DHCS Stakeholder News – October 7, 2022
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
Ntawm Doula Advisory Workgroup lub rooj sib tham nyob rau lub Cuaj Hli 30, DHCS tau tshaj tawm rau cov neeg koom nrog kev tshuaj xyuas thiab tawm tswv yim ib daim qauv ntawm tus kws kho mob phau ntawv qhia rau kev pabcuam doula. Daim ntawv qhia tus kws kho mob muaj cov ntaub ntawv qhia txog cov kev pabcuam, cov lej them nqi thiab cov lus qhia rau cov kev pabcuam doula. Cov lus hais yuav dhau los ntawm Lub Kaum Hli 14, 2022, thiab tuaj yeem xa mus rau DoulaBenefit@dhcs.ca.gov. Yog xav paub ntxiv, thov mus saib ntawm doula cov kev pabcuam 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.
As of October 4, DHCS has countersigned nine allocation agreements for Alameda County, California Coverage & Health Initiatives, Catholic Charities of California, Community Service Solutions, Innercare, Sacramento Covered, San Francisco Community Clinic Consortium, Tuolumne County, and Ventura County, with twenty more counties and six community-based organizations pending submission and/or DHCS countersignature. Once all allocation agreements are fully executed, DHCS will post individual partner information, including grant award details, targeted populations to be served, geographic regions to be covered, and work plan details, on the Medi-Cal Health Enrollment Navigators Project webpage.
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.
Yog xav sau npe rau hauv MMP, cov tib neeg tuaj yeem tiv tauj lawv txoj kev npaj uas lawv nyiam lossis hu rau 1(800) MEDICARE. Yog xav paub ntxiv thiab daim ntawv teev cov MMPs hauv txhua lub nroog, mus saib nplooj ntawv web MMP. Cov ntaub ntawv ntxiv muaj nyob rau ntawm nplooj ntawv web Future of Cal MediConnect.
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
In accordance with Senate Bill 154 (Chapter 43, Statutes of 2022), DHCS provided a one-time appropriation of $10 million to Essential Access Health, a not-for-profit organization that leads the Title X federal family planning program in California, to backfill the loss of federal Title X funding. This funding maintains and supports the delivery of equitable, affordable, high quality, and client-centered family planning services to low–income patients across the state. California’s Title X provider network includes hospitals, federally qualified health centers, city and county health departments, universities, Urban Indian Health Centers, and women’s health clinics throughout the state.
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
The Back-Tooth-School (BTS) promotion is currently in progress and will run through the end of November. All BTS materials can be found on the Oral Health and School Readiness webpages on SmileCalifornia.org and SonrieCalifornia.org. Special Smile Alerts were sent during the first two weeks of October to promote BTS and to remind partners and stakeholder to register and attend the BTS Webinar on October 12. During the week of October 3, a paid social media campaign was launched as part of the BTS promotion on Facebook and Instagram. Additionally, a new “Fotonovelas” sub-tab was published to the Members page on SmileCalifornia.org and the Miembros page on SonrieCalifornia.org. The sub-tabs will house digital versions of the Fotonovelas with flipbook plugins.
Koom nrog peb pab neeg
DHCS is hiring multiple Attorney III positions in the Office of Legal Services to work in one or more of the following areas: privacy and information services, public contracting, health care benefits, managed care, financing, and more.
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 is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with access to affordable, integrated, high-quality, equitable health care—and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier lives.
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
On October 20, from 9:30 a.m. to 1:30 p.m., DHCS will host the next SAC and BH-SAC hybrid meeting. The October 20 meeting will open as a joint meeting with topics shared by SAC and BH-SAC. A BH-SAC meeting will be held after the joint meeting; there is no SAC-only meeting. Attendees can attend in person at The California Endowment at 1414 K St., Sacramento, or virtually. Advance registration is required if attending virtually. Meeting materials will be posted on the SAC and BH-SAC webpages.
Rov teem dua: Tus Nqi Teem Sijhawm Ua Haujlwm Pab Pawg Sib Tham
On October 24, DHCS, in collaboration with the Department of Managed Health Care (DMHC), will virtually host the first public workgroup meeting (advance registration required) to inform the development of the statewide all-payer fee schedule for school-based behavioral health services under the Children and Youth Behavioral Health Initiative. The meeting was previously scheduled for October 3. DHCS and DMHC will engage workgroup members on a variety of policy and operational topics to inform the development and refinement of the program design.
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.