DHCS Stakeholder News – November 4, 2022
Xov xwm tshaj plaws
DHCS COVID-19 Pej Xeem Kev Noj Qab Haus Huv Emergency (PHE) Kev Npaj Ua Haujlwm Tsis Txaus Siab Hloov Kho
Thaum Lub Kaum Hli 27, DHCS tau hloov kho Medi-Cal COVID-19 PHE Kev Npaj Ua Haujlwm Tsis Txaus Siab. Txoj kev npaj kho tshiab no qhia txog ob qhov kev hloov pauv tshiab uas tau pom zoo los ntawm Lub Tsev Haujlwm rau Medicare & Medicaid Services (CMS) pib txij lub Kaum Hli 18 txhawm rau txo qis kev tswj hwm ntawm Medi-Cal cov tswv cuab, cov phiaj xwm tswj hwm (MCPs), thiab cov chaw lis haujlwm hauv nroog hauv nroog thaum hloov kho cov ntaub ntawv tiv tauj cov tswv cuab. Cov kev hloov pauv no yuav nyob twj ywm rau hauv 14 lub hlis tom qab COVID-19 PHE xaus, uas yuav yog qhov tseem ceeb thiab muaj txiaj ntsig zoo thaum lub nroog cov txheej txheem Medi-Cal rov txiav txim siab thaum lub sijhawm COVID-19 PHE unwinding. Cov kev hloov pauv tau pom zoo ntxiv yog:
- Koom tes nrog National Change of Address (NCOA) Database thiab United States Postal Service (USPS) In-State Forwarding Address to Update Member Contact Information. DHCS yuav tso cai ib ntus rau kev lees txais cov ntaub ntawv tiv tauj tshiab hauv lub xeev tus neeg sau npe los ntawm NCOA database thiab USPS nyob rau hauv lub xeev xa chaw nyob yam tsis muaj kev pom zoo ntxiv los ntawm tus neeg. Raws li txoj cai no, California yuav kho cov ntaub ntawv tiv tauj tshiab hauv xeev tau lees paub thiab tau txais los ntawm NCOA cov ntaub ntawv lossis USPS xa rov qab nrog qhov chaw nyob xa mus raws li kev ntseeg tau, thiab hloov kho cov ntaub ntawv tus tswv cuab nrog cov ntaub ntawv tiv tauj tshiab yam tsis tau xa daim ntawv ceeb toom rau tus tswv cuab chaw nyob hauv lub xeev.
- Kev koom tes nrog Kev Pabcuam Kev Saib Xyuas Txhua Tus rau Cov Neeg Laus (PACE) Cov Kev Pabcuam Hloov Kho Cov Ntaub Ntawv Sib cuag. Kalifonias yuav tso cai ib ntus tso cai lees txais cov ntaub ntawv tiv tauj tshiab hauv xeev los ntawm PACE cov koom haum yam tsis muaj kev pom zoo ntxiv los ntawm tus kheej. Raws li txoj cai no, lub xeev yuav kho cov ntaub ntawv tiv tauj tshiab hauv lub xeev tau lees paub los ntawm thiab tau txais los ntawm PACE cov koom haum cog lus nrog lub xeev Medicaid lub koom haum raws li kev ntseeg tau, thiab hloov kho cov ntaub ntawv tau txais txiaj ntsig nrog cov ntaub ntawv tiv tauj tshiab yam tsis tau xa daim ntawv ceeb toom rau tus neeg txais txiaj ntsig qhov chaw nyob ntawm lub xeev.
CMS Kev Tshaj Tawm ntawm Medi-Cal Cov Khoom Muaj Cai Txwv Hloov Hloov
Thaum Lub Kaum Ib Hlis 9, CMS yuav xa email rau txhua tus neeg tau txais txiaj ntsig Medicare hauv California uas muaj cov chaw nyob email khaws cia, txog li ib lab tus tib neeg, los qhia cov ntaub ntawv hais txog Medicare Savings Programs (MSPs) thiab qhov cuam tshuam ntawm kev hloov pauv ntawm cov cuab tam txwv uas California tau siv xyoo no rau kev tsim nyog tau txais kev pab cuam MSP.
Tsab email no yuav qhia rau cov neeg tau txais kev pab Medicare tias lawv tuaj yeem tau txais kev pab nyiaj txiag los ntawm MSPs rau lawv cov nqi them Medicare Part B, kev them ua ke, thiab cov nqi deductible, thiab suav nrog cov ntaub ntawv hais txog kev hloov pauv ntawm lub Xya Hli 1, 2022, cov cuab tam txwv rau MSPs uas yuav ua rau ntau tus neeg tsim nyog tau txais MSPs. Tsab email kuj muaj cov ntaub ntawv hais txog kev tsim nyog tau txais Medi-Cal, cov nyiaj tau los txwv rau ob qho kev pab cuam, thiab cov hau kev thov rau MSPs thiab Medi-Cal.
MSPs yog rau cov tib neeg uas muaj nyiaj tau los tsawg thiab muaj peev txheej tsawg los pab them ib feem lossis tag nrho lawv cov Medicare Tshooj A thiab B Premiums, cov deductibles, copayments, thiab coinsurance. Cov tib neeg uas tau sau npe rau hauv MSPs kuj tseem yuav tau txais kev pab ntxiv uas them rau cov nqi tshuaj Medicare. Cov kev txwv nyiaj tau los rau MSPs zoo ib yam li Medi-Cal, thiab kev tsim nyog rau MSPs raug txiav txim siab ua ke nrog kev tsim nyog Medi-Cal los ntawm cov chaw ua haujlwm tsim nyog hauv nroog. Tam sim no, kwv yees li ntawm 814,000 tus tib neeg hauv California tau txais MSPs.
Kev hloov kho tshiab
Clinic Workforce Stabilization Retention Payments (CWSRP)
DHCS hnub no tau tshaj tawm cov lus qhia dav dav txog cov txheej txheem los pab cov chaw kho mob uas tsim nyog npaj rau kev sau npe thiab xa daim ntawv thov CWSRP tom ntej.
Pib txij lub Kaum Ib Hlis 15, 2022, cov chaw kho mob uas tsim nyog yuav tsum tau sau npe nrog DHCS txhawm rau koom nrog CWSRP. Thaum twg sau npe thiab tau txais kev pom zoo lawm, cov chaw kho mob uas tsim nyog yuav tau txais qhov txuas los thov cov nyiaj them rov qab rau cov neeg ua haujlwm tsim nyog pib txij li lub Kaum Ob Hlis 29. DHCS txhawb kom xa daim ntawv thov ua ntej kom txhua daim ntawv thov tuaj yeem raug lees paub ua ntej hnub kawg. DHCS xav tias yuav muab nyiaj them rau cov chaw kho mob uas tsim nyog rau thaum kawg Lub Ob Hlis 2023, thiab cov chaw kho mob uas tau txais nyiaj pab yuav tsum muab nyiaj them rau cov neeg ua haujlwm uas tsim nyog hauv 60 hnub tom qab tau txais nyiaj.
Txhawm rau tshuaj xyuas cov ntaub ntawv tshiab txog kev sau npe thiab cov txheej txheem xa ntawv thov rau CWSRP, thov mus saib ntawm CWSRP lub vev xaib. Sau npe rau CWSRP cov neeg koom nrog cov lus tshaj tawm kom paub txog cov kev txhim kho tshiab.
Kev nthuav qhia Slides ntawm Children's Health Programs thiab Initiatives
On November 4, DHCS released a comprehensive set of presentation slides to help describe the numerous programs and initiatives that will improve Medi-Cal for California’s children and families. These slides cover significant Medi-Cal efforts including the California Advancing and Innovating Medi-Cal (CalAIM) initiative, improvements to Medi-Cal eligibility policy, new physical and behavioral health policies and benefits, and the Children and Youth Behavioral Health Initiative. This resource will provide stakeholders with greater insight into Medi-Cal’s strategy to support children and youth, and other aligned efforts.
CalAIM Tshooj 1115 Kev Ua Yeeb Yam thiab Tshooj 1915(b) Kev zam
Thaum Lub Kaum Ib Hlis 4, DHCS tau xa cov lus thov rau CMS kom hloov kho CalAIM Tshooj 1115 kev ua qauv qhia thiab Tshooj 1915 (b) kev zam. DHCS tab tom nrhiav kev pom zoo los siv cov kev hloov pauv qauv phiaj xwm hauv nroog hauv qhov kev pab cuam kho mob Medi-Cal. Los ntawm kev hloov kho txoj cai zam ntawm Tshooj 1915(b), DHCS kuj tseem npaj yuav ntxiv lossis hloov kho cov lus ntawm cov cai lossis cov kev pab cuam uas suav nrog hauv txoj cai zam uas tau pom zoo, suav nrog kev cuam tshuam cov ntawv cog lus ncaj qha nrog Kaiser Foundation Health Plan los sau npe rau qee tus neeg tau txais txiaj ntsig Medi-Cal hauv cov nroog xaiv.
DHCS tau tuav 30 hnub rau pej xeem tawm tswv yim thiab lub sijhawm tawm tswv yim rau pej xeem ntawm Pawg Neeg kom thov cov lus taw qhia txog cov kev hloov kho uas tau thov. Cov ntaub ntawv ntxiv txog daim ntawv thov qhia txog CalAIM Tshooj 1115 thiab daim ntawv qhia txog Tshooj 1915(b) muaj nyob rau ntawm nplooj ntawv CalAIM 1115 Demonstration & 1915(b) Waiver.
Nyiaj pab txhawb Yurok Tribe Regional Wellness Center
Thaum Lub Kaum Ib Hlis 1, DHCS tso tawm rau Yurok Tribe $ 15 lab los pab tsim lub Chaw Pabcuam Hauv Cheeb Tsam. Ib-lub sij hawm General Funds tau suav nrog hauv Senate Bill 154 (Tshooj 43, Txoj Cai ntawm 2022) los txhawb kev tsim lub Regional Wellness Center, uas yuav yog Tribal-specific center for drug, alcohol, and mental health services. Qhov no txhawb nqa DHCS Lub Hom Phiaj Zoo Tshaj Plaws ntawm kev tshem tawm qhov tsis sib xws ntawm kev noj qab haus huv los ntawm kev pab xyuas kom cov Neeg Qhab Asmeskas muaj kev nkag mus rau cov kev pabcuam kev noj qab haus huv uas tsim nyog, suav nrog cov kev pabcuam siv yeeb tshuaj, kev kho mob hauv tsev, tsev nyob hloov pauv, thiab kev saib xyuas tom qab.
Koom nrog peb pab neeg
DHCS tab tom nrhiav neeg ua haujlwm! Thaum Lub Kaum Ob Hlis 20 thiab 21, DHCS yuav tuav ib qho kev tshwm sim nrhiav neeg ua haujlwm hauv online los nrhiav cov kws tshuaj xyuas kev pab cuam ntawm tsoomfwv thiab cov kws tshuaj xyuas kev pabcuam neeg ua haujlwm. Cov neeg sib tw yuav tsum ua tiav qhov kev xeem thiab xa daim ntawv thov ua ntej lub Kaum Ib Hlis 14 thiaj li raug txiav txim siab. Yog xav paub ntxiv, thov email rau Recruit@dhcs.ca.gov, lossis mus saib nplooj ntawv Facebook ntawm DHCS.
For other opportunities to join our fiscal, human resources, legal, auditing, health policy, and information technology teams, along with other professions, visit the CalCareers website.
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 hom phiaj ntawm DHCS yog muab kev pabcuam kho mob uas pheej yig, sib koom ua ke, zoo, thiab ncaj ncees rau cov neeg nyob hauv zej zog uas tsis muaj zog tshaj plaws, thiab tam sim no nws tab tom hloov pauv qhov kev pab cuam 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
CalAIM Enhanced Care Management (ECM) thiab Community Supports Data Sharing Webinar
Thaum Lub Kaum Ib Hlis 10, txij 1:30 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online txog seb cov koom haum CalAIM sib qhia cov ntaub ntawv li cas rau ECM thiab Kev Txhawb Nqa Hauv Zej Zog (yuav tsum tau sau npe ua ntej). Cov neeg koom nrog tuaj yeem xa cov lus nug mus rau CalAIMECMILOS@dhcs.ca.gov thaum Lub Kaum Ib Hlis 7, thiab cov neeg tuaj koom yuav tuaj yeem nug cov lus nug thaum lub sijhawm webinar. Yuav muaj ib qho kev tshwm sim ntxiv "Lub Sijhawm Ua Haujlwm" rau lub Kaum Ob Hlis 1, txij 2 txog 3 teev tsaus ntuj, rau cov neeg tuaj koom nug cov lus nug ntxiv uas tsis tau hais txog thaum lub sijhawm webinar. Yog xav paub ntxiv txog cov kev sib tham hauv webinars thiab cov kev sib txuas rau cov kev sib tham yav dhau los, thov saib DHCS' Technical Assistance Events.
Behavioral Health Stakeholder Advisory Committee (BH-SAC) Special Webinar to Solicit Feedback on Medicaid Seev 1115 Daim Ntawv Qhia
On November 15, from 11:30 a.m. to 12:30 p.m., DHCS will virtually host a special public stakeholder meeting (join webinar at scheduled time) to solicit stakeholder feedback for an upcoming concept paper on DHCS’ intent to apply for a new Medicaid Section 1115 demonstration. This demonstration will expand access to and strengthen the continuum of community-based mental health services for Medi-Cal members living with serious emotional disturbance or mental illness. 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. Meeting materials for the November 15 meeting will be posted to the BH-SAC webpage as they become available. Questions about the BH-SAC may be directed to BehavioralHealthSAC@dhcs.ca.gov.
Hearing Aid Coverage for Children Program (HACCP) Webinar for Families
Thaum Lub Kaum Ib Hlis 15, DHCS yuav tuav ob lub rooj sib tham rau HACCP Webinar rau Tsev Neeg txhua peb lub hlis tom ntej: 10 txog 10:50 sawv ntxov thiab 6 txog 6:50 tsaus ntuj Lub hom phiaj ntawm lub rooj sib tham hauv online no yog los muab cov ntaub ntawv hais txog cov qauv tsim nyog ntawm HACCP, cov txheej txheem sau npe, thiab cov txiaj ntsig uas tau them rau cov tsev neeg uas xav paub, nrog rau cov neeg uas muaj menyuam twb tau sau npe rau hauv HACCP lawm. Cov ntaub ntawv ntxiv txog qhov kev pab cuam muaj nyob rau ntawm DHCS lub vev xaib HACCP. Cov ntsiab lus ntawm Webinar muaj nyob rau ntawm HACCP's Resources for Families webpage.
Lub Rooj Sib Hais Rau Pej Xeem Sib Tham Txog Medi-Cal Cov Cai Nkag Nkag Nkag thiab Cov Txheej Txheem rau Doulas
Thaum Lub Kaum Ib Hlis 17, txij 1 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham rau pej xeem (yuav tsum tau sau npe ua ntej) los tham txog cov ntawv xov xwm ntawm cov kws kho mob uas muaj npe hu ua, "Cov Kev Cai thiab Cov Txheej Txheem rau Kev Sau Npe Medi-Cal rau Doulas." Daim ntawv tshaj tawm no tau tsim los ua kom tau raws li cov kev cai thiab cov txheej txheem ntawm cov kws kho mob doula kom sau npe rau hauv Medi-Cal txoj haujlwm them nqi rau kev pabcuam. Cov neeg koom nrog tuaj yeem xa cov lus nug thiab cov lus qhia thaum lub rooj sib hais; cov lus sau yuav raug txais rau hnub ntawm lub rooj sib hais txog 5 teev tsaus ntuj. Raws li cov lus tawm tswv yim pej xeem tau txais, DHCS yuav tshaj tawm tsab ntawv xov xwm kawg rau ntawm Medi-Cal thiab DHCS lub vev xaib. Cov kev hloov pauv yuav pib siv tau 30 hnub tom qab tshaj tawm.
CalAIM Cov Sijhawm Ua Haujlwm: Q&A rau Cov Nroog Tshiab Siv ECM thiab Kev Txhawb Zej Zog
Thaum Lub Kaum Ib Hlis 17, txij 2 txog 3 teev tsaus ntuj, DHCS yuav tuav kev sib tham "Lub Sijhawm Ua Haujlwm" (yuav tsum tau sau npe ua ntej) rau cov nroog tshiab siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog. Cov neeg koom nrog tuaj yeem xa cov lus nug los ntawm lub Kaum Ib Hlis 14 mus rau CalAIMECMILOS@dhcs.ca.gov, thiab cov neeg tuaj koom tuaj yeem nug cov lus nug thaum lub sijhawm sib tham.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
Thaum Lub Kaum Ib Hlis 17 thiab 21, Smile, California yuav tuav ob qhov kev nthuav qhia Facebook Live rau Medi-Cal cov tswv cuab, ib qho ua lus Askiv thiab ib qho ua lus Mev. Lus Askiv Lub nkoj tab tom xa khoom mus rau qhov chaw nres nkoj Spanish, thiab kev cia siab yuav tuaj txog muaj Lub Ob Hlis 17, 17:30. Smile, California cov tswvcuab nthuav tawm cov neeg sawv cev yuav muab Smile, Koj cov txiaj ntsig Medi-Cal suav nrog Kev Kho Hniav! kev nthuav qhia thiab:
- Sib tham txog Medi-Cal Dental Program.
- Qhia rau cov neeg saib txog cov kev pab kho hniav uas muaj rau cov tswv cuab ntawm txhua lub hnub nyoog.
- Teb cov lus nug txog Medi-Cal nyiaj pab kho hniav.
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar
Thaum Lub Kaum Ib Hlis 18, txij thaum 2 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham nrog cov neeg koom nrog virtual los tham txog Txoj Haujlwm Pabcuam Ua Haujlwm thiab Kev Pabcuam Zoo (WQIP) tau tso cai los ntawm Assembly Bill 186 (Tshooj 46, Txoj Cai ntawm 2022). Lub rooj sib tham no yuav txuas ntxiv kev sib tham ntawm WQIP qhov kev tsim qauv uas tau nthuav tawm yav dhau los ntawm lub Kaum Hli 25 lub rooj sib tham virtual cov neeg koom nrog, nthuav tawm cov kev hloov pauv uas tau hais tseg, thiab muab sijhawm ntxiv rau cov neeg koom nrog tawm tswv yim. Cov ntaub ntawv hais txog yuav ua li cas koom nrog lub Kaum Ib Hlis 18 lub vev xaib yuav raug tshaj tawm rau ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Reform AB 186 lub vev xaib ze dua rau hnub lub rooj sib tham.
CalAIM Kev Ntsuam Xyuas Thaum Ntxov thiab Txhua Lub Sijhawm, Diagnostic, thiab Treatment Services (EPSDT) Enrollee-Facing Materials Webinar
On November 18, from 11 a.m. to 12 p.m., DHCS will host a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials (advance registration required). The federal and state requirement for children’s services, known as EPSDT, gives children and youth under age 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT covered services.
Proposed materials include: two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the EPSDT name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped. The draft materials will be posted on the DHCS CalAIM News & Updates webpage before webinar. All interested members, providers, plans, counties, health systems, advocates, and other stakeholders are invited to attend.
Dementia Care Aware Webinar Series - Plaub Webinar
On November 18, from 12 to 1 p.m., Dementia Care Aware will virtually host The Cognitive Health Assessment via Video or Phone (advance registration required) webinar. Jennifer Schlesinger, Vice President of Healthcare Services & Community Education at Alzheimer’s Los Angeles, and Elena Tsoy, PhD, Clinical Neuropsychologist and Assistant Professor at UCSF, will speak about ways to conduct cognitive health assessments via phone or video. Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Additional information is available on the Dementia Care Aware Initiative website. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit).