DHCS Stakeholder News – October 7, 2022​​ 

DHCS tab tom muab qhov hloov tshiab ntawm kev txhim kho tseem ceeb ntawm DHCS cov kev pab cuam.​​ 

Xov xwm tshaj plaws​​ 

PATH Technical Assistance (TA) Cov ntawv thov kev lag luam tau txais​​ 

Thaum Lub Kaum Hli 4, DHCS tau tshaj tawm daim ntawv thov muag khoom TA rau Providing Access and Transforming Health (PATH) TA Marketplace. Qhov kev pib no yuav muab cov peev txheej kev pab txhawb rau cov kws kho mob, cov koom haum hauv zej zog (CBOs), cov nroog, cov chaw saib xyuas kev noj qab haus huv hauv zos, Tribal Partners, thiab lwm tus los pab txhim kho lawv lub peev xwm los ua Enhanced Care Management (ECM) thiab Community Supports cov kws kho mob, uas tam sim no muab los ntawm Medi-Cal managed care plans. Tshwj xeeb, TA Marketplace yuav muab kev txhawb nqa kev siv tes ua thiab cov peev txheej uas twb muaj lawm los ntawm cov neeg muag khoom los tsim cov khoom siv uas xav tau los siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog.​​ 

Potential Technical Assistance vendors are encouraged to apply. For more information about PATH and the TA vendor application, visit the TA Marketplace webpage. For questions about the vendor email application process, please email ta-marketplace@ca-path.com.​​ 

Continuous Glucose Monitors (CGM)​​ 

Txij li thaum Lub Kaum Hli Ntuj hnub tim 1, 2022, cov txheej txheem CGM kho mob tshwj xeeb thiab tsis kho mob tam sim no tau txais cov txiaj ntsig kho mob los ntawm Medi-Cal Rx. Ib daim ntawv tshaj tawm tau xa mus rau cov neeg muab kev pabcuam thiab cov neeg koom nrog tseem ceeb thaum Lub Kaum Hli 4 tshaj tawm qhov hloov tshiab.​​  

Stakeholder Comments on Doula Provider Manual kom tas lub Kaum Hli 14​​  

At the Doula Advisory Workgroup meeting on September 30, DHCS released for stakeholder review and comment a draft of the provider manual for doula services. The draft provider manual contains information on services, billing codes and instructions for doula services. Comments are due by October 14, 2022, and may be submitted to DoulaBenefit@dhcs.ca.gov. For more information, please visit the doula services webpage.​​ 

Kev hloov kho tshiab​​ 

Health Enrollment Navigators Update​​ 

Thaum lub Cuaj Hlis, DHCS tau xa Daim Ntawv Ceeb Toom Txog Lub Hom Phiaj Yuav Muab Nyiaj Rau Cov Neeg Koom Tes Hauv Qhov Project, thiab ceeb toom rau lawv txog lawv cov nyiaj tau pom zoo. Txog niaj hnub no, txhua tus khub koom tes hauv qhov project tau txais lawv daim ntawv ceeb toom txog qhov khoom plig los ntawm DHCS, thiab cov ntawv cog lus faib nyiaj tau muab tawm thiab tau ua tiav. Cov neeg koom tes yuav raug tso cai ua cov haujlwm navigator project tam sim ntawd thaum DHCS tau txais/kos npe rau lawv cov ntawv cog lus.​​ 

Txij li thaum Lub Kaum Hli Ntuj hnub tim 4, DHCS tau kos npe rau cuaj daim ntawv cog lus faib rau Alameda County, California Coverage & Health Initiatives, Catholic Charities of California, Community Service Solutions, Innercare, Sacramento Covered, San Francisco Community Clinic Consortium, Tuolumne County, thiab Ventura County, nrog rau nees nkaum lub nroog ntxiv thiab rau lub koom haum hauv zej zog tos xa thiab/lossis DHCS kos npe rau. Thaum twg tag nrho cov ntawv cog lus faib nyiaj tau ua tiav lawm, DHCS yuav tshaj tawm cov ntaub ntawv ntawm tus khub, suav nrog cov ntaub ntawv qhia txog kev pab nyiaj, cov pej xeem uas yuav tau txais kev pab, cov cheeb tsam uas yuav tau them, thiab cov ntaub ntawv qhia txog kev npaj ua haujlwm, ntawm nplooj ntawv web Medi-Cal Health Enrollment Navigators Project.​​ 

Medicare-Medi-Cal Plans (MMPs) thiab Medicare Qhib Rau Npe Rau Lub Sijhawm​​ 

As part of CalAIM, MMPs will be open for enrollment during the Medicare open enrollment period beginning October 15 through December 7. These new plans are available and will replace Cal MediConnect plans in the seven California counties with Cal MediConnect plans (Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara). MMPs are a type of Medicare Advantage plan available to people with both Medicare and Medi-Cal. Benefits in both programs are coordinated by one managed care plan to reduce fragmentation and improve care for a population that often has multiple chronic conditions and many providers. During the 2022 Medicare Annual Enrollment Period, dual eligible beneficiaries will have the option to voluntarily join a MMP, with a start date of January 1, 2023.​​ 

To enroll in a MMP, individuals can contact their preferred plan or call 1(800) MEDICARE. For more information and a list of MMPs in each county, visit the MMP webpage. Additional information is available on the Future of Cal MediConnect webpage.​​ 

California Data Exchange Framework (DxF) Educational Initiative Grant Opportunity for Associations​​ 

Txhawm rau txhawb nqa kev siv DxF, Lub Chaw rau Kev Nkag Siab Txog Cov Ntaub Ntawv thiab Kev Tsim Kho Tshiab (CDII) tau tsim cov nyiaj pab txhawb nqa kev kawm DxF. Cov nyiaj pab no yuav txhawb nqa kev ncav tes thiab kev qhia rau cov koom haum uas yuav kos npe rau daim ntawv cog lus sib qhia cov ntaub ntawv thoob plaws lub xeev (DSA). Daim Ntawv Thov (RFA) uas piav qhia txog yuav ua li cas cov koom haum thiaj li thov tau cov nyiaj pab no, nrog rau cov kev cai tsim nyog, muaj nyob hauv online ntawm Daim Ntawv Thov 2022-219-CDII - Cov Nyiaj Pab Kawm Ntawv (Cov Ntaub Ntawv Sib Pauv). Cov lus teb yuav tsum xa tuaj rau lub Kaum Hli Ntuj hnub tim 24, 2022, thaum 3 teev tsaus ntuj PST.​​ 

Lub California DxF yog thawj lub xeev DSA uas yuav ua kom sai thiab nthuav dav kev sib pauv cov ntaub ntawv kev noj qab haus huv ntawm cov chaw kho mob, cov koom haum tsoomfwv, thiab cov kev pabcuam pej xeem pib xyoo 2024. Lub DxF yuav txhawb nqa ncaj qha rau California Advancing and Innovating Medi-Cal (CalAIM) cov kev pib. Cov cib fim ntxiv rau DxF nyiaj pab, suav nrog cov nyiaj pab txhawb kev pab txog kev txawj ntse thiab kev koom tes nrog cov koom haum cov ntaub ntawv kev noj qab haus huv rau cov neeg kos npe, yuav raug qhia rau yav tom ntej.​​ 

Kev tsim nyog ib zaug rau Title X​​ 

Raws li Senate Bill 154 (Tshooj 43, Statutes of 2022), DHCS tau muab ib zaug $10 lab rau Essential Access Health, ib lub koom haum tsis yog rau kev lag luam uas ua tus thawj coj ntawm Title X txoj haujlwm npaj tsev neeg hauv California, los pab rov qab rau qhov poob ntawm tsoomfwv Title X nyiaj txiag. Cov nyiaj pab no tswj thiab txhawb nqa kev muab kev pabcuam npaj tsev neeg uas ncaj ncees, pheej yig, zoo, thiab tsom mus rau cov neeg mob rau cov neeg mob uas muaj nyiaj tsawg thoob plaws lub xeev. California lub koom haum muab kev pab cuam Title X suav nrog cov tsev kho mob, cov chaw kho mob uas tau tsim nyog los ntawm tsoomfwv, cov chaw haujlwm kho mob hauv nroog thiab lub nroog, cov tsev kawm qib siab, Urban Indian Health Centers, thiab cov chaw kho mob rau cov poj niam thoob plaws lub xeev.​​ 

Cov nyiaj pab txhawb nqa Asmeskas Khab nyob hauv San Francisco​​ 

Thaum lub Cuaj Hlis 29, DHCS tau muab $15 lab rau Friendship House Association of American Indians los pab them cov nqi tsim kho ntawm Village San Francisco, uas yuav yog ib qho chaw siv tau ntau yam rau kwv yees li 9,000 tus neeg Amelikas Indians nyob hauv San Francisco. Cov Nyiaj Pab Dav Dav uas siv ib zaug xwb tau muab tso rau hauv Senate Bill 154 (Tshooj 43, Cov Cai Lij Choj Xyoo 2022) los txhawb kev tsim lub Zos San Francisco. Daim ntawv thov uas tau pom zoo no txhawb nqa lub hom phiaj ntawm DHCS Quality Strategy ntawm kev tshem tawm qhov tsis sib xws ntawm kev noj qab haus huv los ntawm kev pab kom ntseeg tau tias cov neeg Asmeskas Isdias muaj kev nkag mus rau cov kev pabcuam kev noj qab haus huv uas tsim nyog rau kab lis kev cai, suav nrog cov kev pabcuam kev siv tshuaj yeeb dej cawv, kev kho mob hauv tsev, kev hloov chaw nyob, thiab kev saib xyuas tom qab.​​ 

Rov tsim dua ntawm American Indian Health Policy Panel (AIHPP)​​ 

Raws li DHCS Tribal Engagement Plan, DHCS tab tom rov tsim tsa AIHPP ua ib lub koom haum pab tswv yim los muab cov lus qhia txog Indian Health Program txog qib ntawm cov peev txheej, qhov tseem ceeb, cov qauv, thiab cov lus qhia tsim nyog los siv cov kev pab cuam uas cuam tshuam rau kev noj qab haus huv ntawm cov neeg Asmeskas Isdias thiab lawv tsev neeg. AIHPP tau tso cai nyob rau hauv Health and Safety Code Section 124595 thiab yuav tsum tau xaiv tsa cov tswv cuab los ntawm California Rural Indian Health Board, Inc. (CRIHB) thiab California Consortium for Urban Indian Health, Inc. (CCUIH), thiab ob tug neeg sawv cev loj. DHCS tau faib cov ntawv thov rau kev xaiv tsa thaum Lub Kaum Hli 3 rau CRIHB thiab CCUIH. DHCS yuav tshaj tawm cov ntawv tshaj tawm rau cov ntawv thov ua tswv cuab rau cov neeg sawv cev ntawm cov kev pab cuam kev noj qab haus huv Is Nrias teb thaum Lub Kaum Hli 14.​​ 

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

Qhov kev txhawb nqa Back-Tooth-School (BTS) tam sim no tab tom ua thiab yuav khiav mus txog rau thaum kawg ntawm lub Kaum Ib Hlis. Tag nrho cov ntaub ntawv BTS tuaj yeem pom ntawm nplooj ntawv web Oral Health thiab School Readiness ntawm SmileCalifornia.org thiab SonrieCalifornia.org. Cov Lus Ceeb Toom Tshwj Xeeb Txog Kev Luag Ntxhi tau raug xa mus rau ob lub lis piam thawj zaug ntawm lub Kaum Hli los txhawb BTS thiab ceeb toom cov neeg koom tes thiab cov neeg koom tes kom sau npe thiab koom nrog BTS Webinar rau lub Kaum Hli 12. Thaum lub lim tiam ntawm lub Kaum Hli 3, kev sib tw them nyiaj hauv social media tau pib ua ib feem ntawm kev tshaj tawm BTS hauv Facebook thiab Instagram. Tsis tas li ntawd xwb, ib qho tshiab "Fotonovelas" sub-tab tau tshaj tawm rau nplooj ntawv Cov Tswv Cuab ntawm SmileCalifornia.org thiab nplooj ntawv Miembros ntawm SonrieCalifornia.org. Cov sub-tabs yuav muaj cov qauv digital ntawm Fotonovelas nrog cov plugins flipbook.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav ntau tus kws lij choj III hauv Chaw Haujlwm Pabcuam Kev Cai Lij Choj los ua haujlwm hauv ib lossis ntau qhov chaw hauv qab no: kev ceev ntiag tug thiab kev pabcuam cov ntaub ntawv, kev cog lus rau pej xeem, cov txiaj ntsig kev kho mob, kev tswj hwm kev kho mob, kev nyiaj txiag, thiab ntau ntxiv.​​ 

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

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 zoo.​​ 

Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

Stakeholder Advisory Committee (SAC) thiab Behavioral Health Stakeholder Advisory Committee (BH-SAC) Lub Rooj Sib Tham​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 20, txij thaum 9:30 sawv ntxov txog 1:30 tav su, DHCS yuav tuav lub rooj sib tham sib txuas ntawm SAC thiab BH-SAC tom ntej. Lub rooj sib tham thaum Lub Kaum Hli Ntuj hnub tim 20 yuav qhib ua ib lub rooj sib tham ua ke nrog cov ncauj lus uas SAC thiab BH-SAC tau sib qhia. Yuav muaj lub rooj sib tham BH-SAC tom qab lub rooj sib tham ua ke; tsis muaj lub rooj sib tham SAC xwb. Cov neeg tuaj koom tuaj yeem tuaj koom tus kheej ntawm Lub Chaw Pabcuam California Endowment ntawm 1414 K St., Sacramento, lossis online. Yuav tsum sau npe ua ntej yog tias koj tuaj koom online. Cov ntaub ntawv sib tham yuav raug tshaj tawm rau ntawm nplooj ntawv web SAC thiab BH-SAC .​​ 

Rov teem dua: Tus Nqi Teem Sijhawm Ua Haujlwm Pab Pawg Sib Tham​​  

Thaum Lub Kaum Hli Ntuj hnub tim 24, DHCS, koom tes nrog Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DMHC), yuav tuav lub rooj sib tham thawj zaug ntawm pawg neeg ua haujlwm rau pej xeem (yuav tsum tau sau npe ua ntej) 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 Children and Youth Behavioral Health Initiative. Lub rooj sib tham tau teem tseg ua ntej rau lub Kaum Hli 3. DHCS thiab DMHC yuav koom nrog cov tswv cuab ntawm pawg neeg ua haujlwm txog ntau yam txoj cai thiab kev ua haujlwm los qhia txog kev tsim thiab kev txhim kho ntawm kev tsim cov kev pab cuam.​​    

Postponed: Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Reform Webinar​​  

Cov kev teem sijhawm yav dhau los Lub Kaum Hli 11 webinar tau raug ncua.  DHCS tab tom ua haujlwm los teem sijhawm lub webinar thiab yuav muab hnub hloov tshiab sai li sai tau. Cov ntaub ntawv hais txog Kev Pabcuam Saib Xyuas Kev Khomob Nyiaj Txiag thiab qhov kev teem sijhawm lub vev xaib yuav raug tshaj tawm rau ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Rau Lub Sijhawm Ntev thaum muaj.​​