DHCS Stakeholder News – June 9, 2023
Kev hloov kho tshiab
CARE Court Independent Evaluation
Thaum Lub Rau Hli 7, DHCS tau tshaj tawm Daim Ntawv Thov Kev Qhia (RFI) #22-048: CARE Court Independent Kev Ntsuam Xyuas los thov cov ntaub ntawv los ntawm cov neeg txaus siab nrog cov kev paub thiab kev paub uas tsim nyog los ua qhov kev ntsuam xyuas ywj pheej ntawm kev ua tau zoo ntawm Kev Pabcuam Hauv Zej Zog, Rov Qab, thiab Kev Txhim Kho (CARE Act). Kev ua haujlwm los txhawb qhov kev ntsuam xyuas ywj pheej yuav suav nrog kev tsim cov qauv kev xav thiab kev xav, kev soj ntsuam cov neeg koom nrog, thiab tshuaj xyuas qhov cuam tshuam ntawm CARE Lub Tsev Hais Plaub Kev Koom Tes rau cov txiaj ntsig kev ntsuas tau teev tseg hauv tsab cai lij choj, suav nrog kev txhim kho vaj tse nyob thiab txo qis hauv chav saib xyuas xwm txheej ceev thiab kev mus pw hauv tsev kho mob. Cov ntawv xa tuaj rau RFI yuav dhau lub Xya Hli 5 txog 4 teev tsaus ntuj PDT.
DHCS Tshaj Tawm CalAIM Cov Ntaub Ntawv Qhia Kev Tso Cai Tso Cai rau pej xeem tawm tswv yim
Thaum Lub Rau Hli 8, DHCS tau tshaj tawm qhov hloov kho CalAIM Cov Ntaub Ntawv Sib Koom Kev Tso Cai Qhia (Version 2.0) rau pej xeem tawm tswv yim txog rau lub Rau Hli 29. Cov ntaub ntawv no muab cov lus qhia tshwj xeeb ntawm cov ntaub ntawv ntiag tug thiab kev tso cai sib faib cov ntaub ntawv cov cai, cov cai, thiab cov cai rau cov tib neeg thiab cov koom haum uas muab lossis saib xyuas kev xa cov kev pabcuam Medi-Cal, suav nrog kev noj qab haus huv ntawm lub cev, kev coj tus cwj pwm, thiab kev pabcuam kev sib raug zoo, raws li cov xwm txheej ntawm Assembly Bill 133 (Tshooj 143, Statutes of 2021), uas tso cai rau kev nthuav tawm ntawm tus kheej thiab nthuav tawm cov ntaub ntawv no. tsoom fwv txoj cai lij choj, ua kom yooj yim rau cov neeg muab kev pab qhia cov ntaub ntawv.
Cov lus qhia pej xeem yuav tsum xa los ntawm daim ntawv ntsuam xyuas no. (Disclaimer: DHCS hais ntxiv tias cov lus qhia muaj nyob rau hauv daim ntawv no tsis yog tsim los thiab yuav tsum tsis txhob muab txhais raws li kev cai lij choj.)
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
DHCS CalAIM MLTSS thiab Duals Integration Workgroup Lub Rau Hli Lub Rooj Sib Tham
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 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 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 MCPs los muab:
- Kev ceeb toom ntawm 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 yuav muaj sijhawm los 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 xa Tsoom Fwv Teb Chaws Kev Tshawb Fawb Txog Kev Tshawb Fawb Txog Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv
On June 8, California submitted a new demonstration project under Section 1115 of the Social Security Act, entitled California’s Reproductive Health Access Demonstration (CalRHAD), to CMS. The purpose of this application is to seek federal approval for a three-year demonstration agreement to bolster California’s sexual and reproductive health delivery system, with the goal of ensuring equitable access to a broad range of sexual and reproductive health services.
Through the CalRHAD demonstration, California seeks authority to provide grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, while also promoting the sustainability of California’s reproductive health provider safety net for the benefit of individuals enrolled in Medi-Cal and other individuals who currently face barriers to access.
California’s submission builds upon the state’s existing investments in reproductive health services. CalRHAD aligns with the state’s efforts to promote equitable access to comprehensive sexual and reproductive health care.
California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) Cov Kev Pabcuam ntawm COVID-19 Cov Tshuaj
Lub vev xaib DHCS COVID-19 (hauv ntu Kev Kho Mob) tam sim no muab cov peev txheej los ntawm CDPH txog cov tshuaj tiv thaiv COVID-19. CDPH tau ua haujlwm kom muaj kev paub txog cov tshuaj zoo uas kho COVID-19 los ntawm kev tshaj tawm kev kawm uas suav nrog cov ntaub ntawv hais txog cov tshuaj, nkag mus rau lawv li cas, thiab cov lus nug nquag nug.
Cov tshuaj tiv thaiv COVID-19 tau txhawb nqa rau cov neeg laus feem ntau, vim tias ntau tus muaj kev pheej hmoo siab dua los ntawm kev mob hnyav los ntawm COVID-19 vim muaj mob hauv qab lossis lwm yam. Tsis yog txhua tus paub tias lawv muaj cov xwm txheej uas ua rau lawv tsim nyog tau txais cov tshuaj tiv thaiv COVID-19, yog li cov neeg uas muaj tsos mob thiab kuaj pom zoo rau COVID-19 raug txhawb kom mus ntsib kws kho mob. Nrhiav cov tshuaj COVID-19 ntxov ua ntej tus mob hnyav tuaj yeem ua rau muaj qhov sib txawv loj.
Tsis ntev los no: Kev Them Nyiaj Kho Mob rau Kev Pabcuam Hauv Tsev thiab Zej Zog (HCBS) Cov Neeg Ua Haujlwm Ncaj Ncees
Thaum Lub Rau Hli 12, DHCS yuav qhib cov txheej txheem thov rau HCBS cov koom haum thov kom tau txais $ 500 kev txhawb nqa ib zaug rau lawv cov neeg ua haujlwm. Daim ntawv thov yuav kaw rau Lub Xya Hli 10. Qhov nyiaj txhawb siab yog tshwj xeeb rau cov Kev Pabcuam Tsis Nyob Hauv Tsev (IHSS) HCBS cov neeg ua haujlwm saib xyuas ncaj qha uas tau muab HCBS rau cov neeg tsis muaj zog nyob hauv zej zog qhov chaw tsawg kawg ob lub hlis thaum Lub Peb Hlis 2020 thiab Lub Peb Hlis 2022 thaum lub sijhawm COVID-19 kev noj qab haus huv rau pej xeem xwm txheej ceev. Xa cov lus nug rau HCBSCareEconomyPayments@dhcs.ca.gov. Cov ntaub ntawv ntau ntxiv ntawm txoj haujlwm no, suav nrog kev tsim nyog tau txais kev pab thiab daim ntawv thov txuas, muaj nyob rau ntawm Kev Pabcuam Kev Them Nqi Kho Mob rau HCBS Direct Care Workers lub vev xaib thiab nplooj ntawv Kev Pabcuam Hauv Tsev thiab Zej Zog.