DHCS Stakeholder News – November 18, 2022
Nyob zoo cov neeg muaj feem xyuam,
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab qhov hloov tshiab no ntawm kev txhim kho tseem ceeb ntawm DHCS cov kev pabcuam.
Xov xwm tshaj plaws
California Behavioral Health Community-Based Continuum (CalBH-CBC) Demonstration Concept Paper Tso tawm
On November 15, DHCS released the CalBH-CBC Demonstration concept paper. The concept paper announces DHCS’ intent to apply for a new Medicaid Section 1115 demonstration. DHCS will accept public comments on the concept paper through January 13, 2023. Please submit feedback to CalBHCBC@dhcs.ca.gov and include “CalBH-CBC Demonstration” in the subject line.
The demonstration, known as the CalBH-CBC Demonstration, will expand a robust continuum of community-based behavioral health care services for Medi-Cal beneficiaries living with serious mental illness (SMI) and serious emotional disturbance (SED). It takes advantage of the Centers for Medicare & Medicaid Services’ (CMS) guidance and associated federal funding aimed at improving care for people living with SMI or SED. It will also amplify California’s ongoing behavioral health initiatives, and be informed by findings from DHCS’ 2022 Assessing the Continuum of Care for Behavioral Health Services in California.
Lub cib fim ua qauv qhia no zoo ib yam li California txoj kev cog lus keeb kwm los tsim kom muaj kev saib xyuas tag nrho rau kev kho mob thiab kev pab kho mob rau cov neeg siv tshuaj yeeb dej cawv - xyoo 2015, California tau tshaj tawm Drug Medi-Cal Organized Delivery System (DMC-ODS), uas yog thawj tus qauv hauv lub tebchaws uas tau ua raws li ntau lub xeev. Ib yam li DMC-ODS, lub cib fim no tso cai rau California ua cov peev txheej keeb kwm hauv kev tsim kom muaj kev saib xyuas kev noj qab haus huv ntawm tus cwj pwm tag nrho, nrog rau kev tsom mus rau cov pej xeem uas muaj kev pheej hmoo tshaj plaws.
Nyob rau lub hlis tom ntej, DHCS yuav ua haujlwm nrog cov neeg muaj feem cuam tshuam los txhim kho thiab hloov kho txoj hauv kev rau CalBH-CBC Kev Sib Tham nrog lub hom phiaj xa daim ntawv thov ua qauv qhia rau tsoomfwv hauv 2023. Yog xav paub ntxiv, thov mus saib hauv CalBH-CBC lub vev xaib.
Tsis ntev los no: Txais Cov Ntawv Thov rau Tsev Kho Mob thiab Chaw Kho Mob Kws Kho Mob COVID-19 Cov Nyiaj Them Nqi Rau Cov Neeg Ua Haujlwm (WRP)
Thaum Lub Kaum Ib Hlis 29, DHCS yuav pib txais cov ntawv thov rau Tsev Kho Mob thiab Chaw Saib Xyuas Neeg Mob COVID-19 WRP. Txhua Lub Chaw Ua Haujlwm Them Nqi (CEs), Cov Chaw Ua Haujlwm Them Nqi (CSEs), Cov Chaw Pab Pawg Kws Kho Mob (PGEs), thiab Cov Kws Kho Mob Ywj Pheej yuav tau txais qhov txuas mus rau daim ntawv thov rau kev xa cov ntaub ntawv neeg ua haujlwm. Txhua qhov kev thov them nyiaj yuav tsum xa tsis pub dhau 5 teev tsaus ntuj rau lub Kaum Ob Hlis 30, 2022. DHCS txhawb kom xa daim ntawv thov ua ntej, yog li txhua daim ntawv thov tuaj yeem raug lees paub ua ntej hnub kawg. Cov lus qhia ntxiv txog daim ntawv thov thiab cov qauv rau kev xa yuav muab tso rau ntawm nplooj ntawv web WRP thaum lossis ua ntej lub sijhawm qhib daim ntawv thov.
Kuv n ntxiv, DHCS tseem ceeb toom rau txhua tus tsim nyog CEs, CSEs, PGEs, thiab Cov Kws Kho Mob ywj pheej los rau npe rau WRP, raws li kev tso npe kaw rau lub Kaum Ob Hlis 21, 2022. Ntxiv thiab, kho tshiab Cov lus nug nquag tau tso lawm. Rau kev taw qhia thiab ib qhov txuas mus rau npe, thov mus saib ntawm WRP web page .
Kev hloov kho tshiab
Cal MediConnect (CMC) Tus Tswv Cuab Hloov Mus Rau Medi-Cal Rx
Pib txij lub Ib Hlis Ntuj hnub tim 1, 2023, CMC cov tswv cuab yuav hloov mus rau Medicare Medi-Cal Plans, thiab DHCS tseem yuav hloov pauv cov txiaj ntsig ntawm Medi-Cal cov chaw muag tshuaj rau cov tswv cuab no mus rau Medi-Cal Rx.
Cov tswv cuab no twb tau txais kev ceeb toom 90- thiab 60-hnub. Thaum Lub Kaum Ib Hlis 16, kev ceeb toom 45-hnub tau tshaj tawm hauv Medi-Cal Rx lub vev xaib rau cov kws kho mob thiab cov khw muag tshuaj ceeb toom lawv txog kev hloov pauv CMC.
Smile, California Testimonial Video Series
Yuav kom muaj kev koom tes ntau ntxiv ntawm cov kws kho hniav Medi-Cal nrog rau lub koom haum Smile, California thiab txhawb kom cov tswv cuab Medi-Cal paub txog cov kws kho hniav Medi-Cal, cov yeeb yaj kiab "Paub ib tug kws kho hniav Medi-Cal " rau cov kws kho mob yuav raug nthuav dav nrog plaub cov yeeb yaj kiab tshiab. Daim vis dis aus thawj zaug tau tshaj tawm rau lub Kaum Ib Hlis 7. Hauv ob peb lub lis piam tom ntej, peb daim vis dis aus seem yuav raug tshaj tawm rau SmileCalifornia.org thiab ib daim yuav ua lus Mev thiab tshaj tawm rau ntawm SonrieCalifornia.org.
Koom nrog peb pab neeg
DHCS tab tom ntiav! Rau lub sijhawm los koom nrog 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, 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 access to affordable, integrated, high-quality, and equitable 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
CalAIM Behavioral Health Workgroup Webinar
Thaum Lub Kaum Ib Hlis 21, txij 12 teev txog 1 teev tav su, DHCS yuav tuav lub rooj sib tham CalAIM Behavioral Health Workgroup (yuav tsum tau sau npe ua ntej). Lub hom phiaj ntawm lub rooj sib tham no yog los thov cov neeg koom nrog tawm tswv yim txog daim ntawv qhia txog DHCS lub hom phiaj los thov rau qhov kev qhia tshiab ntawm Medicaid Tshooj 1115. California qhov kev qhia 1115 yuav nthuav dav kev nkag mus rau thiab txhawb nqa kev txuas ntxiv ntawm cov kev pabcuam kev noj qab haus huv ntawm lub hlwb hauv zej zog rau cov neeg tau txais Medi-Cal uas muaj kev cuam tshuam loj heev ntawm kev xav lossis kev mob hlwb. Nws tseem yuav siv California cov kev pib ua haujlwm kho mob tus cwj pwm uas tseem niaj hnub ua, thiab tau txais kev qhia los ntawm cov kev tshawb pom los ntawm DHCS '2022 Kev Ntsuam Xyuas Kev Txuas Ntxiv Mus Rau Kev Saib Xyuas rau Cov Kev Pabcuam Kho Mob Tus cwj pwm hauv California. Lub rooj sib tham no yuav qhib rau pej xeem, mloog xwb, nrog rau lub sijhawm rau pej xeem tawm tswv yim thaum kawg ntawm lub rooj sib tham. Yog xav paub ntxiv, thov mus saib nplooj ntawv web CalAIM Behavioral Health Workgroup.
Doula Stakeholder Lub Rooj Sib Tham
Thaum Lub Kaum Ib Hlis 21, txij thaum 1 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham virtual pej xeem cov neeg koom nrog kev sib tham txog kev ntxiv cov kev pabcuam doula raws li cov txiaj ntsig ntawm Medi-Cal, pib lub Ib Hlis 1. DHCS koom nrog pawg neeg ua haujlwm txog cov ntsiab lus ntawm kev tsim kho txoj cai uas yuav muaj nyob hauv Medi-Cal tus kws kho mob phau ntawv thiab lwm cov ntaub ntawv qhia txog txoj cai. Txhua tus neeg muaj feem txaus siab tuaj yeem mloog pawg neeg ua haujlwm sib tham txog cov tswv yim tawm tswv yim thiab muab tswv yim los ntawm email. DHCS yuav sib tham txog cov kauj ruam tom ntej hauv kev siv doula cov kev pab cuam raws li Medi-Cal cov txiaj ntsig, suav nrog kev tso npe kawm thiab muab kev pab cuam hauv nqi-rau-kev pabcuam Medi-Cal thiab kev saib xyuas raug tswj. Cov ntaub ntawv ntsig txog lub rooj sib tham yuav muab tso rau hauv Doula Services raws li Medi-Cal Benefit lub vev xaib.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services Facebook Live Event
Thaum Lub Kaum Ib Hlis 21, txij 5:30 txog 6:30 teev tsaus ntuj, Smile, California yuav tuav ib qho Facebook Live Event hauv lus Mev los qhia thiab qhia cov tswv cuab txog lawv cov txiaj ntsig kho hniav uas muaj los ntawm Medi-Cal. Tus Neeg Sawv Cev rau Cov Tswv Cuab ntawm A Smile, California yuav tham txog cov kev pabcuam kho hniav uas them rau cov tswv cuab txhua lub hnub nyoog, thiab tus Kws Qhia Txog Kev Sib Raug Zoo nrog Cov Kws Muab Kev Pabcuam yuav teb cov lus nug txog cov txiaj ntsig kho hniav ntawm cov tswv cuab.
CalAIM Lub Sijhawm Ua Haujlwm: Yuav Ua Li Cas Cov Koom Haum Sib Koom Cov Ntaub Ntawv rau Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Pabcuam Zej Zog
Thaum Lub Kaum Ob Hlis 1, txij 2 txog 3 teev tsaus ntuj, DHCS yuav tuav kev sib tham "Lub Sijhawm Ua Haujlwm" (yuav tsum tau sau npe ua ntej) txog seb cov koom haum CalAIM sib qhia cov ntaub ntawv li cas rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog. Cov neeg koom nrog raug caw kom xa cov lus nug los ntawm lub Kaum Ib Hlis 28 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom kuj tseem yuav muaj lub sijhawm los nug cov lus nug thaum lub sijhawm sib tham.
CalAIM Skilled Nursing Facility (SNF) Carve-In Billing and Payment Webinar
Thaum Lub Kaum Ob Hlis 2, txij thaum 1 txog 2 teev tsaus ntuj, DHCS yuav zoo li tus thib peb hauv cov kev qhia hauv xov xwm rau pej xeem rau SNF carve-in los npaj rau cov phiaj xwm tswj hwm (MCP) kev pab them nqi ntawm SNFs thoob lub xeev pib thaum Lub Ib Hlis 1, 2023. Lub Kaum Ob Hlis 2 webinar (yuav tsum tau sau npe ua ntej) yuav tsom rau kev muab cov neeg koom nrog kev nkag siab txog txoj cai them nyiaj ncaj qha rau kev siv SNF kev saib xyuas mus sij hawm ntev (LTC) cov txiaj ntsig kev cai thiab kev hloov pauv ntawm cov tswv cuab rau kev saib xyuas; tshuaj xyuas txog yam uas suav nrog hauv SNF ib tus nqi diem thiab cov kev pabcuam ntxiv dab tsi yuav raug them rau sab nraud ntawm tus nqi ntawd; thiab kev cog lus kev coj ua hauv kev sau nqi thiab kev them nyiaj. Cov ntsiab lus ntxiv ntawm cov webinars tom ntej no muaj nyob rau ntawm CalAIM LTC Carve-In hloov lub vev xaib.
CalAIM Kev Tswj Xyuas Pej Xeem Kev Noj Qab Haus Huv (PHM) thiab Pab Pawg Pabcuam Menyuam yaus & Cov Hluas - Lub Kaum Ob Hlis Lub Rooj Sib Tham
Thaum Lub Kaum Ob Hlis 5, thaum 10 txog 11:30 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham PHM pej xeem thiab Cov Pab Pawg Pabcuam Menyuam Yaus thiab Cov Hluas (yuav tsum tau sau npe ua ntej). PHM Advisory Group yuav koom nrog cov tswv cuab ntawm Pawg Pabcuam Menyuam Yaus thiab Cov Hluas. Lub rooj sib tham yuav muaj kev sib tham txog kev sib tham, txhawb nqa los ntawm DHCS, ntawm kev siv ECM rau cov menyuam yaus, cov hluas, thiab cov niam txiv ntawm kev tsom xam. DHCS tseem yuav qhia cov ntsiab lus tseem ceeb los ntawm MCP PHM Kev Npaj Npaj Ua Ntej xa tuaj thiab cov txheej txheem tshiab ntawm kev ua raws theem rau Kev Pabcuam Kev Khomob raws li Txoj Haujlwm PHM.
DHCS tau tsim lub PHM Advisory Group los txhawb kev tsim thiab siv PHM Program thiab Kev Pabcuam, thiab CalAIM Children and Youth Advisory Group los qhia txog txoj cai tsim thiab kev ua haujlwm rau CalAIM cov thawj coj uas cuam tshuam rau menyuam yaus thiab hluas. Yog xav paub ntxiv, thov mus saib hauv CalAIM PHM lub vev xaib pib.
Children and Youth Behavioral Health Initiative (CYBHI) Tus Nqi Teem Sijhawm Ua Haujlwm Pab Pawg 2
Thaum Lub Kaum Ob Hlis 5, txij li 3 txog 5 teev tsaus ntuj, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC), yuav ua kom zoo rau lub rooj sib tham thib ob ntawm pawg neeg ua haujlwm (yuav tsum tau sau npe ua ntej) los qhia txog kev txhim kho lub xeev cov nqi them tag nrho rau tsev kawm ntawv cov kev pabcuam kev noj qab haus huv raws li CYBHI. DHCS thiab DMHC yuav koom nrog pab pawg neeg ua haujlwm ntawm ntau txoj cai thiab cov ncauj lus ua haujlwm los qhia txog kev txhim kho thiab kho kom zoo ntawm qhov kev tsim qauv.
CYBHI Lub hli Public Webinar
Thaum Lub Kaum Ob Hlis 7, txij 2 txog 3:30 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online (yuav tsum tau sau npe ua ntej) kom cov neeg koom nrog paub txog DHCS txoj kev nce qib hauv kev siv ntau yam haujlwm rau CYBHI.