Dhia mus rau cov ntsiab lus​​ 
Tsev Chav Xov Xwm - Chaw Ua Haujlwm Sib Txuas Lus Xov Xwm Txog Cov Neeg Muaj Feem Cuam Tshuam ntawm DHCS - Lub Rau Hli 16, 2023​​ 

DHCS Stakeholder News – June 16, 2023​​ 

Xov xwm tshaj plaws​​ 

DHCS nrhiav tswv yim rau kev ntsuam xyuas ywj pheej ntawm CalAIM thiab Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Hauv Zej Zog-raws li Lub Koom Haum Koom Tes Sib Koom Tes ntawm Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Kho Mob (BH-CONNECT) Txoj Haujlwm​​ 

Thaum Lub Rau Hli 14, DHCS tau tshaj tawm California Advancing and Innovating Medi-Cal (CalAIM) 1115 Demonstration Independent Evaluation Request for Information (RFI). Qhov RFI no yog lub hom phiaj los sau cov tswv yim thiab muab cov ntaub ntawv hais txog kev ntsuam xyuas ntau yam ntawm CalAIM 1115 cov thawj coj, suav nrog Kev Pabcuam Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH), Kev Pabcuam Ntiaj Teb Kev Them Nyiaj (GPP), Medi-Cal txoj cai sib piv txoj cai rau cov neeg tau txais txiaj ntsig dua, thiab Reentry Demonstration Initiative, ntxiv rau Cov Kev Pabcuam Hauv Zej Zog thiab Kev Pabcuam Kev Noj Qab Haus Huv Kev kho mob (BH-CONNECT) 1115 zam.​​ 

Yuav kom ua raws li CMS cov cai, cov xeev yuav tsum npaj kom muaj ib tog neeg ywj pheej los ua qhov kev ntsuam xyuas ntawm tag nrho 1115 qhov kev qhia kom ntsuam xyuas lawv cov kev cuam tshuam rau cov tswv cuab, cov neeg muab kev pabcuam, cov phiaj xwm kev noj qab haus huv, thiab lub xeev. Qhov kev ntsuam xyuas yuav suav nrog qhov cuam tshuam ntawm kev nkag mus rau qhov kev kho mob, qhov zoo ntawm kev kho mob, thiab cov nqi. Lub sijhawm kawg rau kev xa daim ntawv RFI yog Lub Xya Hli 12 thaum 4 teev tsaus ntuj. Cov ntaub ntawv hais txog RFI muaj nyob rau ntawm nplooj ntawv web DHCS Contracts Division.​​ 

Kev hloov kho tshiab​​ 

California Daim Ntawv Ceeb Toom Nruam Tsis Txaus Siab​​ 

DHCS tau tshaj tawm California lub dashboard txog kev txo qhov tsim nyog Medi-Cal rau lub Peb Hlis 2023 rau ntawm nplooj ntawv sau npe Medi-Cal. California yuav pib ua cov txheej txheem rho npe tawm thaum Lub Rau Hli, nrog rau hnub siv tau rau Lub Xya Hli 1. Daim ntawv qhia txog thawj pawg ntawm kev rho npe tawm yuav muaj nyob rau lub Yim Hli. Daim ntawv qhia qhia txog tag nrho cov neeg sau npe rau Medi-Cal hauv California dhau lub sijhawm 13 lub hlis. Daim ntawv tshaj tawm kuj suav nrog cov ntaub ntawv hais txog cov ntawv thov tshiab thiab cov txheej txheem rov txiav txim siab txhua hli—suav nrog cov ntawv txuas ntxiv uas yuav tsum tau ua; muaj pes tsawg tus tswv cuab tau txuas ntxiv los ntawm ex-parte; thiab cov ntaub ntawv hais txog kev rho npe tawm. Txhua yam kev ntsuas kuj muaj nyob rau hauv daim ntawv teev cov cheeb tsam raws li lub nroog. DHCS npaj yuav tshaj tawm cov ntaub ntawv no tsis pub dhau lub lim tiam thib ob ntawm txhua lub hlis.​​ 

Kev Pabcuam Nruam Unwinding County Readiness Plan Summary​​ 

Thaum Lub Rau Hli 16, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Kev Pab Cuam Ntxiv Ntxiv Unwinding County Readiness Plan Summary. Cov ntsiab lus tseem ceeb muab cov ntsiab lus ntawm lub nroog cov kev pab them nqi tas mus li unwinding npaj npaj txhij, suav nrog cov teeb meem hauv kev rov ua dua tshiab thaum lub sij hawm unwinding, cov kev coj ua zoo tshaj plaws los hloov cov txheej txheem kev lag luam, thiab DHCS kev pab cuam muab rau cov nroog. Thaum Lub Ib Hlis Ntuj Tim 10, DHCS tau tshaj tawm Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Tsab Ntawv 23-03, xav kom tag nrho 58 lub nroog xa daim phiaj xwm npaj npaj rau qhov kawg ntawm qhov yuav tsum tau muaj kev pab them nqi kho mob tas mus li los ntawm Tsev Neeg Thawj Txoj Cai Teb Coronavirus. Txoj kev npaj npaj npaj yuav npog thaj chaw tseem ceeb rau cov nroog los tshuaj xyuas thiab tshuaj xyuas txhawm rau npaj rau kev rov ua dua tshiab ntawm Medi-Cal txhua xyoo thiab rov qab mus rau kev ua lag luam ib txwm muaj, suav nrog cov koom haum thiab cov neeg ua haujlwm, kev cob qhia cov neeg ua haujlwm rau Medi-Cal ntsig txog cov xwm txheej, thiab kev tswj xyuas chaw tos txais, hu xov tooj, thiab kev nthuav qhia.​​ 

Care Economy Payments for Home and Community-Based Services (HCBS) Direct Care Workers​​ 

Daim ntawv thov kev pab them nqi kho mob rau HCBS Direct Care Workers tam sim no nyob, thiab cov ntawv yuav raug lees txais mus txog rau thaum Lub Xya Hli 10, 2023. DHCS txhawb kom xa daim ntawv thov ntxov kom muaj sijhawm txaus rau kev lees paub thiab ua tiav ua ntej hnub kawg. DHCS cia siab tias yuav tshaj tawm cov nyiaj them rau cov koom haum muab kev pom zoo nyob rau lub Kaum Ib Hlis, thiab cov neeg thov tau txais nyiaj yuav tsum tau them nyiaj rau cov neeg ua haujlwm tsim nyog hauv 60 hnub tom qab tau txais. Yog xav paub ntxiv, thov mus saib ntawm Cov Nyiaj Them Nqi Kho Mob rau HCBS Direct Care Workers lub vev xaib.​​ 

Kev Pab Nyiaj Txiag: Ib txwm Indian Kev Noj Qab Haus Huv (TIH) Thov rau Daim Ntawv Thov (RFA) Tso Tawm​​ 

DHCS tau tshaj tawm Round Ob RFA los pab nyiaj rau ob qhov kev kawm TIH uas yuav pab Indian cov chaw kho mob hauv kev muab kev pabcuam rau cov neeg Asmeskas Khab raws li kev coj noj coj ua thiab tsim lub rooj sab laj rau cov zej zog Indian los hais txog TIH kev kawm. Tag nrho ntawm $ 200,000 yog muaj los pab nyiaj hauv cheeb tsam TIH cov kev pab cuam rau ob xyoos nyiaj txiag. Lub sijhawm nyiaj txiag no txhawb nqa kev saib xyuas kev noj qab haus huv Indian ib txwm muaj.​​ 

Cov peev nyiaj xav tau suav nrog $ 100,000 toj ib cheeb tsam, txhawb nqa Southern California thiab cov kev pabcuam hauv nroog thoob plaws lub xeev. Qhov nyiaj siab tshaj plaws yog $ 50,000 toj ib cheeb tsam ib xyoo nyiaj txiag. Lub sijhawm them nyiaj tau npaj yuav pib thaum Lub Yim Hli 2023 thiab txuas ntxiv mus txog rau lub Rau Hli 30, 2025. Yog xav paub ntxiv txog RFA, thov xa email rau TribalAffairs@dhcs.ca.gov.​​ 

Medi-Cal Rx​​ 

Thaum Lub Rau Hli 23, Medi-Cal Rx Reinstatement Phase III, Lift 4 yuav raug muab coj los siv, nqa Txoj Cai Hloov Pauv rau 46 Chav Kawm Therapeutic. Qhov no yog qhov thib plaub hauv kev txhawb nqa kom so tawm Txoj Cai Hloov Pauv los ntawm kev rov ua dua NCPDP Reject Code 75 - Yuav tsum tau tso cai ua ntej.​​ 

Koom nrog peb pab neeg​​  

DHCS is hiring. DHCS has an immediate opening for Deputy Director, Office of Communications, which closes on July 3, 2023. This executive role leads DHCS’ communications team to support the Department’s overall goals and objectives to drive awareness and education of DHCS’ programs and activities across media relations, digital communications (website and social media strategies), stakeholder engagement, and message development.​​ 

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 mob siab rau kev tiv thaiv thiab txhim kho kev noj qab haus huv thiab kev nyob zoo ntawm txhua tus neeg California. Lub Chaw Haujlwm lub hom phiaj yog muab kev pabcuam kho mob zoo, pheej yig, thiab zoo rau cov neeg nyob hauv zej zog uas tsis muaj zog tshaj plaws, thiab tam sim no nws tab tom hloov pauv qhov kev pabcuam Medi-Cal kom ntseeg tau tias nws muab kev pabcuam uas cov neeg California xav tau kom muaj lub neej noj qab haus huv thiab zoo siab dua.​​ 

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

Hearing Aid Coverage for Children Program (HACCP) Webinars​​ 

On June 21, from 11 to 11:40 a.m., DHCS will host a family and community partners webinar session (advance registration required) to provide information to help children and their families apply for HACCP coverage and access covered benefits once enrolled. The training session will address program eligibility and best practices for working effectively with your child’s medical care team to access benefits quickly and easily.​​ 

Thaum Lub Rau Hli 22, thaum 12 txog 12:45 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv webinar (yuav tsum tau sau npe ua ntej) los muab cov ntaub ntawv los pab cov neeg mob menyuam yaus thiab lawv tsev neeg kom tau txais txiaj ntsig HACCP. 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 cov kws kho mob, kws kho mob otolaryngologist, lwm tus kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm.​​ 

MLTSS thiab Duals Integration Workgroup Meeting​​ 

Thaum Lub Rau Hli 22, txij li 10 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav zoo ua tus tswj hwm CalAIM Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Duals Integration Workgroup lub rooj sib tham (yuav tsum tau sau npe ua ntej). Pawg neeg ua hauj lwm ua hauj lwm los ua ib lub koom haum koom tes nrog rau CalAIM MLTSS thiab kev saib xyuas kev koom ua ke rau ob tus tswv cuab uas tsim nyog, thiab nws tso cai rau cov neeg koom nrog los muab kev tawm tswv yim thiab qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab cov tswv yim rau kev hloov pauv rau Medi-Cal thiab Medicare yav tom ntej.​​ 

Cov ntaub ntawv keeb kwm yav dhau, cov ntawv sau tseg, thiab cov ntaub ntawv kaw tseg ntawm pawg neeg ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntau ntxiv txog pawg neeg ua haujlwm, tau tshaj tawm rau ntawm CalAIM MLTSS thiab Duals Integration Workgroup lub vev xaib. Rau cov lus nug lossis lus pom, thov xa email rau DHCS ntawm info@calduals.org.​​ 

Doula Implementation Workgroup Meeting​​  

Thaum Lub Rau Hli 23, thaum 10 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Doula Implementation Workgroup los hais txog cov cai ntawm Senate Bill 65 (Tshooj 449, Statutes of 2021) txhawm rau tshuaj xyuas kev siv cov kev pabcuam doula raws li cov txiaj ntsig ntawm Medi-Cal. Lub rooj sib tham yuav tsom mus rau kev txheeb xyuas cov teeb meem cuam tshuam rau kev nkag mus rau cov kev pabcuam doula, qhia txog kev nthuav dav los pab xyuas kom cov tswvcuab Medi-Cal paub txog kev xaiv los siv cov kev pabcuam doula, thiab txheeb xyuas thiab txo qis kev qeeb ntawm kev them nyiaj rau Medi-Cal doulas lossis hauv kev them nyiaj rov qab rau Medi-Cal cov tswvcuab rau cov kev pabcuam tau txais.​​  

Pab pawg neeg ua haujlwm suav nrog doulas, cov kws kho mob, cov neeg siv khoom thiab cov neeg tawm tswv yim hauv zej zog, cov phiaj xwm kev noj qab haus huv, cov neeg sawv cev hauv nroog, thiab lwm cov neeg muaj feem cuam tshuam nrog kev paub txog kev pabcuam doula. Cov ntaub ntawv hais txog qhov txiaj ntsig doula muaj nyob rau ntawm DHCS lub vev xaib rau kev pabcuam doula. Ib qhov txuas rau pej xeem tuaj mloog lub rooj sib tham yuav muab tso rau ntawm nplooj ntawv ntawd los ntawm Lub Rau Hli 19. Cov lus sau tuaj yeem xa mus rau DoulaBenefit@dhcs.ca.gov.​​  

Enhanced Care Management (ECM) rau Cov Me Nyuam thiab Cov Hluas​​ 

Thaum Lub Rau Hli 23, los ntawm 1 txog 2:30 teev tsaus ntuj, DHCS yuav tuav ib qho kev tshwm sim virtual (yuav tsum tau sau npe ua ntej) ua ntej tshaj tawm ECM rau Cov Menyuam Yaus thiab Cov Hluas Kev Pom Zoo (POF) thaum Lub Xya Hli 1. DHCS cov thawj coj yuav koom nrog pawg neeg muab kev pabcuam, cov koom haum hauv zej zog (CBOs), thiab cov phiaj xwm saib xyuas kev tswj hwm (MCPs) los tham txog:​​  

  • Kev tsim thiab kev taw qhia kev ua haujlwm rau Cov Me Nyuam thiab Cov Hluas POF​​  
  • Piv txwv ntawm yuav ua li cas cov kws kho mob tab tom npaj tsim ECM rau Cov Me Nyuam thiab Cov Hluas POF​​  
  • Kev taw qhia rau MCPs, lub nroog, thiab lwm tus neeg muab kev pabcuam ntawm kev cog lus rau ECM cov txiaj ntsig.​​      

Qhov webinar no qhib rau pej xeem, thiab cov neeg tuaj koom tuaj yeem nug cov lus nug. Nws yuav muaj txiaj ntsig tshwj xeeb rau MCPs thiab cov neeg muab kev pabcuam ua haujlwm nrog menyuam yaus thiab cov hluas, thiab rau cov neeg tshiab rau kev cog lus nrog MCPs, xws li cov nroog thiab CBOs. Thov xa cov lus nug mus rau CalAIMECMILOS@dhcs.ca.gov tsis pub dhau Lub Rau Hli 19.​​   

Hauv Case Koj Tsis Tau Nws​​ 

California muab khoom plig $1.2 lab los pab Pab Pawg Hauv Zej Zog daws qhov teebmeem Opioid​​ 

DHCS tau muab $1.2 lab rau 11 lub koom haum los ntawm Tribal Local Opioid Coalition (TLOC). Qhov project no tau txais nyiaj los ntawm State Opioid Response III grant uas tau muab los ntawm Substance Abuse and Mental Health Services Administration, thiab yog ib feem ntawm DHCS txoj kev siv zog dav dua los daws cov teeb meem kev siv tshuaj yeeb dej cawv, uas hu ua California MAT Expansion Project, kom nce kev nkag mus rau Medication Assisted Treatment (MAT). 11 lub koom haum hauv pawg neeg tau txais khoom plig rau qhov project TLOC txij lub Rau Hli 2, 2023, mus txog rau lub Rau Hli 20, 2024. Cov neeg tau txais nyiaj pab yog cov koom haum thiab cov chaw ua haujlwm hauv California uas yuav ua haujlwm los txhawb kev kho mob thiab yuav muaj kev nkag mus rau Tribal MAT Champion, uas yog tus sawv cev los ntawm California Rural Indian Health Board ua tus kws tshaj lij txog MAT. Cov neeg tau txais txiaj ntsig tuaj yeem tiv tauj tus neeg no kom tau txais kev txhawb nqa tas mus li, suav nrog kev cob qhia, kev cob qhia, thiab kev pab txog kev siv tshuab. Yuav muaj cov cib fim rau kev kawm ntawm cov phooj ywg los ntawm kev sib ntsib hauv cheeb tsam thiab thoob plaws lub xeev thiab cov kev cob qhia hauv web.​​ 

Tshaj tawm cov ntaub ntawv COVID-19​​