Xov xwm tshaj plaws​​ 

Medi-Cal Managed Care Plan Contracts Go-Live​​ 

DHCS today provided “go-live” decisions to all Medi-Cal managed care plans (MCPs) scheduled to assume operations on January 1, 2024, under the new MCP contract that requires all MCPs to advance health equity, quality, access, accountability, and transparency. These new contracts will serve approximately 99 percent of all Medi-Cal members. This change is part of California’s transformation of Medi-Cal to ensure members can access the care they need to live healthier lives.​​ 

Cov kev txiav txim siab pib siv yog raws li DHCS qhov kev ntsuam xyuas ntawm MCPs qhov kev npaj ua haujlwm tseem ceeb, suav nrog kev txaus ntawm lub network, kev saib xyuas kev xa tawm, kev txuas ntxiv ntawm kev saib xyuas, thiab qee yam ntawm California Advancing thiab Innovating Medi-Cal (CalAIM). Tsis tas li ntawd xwb, DHCS tau ua qhov kev ntsuam xyuas tob tob rau tsib lub MCPs hauv qab no uas tau txheeb xyuas tias yog qhov tseem ceeb tshaj plaws vim yog qhov loj thiab qhov nyuaj ntawm lawv txoj kev nthuav dav mus rau lwm lub nroog lossis tus naj npawb ntawm cov tswv cuab uas lawv yuav pabcuam, nrog rau qhov tshiab rau kev muab cov kev pabcuam saib xyuas Medi-Cal: Kaiser Foundation Health Plan (kev nthuav dav), Anthem Blue Cross (kev nthuav dav), Partnership HealthPlan of California (kev nthuav dav), Community Health Plan of Imperial Valley (tshiab), nrog rau Molina Healthcare, uas yog tus sawv cev rau Health Net hauv Los Angeles County thiab yuav siv 50 feem pua ntawm cov tswv cuab (~ 500,000 lub neej) uas tam sim no tau muab rau Health Net.​​ 

Tsis tas li ntawd, thaum Lub Yim Hli 23, tsoomfwv Lub Chaw Pabcuam Medicare & Medicaid (CMS) tau pom zoo hloov kho rau CalAIM Tshooj 1115 ua qauv qhia, tso cai rau lub xeev los siv cov qauv kev hloov pauv hauv lub nroog hauv nws qhov kev pabcuam Medi-Cal tswj hwm thiab cuam tshuam Lub Nroog Organized Health Systems (COHS) thiab Ib Leeg-Plancounties hauv non-rural. Tsis tas li ntawd, CMS tau pom zoo rau 1915(b) zam kev hloov kho thaum Lub Xya Hli 26 kom tso cai rau California kom muaj txiaj ntsig COHS lossis Ib Leeg Cov qauv hauv cov nroog nyob deb nroog.​​ 

DHCS cia siab tias kwv yees li 1.2 lab tus tswv cuab yuav tsum tau hloov mus rau MCP tshiab thaum Lub Ib Hlis 1. Kwv yees li ntawm 243,000 tus tswvcuab yuav tau txais daim ntawv sau npe los xaiv MCP hauv lub nroog uas lawv nyob. Kwv yees li ntawm 420,000 tus tswvcuab yuav hloov pauv vim yog lub nroog cov qauv kev hloov pauv, feem coob ntawm cov neeg yuav tsis xav xaiv ib txoj kev npaj, tab sis yuav tau ceeb toom txog lawv qhov kev tso npe rau hauv ib txoj kev npaj ua haujlwm hauv lub nroog. Tsis tas li ntawd hauv Los Angeles County, kwv yees li 500,000 tus tswv cuab yuav raug ceeb toom thiab hloov ntawm Health Net mus rau Molina.​​ 

Hauv cov nroog uas muaj kev hloov pauv MCP, cov tswvcuab yuav tau txais cov ntawv ceeb toom txog kev hloov pauv rau lawv, yog tias lawv xav tau kev xaiv txoj kev npaj, lawv txoj kev tiv thaiv kev saib xyuas txuas ntxiv, thiab lwm yam ntaub ntawv tseem ceeb. Nyob ntawm lub nroog thiab qhov kev hloov pauv tshwm sim, cov tswv cuab tuaj yeem tau txais kev ceeb toom 90-hnub, 60-hnub, thiab 30-hnub. Hauv qee lub nroog uas tus tswvcuab yuav tsum xaiv ib txoj kev npaj, ib pob ntawv xaiv yuav raug xa nrog daim ntawv ceeb toom 60-hnub. DHCS tab tom tsim cov nplooj ntawv web thiab cov ntaub ntawv tshwj xeeb rau Medi-Cal cov tswv cuab thiab cov chaw muab kev pabcuam uas yuav muab cov ntaub ntawv ntau ntxiv, tau teem sijhawm tshaj tawm thaum nruab nrab Lub Cuaj Hli.​​ 

Xav paub ntau ntxiv txog kev xaiv ib txoj kev npaj muaj nyob rau ntawm www.healthcareoptions.dhcs.ca.gov lossis hu rau (800) 430-4263. Cov tswvcuab kuj tuaj yeem tiv tauj Lub Chaw Haujlwm Saib Xyuas Kev Ua Haujlwm ntawm (888) 452-8609 lossis MMCDOmbudsmanOffice@dhcs.ca.gov yog tias lawv xav tau kev pab ntxiv txuas nrog lawv txoj kev npaj ua kom txuas ntxiv ntawm kev thov saib xyuas, tau txais lus qhia yog tias lawv tsis pom zoo nrog lawv cov kev kho mob lossis kev pabcuam, lossis nug cov lus nug dav dav txog lawv txoj kev npaj, tus kws khomob, lossis Medi-Cal.​​ 

DHCS txuas ntxiv txoj kev npaj hloov pauv thiab nthuav tawm cov dej num los pab kom muaj kev hloov pauv tau yooj yim rau cov tswv cuab cuam tshuam thiab qhia meej txog qhov cuam tshuam rau cov tswv cuab, cov chaw muab kev pab, MCPs, thiab lwm cov neeg muaj feem. 2024 MCP Txoj Cai Lij Choj Hloov Pauv tau luam tawm thaum Lub Rau Hli 2023 thiab yuav txuas ntxiv hloov kho rau lub hlis tom ntej. Tsis tas li ntawd, ntau tus neeg koom nrog webinars thiab cov rooj sib tham hloov tshiab muaj feem cuam tshuam txuas ntxiv muab cov ntaub ntawv tam sim no txog kev hloov pauv.​​ 

Federal Waiver Ntxiv Flexibilities Pom Zoo​​ 

Thaum Lub Yim Hli 25, DHCS tau txais kev pom zoo los ntawm CMS ntawm ob qhov kev thov rau tsoomfwv tso cai zam ib ntus. Thaum Lub Yim Hli 29, CMS tau nthuav tawm ib qho kev hloov pauv uas twb muaj lawm los pab txhim kho kev ua tiav ntawm kev txiav txim siab Medi-Cal txhua xyoo thiab yooj yim lub nra rau cov thawj coj hauv nroog thiab cov tswv cuab Medi-Cal. Cov kev hloov pauv no yuav ua kom yooj yim rau kev rov ua dua tshiab rau cov tswv cuab Medi-Cal, tshwj xeeb tshaj yog cov neeg tsis muaj zog, thiab txo cov nra hnyav los muab cov ntaub ntawv ntxiv lossis cov ntaub ntawv pov thawj thaum lub sijhawm tsis tu ncua.​​ 

• Ncua qhov Yuav Tsum Thov Rau Lwm Cov Kev Pabcuam. DHCS yuav ncua ib ntus rau cov neeg thov Medi-Cal lossis cov tswvcuab thov kom tau txais cov txiaj ntsig ntxiv, xws li nyiaj poob haujlwm, nyiaj xyoo, nyiaj laus, nyiaj laus, thiab kev xiam oob qhab, uas lawv yuav muaj cai, txo cov txheej txheem txiav tawm rau cov tib neeg uas tsis tsim nyog. Qhov kev zam no tau pib thaum Lub Yim Hli 1 thiab yuav nyob hauv qhov chaw mus txog qhov kawg ntawm 12-hli lub sijhawm unwinding lub Tsib Hlis 2024.​​ 

• Stable Income Renewal Waiver Flexibility. DHCS will temporarily allow the Medi-Cal redetermination income determination to be completed through ex parte without requesting additional income information or documentation for Medi-Cal members with only Title II or other stable sources of income. Examples of other stable income include pension, retirement (i.e., annuities, deferred compensation), disability payments (i.e., permanent worker’s compensation or private sources), alimony or child support payments, fixed distributions of dividends or interest, and non-retirement related fixed annuities. This waiver is effective on August 1 and will remain in place through the end of the 12-month unwinding period in May 2024.​​ 

• Kev Nthuav Dav ntawm Kev Zam Tsis Pub Yuav Khoom Muaj Nqis. Thaum Lub Peb Hlis 29, 2023, CMS tau pom zoo rau DHCS qhov kev thov kom zam qhov yuav tsum tau muaj khoom muaj nqis rau Medi-Cal rov txiav txim siab pib thaum Lub Peb Hlis 1, 2023, kom txog thaum California siv qhov kev tshem tawm khoom muaj nqis rau Lub Ib Hlis 1, 2024. Thaum Lub Yim Hli 29, CMS tau nthuav qhov kev ywj pheej no kom tso cai rau California zam qhov yuav tsum tau muaj cov cuab tam rau cov tswv cuab Medi-Cal uas tshaj tawm txog kev hloov pauv ntawm qhov xwm txheej tom qab kev txiav txim siab dua ntawm kev them nqi tas mus li. Daim ntawv tso cai no khaws cia hnub siv tau ntawm lub Peb Hlis 1 thiab yuav nyob rau hauv qhov chaw kom txog thaum kawg ntawm 12 lub hlis kev daws teeb meem thaum lub Tsib Hlis 2024.​​   

Assisted Living Waiver (ALW) Kev Tshaj Tawm Tshiab 30-Hnub Pej Xeem Tshaj Tawm Lub Sijhawm​​ 

Thaum Lub Cuaj Hlis 5, DHCS yuav tshaj tawm daim ntawv thov txuas ntxiv xyoo 2024 Assisted Living Waiver (ALW) rau hauv lub vev xaib DHCS rau 30 hnub rau pej xeem tawm tswv yim, ua ntej xa daim ntawv kawg mus rau CMS. Txhua cov lus tawm tswv yim yuav tsum tau txais los ntawm lub Kaum Hli 5. Daim ALW tas sij hawm rau lub Ob Hlis 29, 2024. DHCS npaj siab yuav txuas ntxiv daim ntawv tso cai rau lwm tsib xyoos pib thaum Lub Peb Hlis 1, 2024. ALW muab kev xaiv rau cov tswv cuab Medi-Cal uas tsim nyog los nyob hauv qhov chaw nyob uas muaj kev pabcuam hloov chaw nyob mus ntev hauv chaw saib xyuas neeg mob. Lub hom phiaj ntawm qhov kev zam no yog los pab txhawb kev hloov pauv ntawm cov tswv cuab hauv tsev kawm ntawv mus rau qhov chaw uas tsis muaj kev txwv ntau, nyob hauv zej zog, thiab tiv thaiv cov tib neeg uas muaj kev pheej hmoo ntawm kev raug tso cai nkag mus rau hauv tsev kawm ntawv.​​ 

DHCS caw cov neeg uas xav tau los saib daim ntawv thov rov ua dua tshiab thiab cov lus qhia tawm tswv yim uas yuav muab tso rau ntawm nplooj ntawv web DHCS ALW . Thov xa email rau cov lus nug lossis cov lus tawm tswv yim rau ALWP.IR@dhcs.ca.gov.​​ 

Kev hloov kho tshiab​​ 

Kev Ncaj Ncees thiab Kev Xyaum Hloov Kev Them Nyiaj​​ 

Thaum Lub Yim Hli 30, DHCS tau tuav lub vev xaib los pib qhov Kev Pabcuam Equity and Practice Transformation (EPT) Kev Them Nyiaj, ib zaug $700 lab tus thawj coj saib xyuas kev hloov pauv txoj haujlwm pib los txhawb kev noj qab haus huv thiab kev noj qab haus huv ntawm pej xeem thiab nqis peev hauv cov qauv kev saib xyuas sab saud. Cov kev coj noj coj ua thiab cov chaw kho mob, MCP cov koom tes, thiab lwm cov neeg muaj feem tau koom nrog hauv webinar los tshuaj xyuas cov ntsiab lus tseeb txog Tus Kws Pab Tswv Yim Them Nqi Them Nqi, ib feem ntawm EPT. Cov ntaub ntawv hauv kev pab cuam, suav nrog cov lus qhia kev thov thiab cov ntaub ntawv qhia, tau muab tso rau ntawm DHCS Equity and Practice Transformation Payments Program webpage. Lub webinar swb thiab kaw yuav sai sai no muab tso rau tib lub vev xaib.​​ 

DHCS npaj siab yuav tshaj tawm cov ntaub ntawv ntau ntxiv txog qhov kev zov me nyuam, suav nrog kev them nyiaj tseem ceeb, tom qab xyoo no. Daim ntawv thov web-based rau txoj haujlwm no yuav muaj sai sai thiab yuav tsum xa ua ntej lub Kaum Hli 23, 2023, thaum 11:59 teev tsaus ntuj Thov email ept@dhcs.ca.gov nrog rau cov lus nug.​​ 

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

To mark National Pain Awareness Month in September, Smile, California will debut the new “Don’t Wait Until It Hurts to See the Dentist” fotonovela in English and Spanish to encourage regular dental visits among Medi-Cal members and minimize the need for emergency dental visits. The fotonovela will post on SmileCalifornia.org and SonrieCalifornia.org on September 1. By accessing the webpage banner, users will be directed to a fresh landing page with details about preventive dental services available through Medi-Cal. This page will include the “Don’t Wait Until It Hurts to See the Dentist” full-length and social media videos, fotonovela, and other Smile, California resources.​​ 

Tsis tas li ntawd, ua ke nrog Sealants rau Kev Noj Qab Haus Huv Smile tshaj tawm kev tshaj tawm, Smile Dental Services tab tom txuas ntxiv mus ncig xyuas kev kho hniav mobile. Cov chaw nres tsheb tom ntej no tau teem caij rau hauv cov nroog uas tsis muaj kev pabcuam thoob plaws hauv California, suav nrog lub Cuaj Hlis 5 hauv Lake County, Lub Cuaj Hli 12 hauv Tehama County, thiab Lub Cuaj Hli 26 hauv Calaveras County.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav! DHCS muaj qhov qhib tam sim ntawd rau Tus Thawj Saib Xyuas Kev Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem hauv Kev Tswj Xyuas Kev Noj Qab Haus Huv Zoo thiab Pej Xeem. Lub luag haujlwm ntawm tus thawj coj no ua rau lub tswv yim, txoj cai, kev saib xyuas, kev saib xyuas, thiab kev soj ntsuam ntawm pej xeem kev tswj hwm kev noj qab haus huv.​​ 

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 express the tremendous work DHCS is leading to transform our health care system and strengthen our organizational excellence.​​ 

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

Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar​​ 

Thaum lub Cuaj Hlis 7, txij thaum 2 txog 3 teev tsaus ntuj, DHCS yuav tuav ib lub webinar virtual (yuav tsum tau sau npe ua ntej) los tham txog kev txhim kho ntawm Skilled Nursing Facility Workforce Standards Program thiab muab cov kev hloov tshiab ntawm lwm qhov kev pab nyiaj txiag kho mob uas tau tso cai los ntawm Assembly Bill 186 (Tshooj 46, Statutes of 2022) Stakeholder input yuav raug lees txais. Cov ntaub ntawv ntxiv muaj nyob rau ntawm Nursing Facility Financing Reform (AB 186) webpage.​​ 

CalAIM ICF/DD Carve-In Office Teev​​ 

Thaum Lub Cuaj Hlis 8, DHCS yuav tuav lub rooj sib tham "lub sijhawm ua haujlwm" (yuav tsum tau sau npe ua ntej) ua ib feem ntawm cov kev kawm hauv webinar rau CalAIM intermediate care facility for developmentally disabled (ICF/DD) long-term care carve-in. Lub hom phiaj ntawm cov kev sib tham hauv webinar yog los muab kev nkag siab rau cov neeg koom nrog txog cov cai ntawm ICF/DD thiab yuav ua li cas txhawb nqa txhua tus Medi-Cal MCPs uas yuav tsum tau them thiab sib koom tes kev saib xyuas mus sij hawm ntev rau cov tswv cuab nyob hauv tsev ICF/DD pib thaum Lub Ib Hlis 1, 2024. Cov webinars thiab cov sijhawm ua haujlwm qhib rau pej xeem.​​   

Lub sijhawm ua haujlwm yuav muab lub rooj sib tham tshwj xeeb rau DHCS thiab Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob los koom nrog ICF/DD cov tsev, Lub Chaw Hauv Cheeb Tsam, thiab Medi-Cal MCP cov neeg sawv cev los teb cov lus nug thiab ntxiv lawv txoj kev nkag siab ntawm ICF/DD carve-in. Lub sijhawm ua haujlwm no yuav tsom mus rau cov lus nug ntsig txog cov khoom ntawm ICF / DD carve-in, suav nrog kev npaj network thiab kev cog lus, kev saib xyuas txuas ntxiv, kev tso cai, thiab nplooj ntawm qhov tsis tuaj thiab txaj.​​ 

Cov neeg koom nrog lub sijhawm ua haujlwm raug txhawb kom xa lawv cov lus nug lossis lus tawm tswv yim ua ntej siv daim ntawv sau npe lossis xa email rau LTCtransition@dhcs.ca.gov. Cov ntaub ntawv ntxiv txog cov webinars uas yuav los txog no muaj nyob rau ntawm nplooj ntawv hloov pauv CalAIM ICF/DD LTC Carve-In.​​ 

Consumer-Focused Stakeholder Workgroup Meeting​​ 

Thaum lub Cuaj Hlis 8, thaum 1:30 txog 3 teev tsaus ntuj, DHCS yuav zoo li tuav lub rooj sib tham Consumer-Focused Stakeholder Workgroup. Cov ntaub ntawv ntxiv muaj nyob rau ntawm DHCS Consumer-Focused Stakeholder Workgroup lub vev xaib. Thov xa email rau cov lus nug lossis lus nug rau DHSCCFSW@dhcs.ca.gov.​​ 

Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Ncaj Ncees Koom Tes Ua Haujlwm Cov Sijhawm Ua Haujlwm rau Round 3 Cov Chaw Tsim Nyog​​ 

Pib txij lub Cuaj Hlis 11 txog rau Lub Kaum Ob Hlis 18, DHCS yuav tuav cov txheej txheem ntawm PATH Kev Ncaj Ncees-Kev Koom Tes Nrog Kev Ua Haujlwm virtual chav ua haujlwm teev sijhawm (yuav tsum tau sau npe ua ntej) rau Round 3 cov koom haum tsim nyog. Cov sijhawm ua haujlwm yuav muaj nyob rau txhua hnub Monday thaum 11:30 teev sawv ntxov los muab kev pabcuam rau Round 3 cov koomhaum, suav nrog kev txhawb nqa kev npaj ua tiav. Yog xav paub ntxiv, mus saib ntawm Kev Ncaj Ncees-Involved Program lub vev xaib.​​ 

Hearing Aid Coverage for Children Program (HACCP) Webinar for Families and Community Partners​​ 

On September 12, from 11 a.m. to 12 p.m., DHCS will host a HACCP webinar (advance registration required) to share guidance with families and communities about applying for hearing aid coverage and helping children to maximizing their HACCP benefits once enrolled. DHCS welcomes newly interested families, those who are currently participating in HACCP, and community partners supporting families and children to join this webinar for program updates, tips, and a question-and-answer session. For more information, please visit www.dhcs.ca.gov/haccp.​​ 

CYBHI EBP/CDEP Grants Program Webinar​​ 

On September 13, from 1 to 2 p.m., DHCS will virtually host a public webinar (advance registration required) on the Children and Youth Behavioral Health Initiative (CYBHI) Evidence-Based Practices (EBP) and Community-Defined Evidence Practices (CDEP) grants program. This webinar will focus on the “Round Three: Early Childhood Wraparound Services” Request for Application (RFA). DHCS will provide technical assistance by sharing responses to frequently asked questions (FAQs) about EBP/CDEP. Please email questions about the RFA to CYBHI@dhcs.ca.gov. DHCS will post the FAQs to the CYBHI EBP/CDEP grants webpage by September 11.​​ 

Doula Implementation Workgroup Meeting​​ 

Thaum lub Cuaj Hlis 14, txij 12 txog 2 teev tav su, DHCS yuav tuav lub rooj sib tham Doula Implementation Workgroup. Thov saib cov txheej txheem thiab Doula Services ua ib nplooj ntawv web Medi-Cal Benefit kom paub ntau ntxiv. Lub rooj sib tham yuav suav nrog daim ntawv qhia txog DHCS txoj kev npaj Birthing Care Pathway thiab lub luag haujlwm ntawm doulas, thiab kev npaj rau cov rooj sib tham yav tom ntej. Pawg neeg ua haujlwm muaj lub luag haujlwm los tshuaj xyuas seb yuav ua li cas thiaj li muaj cov kev pabcuam doula ntau ntxiv los ntawm cov kev pabcuam kev kawm, txheeb xyuas thiab txo qis cov teeb meem rau cov kev pabcuam doula, thiab daws teeb meem kev ncua sijhawm them nyiaj thiab them rov qab rau cov doulas thiab cov tswv cuab.​​ 

HACCP Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav​​ 

Thaum lub Cuaj Hlis 14, txij li 12 txog 1 teev tsaus ntuj, DHCS yuav tuav HACCP webinar (yuav tsum tau sau npe ua ntej) los qhia cov ntaub ntawv nrog cov kws kho mob los pab cov neeg mob me thiab lawv tsev neeg kom tau txais txiaj ntsig HACCP ntau tshaj plaws. Kev cob qhia yuav hais txog cov kev xav tau ntawm cov tsev neeg los thov kev pab them nqi thiab cov txheej txheem xa ntawv thov rau audiologists, otolaryngologists, kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm. Yog xav paub ntxiv, thov mus saib hauv www.dhcs.ca.gov/haccp.​​ 

CalAIM: Subacute Care Facility Carve-In Webinar​​ 

Thaum lub Cuaj Hlis 15 thaum 9:30 teev sawv ntxov, DHCS yuav zoo rau thawj zaug hauv kev kawm webinars (yuav tsum tau sau npe ua ntej) txog CalAIM kev saib xyuas mus sij hawm ntev (LTC) carve-in ntawm subacute care chaw hauv Medi-Cal tswj kev saib xyuas. Lub hom phiaj ntawm cov webinars no yog los muab cov chaw saib xyuas subacute thiab Medi-Cal MCPs nrog kev nkag siab ntawm carve-in kom ua haujlwm tau zoo dua cov txiaj ntsig tshiab, suav nrog cov kev pabcuam thiab cov cai cuam tshuam (kev xav tau kev npaj hauv network, kev saib xyuas txuas ntxiv, kev sib tshuam nrog CalAIM, thiab lwm yam), hauv kev npaj rau lub Ib Hlis 1, 2024, carve-in.​​ 

This first webinar will provide background on the carve-in, the requirements for contracting with DHCS’ Subacute Contracting Unit, and implementing policy requirements. More information is posted on the CalAIM Intermediate Care Facility for Developmentally Disabled Long-Term Care Carve-In webpage. Please email questions or comments to LTCtransition@dhcs.ca.gov.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

CalAIM Kev Pom Zoo Kev Pom Zoo Hloov Kho​​ 

On August 23, CMS approved an amendment to the CalAIM Section 1115 demonstration waiver, allowing the state to implement county-based model changes in its Medi-Cal managed care program. The amendment includes expenditure authority to limit the choice of MCPs in non-rural areas. This authority would apply in the metro, large metro, and urban counties intending to participate in the County Organized Health System or Single Plan models.​​