DHCS Stakeholder News – October 21, 2022​​ 

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​​ 

Kev Sau Npe yog LIVE rau Tsev Kho Mob thiab Chaw Kho Mob Kws Kho Mob COVID-19 Cov Neeg Ua Haujlwm Retention Payments (WRP)​​ 

Thaum Lub Kaum Hli 21, DHCS tau qhib WRP rau npe rau Cov Chaw Pabcuam (CEs), Cov Chaw Pabcuam Kev Pabcuam (CSEs), thiab Cov Kws Kho Mob Pab Pawg (PGEs) txog rau lub Kaum Ob Hlis 21, 2022. CEs, CSEs, thiab PGEs yuav tsum tau sau npe nrog DHCS los koom nrog WRP. Thaum sau npe, CEs, CSEs, thiab PGEs yuav raug pom zoo los thov cov nyiaj tuav pov hwm sawv cev ntawm lawv cov neeg ua haujlwm tsim nyog. Rau qhov txuas rau kev sau npe thiab txhawb kev taw qhia, thov mus saib WRP lub vev xaib.​​ 

Kev hloov kho tshiab​​ 

Daim Ntawv Thov Kev Pabcuam thiab Kev lees paub rau Kev Sau Npe (PAVE) Portal rau Cov Kws Kho Hniav​​ 

Pib txij lub Kaum Hli Ntuj tim 31, 2022, DHCS tab tom tsim Medi-Cal cov kev cai rau npe kawm rau cov kws kho hniav tshiab. Cov kws kho hniav yuav tuaj yeem tso npe ua Medi-Cal kws kho hniav los ntawm kev xa daim ntawv thov hluav taws xob los ntawm PAVE enrollment portal, nrog rau tag nrho cov ntaub ntawv txhawb nqa. Txhua tus kws kho hniav yuav tsum siv PAVE portal txhawm rau tso npe rau hauv Medi-Cal, qhia txog kev hloov pauv rau cov npe tam sim no, thiab ua kom tiav qhov rov siv tau lossis txuas ntxiv mus rau ib tus neeg, pab pawg, thiab cov chaw muab kev pabcuam. Thaum PAVE rau cov kws kho hniav raug tso tawm, DHCS yuav tsis txais daim ntawv thov ntxiv lawm. Yog xav paub ntxiv, thov mus saib Phau Ntawv Teev Npe Tus Muab Kev Pab, Volume 38 Number 31.​​ 

Indian Health Program (IHP) Grant Program Delay Release of Request for Application (RFA)​​ 

DHCS, tom qab 10-hnub cov lus tshaj tawm rau pej xeem rau pawg neeg koom tes, tau ncua sijhawm RFA rau qhov kev pab cuam IHP. Keeb kwm tau npaj rau kev tso tawm thaum Lub Kaum Hli 21, qhov kev tawm tswv yim tau txais los ntawm Pawg Neeg Koom Tes thiab cov kev hloov pauv tom ntej uas yuav tsum tau ua rau RFA tau ua rau muaj kev hloov pauv rau lub sijhawm qub. Lub sijhawm hloov kho yuav raug muab tawm thaum nws muaj.​​ 

Qhov nyiaj siab tshaj ntawm $ 22,852,000 yuav muaj rau ob lub xyoo nyiaj txiag los muab khoom plig rau RFA no thaum nws tso tawm. Cov nyiaj yuav muaj rau kev faib mus rau kwv yees li 45 Pawg Neeg thiab hauv nroog Indian chaw kho mob hauv nroog, thiab cov nyiaj tau txais txiaj ntsig yuav raug txiav txim siab raws li cov ntawv thov tau txais.​​ 

Smile, California Kev Sib Tw rau Medi-Cal Dental Services​​ 

Tam sim no Back-Tooth-School (BTS) kev tshaj tawm thiab kev tshaj tawm xov xwm hauv Instagram thiab Facebook yuav khiav mus txog rau thaum lub Kaum Ib Hlis. Cov ntaub ntawv kaw tseg ntawm lub Kaum Hli 12 BTS webinar nrog California Lub Tsev Haujlwm Saib Xyuas Kev Kawm tau raug tshaj tawm. Tag nrho cov ntaub ntawv BTS tau muab tso rau ntawm nplooj ntawv Kev Noj Qab Haus Huv thiab Kev Npaj Tsev Kawm Ntawv ntawm SmileCalifornia.org thiab SonrieCalifornia.org.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav cov neeg California los koom nrog peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, kev noj qab haus huv txoj cai, thiab pab pawg xov xwm thev naus laus zis, nrog rau lwm txoj haujlwm. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​ 

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 Population Health Management (PHM) Pawg Kws Pab Tswv Yim - Lub Kaum Hli Lub Rooj Sib Tham​​ 

Thaum Lub Kaum Hli 24, thaum 10:30 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham PHM Advisory Group tom ntej (yuav tsum tau sau npe ua ntej). 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 rooj sib tham qhib rau pej xeem, thiab cov ntaub ntawv sib tham thiab cov ntaub ntawv yuav muaj nyob rau ntawm DHCS lub vev xaib.​​ 

Lub Kaum Hli Ntuj lub rooj sib tham yuav suav nrog cov lus qhia luv luv ntawm Cov Neeg Tau Txais Kev Pab Cuam Tshuam thiab Cov Pej Xeem Kev Sib Tham, nrog rau kev sib tham tom qab ntawm Risk Stratification, Segmentation, thiab Tiering thiab PHM Service, raws li cov lus nug uas tau txais los ntawm Pawg Kws Pab Tswv Yim yav dhau los. Cov neeg muaj feem raug txhawb kom xa cov lus nug ntxiv rau CalAIM@dhcs.ca.gov ua ntej lub vev xaib.​​ 

Kev Pabcuam Saib Xyuas Kev Noj Qab Haus Huv Cov Nyiaj Txiag Reforms Stakeholder Meeting​​  

Thaum Lub Kaum Hli 25, thaum 12 teev tsaus ntuj txog 1 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham nrog cov neeg koom nrog virtual ntawm kev hloov kho nyiaj txiag hauv tsev laus (yuav tsum tau sau npe ua ntej) tau tso cai los ntawm Assembly Bill 186 (Tshooj 46, Statutes of 2022). DHCS yuav nthuav qhia thawj zaug Kev Ua Haujlwm Pabcuam Kev Ua Haujlwm Zoo thiab Kev Pabcuam Kev Ua Haujlwm Zoo tsim los txiav txim siab thiab nrhiav cov tswvcuab muaj feem cuam tshuam. Yog xav paub ntxiv, thov mus saib qhov Webpage Cov Nyiaj Them Nqi Kho Mob Ntev Ntev.​​ 

CalAIM Lub Sijhawm Ua Haujlwm: Kev Pabcuam Vaj Tse los ntawm Kev Tswj Xyuas Kev Txhim Kho (ECM) thiab Kev Pabcuam Zej Zog​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 27, txij 2 txog 3 teev tsaus ntuj, DHCS yuav tuav kev sib tham "Lub Sijhawm Ua Haujlwm" hauv online txog Kev Txhawb Nqa Vaj Tse los ntawm CalAIM ECM thiab Kev Txhawb Nqa Zej Zog (yuav tsum tau sau npe ua ntej). Cov lus nug thiab lus teb no yog kev ua raws li lub rooj sib tham hauv online txog cov ncauj lus no uas tau muaj nyob rau lub Kaum Hli 13. Cov neeg koom nrog raug caw kom xa cov lus nug los ntawm lub Kaum Hli 24 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.  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. ​​ 

Doula Stakeholder Lub Rooj Sib Tham​​ 

Thaum Lub Kaum Hli 27, txij thaum 1 txog 3 teev tsaus ntuj, DHCS yuav zoo rau lub rooj sib tham rau pej xeem cov neeg koom nrog kev sib tham txog kev ntxiv cov kev pab cuam doula raws li cov kev pab cuam Medi-Cal, pib lub Ib Hlis Ntuj 1, 2023. DHCS tab tom koom nrog pab pawg neeg ua haujlwm txog cov ntsiab lus ntawm kev txhim 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 cuam tshuam tuaj yeem mloog cov neeg ua haujlwm sib tham txog cov tswv yim tawm tswv yim thiab muab tswv yim los ntawm email rau DoulaBenefit@dhcs.ca.gov. DHCS tseem yuav qhia txog qhov hloov tshiab ntawm cov xwm txheej ntawm kev xa Daim Ntawv Qhia Kev Hloov Kho Lub Xeev rau Lub Chaw rau Medicare & Medicaid Services thaum Lub Kaum Hli, thiab sib tham txog phau ntawv muab kev pabcuam rau doula. Qhov txuas mus koom lub webinar yuav muaj nyob rau ntawm nplooj ntawv doula.​​ 

Kev tso cai los qhia cov ntaub ntawv tsis pub lwm tus paub Medi-Cal (ASCMI) Form Webinar​​ 

On November 2, from 2 to 2:55 p.m., DHCS will host a webinar focused on a pilot program (advance registration required) to assess the ASCMI Form and its use in a consent management service. The ASCMI Form is designed to facilitate the sharing of an individual’s physical, mental, substance use, and social health information through a standardized consent process. A consent management service will be used to store and manage Medi-Cal member consent and can be accessed and amended by members and service providers via a website and/or their existing electronic health record (EHR) system. Each pilot applicant will be a collaborative partnership consisting of a health information exchange/community information exchange (HIE/CIE), a county health system, and managed care plans (MCPs), to provide support to enrolled providers (e.g., ECM providers, Community Supports providers, physical and behavioral health providers, hospitals).

The webinar will provide interested stakeholders with a detailed overview of the pilot and more information on an upcoming Request for Information from DHCS. There will also be time for Q&A at the end of the presentation. All HIEs/CIEs, counties, MCPs, and providers interested in piloting the ASCMI Form in a consent management service are invited to attend.​​ 

CalAIM Skilled Nursing Facility (SNF) Carve-In Webinar​​ 

Thaum Lub Kaum Ib Hlis 4 thaum 1 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online zaum ob hauv cov kev kawm hauv online txog SNF los txhawb nqa MCPs thiab cov neeg muab kev pabcuam SNF thaum lawv npaj rau MCPs qhov kev pab cuam ntawm SNFs thoob plaws lub xeev pib thaum Lub Ib Hlis 1, 2023. Lub rooj sib tham hauv SNF no (yuav tsum tau sau npe ua ntej) yuav muab kev nkag siab rau cov neeg koom nrog txog kev coj ua zoo thiab cov lus qhia uas tau kawm los ntawm cov phiaj xwm thiab cov chaw muab kev pabcuam hauv Coordinated Care Initiative thiab County Organized Health System counties txog kev hloov pauv SNF carve-in. Cov kws muab kev pab cuam SNF thiab cov neeg sawv cev ntawm Medi-Cal MCP raug txhawb kom tuaj koom. Cov ntaub ntawv ntxiv txog cov webinars uas yuav los txog no muaj nyob rau ntawm nplooj ntawv hloov pauv CalAIM LTC Carve-In.
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