DHCS Stakeholder News – July 7, 2023​​ 

Xov xwm tshaj plaws​​ 

Ntxiv Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Federal Flexibilities Pom Zoo​​ 

Thaum Lub Rau Hli 29, 2023, Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo rau DHCS ob qhov kev thov rau tsoomfwv txoj cai zam kom pab ua kom yooj yim rau kev ua cov txheej txheem ntawm kev tsim nyog Medi-Cal txhua xyoo thiab txo cov nra hnyav rau cov thawj coj hauv nroog thiab cov tswv cuab Medi-Cal. Qhov kev ywj pheej thawj zaug zam qhov yuav tsum tau ua pov thawj rau cov tib neeg uas cov nyiaj tau los qis dua 100 feem pua ntawm qib kev txom nyem ntawm tsoomfwv (FPL) thiab cov uas ua tau raws li qee cov qauv. Qhov thib ob tso cai rau cov nroog kom muaj kev ywj pheej ntau dua los txiav txim siab dua qhov tsim nyog thiab txuas ntxiv hnub txuas ntxiv thaum muaj kev sib cuag nrog cov pej xeem uas nyuaj mus txog, xws li cov neeg tsis muaj tsev nyob, cov neeg laus, thiab cov neeg xiam oob qhab. Ob qho kev ywj pheej no yuav ua rau cov txheej txheem rov ua dua tshiab rau cov tswv cuab Medi-Cal yooj yim dua, tshwj xeeb tshaj yog cov pej xeem uas tsis muaj zog, thiab txo cov nra hnyav los muab cov ntaub ntawv lossis cov ntaub ntawv pov thawj ntxiv thaum lub sijhawm txuas ntxiv mus.​​ 

Ob qhov kev zam yuav raug siv rau lub Rau Hli 1, 2023, thiab yuav txuas ntxiv mus rau lub sijhawm tsis muaj kev ntxhov siab. DHCS tau tshaj tawm Medi-Cal Daim Ntawv Qhia Txog Kev Tsim Nyog (MEDIL) 23-40 los muab cov nroog nrog kev taw qhia tam sim ntawm kev ua haujlwm ntawm cov kev hloov pauv no.​​ 

Kev hloov kho tshiab​​ 

DHCS Tshaj Tawm Tshaj Tawm Txog California Cov Neeg Tau Txais Kev Pab Medicare Zej Zog Kev Tsim Nyog Tau Txais Tau Txais Medi-Cal​​ 

Thaum Lub Xya Hli 3, DHCS tau tshaj tawm phau ntawv qhia txog cov ntaub ntawv Medicare, hu ua "Profile of Older Californians: Medicare Beneficiaries Near Income Eligibility for Medi-Cal". Phau ntawv qhia no muaj cov ntaub ntawv hais txog cov neeg California uas muaj Medicare, tshwj xeeb yog tsom mus rau 13 feem pua ntawm cov neeg tau txais txiaj ntsig Medicare uas muaj hnub nyoog 65 xyoo thiab laus dua uas siab dua qhov txwv nyiaj tau los ntawm Medi-Cal (139 txog 220 feem pua ntawm FPL). Kev nkag siab txog cov pej xeem, cov peev txheej, thiab cov kev xav tau kev pab ntawm cov pej xeem no yog qhov tseem ceeb rau DHCS vim nws xav txog cov kev pab cuam thiab cov cai kom ua tau raws li kev xav tau kev noj qab haus huv thiab kev sib raug zoo ntawm California cov zej zog sib txawv.​​ 

Daim ntawv tshaj tawm pom tias cov pej xeem no muaj cov pej xeem zoo ib yam li Medi-Cal cov nyiaj tau los-tsim nyog cov tswv cuab tab sis lawv tsis tsim nyog rau Medi-Cal cov kev pab cuam mus sij hawm ntev thiab kev txhawb nqa, Cov kev tshawb pom tseem ceeb suav nrog:​​ 

• 48 feem pua yog hnub nyoog 75 xyoos lossis laus dua, piv rau Medicare cov neeg tau txais txiaj ntsig nrog cov nyiaj tau los siab dua (38 feem pua).​​ 
• 45 feem pua muaj cov neeg Dub, Latino, thiab Neeg Esxias cov cim piv rau Medicare 28 feem pua ntawm cov neeg tau txais txiaj ntsig nrog cov nyiaj tau los ntau dua.​​ 
• 15 feem pua muaj kev paub lus Askiv tsawg, piv rau 4 feem pua ntawm cov neeg tau txais txiaj ntsig nrog cov nyiaj tau los ntau dua.​​ 
• 59 feem pua yog poj niam, piv rau 51 feem pua ntawm cov neeg tau txais txiaj ntsig nrog cov nyiaj tau los ntau dua.​​ 

Nyiaj pab los ntawm SCAN Foundation, daim ntawv qhia yog raws li kev tshuaj xyuas ntawm 2015-2019 US Census American Community Survey data. DHCS yuav tham txog cov ntsiab lus tseem ceeb ntawm daim ntawv qhia nrog cov neeg koom nrog hauv webinar thaum Lub Xya Hli 17 (saib cov ntsiab lus hauv qab no).​​ 

Indian Health Program (IHP) Qhov Kev Pabcuam Nyiaj Pab Ntxiv​​ 

FY 2023-24 pob nyiaj tau faib ntxiv $ 11 lab rau qhov kev pab cuam IHP, nqa tag nrho cov nyiaj mus rau ntau dua $ 22.5 lab. Cov nyiaj no yuav raug siv los pab California pab pawg neeg koom tes hauv kev txo qis kev noj qab haus huv los ntawm kev ua kom cov Neeg Qhab Asmeskas tau txais kev saib xyuas kev noj qab haus huv zoo, txhawb nqa kev saib xyuas kev noj qab haus huv hauv Indian chaw kho mob los ntawm kev nthuav dav kev saib xyuas, tsom mus rau kev saib xyuas uas raug xa raws li kev coj noj coj ua, txhawb kev nkag mus rau Indian kev noj qab haus huv ib txwm muaj, thiab ntxiv dag zog rau Indian kev noj qab haus huv net chaw kho mob. Tsis tas li ntawd, $ 22.6 lab tau muab faib txhua xyoo pib xyoo FY 2024-25 los txhawb cov nyiaj tsis tu ncua ntawm IHP qhov kev pab cuam. DHCS tos ntsoov yuav ua haujlwm nrog pab pawg neeg koom tes los siv cov nyiaj pab no los txhim kho kev noj qab haus huv ntawm cov Neeg Qhab Asmeskas hauv California. Yog xav paub ntxiv, thov xa email rau TribalAffairs@dhcs.ca.gov.​​ 

Koom nrog peb pab neeg​​  

DHCS tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, 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​​ 

2024 Managed Care Plan Transition Policy Guide Webinar​​ 

Thaum Lub Xya Hli 10, thaum 1 txog 2 teev tsaus ntuj, DHCS yuav tuav ib lub webinar (yuav tsum tau sau npe ua ntej) los qhia txog 2024 Medi-Cal Managed Care Plan Transition Policy Guide, uas suav nrog DHCS txoj cai thiab Medi-Cal tswj kev npaj kho mob (MCP) cov kev cai cuam tshuam txog cov tswv cuab kev hloov pauv pib pib lub Ib Hlis 1, 2024.​​ 

Phau ntawv qhia hais txog kev tiv thaiv rau American Indian/Alaska Native cov tswv cuab, cov tswvcuab ceeb toom cov cai thiab cov tswvcuab rau npe cov cai siv rau kev hloov pauv thiab cov tswvcuab tshiab, thiab kev saib xyuas txuas ntxiv rau cov tswvcuab hloov pauv vim MCP kev cog lus hloov pauv. Nws tseem hais txog MCP cov cai kom ntseeg tau tias cov tswv cuab Medi-Cal txiav txim siab tsim nyog tau txais Kev Tswj Xyuas Kev Kho Mob Zoo Dua (ECM) thiab Kev Pabcuam Hauv Zej Zog tsis muaj kev cuam tshuam rau lawv cov kev tso cai, kev sib raug zoo ntawm cov kws kho mob, lossis cov kev pabcuam.​​ 

Companion All Plan Letter 23-018 tsim kom muaj qhov sib khi ntawm cov lus qhia raws li DHCS txoj cai tshwj xeeb rau 2024 MCP kev hloov pauv. Cov lus qhia yuav raug hloov kho thoob plaws xyoo 2023 kom MCPs paub txog cov lus qhia tshiab thiab txhim kho.​​ 

CalAIM Population Health Management (PHM) Pawg Kws Pab Tswv Yim Lub Rooj Sib Tham Lub Xya Hli​​ 

Thaum Lub Xya Hli 12, thaum 11:30 teev sawv ntxov txog 1 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham PHM Advisory Group (yuav tsum tau sau npe ua ntej) uas yuav suav nrog cov lus qhia luv luv ntawm txoj cai kho kom zoo DHCS tau ua ntej rau ECM thiab Kev Txhawb Zej Zog hauv xyoo 2023 thiab dhau mus. Lub rooj sib tham no yuav hais txog ntau lub ntsiab lus, suav nrog kev tsim nyog, kev xa mus thiab kev tso cai, kev sib koom tes ntawm cov neeg muab kev pabcuam, kev them nyiaj, kev paub txog kev lag luam, thiab kev sib pauv ntaub ntawv.​​ 

DHCS tau tsim lub PHM Advisory Group los muab cov tswv yim los txhawb kev tsim thiab kev siv ntawm PHM Program thiab Kev Pabcuam. Cov tswv cuab ntawm Pawg Kws Pab Tswv Yim suav nrog cov neeg sawv cev los ntawm cov phiaj xwm kev noj qab haus huv, cov kws kho mob, cov nroog, lub xeev cov tuam tsev, cov koom haum siv khoom, thiab lwm pab pawg, thiab yuav koom nrog cov rooj sib tham los muab cov lus qhia thiab cov lus pom zoo rau lub sijhawm. Cov rooj sib tham qhib rau pej xeem. Cov ntaub ntawv sib tham thiab cov ntaub ntawv raug muab tso rau ntawm CalAIM PHM Initiative webpage.​​ 

Kev Sib Tham Hauv Is Taws Nem Txog Cov Neeg Medicare Hauv California​​ 

Thaum Lub Xya Hli 17, txij 10 txog 11:30 sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv online (yuav tsum tau sau npe ua ntej), hu ua "California's Medicare Populations: Linguistic and Cultural Diversity, Plus the Near-Dual Group", uas yuav suav nrog kev nthuav qhia thiab kev sib tham ntawm ob phau ntawv qhia txog Medicare uas nyuam qhuav luam tawm, qhia txog kev sib txawv ntawm lus thiab kab lis kev cai ntawm cov neeg California uas muaj Medicare thiab cov pej xeem rau cov neeg tau txais Medicare ze rau qhov nyiaj tau los ntawm Medi-Cal, hu ua "near-duals". Cov ntawv qhia txog cov ntaub ntawv muaj nyob rau ntawm nplooj ntawv web DHCS Office of Medicare Innovation and Integration (OMII).​​ 

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

Thaum Lub Xya Hli 20, thaum 9:30 teev sawv ntxov txog 3:15 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham thib peb SAC thiab BH-SAC hybrid ntawm 2023 (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. Yuav muaj lub rooj sib tham BH-SAC nkaus xwb 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.​​  

Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav​​ 

Thaum lub Cuaj Hlis 14, txij li 12 txog 1 teev tsaus ntuj, DHCS yuav tuav HACCP webinar (yuav tsum tau sau npe ua ntej) los qhia cov ntaub ntawv nrog cov kws kho mob los pab cov neeg mob me 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.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Tam sim no lees txais cov ntawv thov rau Data Exchange Framework (DxF) Grants​​ 

Qhov kev sib tw thib ob ntawm California Health & Human Services Agency's Center for Data Insights and Innovation's DxF Signatory Grants qhib thiab txais cov ntawv thov txog rau lub Cuaj Hli 1, 2023. Qhov Kev Pab Nyiaj Pab Rau Cov Neeg Kos Npe rau Daim Ntawv Cog Lus Sib Koom Cov Ntaub Ntawv (DSA) uas muaj nqis $47 lab yuav muab cov peev txheej rau cov chaw pabcuam kev noj qab haus huv thiab kev pabcuam hauv zej zog uas tau kos npe rau DSA los daws cov teeb meem tseem ceeb ntawm kev ua haujlwm, kev siv tshuab, thiab kev siv tshuab rau kev siv DxF. Cov koom haum uas tau kos npe rau DSA thiab tuaj yeem ua pov thawj tias xav tau kev txhawb nqa thiab peev xwm ntxiv kom ua tau raws li lawv cov kev cai DSA tsim nyog thov. Cov neeg thov tuaj yeem thov nyiaj pab txhawb nqa Technical Assistance, uas tseem hu ua Qualified Health Information Organization onboarding grant. Cov ntaub ntawv hais txog ob qho chaw pab nyiaj no, cov qauv tsim nyog, kev siv nyiaj txiag, thiab ntau ntxiv tuaj yeem pom hauv Daim Ntawv Qhia Txog Kev Pab Nyiaj Txiag DSA Signatory. Yog xav paub ntxiv thiab qhov txuas mus rau lub portal thov nyiaj pab, thov mus saib lub vev xaib Center for Data Insights and Innovation's Data Exchange Framework.  Yog koj muaj lus nug, thov email rau cdii@chhs.ca.gov.​​ 

California Awards $30.5 Million for Kids’ Mental Health and Support for Parents and Family Caregivers​​ 

As part of Governor Gavin Newsom’s $4.7 billion Master Plan for Kids’ Mental Health, DHCS awarded $30.5 million to 63 groups to support youth mental health through community and evidence-based practices, supporting parents, grandparents, and other family caregivers. Funded through the Children and Youth Behavioral Health Initiative, the evidence-based practice (EBP) and community-defined evidence practice (CDEP) models funded include: Positive Parenting Practices, Incredible Years, Healthy Steps (Medi-Cal Dyadic Services Benefit), Parent Child Interaction Therapy, Effective Black Parenting Program, Positive Indian Parenting, and a variety of other community-defined parenting support programs. Read the Governor’s Office news release for more information.​​ 

California Awards $5.7 lab rau Opioid Siv Kev Kawm thiab Kev Tshaj Tawm hauv 2S/LGBTQ+ Cov Zej Zog​​ 

Raws li ib feem ntawm Tus Thawj Kav Xeev Newsom $ 1 billion Master Plan rau Kev daws qhov teeb meem Fentanyl thiab Opioid Crisis, DHCS tau muab $ 5.7 lab rau 25 lub koom haum rau kev kawm thiab kev ncav cuag hauv Two-Spirit/LGBTQ + cov zej zog kom nce kev paub txog opioids thiab stimulants, txo qis kev ntxub ntxaug ntsig txog kev siv tshuaj thiab kev kho mob, thiab koom ua ke thiab txhawb nqa txoj hauv kev xa mus kho mob rau kev siv opioid thiab kev siv tshuaj stimulant. Nyeem cov xov xwm tshaj tawm ntawm Chaw Haujlwm ntawm Tus Thawj Kav Tebchaws kom paub ntau ntxiv.​​ 

California ua thawj kauj ruam hauv kev tsim nws tus kheej Naloxone Supply​​ 

California tab tom ua thawj kauj ruam los tsim kom muaj cov khoom siv Naloxone uas pheej yig dua thiab yooj yim dua los ntawm CalRx Initiative, uas yog ib qho cuab yeej tseem ceeb hauv kev tawm tsam kev sib kis opioid. Raws li CalRx Naloxone Access Initiative, uas tau tshaj tawm los ntawm Tus Thawj Kav Xeev Newsom thaum ntxov xyoo no, lub xeev yuav muab $ 30 lab los txhawb nqa tus khub, lossis cov neeg koom tes, hauv kev tsim kho, tsim khoom, yuav khoom, thiab/lossis faib cov khoom siv naloxone hauv qhov ntswg raws li daim ntawv lo CalRx. Thaum Lub Xya Hli 6, California Lub Tsev Haujlwm Saib Xyuas Kev Nkag Mus Rau Kev Kho Mob thiab Cov Ntaub Ntawv tau tshaj tawm Daim Ntawv Thov Cov Ntaub Ntawv rau nws qhov kev pib naloxone thaum lub xeev txuas ntxiv ua cov haujlwm tseem ceeb los tawm tsam qhov teeb meem opioid uas tseem niaj hnub no. Nyeem cov xov xwm tshaj tawm ntawm Chaw Haujlwm ntawm Tus Thawj Kav Tebchaws kom paub ntau ntxiv.​​