DHCS Stakeholder News – October 27, 2023
Xov xwm tshaj plaws
California Awards Tribal Entities $25 lab rau Kev Noj Qab Haus Huv Choj Housing
California is investing more than $25 million in tribal entities through DHCS’ Behavioral Health Bridge Housing (BHBH) Program. Funding will be focused on addressing homelessness and the behavioral health issues impacting tribal communities across the state. These awards will enable entities to make connections and establish resources vital to their communities. BHBH Program settings include access to services to help program participants manage symptoms of serious behavioral health conditions, obtain and maintain permanent housing, and support recovery and wellness. Read more in DHCS’ news release.
Kev hloov kho tshiab
Ntxiv Medi-Cal Kev Tsim Nyog Tsim Nyog Federal Flexibility Pom Zoo
On October 24, the Centers for Medicare & Medicaid Services (CMS) approved DHCS’ request for federal waiver authority to help streamline the processing of annual Medi-Cal eligibility renewals and ease burdens on county program administrators and Medi-Cal members. The flexibility temporarily accepts the self-attestation of income at renewal when a member returns a renewal form with a new attestation of income, but fails to include documentation or a reasonable explanation of the discrepancy. This flexibility will streamline renewal processing for Medi-Cal members, especially vulnerable populations, and ease burdens to providing additional paperwork or documentation during the continuous coverage unwinding period. The waiver is effective on October 1 and will continue throughout the unwinding period. DHCS will issue policy guidance to counties on operationalizing the flexibility.
Kev pom zoo sawv ntsug rau Doula Services
Pib txij lub Kaum Ib Hlis 1, DHCS yuav tshaj tawm cov lus pom zoo thoob plaws lub xeev tias txhua tus tswvcuab Medi-Cal uas cev xeeb tub, lossis cev xeeb tub nyob rau xyoo dhau los, yuav tau txais txiaj ntsig los ntawm kev tau txais kev pabcuam doula los ntawm Medi-Cal rau npe doula tus kws kho mob. Cov lus pom zoo sawv cev ua tiav tsoomfwv cov cai rau tus kws kho mob lossis lwm tus kws kho mob uas muaj ntawv tso cai rau kev pom zoo cov kev pabcuam tiv thaiv. Qhov kev pom zoo sawv cev tso cai rau cov kev pabcuam hauv qab no: ib qho kev mus ntsib thawj zaug; mus txog yim qhov kev mus ntsib ntxiv uas tuaj yeem muab rau hauv ib qho kev sib koom ua ke ntawm kev mus ntsib ua ntej yug menyuam thiab tom qab yug menyuam; kev txhawb nqa thaum lub sijhawm ua haujlwm thiab kev yug menyuam, suav nrog kev ua haujlwm thiab kev yug menyuam uas ua rau tseem yug menyuam, rho menyuam, lossis nchuav menyuam; thiab mus txog ob ncua peb teev tom qab yug me nyuam tom qab qhov kawg ntawm cev xeeb tub. Cov lus pom zoo yuav raug muab tso rau hauv Doula Services raws li Medi-Cal Benefit lub vev xaib los ntawm Lub Kaum Ib Hlis 3.
DHCS Honors Native American Heritage Month
Pib lub lim tiam ntawm Lub Kaum Hli 30, DHCS yuav tshaj tawm cov lus tshaj tawm hauv zej zog los txhawb nqa Native American Heritage Lub Hlis kom hwm cov kab lis kev cai nplua nuj, kev coj noj coj ua, thiab kev koom tes ntawm Cov Neeg Qhab Asmeskas, thaum tseem lees paub qhov tseem ceeb ntawm kev txhim kho lawv txoj kev noj qab haus huv. Cov ntawv tshaj tawm ntawm DHCS cov channel yuav qhia txog cov tsev kho mob hauv nroog thiab pab pawg neeg thiab cov koom tes, pab pawg pab kho mob pab kho mob, thiab kev kho dua tshiab ntawm Indian Health Program pab nyiaj xyoo 2022-23 los txhim kho kev noj qab haus huv thiab kev noj qab haus huv ntawm Asmeskas Khab.
Koom nrog peb pab neeg
DHCS tab tom ntiav! DHCS muaj txoj hauv kev rau Tus Thawj Saib Xyuas Kev Tswj Nyiaj Txiag hauv Nyiaj Txiag (hnub ua ntawv kawg yog Kaum Ib Hlis 15). Lub luag haujlwm thawj coj no tsim cov cai thiab cov txheej txheem los ua kom muaj kev ncaj ncees ntawm nyiaj txiag, pob tshab, thiab kev lav phib xaub ntawm kwv yees li $ 150 nphom hauv lub xeev thiab tsoomfwv cov nyiaj txiag rau DHCS txhua xyoo.
DHCS tseem tab tom ntiav rau 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. 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
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 30, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMHC), yuav ua kom muaj kev sib ntsib ua haujlwm los qhia txog kev txhim kho lub xeev cov nqi them tag nrho rau cov kev pabcuam kev noj qab haus huv hauv tsev kawm ntawv raws li CYBHI. Los ntawm pab pawg neeg ua haujlwm no, DHCS thiab DMHC yuav koom nrog cov koom tes sawv cev rau K-12 kev kawm, cov tsev kawm ntawv qib siab, Medi-Cal tswj kev saib xyuas cov phiaj xwm (MCP), cov phiaj xwm kev noj qab haus huv hauv nroog, cov chaw saib xyuas kev noj qab haus huv hauv nroog, cov kws saib xyuas kev noj qab haus huv, koom haum, cov neeg tawm tswv yim, cov hluas, thiab cov niam txiv/cov neeg saib xyuas txog ntau txoj cai thiab cov ncauj lus ua haujlwm los pab qhia txog kev tsim kho thiab kho dua tshiab.
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 California Advancing and Innovating Medi-Cal (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.
Tag nrho cov Medi-Cal MCPs, cov kev pab cuam kho mob hauv pab pawg neeg, cov kws kho mob, cov koom haum kev sib raug zoo hauv zej zog thiab tib neeg thiab cov chaw muab kev pab cuam, cov chaw saib xyuas kev noj qab haus huv hauv cheeb tsam, cov chaw kho mob kho mob, thiab lub nroog thiab lwm lub koom haum pej xeem uas muab kev pabcuam thiab tswj xyuas cov tib neeg rau npe hauv Medi-Cal raug caw tuaj koom.
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.
Khaws Koj Lub Zej Zog Covered: Tsev Kawm Ntawv thiab Tsev Neeg
Thaum Lub Kaum Ib Hlis 16, thaum 2 txog 3 teev tsaus ntuj, DHCS yuav muaj kev sib tham hauv Webinar ntawm Khaws Koj Lub Zej Zog Covered: Tsev Kawm Ntawv thiab Tsev Neeg (yuav tsum tau sau npe ua ntej). Lub webinar yuav muab cov ntaub ntawv tseem ceeb rau tsev kawm ntawv cov neeg koom tes los pab cov tub ntxhais kawm thiab lawv tsev neeg nrog kev rov kho dua Medi-Cal. Lub webinar tseem yuav qhia txog cov peev txheej nthuav tawm, siv cov peev txheej, thiab cov kev coj ua zoo tshaj plaws rau kev koom nrog cov tsev neeg nrog cov menyuam hnub nyoog kawm ntawv.
Medi-Cal Asset Elimination Webinar
Thaum Lub Kaum Ib Hlis 29, thaum 1:30 txog 2:30 teev tsaus ntuj, DHCS yuav tuav ib lub rooj sib tham txog kev tshem tawm cov cuab tam rau cov kev pab cuam uas tsis tau hloov kho tag nrho cov nyiaj tau los (MAGI) Medi-Cal, pib lub Ib Hlis Ntuj 1, 2024. Thaum ua tiav, qhov kev pib no yuav tshem tawm qhov kev sim khoom vaj khoom tsev rau txhua qhov kev pabcuam uas tsis yog MAGI, suav nrog kev saib xyuas mus sij hawm ntev thiab Medicare Savings Programs. Lub webinar yuav muab cov ntaub ntawv keeb kwm yav dhau los ntawm kev tshem tawm cov cuab yeej cuab tam, kev npaj ua, kev hloov cov txheej txheem, thiab cov ntaub ntawv nthuav tawm. Cov ntaub ntawv ntau ntxiv muaj nyob rau ntawm Cov Khoom Muaj Cai Limit Hloov Pauv rau Non-MAGI Medi-Cal lub vev xaib.
Hauv Case Koj Tsis Tau Nws
Tshooj 1115 Kev Tawm Tsam: BH-CONNECT thiab CalAIM Kev Hloov Pauv Hloov Hloov Hloov
Thaum Lub Kaum Hli 20, DHCS tau xa mus rau CMS qhov kev thov tshiab Tshooj 1115 ua qauv qhia, muaj cai rau California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) ua qauv qhia, thiab qhov kev thov hloov kho rau CalAIM Tshooj 1115 kev ua qauv qhia txog kev hloov pauv.
Tsis tas li ntawd, CMS tau tshaj tawm hnub no tias tsoomfwv lub sijhawm tawm tswv yim yuav qhib rau BH-CONNECT thiab CalAIM cov kev pabcuam hloov pauv hloov pauv txij lub Kaum Hli 27 txog Lub Kaum Ib Hlis 26, 2023.
Txhawb nqa cov kws tshaj lij saib xyuas kev noj qab haus huv pabcuam rau cov zej zog tsis muaj kev pabcuam
Thaum Lub Kaum Hli 25, DHCS thiab Cov Kws Kho Mob rau Kev Noj Qab Haus Huv California tau tshaj tawm tsab ntawv cog lus tshiab ntawm $ 73.4 lab los pab them cov tub ntxhais kawm qiv nyiaj rau 266 tus kws kho mob thiab 36 tus kws kho hniav hauv California kom nthuav dav cov neeg ua haujlwm saib xyuas kev noj qab haus huv thiab nce kev nkag mus rau Medi-Cal cov tswv cuab. CalHealthCares cov tub ntxhais kawm qiv nyiaj rov qab txoj haujlwm txhawb nqa thiab txhawb nqa cov kws kho mob thiab kws kho hniav kom lawv muaj kev koom tes hauv Medi-Cal qhov kev pab cuam. Cov nyiaj pab los ntawm CalHealthCares tau txo cov neeg muab kev pab cuam ntawm lub nra ntawm cov tub ntxhais kawm qiv nyiaj, txhim kho kev nkag mus rau kev saib xyuas thiab txhawb cov zej zog tsis muaj kev pab.
Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv
As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members who transition to a new MCP are receiving notices about the transition. DHCS has developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.