DHCS Stakeholder News – October 20, 2023
DHCS Stakeholder News – October 20, 2023
Xov xwm tshaj plaws
Tshooj 1115 Kev Tawm Tsam: BH-CONNECT thiab CalAIM Kev Hloov Pauv Hloov Pauv
On October 20, DHCS submitted to the Centers for Medicare & Medicaid Services (CMS) the new Section 1115 demonstration request, entitled the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration, and the proposed amendment to the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration related to transitional rent services. Read what people are saying about California’s Behavioral Health Transformation.
BH-CONNECT
Kev ua qauv qhia BH-CONNECT tsim los ntawm kev nqis peev uas tsis tau muaj dua los thiab kev hloov pauv txoj cai tam sim no hauv California uas tau tsim los nthuav dav kev nkag mus rau kev saib xyuas kev noj qab haus huv hauv zej zog thiab txhim kho cov txiaj ntsig rau Medi-Cal cov tswv cuab uas muaj kev noj qab haus huv tseem ceeb tshaj plaws thiab kev siv tshuaj yeeb dej caw. Qhov kev ua qauv qhia BH-CONNECT yuav ua qauv thiab ntsuas cov qauv ua pov thawj raws li Medi-Cal cov tswv cuab uas xav tau kev pab loj tshaj plaws tau txais kev saib xyuas sab saud, raws li kev saib xyuas hauv zej zog; zam lub chaw saib xyuas xwm txheej ceev uas tsis tsim nyog, mus pw hauv tsev kho mob, thiab nyob hauv cov tsev kho mob thiab cov chaw nyob; txo kev koom tes nrog kev ncaj ncees; thiab tshaj tawm cov xwm txheej zoo dua. Txhawm rau ua tiav cov hom phiaj no, BH-CONNECT kev ua qauv qhia suav nrog qee yam khoom siv uas yuav raug coj los siv thoob plaws lub xeev thiab lwm yam khoom siv uas yuav raug coj los siv rau hauv lub nroog xaiv.
CALAIM Transitional Rent Amendment
Txhawm rau txhim kho kev noj qab haus huv thiab kev noj qab haus huv ntawm cov tswv cuab ntawm Medi-Cal thaum muaj kev hloov pauv tseem ceeb lossis uas ua tau raws li cov kev pheej hmoo siab, DHCS tab tom nrhiav kev hloov kho rau CalAIM Tshooj 1115 ua qauv qhia kom muab txog li rau lub hlis ntawm cov kev pab cuam hloov pauv hloov mus rau cov tib neeg tsim nyog uas tsis muaj tsev nyob lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob thiab kev hloov pauv ntawm cov chaw nyob, chaw zov me nyuam kom raug. Txoj kev noj qab haus huv, cov chaw saib xyuas rov qab los, tsev kho mob luv luv tom qab tsev kho mob, tsev nyob hloov pauv, cov tsev tsis muaj tsev nyob lossis cov tsev nyob ib ntus, nrog rau cov uas ua tau raws li cov txheej txheem rau kev tsis muaj vaj tse nyob los yog rau Kev Pabcuam Kev Sib Koom Tes (FSP). Cov kev hloov pauv hloov pauv yuav muaj nyob rau lub sijhawm tsis pub dhau rau lub hlis; yuav tsum tau them nyiaj; thiab yuav muab tsuas yog tias nws tau txiav txim siab kom tsim nyog kho mob siv kev kho mob thiab lwm yam kev xav tau ntawm kev noj qab haus huv. Medi-Cal cov kev pab cuam hloov pauv yuav yog kev yeem rau Medi-Cal cov phiaj xwm saib xyuas kev tswj hwm los muab thiab rau Medi-Cal cov tswv cuab siv.
Please visit the DHCS BH-CONNECT webpage and DHCS CalAIM 1115 Demonstration & 1915(b) Waiver webpage for more information.
CalAIM Kev Ncaj Ncees-Involved Initiative
DHCS tshaj tawm tias hnub pib siv rau qhov kev pib ua haujlwm uas muaj feem cuam tshuam nrog kev ncaj ncees tau tsiv los ntawm Lub Plaub Hlis 1, 2024, mus rau Lub Kaum Hli 1, 2024. DHCS kuj tseem yuav tshaj tawm txoj cai kawg thiab phau ntawv qhia kev ua haujlwm rau kev npaj thiab kev siv CalAIM txoj haujlwm koom nrog kev ncaj ncees. DHCS tseem xav tias yuav siv sijhawm ob xyoos los ua haujlwm. Qhov kev hloov pauv no yuav tso cai rau California cov chaw kaw neeg, cov neeg koom tes hauv nroog, cov phiaj xwm saib xyuas kev noj qab haus huv, thiab cov koom haum hauv zej zog kom npaj tau zoo dua rau kev siv cov kev pabcuam ua ntej tso tawm raws li txoj cai lij choj hauv xeev xav tau thiab tau tso cai hauv California qhov kev ua qauv qhia CalAIM.
Qhov kev hloov pauv no tseem yuav tso cai rau ntau lub sijhawm los ua kom tiav txoj cai thiab cov kev hloov kho IT uas yuav tsum tau ua kom tiav; txuas ntxiv koom tes nrog cov neeg koom tes ua haujlwm (cov chaw kaw neeg raug kaw, cov chaw muab kev pabcuam hauv zej zog, thiab cov phiaj xwm saib xyuas Medi-Cal) los muab kev pabcuam txog kev cai thiab kev ua haujlwm; thiab rau cov chaw kaw neeg kom siv Cov Nyiaj Pab Txhawb Kev Nkag Mus thiab Kev Hloov Kho Kev Ncaj Ncees Kev Noj Qab Haus Huv uas Muaj Peev Xwm Koom Tes los ua cov peev txheej tsim nyog los qhia txog kev npaj txhij thiab ua raws li txoj cai thiab kev ua haujlwm.
Additionally, DHCS is releasing the policy and operational guide for planning and implementing the CalAIM justice-involved reentry initiative. Along with the guide, DHCS will release a summary of changes made to the guide based on stakeholder feedback. Lastly, DHCS will release a draft of the correctional facility readiness assessment template for stakeholder feedback. To submit questions or comments, please send an email to CalAIMJusticeAdvisoryGroup@dhcs.ca.gov no later than November 13, 2023.
Kev hloov kho tshiab
Lub Ib Hlis 2024 Medi-Cal Managed Care Plan Transition
DHCS tab tom hloov Medi-Cal kom ntseeg tau tias cov neeg California tau txais kev kho mob uas lawv xav tau kom muaj lub neej noj qab haus huv zoo. Pib xyoo 2024, cov phiaj xwm kev kho mob Medi-Cal uas tswj hwm yuav raug rau cov kev cai tshiab los txhawb kev ncaj ncees ntawm kev noj qab haus huv, qhov zoo, kev nkag mus tau, kev lav ris, thiab kev pom tseeb los txhim kho lub kaw lus kev kho mob Medi-Cal. Ua ib feem ntawm qhov kev hloov pauv no, qee cov phiaj xwm yuav hloov pauv rau lub Ib Hlis 1, uas yuav ua rau kwv yees li 1.2 lab tus tswv cuab ntawm Medi-Cal uas tswj hwm kev saib xyuas muaj cov kev xaiv phiaj xwm tshiab. Muaj tej lub sij hawm, cov kev hloov no kuj yuav xav kom cov tswv cuab hloov mus rau cov phiaj xwm tshiab yog tias lawv cov phiaj xwm tam sim no tsis pab cov tswv cuab hauv lawv lub nroog lawm. Kev hloov cov phiaj xwm yuav tsis cuam tshuam rau kev pab them nqi lossis cov txiaj ntsig ntawm Medi-Cal.
Thaum ntxov lub hlis no, cov tswv cuab uas yuav hloov mus rau txoj kev npaj tshiab thaum Lub Ib Hlis 2024 tau txais tsab ntawv ceeb toom los ntawm lawv txoj kev npaj tawm mus. DHCS tau npaj tsab ntawv qhia txog Medi-Cal Eligibility Division Information Letter Number I 23-54 los muab cov ntaub ntawv rau cov nroog txog qee tus tswv cuab Medi-Cal hloov mus rau txoj kev npaj tshiab rau lub Ib Hlis 1 thiab cov peev txheej muaj los txhawb lawv txoj kev hloov pauv. DHCS kuj tau npaj Phau Ntawv Qhia Txog Kev Hloov Pauv Txoj Cai Tswjfwm Kev Npaj Kho Mob Xyoo 2024 uas suav nrog cov kev cai tshwj xeeb rau cov phiaj xwm.
DHCS tau tsim cov peev txheej ntxiv los txhawb cov tswv cuab, cov neeg muab kev pabcuam, thiab lwm tus neeg koom nrog kev hloov pauv. Cov peev txheej no muaj txiaj ntsig zoo rau cov neeg ua haujlwm tsim nyog hauv nroog, cov phiaj xwm, cov neeg muab kev pabcuam, thiab lwm tus neeg koom nrog uas teb cov lus nug hloov pauv los ntawm cov tswv cuab. Cov peev txheej suav nrog nplooj ntawv web ntawm Managed Care Plan Transition Member uas muaj lub cuab yeej "nrhiav" ntawm lub nroog, cov ntawv ceeb toom rau cov tswv cuab, cov lus nug nquag nug, thiab nplooj ntawv Tiv Tauj Peb rau cov tswv cuab kom paub ntau ntxiv txog cov phiaj xwm kho mob thiab cov kev xaiv ntawm cov kws kho mob. Tseem muaj cov peev txheej hloov pauv rau cov neeg muab kev pabcuam thiab cov phiaj xwm thiab lwm cov neeg koom nrog. Thov xa email nrog cov lus nug lossis lus tawm tswv yim rau MCPTransitionPolicyGuide@dhcs.ca.gov.
CalSAWS System Migration
Thaum Lub Kaum Hli Ntuj hnub tim 30, qhov kev hloov pauv zaum kawg ntawm California Statewide Automated Welfare System (CalSAWS) tau teem sijhawm kom ua tiav. Tam sim no 58 lub nroog hauv California raug faib ua ob txoj kev tsim nyog thiab kev sau npe: California Work Opportunity and Responsibility to Kids Information Network (CalWIN) thiab CalSAWS. Xyoo 2016, CMS thiab Food and Nutrition Service (FNS) xav kom California siv ib lub county system (CalSAWS) thaum Lub Kaum Ob Hlis 31, 2023, los txhawb nqa tag nrho 58 lub counties.
Cov nroog CalWIN txoj kev tsiv teb tsaws chaw mus rau CalSAWS tau teeb tsa ua rau rau lub sijhawm, pib thaum Lub Kaum Hli Ntuj xyoo 2022. Tag nrho 58 lub nroog yuav ua haujlwm ntawm CalSAWS tam sim no. Ntxiv rau qhov kev hloov pauv ntawm CalWIN mus rau CalSAWS, cov portals uas pej xeem siv los thov cov nyiaj pab tau koom ua ke rau hauv ib lub portal (BenefitsCal). Cov neeg thov thiab cov tswv cuab hauv txhua lub nroog yuav siv BenefitsCal los thov thiab tswj hwm cov txiaj ntsig Medi-Cal, CalFresh, thiab CalWORKs.
Reject Code 80 (Diagnosis) Hnub Ua Haujlwm tau ncua
Thaum Lub Kaum Hli Ntuj hnub tim 17, DHCS tau tshaj tawm ib daim ntawv tshaj tawm txog kev ncua sijhawm ntawm Reject Code 80, Diagnosis Code Submitted Does Not Meet Drug Coverage Criteria, ua ib feem ntawm Theem IV, Lift 4 of Reinstatement rau lub Kaum Ib Hlis 10, 2023, rau cov tswv cuab hnub nyoog 22 xyoo thiab laus dua. Medi-Cal Rx yuav tshaj tawm lwm daim ntawv xov xwm thaum hnub pib siv tau txiav txim siab lawm. Raws li cov lus taw qhia ntawm cov neeg koom nrog, qhov kev txiav txim siab tau ua los ncua qhov kev siv kom txo qhov kev cuam tshuam thiab xyuas kom muaj kev nyab xeeb thiab raws sijhawm ntawm cov txiaj ntsig tshuaj.
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’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Ncaj Ncees-Involved Program Lub Sijhawm Ua Haujlwm
On October 23, DHCS will host the next PATH Justice-Involved Program virtual office hours session for Round 3 awardees (advance registration required). Office hours will be held every other Monday at 11:30 a.m. through December 18 to assist Round 3 agencies, including supporting implementation plan submission. For more information, visit the Justice-Involved Program website.
Kev pom zoo me me thiab tsis pub leej twg paub txog Kev Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Webinar
On October 25, from 12 to 1:30 p.m., DHCS and the California Prevention Training Center will host a Minor Consent and Confidentiality for Sexual Health Services webinar (advanced registration required). This webinar will provide an overview of the California laws that impact minors and their access to confidential sexual health and family planning services. It will review important exceptions to confidentiality, including mandated child abuse reporting, and share some examples of best practices for implementation in difficult situations. Participants will learn about resources to support implementation of minor consent laws and be given an opportunity to test their own knowledge through case studies.
For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be made available on the Family PACT website.
Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Sib Koom Tes Kev Npaj thiab Kev Ua Haujlwm (CPI) Qhov Zoo Tshaj Plaws Webinar
Thaum Lub Kaum Hli Ntuj hnub tim 27, txij thaum 10 teev sawv ntxov txog 11 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv online thoob plaws lub xeev, hu ua Kev Tswj Xyuas Kev Kho Mob Zoo Dua (ECM) thiab Kev Txhawb Nqa Hauv Zej Zog rau Cov Neeg Muab Kev Pabcuam Sib Koom Tes thiab Kev Ntsuam Xyuas Tus Kheej ntawm Kev Cog Lus (yuav tsum tau sau npe ua ntej). Lub rooj sib tham virtual no yog thawj zaug hauv cov kev cob qhia zoo tshaj plaws txhua ob xyoos uas tsim los qhia txog cov kev coj ua zoo tshaj plaws rau kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog, ua kom cov neeg muab kev pabcuam koom tes zoo hauv CalAIM, thiab txhim kho kev koom tes nrog cov phiaj xwm kev saib xyuas kev noj qab haus huv, cov koom haum tsoomfwv hauv xeev thiab hauv nroog, thiab lwm tus neeg koom nrog los tsim thiab xa cov kev pabcuam txhawb nqa zoo rau cov tswv cuab Medi-Cal. Yog xav paub ntxiv thiab xav sau npe, thov mus saib PATH CPI webpage.
Behavioral Health Continuum Infrastructure Program (BHCIP) Kev Sib Tham
Thaum Lub Kaum Hli 30, DHCS yuav tuav lub rooj sib tham BHCIP qhib rau pej xeem, suav nrog cov nroog, cov koom haum pab pawg, thiab cov koom haum tsis muaj txiaj ntsig thiab cov txiaj ntsig. Lub rooj sib tham yuav muab qhov kev hloov kho tshiab ntawm BHCIP Round 6, Ntu I: Cov Kev Xav Tau Tsis Tau Txais thiab tso cai rau cov neeg thov tsim nyog los muab tswv yim txog kev npaj thiab kev siv. Cov nyiaj BHCIP tseem tshuav no yuav muab faib ua ob ntu thiab tag nrho $ 480.7 lab. Rau Round 6, Ntu I, qhov kev hloov kho tshiab tau xav tias yuav muab tawm rau lub Kaum Ib Hlis, ua raws li Daim Ntawv Thov Kev Thov (RFA) thaum Lub Ib Hlis 2024. Round 6, Ntu II tuaj yeem ua raws tib lub sijhawm nyob rau lub Kaum Ib Hlis 2025-Lub Ib Hlis 2026.
BHCIP muab DHCS nrog cov nyiaj pab los muab tag nrho $ 2.2 nphom los ntawm 6 qhov kev sib tw nyiaj pab rau cov koom haum tsim nyog los tsim, tau txais, thiab kho cov cuab yeej cuab tam, lossis los nqis peev hauv mobile ntsoog infrastructure, los nthuav cov zej zog txuas ntxiv ntawm kev kho tus cwj pwm kev noj qab haus huv. Thov xa email rau cov lus nug rau BHCIP@dhcs.ca.gov.
Children and Youth Behavioral Health Initiative (CYBHI) Tag Nrho Cov Nqi Them Nqi
Thaum Lub Kaum Hli Ntuj hnub tim 30, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC), yuav tuav lub rooj sib tham ua haujlwm hauv online los qhia txog kev tsim cov sijhawm them nqi thoob plaws lub xeev rau cov kev pabcuam kev noj qab haus huv hauv tsev kawm ntawv raws li CYBHI. Los ntawm pawg neeg ua haujlwm no, DHCS thiab DMHC yuav koom nrog cov neeg koom tes uas sawv cev rau kev kawm ntawv K-12, cov tsev kawm ntawv qib siab, cov phiaj xwm kev saib xyuas Medi-Cal, cov phiaj xwm kev noj qab haus huv lag luam, cov chaw haujlwm kev noj qab haus huv tus cwj pwm hauv nroog, cov chaw muab kev noj qab haus huv tus cwj pwm, cov koom haum, cov neeg tawm tswv yim, cov hluas, thiab cov niam txiv/cov neeg saib xyuas txog ntau yam txoj cai thiab kev ua haujlwm los pab qhia txog kev tsim kho thiab kev txhim kho ntawm kev tsim qauv kev pab cuam.
Lub sijhawm them nqi yuav suav nrog cov txheej txheem kho mob uas tsim nyog rau tus neeg mob sab nraud lossis kev siv tshuaj tsis zoo rau cov menyuam kawm ntawv hnub nyoog 25 xyoos lossis qis dua, ntawm lub tsev kawm ntawv lossis nyob ze ntawm lub tsev kawm ntawv, thiab kev txhim kho lub tsev kawm ntawv txuas nrog lub xeev cov chaw pabcuam hauv tsev kawm ntawv cov kws pab tswv yim kev noj qab haus huv.
CalAIM Cov Ntaub Ntawv Qhia Txog Kev Pom Zoo (DSAG) 2.0 Webinar
On October 30 at 10:30 a.m., DHCS will host an all-comer webinar on the updated CalAIM DSAG 2.0 (advanced registration is required). This document was created to provide guidance on data sharing under the CalAIM provisions of Assembly Bill (AB) 133, a 2021 law that makes it easier for a wide range of providers to share data for the purposes of implementing CalAIM. The webinar will include an overview of the CalAIM DSAG; key privacy laws applicable to CalAIM to help Medi-Cal partners understand applicable privacy and consent laws across four key areas of data privacy; AB 133’s data sharing provisions and related guidance; consent and authorizations; and data sharing use case scenario examples.
All Medi-Cal managed care plans, tribal health programs, health care providers, community-based social and human service organizations and providers, local health jurisdictions, correctional facility health care providers, and county and other public agencies that provide services and manage care for individuals enrolled in Medi-Cal are invited to attend.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
Thaum Lub Kaum Ib Hlis 2, DHCS yuav tuav lub rooj sib tham MCHAP hybrid tom ntej (yuav tsum tau sau npe ua ntej) ntawm California Endowment (1414 K Street, Sacramento). Cov ntaub ntawv rooj sib tham yuav muab tso rau ntawm MCHAP lub vev xaib ze dua rau hnub lub rooj sib tham. Yog tias koj xav tau txais cov ntaub ntawv hais txog cov rooj sib tham lossis muaj lus nug dav dav, thov email MCHAP@dhcs.ca.gov.