twb muaj lawm thiab txhawb kom muaj kev sib koom tes tshiab ntawm cov koom haum uas ncav cuag cov hluas. Cov neeg tau txais nyiaj pab txhawb nqa kev siv yuav tau txais txog li $750,000, thiab cov neeg tau txais nyiaj pab txhawb nqa peev xwm yuav tau txais txog li $50,000. Yog xav paub ntxiv thiab thov ua ntej hnub kawg ntawm lub Ib Hlis tim 19, thov mus saib lub vev xaib YOR CA lossis xa email rau YORCalifornia@ahpnet.com.
Tribal Crisis thiab Non-Crisis Behavioral Health Care RFA
Thaum Lub Ib Hlis 11, DHCS tau tshaj tawm RFA los thov cov ntawv thov los ntawm cov koom haum California Tribal kom nthuav dav kev nkag mus rau Tribal kev kub ntxhov thiab kev kho mob tus cwj pwm tsis yog thaum muaj xwm txheej ceev los ntawm kev pab nyiaj txiag rau kev tsim kho vaj tse. Cov nyiaj pab no yuav tsum siv rau cov tsheb thiab cov nqi cuam tshuam nrog tsheb kom txhim kho kev nkag mus rau kev kho mob tus cwj pwm thaum muaj teeb meem thiab cov kev pabcuam tsis yog thaum muaj teeb meem. Lub sijhawm ua haujlwm yuav yog txij lub Ob Hlis 1, 2023, mus txog rau lub Rau Hli 30, 2025. Cov koom haum California Tribal uas tsim nyog uas muab kev pabcuam kev noj qab haus huv tus cwj pwm tuaj yeem thov nyiaj pab txij li $ 50,000 txog $ 1,000,000. Hnub kawg rau kev thov yog Lub Ob Hlis 13.
Cov ntaub ntawv them nqi kho mob tus kws kho mob Medicare rau cov neeg mob tau txais kev pab dual
DHCS tau tshaj tawm daim ntawv qhia txog qhov tseeb thiab cov cuab yeej siv tshiab rau cov kws kho mob Medicare los piav qhia txog cov txheej txheem them nqi rau cov neeg muab kev pab rau ob tus tswv cuab uas tsim nyog tau sau npe rau hauv Medi-Cal managed care. Daim ntawv qhia no piav qhia txog cov txheej txheem them nqi hla kev uas twb muaj lawm, uas tsis hloov pauv hauv CalAIM. Cov kws kho mob Medicare uas pab cov neeg mob uas tsim nyog ob leeg tsis tas yuav sau npe rau hauv Medi-Cal MCP kom txuas ntxiv tau txais nyiaj rov qab. Ntau tshaj 70 feem pua ntawm cov tswv cuab uas tsim nyog tau txais kev pab ob npaug thoob plaws lub xeev twb tau rau npe rau hauv Medi-Cal MCPs lawm. Cov txiaj ntsig Medicare thiab cov chaw muab kev pab tsis hloov pauv thaum koj rau npe rau hauv Medi-Cal MCP.
Rau cov neeg mob hauv Original (fee-for-service) Medicare, tus neeg cog lus Medicare Administrative Contractor ua cov ntaub ntawv thov thawj zaug rau kev them nyiaj Medicare, thiab tom qab ntawd xa daim ntawv thov mus rau Medi-Cal MCP (lossis DHCS) rau kev them nyiaj Medi-Cal thib ob. Rau cov neeg mob uas nyob hauv Medicare Advantage (MA), tus neeg muab kev pab cuam Medicare yuav them tus nqi them thawj zaug rau txoj kev npaj MA. Cov txheej txheem them nyiaj thib ob yuav nyob ntawm seb tus neeg mob Medi-Cal MCP puas zoo ib yam lossis txawv ntawm txoj kev npaj MA. Yog xav paub ntxiv, thov mus saib lub vev xaib Statewide Medi-Cal Managed Care Enrollment for Dual Eligible Members.
Kev Pab Txhawb Kev Mloog Lus rau Cov Me Nyuam (HACCP) Kev Tsim Nyog Kev Tsim Nyog
Effective January 1, DHCS welcomes newly eligible young adults ages 18 to 20 who meet other program criteria and need coverage for their hearing aid(s) and related services to apply for HACCP enrollment. Also, effective January 1, applicants under age 21 who meet program eligibility requirements may apply to enroll in HACCP even if they have partial other health coverage for hearing aids subject to a coverage limit of $1,500 or less per year. Additional program information is available on the HACCP webpage. Families can apply to enroll for coverage through HACCP’s Online Application Portal.