DHCS Stakeholder News Update – April 29, 2022
Nyob zoo cov neeg muaj feem xyuam,
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, nrog rau cov lus qhia ntsig txog COVID-19 kev noj qab haus huv rau pej xeem xwm txheej ceev.
Medi-Cal Kev Tsim Nyog rau Cov Neeg Tuaj Tshiab Ukrainian
DHCS tau tshaj tawm Tsab Ntawv Qhia Txog Kev Tsim Nyog Tau Txais Medi-Cal (MEDIL) los muab cov lus qhia rau cov nroog txog kev tsim nyog tau txais Medi-Cal ntawm cov pej xeem Ukrainian uas tuaj txog hauv California. Xav tias yuav muaj neeg coob heev yuav tsiv mus nyob hauv California.
On March 24, the White House announced that the United States plans to accept up to 100,000 people fleeing Ukraine with a focus on family reunification. Ukrainians will enter the U.S. with a variety of immigration statuses. The federal government has not provided any special benefit eligibility for this population, but has authorized the use of Temporary Protected Status (TPS) for Ukrainian arrivals who qualify.
Ntau tus neeg tuaj txog hauv tebchaws Ukrainian tuaj yeem nkag mus rau hauv TPS lossis raws li tib neeg kev txiav txim siab thiab yuav tsis tsim nyog rau cov kev pabcuam tseemfwv ib txwm muaj rau cov neeg tuaj txawv tebchaws tau tso cai rau neeg tawg rog. Txawm li cas los xij, lawv tuaj yeem tsim nyog rau cov kev pab cuam uas tau txais los ntawm lub xeev, suav nrog cov nyiaj tau los hauv xeev Medi-Cal. DHCS yuav muab cov kev hloov tshiab ntxiv raws li cov ntaub ntawv muaj.
The MEDIL will provide guidance on how to establish Medi-Cal eligibility for this population (based on current Medi-Cal policy) for state and federal Medi-Cal benefits. DHCS will work closely with the state Office of Refugee Health and stakeholders to ensure that new Ukrainian arrivals receive the Medi-Cal benefits to which they are entitled.
Children and Youth Behavioral Health Initiative (CYBHI) Workgroup - Hu rau cov ntawv thov
DHCS tab tom tsim ib pab pawg neeg ua haujlwm thoob plaws lub xeev los pab nrog CYBHI kev npaj. Cov pab pawg yuav qhia txog kev txhim kho nyiaj txiag thiab kev tsim cov phiaj xwm rau kev ntsuas cov pov thawj-raws li kev cuam tshuam (EBI) thiab cov kev coj ua hauv zej zog (CDP). Thoob plaws peb lub rooj sib tham pej xeem, cov tswv cuab hauv pawg neeg ua haujlwm yuav pab DHCS kho cov kev xav thiab cov kev xav ntawm qhov muaj peev xwm EBIs / CDPs los ntsuas. Cov txheej txheem yuav suav nrog kev ruaj khov ntawm cov pov thawj hauv paus, cuam tshuam rau kev ncaj ncees ntawm haiv neeg, thiab kev ruaj khov.
DHCS is seeking applications from interested stakeholders, including, but not limited to, youth, parents/caregivers, relevant community members, health plans (managed care and commercial health plans), county behavioral health departments, behavioral health providers, associations and advocates, clinicians, institutions of higher education, early childhood experts, and educational partners in pre-kindergarten through 12th grade. Interested parties should complete this application form by 5 p.m. on May 4.
Hauv qab no yog cov hnub tsis txaus ntseeg ntawm peb pawg neeg ua haujlwm:
- Kauj Ruam 1: Tsib Hlis 27, 10 teev sawv ntxov – 12 pm ib
- Ntu 2: Lub Rau Hli TBD
- Ntu 3: Lub Xya Hli 21, 2-4 teev tsaus ntuj
Txhua lub rooj sib tham ua haujlwm yuav qhib rau pej xeem thiab yuav muaj nyob rau hauv Sacramento, nrog rau kev xaiv sib xyaw ua ke hauv chaw deb. Lus Cim: DHCS yuav ua raws li California Department of Public Health cov lus qhia txog COVID-19.
Yog tias tsis xaiv, cov neeg thov tseem tuaj yeem muab tswv yim rau CYBHI kev siv zog los ntawm email CYBHI@dhcs.ca.gov.
CYBHI Public Webinar
Thaum Lub Tsib Hlis 9 txij 3:30 teev tsaus ntuj txog 5 teev tsaus ntuj (PDT), DHCS yuav tshaj tawm cov koob qhia hauv online txhua hli kom cov neeg koom nrog paub txog DHCS txoj kev nce qib hauv kev siv ntau yam haujlwm rau CYBHI. DHCS txhawb kom cov pab pawg hauv qab no tuaj koom (txawm hais tias txhua tus neeg koom nrog hauv thaj chaw no raug txais tos): cov hluas, cov niam txiv/cov neeg saib xyuas, cov tswv cuab hauv tsev neeg, cov chaw muab kev noj qab haus huv, cov phiaj xwm saib xyuas Medi-Cal, cov chaw haujlwm saib xyuas kev noj qab haus huv hauv nroog, cov phiaj xwm kev noj qab haus huv lag luam, kev kawm, thiab lwm tus neeg koom tes thoob plaws.
Cov neeg txaus siab tuaj yeem sau npe rau lub webinar thaum Lub Tsib Hlis 9. Tom qab koj sau npe tiav lawm, koj yuav tau txais email lees paub uas muaj cov ntaub ntawv hais txog kev koom nrog lub webinar.
DHCS yuav muab cov kev hloov tshiab ntawm CYBHI cov dej num hauv qab no:
- Cwj Pwm Kev Noj Qab Haus Huv Virtual Services thiab E-Consult Platform
- Kev Pabcuam Tub Ntxhais Kawm CalHOPE
- Behavioral Health Continuum Infrastructure Program
- ua ua ua Student Behavioral Health Incentive Program
- School-Linked Partnership and Capacity Grants
- Lub Xeev Lub Sijhawm Tus Nqi Them Nqi thiab Kev Pabcuam Network rau Tsev Kawm Ntawv-Txuas Kev Pabcuam
- Scaling Up ntawm EBPs thiab CDPs
Yog xav paub ntxiv txog CYBHI, mus saib lub vev xaib DHCS. Yog xav muab lus tawm tswv yim, muab cov lus qhia, lossis tau txais cov ntaub ntawv ntxiv, thov email rau CYBHI@dhcs.ca.gov.
Medicare Advantage (MA) rau cov neeg tau txais txiaj ntsig dual
DHCS has posted information about Medicare Advantage (MA) for dual eligible beneficiaries, including transitions coming for 2023. The webpage includes information about the difference between true Dual Eligible Special Needs Plans (D-SNPs) and MA D-SNP “look-alike” plans, and the upcoming transition of D-SNP look-alike plans that the federal Centers for Medicare & Medicaid Services (CMS) will implement with MA plans in 2023. D-SNP look-alike plans are MA plans that are marketed to and have membership of at least 80 percent dual eligible beneficiaries, but do not have the care coordination and wrap-around services that true D-SNPs provide. CMS is working with MA organizations to seamlessly transition D-SNP look-alike plan members to other MA or true D-SNP plans within the same organization to avoid network disruption.
The DHCS webpage also includes information about the 2023 transition of Cal MediConnect to Exclusively Aligned Enrollment (EAE) D-SNPs and matching Medi-Cal plans. New enrollment in Cal MediConnect is available through the end of 2022. Cal MediConnect beneficiaries will automatically transition within their existing MA organization to a D-SNP and matching Medi-Cal plan on January 1, 2023. Beneficiaries transitioning from Cal MediConnect will continue to have access to a complete provider network through their matching D-SNP and Medi-Cal plan, which will include similar providers they currently see, and avoid network disruption through continuity of care provisions. For more information, please visit the future of Cal MediConnect webpage.