DHCS Stakeholder News – September 16, 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
DHCS Lub Vev Xaib Down Rau Lub Sijhawm Teem sijhawm tu ncua
Hnub Saturday, Cuaj Hlis 17, pib thaum 6 teev sawv ntxov, DHCS yuav ua haujlwm saib xyuas neeg rau zaub mov. Kev ua haujlwm yuav txuas ntxiv mus txog ib tag hmo. Lub sijhawm no, DHCS lub vev xaib (www.dhcs.ca.gov) yuav tsis muaj. Peb thov txim rau qhov tsis yooj yim thaum peb ua qhov kev saib xyuas no, thiab peb txaus siab rau koj lub siab ntev.
Population Health Management (PHM) Service Vendor Selected
DHCS tsis ntev los no tau tshaj tawm nws txoj kev xaiv ntawm Gainwell Technologies LLC ua tus neeg muag khoom PHM ua ib feem ntawm California Advancing and Innovating Medi-Cal (CalAIM) teg num. Txoj Kev Pabcuam PHM tshiab yuav hloov pauv rau qhov kev pab cuam Medi-Cal. Gainwell muaj kev sib koom ua ke nrog Healthwise, HealthTrio, Gainwell Care Management, Arcadia, thiab InterSystems. Qhov Kev Pabcuam no yuav muab rau DHCS, cov phiaj xwm saib xyuas, cov neeg muab kev pabcuam, thiab cov nroog sib koom ua ke, nthuav dav, thiab cov ntaub ntawv raug uas yuav pab qhia txog kev txhim kho txoj haujlwm thiab kom nkag siab zoo dua cov kev noj qab haus huv ntawm pej xeem, thaum kawg ua rau cov tswvcuab Medi-Cal tau nkag mus rau qhov kev pab cuam ntau dua, sib npaug uas ua rau lub neej ntev dua, noj qab nyob zoo.
ACEs Aware Awards $19.5 lab hauv Grant Funds
Thaum lub Cuaj Hlis 16, DHCS tau muab $ 19.5 lab hauv ACEs Aware nyiaj pab rau 25 pab pawg, los ntawm 15 lub nroog thoob plaws California, koom tes nrog Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv California, UCLA-UCSF ACEs Aware Family Resilience Network, thiab Population Health Innovation Lab, ib txoj haujlwm ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv. Lub hom phiaj ntawm qhov kev pab nyiaj thib peb no, yog txhawm rau txhim kho cov neeg ua haujlwm thiab cov kev pabcuam uas xav tau rau cov chaw kho mob thawj zaug kom nthuav dav thiab txhawb nqa kev tshuaj xyuas thiab teb rau ACEs thiab kev ntxhov siab hauv zej zog.
Cov nyiaj no yog muab rau cov pab pawg coj los ntawm cov chaw kho mob thiab suav nrog cov koom haum hauv zej zog thiab Medi-Cal cov phiaj xwm kev saib xyuas uas tau pab ntau tus neeg mob ntau haiv neeg. Cov pab pawg yuav txheeb xyuas qhov tsis sib xws hauv lawv cov zej zog hauv kev saib xyuas thiab kev pabcuam thiab, los ntawm kev kawm thoob plaws lub xeev kev sib koom tes tsim kom muaj peev xwm ua kom muaj peev xwm ua tau raws li cov kev txwv no. Txhawm rau kom tiav cov npe ntawm cov neeg tau txais txiaj ntsig, mus saib ACEs Aware lub vev xaib ntawm https://www.acesaware.org/grants/.
Health Enrollment Navigators Project
Thaum Lub Cuaj Hlis 9, DHCS tau pib ceeb toom rau cov neeg thov kev pab cuam Health Enrollment Navigators Project uas tau pom zoo txog lawv cov nyiaj pab, thiab tau thov kom cov neeg tau txais kev pab cuam ib ntus lees paub lawv qhov kev lees txais lossis tsis lees txais qhov khoom plig thaum Lub Cuaj Hlis 13. Cov ntawv cog lus faib nyiaj yuav muab rau cov neeg thov uas tau txais kev pom zoo thaum tau txais daim ntawv ceeb toom txog kev lees txais qhov khoom plig, ua ntej hnub pib ua haujlwm rau lub Kaum Hli 1.
The tentative county awardees ($35.9 million total allocated) include Alameda, Butte, Colusa, Fresno, Kern, Kings, Los Angeles, Lake, Madera, Merced, Napa, Nevada, Orange, Placer, Riverside, San Bernardino, San Diego, San Luis Obispo, San Mateo, Stanislaus, Trinity, Tuolumne, and Ventura. The tentative community-based organizations (CBOs) ($24.1 million total allocated) include Ampla Health, Bonita Family Resource Center, Catholic Charities of California, California Coverage and Health Initiatives, Community Service Solutions, Harwood/Family Resource Center Network, Innercare, Kaweah Delta Health Care, Marin Community Clinic, Sacramento Covered, and San Francisco Community Clinic Consortium.
Senate Bill 154 (Tshooj 43, Txoj Cai ntawm 2022) tau muab $ 60 lab los txuas ntxiv kev siv zog ntawm Assembly Bill 74 (Chapter 23, Statutes of 2019) txhawm rau tso npe thiab khaws cov neeg uas nyuaj mus cuag cov hom phiaj thiab muab kev txhawb nqa hauv qab no rau cov pej xeem lub hom phiaj: kev nthuav qhia, kev pab cuam, kev rau npe thiab kev pab cuam, kev pab kho mob, kev tuav pov hwm, thiab kev pab nrog kev txiav txim siab rov qab. Yog xav paub ntxiv, thov mus saib hauv Medi-Cal Health Enrollment Navigators Project lub vev xaib.
Kev hloov kho tshiab
Txhua hli hwm txo kom xoom
Thaum Lub Cuaj Hlis 8, Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo ob qho ntawm California Txoj Cai Hloov Kho Txoj Kev Npaj Hauv Xeev (SPAs) los txo cov nqi them txhua hli mus rau xoom, nrog rau hnub rov qab siv tau ntawm Lub Xya Hli 1, 2022. SPA 22-0042 siv rau pawg menyuam yaus uas muaj nyiaj tsawg uas xaiv tau, uas suav nrog cov menyuam yaus uas tsim nyog uas muaj nyiaj tau los hauv tsev neeg siab dua 160 feem pua ntawm theem kev txom nyem ntawm tsoomfwv tebchaws (FPL). SPA 22-0034 siv rau Qhov Kev Pab Cuam Rau Cov Neeg Ua Haujlwm Tsis Taus, uas them rau cov neeg ua haujlwm tsis taus uas tsim nyog thiab muaj nyiaj tau los hauv tsev neeg txog li 250 feem pua ntawm FPL. Cov SPAs yuav raug tshaj tawm rau ntawm nplooj ntawv web SPA uas tau pom zoo xyoo 2022.
Kev Pab Cuam Pov Hwm Kev Noj Qab Haus Huv Rau Menyuam (CHIP) Cov Tshuaj Tiv Thaiv COVID-19
On September 1, CMS approved California’s CHIP SPA 22-0033. This SPA has an effective date of March 11, 2021, and extends through the last day of the first calendar quarter that begins one year after the last day of the COVID-19 public health emergency period, as described in the Social Security Act (SSA). The American Rescue Plan Act of 2021 (ARP) amended sections of the SSA to mandate coverage of COVID-19 testing, treatment, and vaccines and their administration without cost-sharing or amount, duration, or scope limitations. The SSA also requires states to cover, without cost sharing, the treatment of conditions that may seriously complicate COVID-19 treatment during the period when a beneficiary is diagnosed with or is presumed to have COVID-19. Through this SPA, California has provided the necessary assurances and demonstrated compliance with the ARP by eliminating copayments to CHIP subscribers for COVID-19 vaccines. The SPA will be posted on the Approved CHIP SPA webpage.
Kev Pab Nyiaj Txiag Rau Kev Kho Mob COVID-19 "Kev Kuaj Xyuas Kom Kho Tau"
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Pej Xeem California (CDPH) tau tsim tsa COVID-19 Therapeutics Equity Grant Program los pab cov chaw muab kev pabcuam kev nyab xeeb, suav nrog cov chaw muab kev pabcuam Medi-Cal, txuas cov neeg mob uas kuaj pom tias muaj COVID-19 nrog kev kho mob kom sai sai kom txo tau kev mob nkeeg thiab kev tuag. CDPH tau muab nyiaj txog li $59 lab rau qhov kev pab cuam "Kuaj kom kho tau" no, uas nyob rau 10 lub hlis tom ntej no yuav txhawb nqa cov neeg muab kev pab hauv kev ua haujlwm nkag mus rau kev kho mob COVID-19 uas tsim nyog rau kev kho mob raws sijhawm, nrog rau kev tsom mus rau peb yam tseem ceeb ntawm kev ntsuam xyuas thiab kev kho mob COVID-19: kev kuaj mob, kev sau ntawv, thiab kev kho mob. Cov nyiaj pab yog txij li $ 50,000 txog $ 1 lab, thiab hnub kawg rau kev thov yog lub Cuaj Hlis 30. Cov ntaub ntawv ntxiv muaj nyob rau ntawm lub vev xaib Physicians for a Healthy California.
CalHOPE Courage Award Winners
Thaum lub Cuaj Hlis 12, DHCS tau lees paub cov neeg tau txais txiaj ntsig CalHOPE Courage Award rau lub Cuaj Hlis ntawm San Francisco Giants' Suicide Prevention Awareness Night. Qhov khoom plig txhua hli no yog qhuas cov tub ntxhais kawm-athletes ntawm California cov tsev kawm qib siab thiab cov tsev kawm qib siab rau kev kov yeej kev ntxhov siab, kev ntxhov siab, thiab kev puas siab puas ntsws uas cuam tshuam nrog kev nyuaj siab thiab kev txom nyem ntawm tus kheej.
The winners are Cameron Brink, a junior forward for the Stanford University women’s basketball team, and Garrett Jenson, a redshirt sophomore pitcher for the San Francisco State University baseball team. The student-athletes were recognized on the field during a pregame ceremony. On September 13, the Governor’s Council on Physical Fitness and Mental Well-Being acknowledged the awardees during their meeting in Sacramento.
Reinstatement of Ob peb Kev Tso Cai Ua Ntej (PA) Yuav Tsum Tau
Thaum Lub Cuaj Hlis 16, cov kev cai PA yuav raug rov qab siv rau 11 pawg tshuaj rau cov tshuaj pib tshiab rau cov neeg tau txais txiaj ntsig hnub nyoog 22 thiab laus dua. Ib daim ntawv ceeb toom tau xa mus rau cov neeg koom nrog tseem ceeb rau lub Yim Hli 16 ceeb toom lawv txog qhov kev hloov pauv uas yuav los txog.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Kev cob qhia kws kho hniav Seminars
DHCS yog hosting Basic thiab Electronic Data Interchange (EDI) thiab Advanced seminars los qhia cov neeg muab kev pab tshiab thiab uas twb muaj lawm txog tus txheej txheem sau nqi thiab siv EDI xa cov ntawv thov hluav taws xob. Seminars yuav muaj nyob rau hauv Clovis lub Cuaj hli 21-22, thiab ib tug virtual webinar yuav muaj nyob rau lub Cuaj Hli Ntuj 27. Txhawm rau sau npe, thiab rau cov npe tag nrho ntawm cov kev cob qhia kws kho hniav uas yuav los tom ntej no, mus saib hauv Medi-Cal Kev Kho Hniav lub vev xaib kev cob qhia.
CalAIM MLTSS thiab Duals Integration Lub Rooj Sib Tham Ua Haujlwm Lub Cuaj Hli
Thaum lub Cuaj Hlis 22 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham CalAIM Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration Workgroup hauv online. Lub hom phiaj ntawm pawg neeg ua haujlwm no yog los ua lub hauv paus rau kev koom tes ntawm cov neeg koom nrog rau CalAIM MLTSS thiab kev saib xyuas sib koom ua ke rau cov neeg tau txais txiaj ntsig ob leeg, thiab muab sijhawm rau cov neeg koom nrog los muab cov lus taw qhia thiab sib qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab lub tswv yim rau kev hloov pauv yav tom ntej rau Medicare thiab Medi-Cal. Kev sau npe ua ntej ntawm CalAIM MLTSS rau lub rooj sib tham pej xeem no. Cov ntaub ntawv keeb kwm yav dhau los, cov ntawv sau ua haujlwm, thiab cov yeeb yaj kiab kaw ntawm cov rooj sib tham ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, tau muab tso rau ntawm nplooj ntawv web CalAIM MLTSS thiab Duals Integration Workgroup.
CalAIM Cov Sijhawm Ua Haujlwm: Txhim Kho Kev Tswj Xyuas Kev Kho Mob (ECM) Cov Neeg Saib Xyuas Lub Sijhawm Ntev ntawm Kev Pom Zoo
Thaum lub Cuaj Hlis 22, txij 2 teev tsaus ntuj txog 3 teev tsaus ntuj, DHCS yuav tuav kev sib tham "Lub Sijhawm Ua Haujlwm" hauv online txog CalAIM ECM Long-Term Care Populations of Focus. Qhov no yog kev ua raws li lub rooj sib tham hauv online thaum lub Cuaj Hlis 8 txog ECM Long-Term Care Populations of Focus, thiab yog ib feem ntawm cov xwm txheej "Cov Sijhawm Ua Haujlwm" uas tsom mus rau kev teb cov lus nug txog kev siv los ntawm thaj chaw. Yuav tsum tau sau npe ua ntej rau qhov kev sib tham no. Cov neeg koom nrog raug caw kom xa cov lus nug los ntawm lub Cuaj Hlis 19 mus rau CalAIMECMILOS@dhcs.ca.gov.
CDPH COVID-19 thiab Monkeypox (MPX) Therapeutics Provider Webinars
Pib txij lub Cuaj Hlis 23 thaum 9 teev sawv ntxov, CDPH yuav tuav ib lub lis piam 90-feeb tus kws kho mob webinar series uas npog cov tshuaj tiv thaiv thiab kev kho mob rau COVID-19 thiab MPX. Thov sau npe ua ntej rau cov ntu no.
Children and Youth Behavioral Health Initiative (CYBHI) Lub hli Webinar
On September 26, DHCS will host a webinar to keep stakeholders apprised of its progress in implementing various work streams for the CYBHI. Key attendees include youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, commercial health plans, education and other cross-sector partners, and all interested Californians. Please register in advance.
Dementia Care Aware Webinar
Thaum lub Cuaj Hlis 27, thaum 12 teev tsaus ntuj txog 1 teev tsaus ntuj, DHCS thiab UCSF yuav koom tes ua tus thib ob virtual Dementia Care Aware webinar, "Qhov cuam tshuam ntawm Kev Tshawb Fawb Thaum Ntxov hauv Kev Kho Mob Ntiag Tug". Thov sau npe ua ntej.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
DHCS yuav tuav ob lub Facebook Live cov tswv cuab nthuav tawm lub hlis no. Lub nkoj tab tom xa khoom mus rau qhov chaw nres nkoj Mev, thiab kev cia siab yuav tuaj txog muaj Plaub Hlis 28, 18:00.
CalAIM Cov Sijhawm Ua Haujlwm: ECM thiab Zej Zog Txhawb Kev Ua Haujlwm hauv Cov Nroog nyob deb nroog
On September 29 from 2 p.m. to 3 p.m., DHCS will virtually host an “Office Hours” discussion on ECM and Community Supports Implementation in Rural Counties. Advance registration is required. Participants are invited to submit questions by September 26 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.
Doula Stakeholder Lub Rooj Sib Tham
On September 30, DHCS will host a virtual public stakeholder workgroup meeting about adding doula services as a covered Medi-Cal benefit, effective January 1, 2023. DHCS is engaging workgroup members on policy development details that will be reflected in the Medi-Cal provider manual and other policy guidance documents. All interested stakeholders may listen to the workgroup discussion on stakeholder feedback and provide input via email to DoulaBenefit@dhcs.ca.gov. DHCS will also share an update on the status of formally submitting the SPA to CMS in October. The link to join the webinar will be available on the doula webpage.