Tsev Chav Xov Xwm - Chaw Ua Haujlwm Sib Txuas Lus Xov Xwm Txog Cov Neeg Muaj Feem Cuam Tshuam ntawm DHCS - Lub Xya Hli 29, 2022 ​​ 

DHCS Stakeholder News – July 29, 2022​​  

Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab qhov hloov tshiab ntawm kev txhim kho tseem ceeb ntawm DHCS cov kev pabcuam, nrog rau cov lus qhia ntsig txog COVID-19 kev noj qab haus huv rau pej xeem xwm txheej ceev (PHE).​​ 

Xov xwm tshaj plaws​​ 

Kev Tshaj Tawm Txog Kev Hloov Kho Cov Neeg Muaj Cai Lij Choj Ob Hlis​​ 

DHCS tab tom txhim kho nws cov neeg muaj feem cuam tshuam hloov tshiab thiab mus tom ntej yuav tshaj tawm cov xov xwm Stakeholder txhua lub lim tiam es tsis txhob hloov kho ob lub hlis. Qhov kev hloov pauv no yuav tso cai rau cov neeg muaj feem tau txais xov xwm raws sijhawm raws sijhawm ntau zaus.​​ 

ACEs Aware​​ 

The ACEs Aware initiative released a new quarterly data report detailing the number of Adverse Childhood Experience (ACE) screenings conducted for children and adults in California between January 1, 2020, and September 30, 2021. The data show that Medi-Cal clinicians – primarily pediatric, family medicine, and behavioral health professionals – conducted approximately 987,500 ACE screenings of more than 793,000 unique Medi-Cal beneficiaries.​​  

The report also tracks the number of clinical team members that completed the “Becoming ACEs Aware in California” online training between December 4, 2019, and May 31, 2022. The data show that more than 23,400 individuals have taken the ACEs Aware training, 11,900 of whom are Medi-Cal clinicians who are ACEs Aware-certified and eligible to receive Medi-Cal payment for conducting ACE screenings.​​    

Behavioral Health Continuum Infrastructure Program (BHCIP) Hloov tshiab​​ 

DHCS was authorized through 2021 legislation to establish BHCIP and award $2.1 billion to construct, acquire, and expand properties and invest in mobile crisis infrastructure related to behavioral health. Funding is being released through several rounds for the expansion of behavioral health facilities, here is an update on upcoming rounds:​​ 

  • BHCIP Round 4: Cov Me Nyuam thiab Cov Hluas​​ 

Round 4 focuses on children and youth ages 25 and younger, including pregnant and postpartum people and their children, children, and transition-age youth, as well as their families. All applicants must demonstrate how their infrastructure project will expand behavioral health services for this population exclusively. DHCS will award $480.5 million for children- and youth-focused behavioral health infrastructure projects in this fourth round of competitive grants. The deadline to submit applications for the Request for Application (RFA) for Round 4: Children and Youth is August 31, 2022. Applicants will be expected to demonstrate “project readiness”, as detailed in the posted RFA, and will be funded according to which of three pre-construction phases their project is in. Full project funding will be contingent upon completion of all three phases of development planning.​​ 

  • BHCIP Round 5 thiab Round 6: Round 5 thiab 6 yog tam sim no nyob rau hauv cov theem npaj. Kev sib tham rau Round 5: Crisis Continuum yog teem rau lub Yim Hli 4, txij thaum 1 teev tsaus ntuj txog 2 teev tsaus ntuj, thiab muab lub sijhawm rau cov neeg thov tsim nyog los muab tswv yim ncaj qha rau DHCS los qhia rau BHCIP Round 5 kev npaj thiab kev siv. Round 5 mloog kev sau npe yuav tsum tau sau npe. Yog xav paub ntxiv txog BHCIP, thov mus saib hauv BHCIP qhov project website lossis email BHCIP@dhcs.ca.gov.​​ 

Dental Transformation Initiative​​ 

On August 1, DHCS will begin issuing final Dental Transformation Initiative (DTI) payments for specific domains. The Budget Act of 2022 included $30.2 million to make DTI payments in fiscal year (FY) 2022-23 and $1.5 million in FY 2023-24. The DTI consisted of four domains to improve dental health for Medi-Cal children by focusing on high-value care, improved access, and utilization of performance measures to drive delivery system reform.​​ 

Domain 1 compensated service office locations with incentive payments for select preventive services if the provider increased enrolled Medi-Cal beneficiary utilization. Domain 2 allowed participating Medi-Cal Dental providers to receive payments for providing services to enrolled Medi-Cal beneficiaries, ages 6 and under, for a bundled service that included a caries risk assessment, treatment plan, nutritional counseling, and motivational interviewing. Domain 3 provided annual incentive payments to service office locations that maintained continuity of care for enrolled Medi-Cal beneficiaries. Dental managed care plans are not offered these incentive payments given the inherent requirement that managed care delivery systems provide continuity of care for their covered populations.​​ 

Cov nqi them rau thaj tsam 1 thiab 2 yuav raug them rau txhua tus kws kho mob Medi-Cal Dental uas tsim nyog hauv lub xeev Medi-Cal Dental fee-for-service (FFS) kev xa khoom, suav nrog cov chaw kho mob uas tsim nyog (piv txwv li, Federally Qualified Health Centers, Rural Health Clinics, thiab Indian Health Services/Memorandum of Agreement Clinics (cov chaw kho mob hauv zej zog)), thiab hauv lub tsev kho mob Dental Managed Care hauv Sacramento thiab Los Angeles counties. Cov nyiaj them rau Domain 1 yuav raug muab rau lub lim tiam ntawm Lub Yim Hli 1, thiab cov nyiaj them rau Domain 2 yuav raug muab rau lub lim tiam ntawm Lub Yim Hli 8. Kev them nyiaj rau Domain 3 kuj tseem yuav raug them rau cov neeg muab kev pabcuam FFS thaum lub lim tiam ntawm Lub Yim Hli 1.​​ 

DHCS xav tias lub voj voog them nyiaj no yuav yog lub voj voog kawg rau Domains 1 thiab 2 thiab kev them nyiaj ntxiv rau Domain 3 yuav raug ua tiav rau lub Xya Hli 3, 2023. Yuav muaj ib daim ntawv tshaj tawm tshwj xeeb rau cov kws kho hniav (Special Provider Bulletin) tso tawm rau lub Xya Hli 29 ntawm lub vev xaib Medi-Cal Dental Provider Bulletin kom qhia rau cov kws kho mob paub.​​ 

Domain 4, Local Dental Pilot Projects (LDPP), addressed Domains 1-3 through local pilot programs aimed at specific demographics. The goals were to address one or more of the three domains through alternative programs and potentially use strategies focused on rural areas, including local case management initiatives and education partnerships. As of December 31, 2020, all 13 LDPPs concluded their operations and began their administrative closeout phase.​​ 

Heightened Scrutiny Settings Public Comment Sijhawm​​ 

Thaum Lub Xya Hli 29, DHCS tau tshaj tawm Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) Cov Cai Kawg rau lub sijhawm tawm tswv yim rau pej xeem 30 hnub. Qhov no suav nrog cov ntawv qhia luv luv rau 115 lub chaw pabcuam neeg laus thiab cov chaw pabcuam neeg laus uas tau txheeb xyuas kom muaj kev tshuaj xyuas ntau ntxiv los ntawm DHCS, thiab tom qab ntawd DHCS tau txiav txim siab kom ua tau raws li cov qauv cai kawg ntawm HCB Settings Rule.​​ 

Raws li cov cai kawg ntawm HCB Settings Rule, lub xeev yuav tsum txheeb xyuas cov chaw uas xav tias muaj cov yam ntxwv ntawm lub koom haum. Cov chaw no suav nrog cov: 1) hauv ib lub tsev kho mob pej xeem lossis ntiag tug uas muab kev kho mob hauv tsev kho mob; 2) ntawm thaj chaw ntawm, lossis nyob ib sab ntawm, ib lub tsev kho mob pej xeem; lossis 3) uas muaj qhov cuam tshuam ntawm kev cais cov tib neeg tau txais Medi-Cal cov kev pabcuam HCBS los ntawm zej zog dav dua. Cov txheej txheem kev tshuaj xyuas siab dua tsuas yog pib yog tias lub xeev txiav txim siab qhov chaw ntawd kov yeej qhov kev xav ntawm lub koom haum; yog li ntawd, txhua qhov chaw uas lub xeev muab rau Lub Chaw rau Medicare & Medicaid Services (CMS) rau kev tshuaj xyuas siab dua yog cov uas tau ua pov thawj tias lawv tsis yog lub koom haum.​​ 

Rau txhua qhov chaw teeb tsa, daim ntawv qhia luv luv piav qhia txog qhov chaw teeb tsa, vim li cas nws thiaj raug tshuaj xyuas ntau dua, thiab cov pov thawj muaj los txhawb DHCS qhov kev txiav txim siab tias qhov chaw teeb tsa ua tau raws li cov qauv cai kawg ntawm HCB Settings Rule muaj rau pej xeem tawm tswv yim txij lub Xya Hli 29 txog Lub Yim Hli 28.​​ 

Cov lus qhia rau kev xa cov lus tawm tswv yim rau pej xeem muaj nyob rau ntawm nplooj ntawv web DHCS HCBS Statewide Transition Plan. DHCS yuav sau cov ntaub ntawv no thiab hloov kho qhov kawg ntawm Txoj Kev Npaj Hloov Pauv Thoob Plaws Xeev rau lub sijhawm ntxiv rau pej xeem tawm tswv yim ua ntej xa mus rau CMS. DHCS txhawb kom cov neeg koom tes txuas ntxiv mus saib lub vev xaib kom tau cov ntaub ntawv ntxiv thiab xa email rau STP@dhcs.ca.gov yog tias muaj lus nug.​​ 

Monkeypox Update: Laboratory Billing​​ 

Thaum Lub Xya Hli 26, 2022, Pawg Neeg Sau Ntawv Txog Cov Lus Qhia Txog Kev Ua Haujlwm Tam Sim No (CPT) ntawm American Medical Association tau tsim thiab tso tawm cov lej CPT los ua kom yooj yim rau kev tshaj tawm txog kev kuaj mob orthopoxvirus thiab monkeypox uas tam sim no muaj nyob hauv Tebchaws Meskas, suav nrog cov lej rau kev kuaj mob hauv chaw kuaj mob:​​ 

  • 87593: Kev kuaj kab mob los ntawm nucleic acid (DNA lossis RNA); orthopoxvirus (piv txwv li, kab mob monkeypox, cowpox virus, vaccinia virus), amplified probe technique, txhua.​​ 

Tus lej tshiab no tam sim no tsis tau raug tsim los rau kev them nqi hauv FFS Medi-Cal. Medi-Cal yuav tshaj tawm thaum twg lub kaw lus txiav txim siab txog kev thov nyiaj pab tau npaj txhij lawm, thiab tso tawm cov lus qhia ntxiv uas cov chaw muab kev pab yuav tsum siv thaum them nqi rau tus lej kuaj mob pob khaus liab. Txog thaum ntawd, cov kws kho mob raug qhia kom ua qhov kev kuaj mob thaum pom tias muaj mob thiab tuav daim ntawv thov Medi-Cal kom txog thaum muaj lus ceeb toom ntxiv.​​ 

Testing is becoming more available, with several large commercial laboratories, including Labcorp, Quest, Aegis, Mayo Clinic Labs, and Sonic Healthcare, offering testing. Testing is also available by some local public health laboratories. There is no fee for public health testing, and commercial testing should be billed as indicated above. At this time, the federal government has allocated a limited number of monkeypox vaccine doses to California, and the California Department of Public Health (CDPH) is working with local health departments to make available these doses.​​  

DHCS yuav txuas ntxiv hloov kho tshiab thiab qhia rau txhua tus kws kho mob Medi-Cal txog kev kuaj mob thiab kev txhaj tshuaj tiv thaiv kab mob monkeypox thaum muaj cov lus qhia.​​ 

Ob lub vev xaib CDPH thiab Lub Chaw Tswj thiab Tiv Thaiv Kab Mob muab cov lus qhia ntxiv txog cov tsos mob ntawm tus kab mob monkeypox, kev kuaj mob, kev kho mob, thiab kev txhaj tshuaj tiv thaiv kab mob.​​ 

Daim Ntawv Thov Kev Pabcuam thiab Kev lees paub rau Kev Sau Npe (PAVE) Portal rau Cov Kws Kho Hniav​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 31, DHCS yuav siv lub portal PAVE rau cov kws kho hniav. 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. PAVE yuav muab ib txoj kev tshiab rau kev xa daim ntawv thov rau cov kws kho hniav thiab cov ntaub ntawv xav tau rau DHCS, tso cai rau cov neeg thov siv Daim Ntawv Thov Medi-Cal Provider e-Form. DHCS yuav tsis txais cov ntawv thov ua ntawv lawm thaum PAVE raug siv.​​ 

Cov kws kho hniav raug caw tuaj koom kev qhia online. Cov yeeb yaj kiab ob ntu no yuav pib nrog kev qhia txog PAVE rau lub Yim Hli 24, thiab kev piav qhia txog cov yam ntxwv tseem ceeb uas yuav teem sijhawm rau lub Kaum Hli. Yuav muaj kev cob qhia tob dua rau lub Kaum Ib Hlis, tom qab kev siv PAVE.  Txhua lub rooj sib tham yog ib teev. Cov kev qhia ua qauv yuav raug kaw cia thiab ua kom nkag tau rau yav tom ntej ntawm nplooj ntawv web DHCS PAVE. DHCS yuav tso tawm Daim Ntawv Tshaj Tawm Tshwj Xeeb rau Cov Neeg Muab Kev Pabcuam thaum Lub Yim Hli 8 los ceeb toom rau cov neeg muab kev pabcuam txog cov kev cob qhia uas yuav los txog.​​   

Lub Xeev HCBS Gap Analysis thiab Multiyear Roadmap - Kev xaiv tus neeg cog lus​​ 

Thaum Lub Peb Hlis Ntuj xyoo 2022, DHCS tau tshaj tawm Daim Ntawv Thov Cov Ntaub Ntawv (RFI) thov cov ntaub ntawv los ntawm cov neeg txaus siab los pab DHCS hauv kev pib ua ib qho project loj los ua qhov kev tshuaj xyuas qhov sib txawv thoob plaws lub xeev thiab Multiyear Roadmap ntawm California cov kev pab cuam thiab network HCBS thiab Managed Medi-Cal Long-Term Supports and Services (MLTSS). DHCS tau txais ntau qhov kev sib tw, thiab los ntawm nws cov txheej txheem xaiv tsa muaj zog, txiav txim siab tias Mathematica yog qhov zoo tshaj plaws los ua kom tau raws li lub hom phiaj ntawm Money Follows the Person (MFP) Supplemental Funding - Gap Analysis thiab Multiyear Roadmap. DHCS npaj yuav ua kom tiav daim ntawv cog lus/Scope of Work nrog Mathematica thaum Lub Yim Hli, nrog rau tus neeg cog lus pib ua haujlwm tam sim ntawd tom qab ua tiav daim ntawv cog lus. Kev xa daim ntawv tshuaj xyuas qhov sib txawv yuav tshwm sim thaum lub Cuaj Hlis 30, 2023, thiab daim ntawv qhia kev ua haujlwm ntau xyoo yuav raug xa thaum lub Peb Hlis 31, 2024. DHCS yuav nthuav qhia cov khoom xa tuaj zaum kawg rau cov neeg koom nrog thiab cov neeg tsim cai lij choj thaum Lub Rau Hli 30, 2024.​​ 

Tshaj tawm cov ntaub ntawv COVID-19​​ 

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

CalAIM Webinar thiab Chaw Ua Haujlwm Sijhawm: Txhim Kho Kev Tswj Xyuas (ECM) thiab Zej Zog Txhawb Kev Pabcuam Cov Ntaub Ntawv Sib Tham​​ 

Thaum Lub Yim Hli 4, txij 10:30 sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online txog kev sib pauv cov ntaub ntawv tsim nyog rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog, tshwj xeeb tshaj yog rau cov phiaj xwm kev tswj hwm kev saib xyuas (MCPs) thiab cov neeg muab kev pabcuam hauv cov nroog uas ECM tau pib thaum Lub Xya Hli 2022, tab sis qhib rau txhua tus ua kev rov qhia dua. DHCS yuav muab ib daim ntawv qhia txog cov ntaub ntawv qhia uas tau tso tawm xyoo tas los thiab cov ntaub ntawv sib xws, nrog rau kev tsom mus rau kev sib pauv cov ntaub ntawv uas tshwm sim ntawm MCPs thiab ECM thiab cov neeg muab kev pabcuam hauv zej zog. Lub webinar no yog rau ECM thiab Cov Chaw Muab Kev Txhawb Nqa Hauv Zej Zog, MCPs, thiab lwm tus neeg uas koom nrog kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog.​​ 

There will be time reserved during the webinar for participant questions and answers, as well as a follow-up office hours session for further questions on August 11, from 2 p.m. to 3 p.m. Advance registration is required for the ECM webinar and the office hours session. Please email CalAIMECMILOS@dhcs.ca.gov with any questions.​​ 

Medi-Cal Consumer-Focused Stakeholder Workgroup (CFSW) Lub Rooj Sib Tham​​ 

Thaum Lub Yim Hli 5, DHCS yuav tuav lub rooj sib tham CFSW tom ntej los ntawm kev cob qhia hauv webinar. Cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm muaj nyob rau ntawm CFSW nplooj ntawv web. Thov xa email rau DHCSCFSW@dhcs.ca.gov yog tias muaj lus nug.​​