DHCS Stakeholder News – June 30, 2023
Xov xwm tshaj plaws
DHCS Txoj Cai Nyiaj Txiag Hloov Kho - Xyoo Nyiaj Txiag 2023-24
DHCS’ 2023-24 budget 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. There are no reductions to Medi-Cal funding, and more than 15 million members will continue to have access to equitable, coordinated, and person-centered care to maximize their health and life trajectory. The budget highlights include:
- Kev nqis peev hauv Medi-Cal vim muaj cov se tshiab Managed Care Organization (MCO), uas sawv cev rau kev cog lus los ntawm Newsom Administration los muab ntau txhiab daus las ntxiv rau ntau xyoo rau Medi-Cal uas yuav txhim kho kev nkag tau, zoo, thiab kev ncaj ncees rau Medi-Cal cov tswv cuab. Cov ntsiab cai ntawm cov se thiab kev nqis peev nyiaj txiag yog: (1) txhawb kev koom nrog Medi-Cal ntau dua, tshwj xeeb tshaj yog nyob rau hauv cov chaw tsis muaj kev pab cuam thiab hauv kev saib xyuas thawj zaug thiab kev tiv thaiv, los ntawm kev muab kev ruaj ntseg mus sij hawm ntev rau tus kws kho mob nce; (2) khaws kev tsim nyog thiab kev txhawb nqa kev pab cuam hauv Medi-Cal qhov kev pab cuam; (3) tsim cov xwm txheej los daws qhov tsis sib xws thiab qhov tsis sib xws hauv Medi-Cal; thiab (4) ua kom muaj cib fim los kos cov peev nyiaj tseem ceeb ntxiv rau Medi-Cal.
Thaum Lub Ib Hlis Ntuj xyoo 2024, DHCS yuav nce tus nqi tsawg kawg yog 87.5 feem pua ntawm Medicare rau cov kev pabcuam thawj zaug (nrog rau cov kws kho mob thiab kws kho mob), cov kev pabcuam obstetric (suav nrog OB/GYN thiab doula cov kev pabcuam), thiab cov kev pabcuam kev puas hlwb uas tsis yog tshwj xeeb. MCO se yuav pib muab $ 75 lab txhua xyoo los txhawb kev kawm kho mob kawm tiav. Tsis tas li ntawd, nws yuav muab nyiaj ib zaug ($ 150 lab) rau cov kev pab cuam qiv nyiaj hauv tsev kho mob nyuaj thiab cov tsev kho mob me me thiab nyob deb nroog ($ 50 lab) rau kev ntsuam xyuas seismic thiab kev tsim kho. Pib xyoo 2025, MCO se yuav nqis peev $ 2.7 nphom txhua xyoo hauv Medi-Cal txhawm rau txhim kho kev nkag mus thiab kev ncaj ncees.
For the Governor’s 2024-2025 budget, in addition to the primary care, obstetric care, and non-specialty mental health services mentioned above, DHCS will submit detailed proposals for rate increases and investments in services and supports in primary care, obstetric care, and non-specialty mental health services, specialty care services, community or hospital outpatient procedures and services, family planning services and women’s health providers, hospital-based emergency and emergency physician services, ground emergency transport services, designated public hospitals, behavioral health care for members in hospital/emergency departments and institutional long-term care settings, and investments to maintain and grow the health care workforce.
- Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Kev Qhia, uas nthuav tawm cov kev pabcuam kev coj tus cwj pwm rau cov tswvcuab Medi-Cal uas muaj kev puas siab puas ntsws loj thiab muaj kev ntxhov siab loj. DHCS yuav xa daim ntawv thov BH-CONNECT rau kev pom zoo los ntawm tsoomfwv lub caij ntuj sov no, nrog rau kev pib pib sai dua lub Ib Hlis 1, 2024. Ib feem tseem ceeb ntawm CalAIM, BH-CONNECT suav nrog thoob plaws lub xeev thiab lub nroog xaiv cov khoom siv los ntxiv dag zog rau kev pabcuam kev puas siab puas ntsws txuas ntxiv mus, nrog rau kev tsom mus rau cov menyuam yaus thiab cov hluas, cov tib neeg muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob, thiab cov tib neeg muaj kev ncaj ncees. BH-CONNECT tseem suav nrog kev pib ua haujlwm tshiab, thiab kev nqis peev tshiab tag nrho $ 2.4 nphom hauv tsib xyoos yuav raug coj mus rau kev ntxiv dag zog rau cov kav dej ntawm cov kws tshaj lij kev noj qab haus huv uas xav tau rau cov neeg ua haujlwm uas twb muaj lawm thiab tshiab kev kho tus cwj pwm kev noj qab haus huv nrog rau kev txhim kho kev nrhiav neeg ua haujlwm luv luv thiab khaws cia rau hauv cov neeg ua haujlwm zoo, muaj ntau haiv neeg kev noj qab haus huv.
DHCS yuav tshaj tawm Txoj Cai Lij Choj Nyiaj Txiag 2023-24 tseem ceeb ntawm nws lub vev xaib nyob rau lub asthiv tom ntej.
Kev hloov kho tshiab
Statewide Transition Plan (STP) pom zoo
Thaum Lub Rau Hli 30, DHCS tau txais kev pom zoo zaum kawg los ntawm Lub Chaw rau Medicare & Medicaid Services (CMS) ntawm STP los coj cov chaw teeb tsa kom ua raws li tsoomfwv cov cai tswjfwm kawg ntawm Tsev thiab Cov Kev Pabcuam Hauv Zej Zog (HCBS). Kev pom zoo zaum kawg tau tso cai tom qab DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob thiab Lub Tsev Haujlwm Saib Xyuas Kev Laus ntawm California, tau ua haujlwm hnyav los ua ntau yam kev hloov pauv uas CMS tau thov kom ua tiav kev pom zoo zaum kawg. DHCS yuav ua haujlwm koom tes nrog CMS los txheeb xyuas txhua qhov chaw uas yuav xav tau kev txhawb zog txog lub xeev txoj kev kho thiab kev tshuaj xyuas ntxiv thaum lub xeev siv txhua yam tseem ceeb ntawm STP.
Yog xav paub ntxiv, thov mus saib hauv HCBS STP lub vev xaib. Thov xa email rau cov lus nug lossis lus nug rau STP@dhcs.ca.gov .
Tsev Kho Mob Presumptive Eligibility (HPE) thiab Presumptive Eligibility for Pregnant Women (PE4PW): Kos npe Flexibilities
Thaum Lub Rau Hli 26, DHCS tau tshaj tawm xov xwm tshaj tawm xov xwm nrog cov kev taw qhia ntxiv ntawm HPE thiab PE4PW cov kev pab cuam uas kos npe hloov pauv tau tsim los thaum lub sij hawm COVID-19 kev noj qab haus huv rau pej xeem xwm txheej ceev yog txoj cai ruaj khov rau Medi-Cal cov kws kho mob. Txawm hais tias cov kev pabcuam no tseem xav tau kev soj ntsuam ntawm tus kheej, cov kws kho mob tuaj yeem lees txais kev kos npe hauv xov tooj, daim ntawv tso cai hais lus, thiab kos npe hluav taws xob ntxiv rau qhov kev xaiv kos npe ntub dej.
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
Consumer-Focused Stakeholder Workgroup (CFSW) Lub Rooj Sib Tham
Thaum Lub Xya Hli 7, txij 10 txog 11:30 sawv ntxov PDT, DHCS yuav tuav lub rooj sib tham lub rooj sib tham CFSW txhua hli. Lub hom phiaj ntawm CFSW yog muab sijhawm rau cov neeg koom nrog los tshuaj xyuas thiab muab cov lus taw qhia txog ntau yam ntaub ntawv xa xov ntawm cov neeg siv khoom. Lub rooj sib tham tsom mus rau cov haujlwm ntsig txog kev tsim nyog thiab kev sau npe thiab siv zog los muab kev sib tham qhib txog cov cai thiab kev ua haujlwm ntawm Medi-Cal. Cov ntaub ntawv hais txog kab sib tham tau muab tso rau ntawm nplooj ntawv web CFSW, thiab cov ntaub ntawv sib tham yuav muab tso rau thaum Lub Xya Hli 5.
2024 Managed Care Plan Transition Policy Guide Webinar
Thaum Lub Xya Hli 10 thaum 1 teev tsaus ntuj PDT, DHCS yuav tuav ib lub webinar (yuav tsum tau sau npe ua ntej) 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 tau 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 ntawv tso cai, kev sib raug zoo ntawm tus kws kho mob, lossis cov kev pabcuam vim yog MCP hloov pauv.
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 PDT, 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.
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 PDT, DHCS yuav tuav lub vev xaib (yuav tsum tau sau npe ua ntej) los qhia cov ntaub ntawv rau 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
Lub Xeev Lub Tsev Hais Plaub Siab Kub Kub
Lub Chaw Haujlwm Pabcuam Thaum Muaj Xwm Ceev (Cal OES), koom tes nrog National Weather Service, tau tshaj tawm Cov Lus Qhia Thaum Kub Kub Kub Kub rau lub xeev. Hauv qab no yog cov ntsiab lus ntawm qhov xwm txheej:
- Qhov cuam tshuam txog kev pheej hmoo kub nruab nrab tuaj yeem nthuav dav thoob plaws hauv ntau lub xeev California los ntawm Lub Rau Hli 29, nrog rau cov kev pheej hmoo kub me me mus txog rau hauv nruab nrab ntug dej hiav txwv thiab Bay Area los ntawm Lub Rau Hli 30 txog Lub Xya Hli 2.
- Cov teeb meem kub ntxhov loj tuaj yeem ua tau thoob plaws Central Valley thaum lub asthiv. Thaum nruab hnub kub kub yuav ncav cuag tus lej peb npaug, thaum sawv ntxov qis qis yuav nyob hauv 60s txog 70s.
- Qhov kub thiab txias peb tus lej uas kav ntev yuav ua rau lub xeev lub zog hluav taws xob muaj kev ntxhov siab thiab yuav cuam tshuam rau kev ua haujlwm ntawm cov chaw.
- Cov dej ntws ntau ntxiv los ntawm cov pob snow yaj hauv Sierras tuaj yeem ua rau dej nyab hauv qab ntug dej hauv thaj chaw siab qis, uas tuaj yeem cuam tshuam kev thauj mus los.
On June 28, DHCS’ Office of Tribal Affairs (OTA) issued the advisory to tribal chairpersons and tribal health clinic executive directors. The email notification included website links to public health resources from the National Weather Service, California Department of Public Health, and Cal OES, as well as cooling center information. Additionally, OTA informed groups that if they are impacted by the extreme heat event or need resources, they may contact the Tribal Emergency Preparedness and Response Program Coordinator for assistance.