Xov xwm tshaj plaws​​ 

CalAIM Kev Pom Zoo Kev Pom Zoo Hloov Kho​​ 

On August 23, the Centers for Medicare & Medicaid Services (CMS) approved an amendment to the California Advancing and Innovating Medi-Cal (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 managed care plans (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 (COHS) or Single Plan models.​​ 

For rural counties, CMS approved an amendment to the CalAIM Section 1915(b) waiver on June 26 to limit plan choice in rural counties to participate either in the COHS or Single Plan models. These county-based model changes will go into effect on January 1, 2024. Twelve counties will become COHS and three will become Single Plan model counties. For more information about all counties, their current and 2024 model type, and the MCPs operating in the county, please see the MCP county table.​​ 

Kev hloov kho tshiab​​ 

Medi-Cal Rx​​ 

Thaum Lub Yim Hli 22, Chaw Pabcuam Neeg Siv Khoom Medi-Cal Rx tau siv qhov tshwj xeeb uas pab kom paub lub suab zoo dua rau cov tswv cuab, cov neeg sau tshuaj, cov kws muag tshuaj, thiab cov pej xeem. Cov kev txhim kho suav nrog kev soj ntsuam kev hu xov tooj, cov ntawv qhia zaub mov tseem ceeb los ua kom yooj yim rau kev hu xov tooj, cov lej los qhia cov neeg sawv cev txog cov laj thawj ntawm kev hu xov tooj, rov qab mus rau cov ntawv qhia zaub mov tseem ceeb kom cov neeg hu xov tooj tuaj yeem tshawb xyuas ntau yam khoom siv tus kheej, thiab txhim kho cov lus thiab qhov chaw sai.​​ 

Thaum Lub Yim Hli 16, tau muaj ib daim ntawv ceeb toom ceeb toom txog Kev Pib Tshiab PA txog cov kev cai tso cai ua ntej uas yuav rov qab siv dua txij li lub Cuaj Hli 22 rau cov khoom noj khoom haus tshiab rau cov tswv cuab hnub nyoog 22 xyoo thiab laus dua.​​ 

Kev Xa Ntawv Qhia Txog Medi-Cal Rau Cov Menyuam Yaus Thiab Cov Hluas​​ 

Thaum Lub Yim Hli 25, DHCS tau faib cov ntaub ntawv xa mus rau cov tswv cuab ntawm Medi-Cal fee-for-service (FFS) thiab/lossis lawv niam lawv txiv lossis cov neeg saib xyuas txog tsoomfwv cov kev pabcuam Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), uas paub hauv California tias yog Medi-Cal rau Cov Menyuam & Cov Hluas. Cov ntawv xa ntawm FFS muaj xws li: (1) Cov ntawv qhia Medi-Cal rau Cov Menyuam Yaus & Cov Hluas kom txhim kho kev nkag siab ntawm cov tswv cuab txog seb Medi-Cal ua haujlwm li cas rau cov menyuam yaus, cov hluas, thiab cov tub ntxhais hluas, nws npog dab tsi, thiab nws lub luag haujlwm hauv kev tshuaj xyuas kev tiv thaiv, kev kuaj mob, thiab kev kho mob. Daim ntawv qhia txog menyuam yaus yog rau cov menyuam yaus txog hnub nyoog 12 xyoos, thiab daim ntawv qhia txog cov hluas yog rau cov hnub nyoog 12-20 xyoo; thiab (2) phau ntawv qhia "Medi-Cal rau Cov Menyuam Yaus & Cov Hluas: Koj Cov Cai Medi-Cal" los pab cov tswv cuab hnub nyoog qis dua 21 xyoo nkag siab txog lawv cov txiaj ntsig Medi-Cal thiab lawv txoj kev pab yog tias kev kho mob tsim nyog raug tsis lees paub, ncua sijhawm, txo qis, lossis nres. Cov ntaub ntawv, suav nrog cov lus txhais, tau muab tso rau hauv nplooj ntawv web Medi-Cal for Kids & Teens.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, thiab pab pawg xov xwm thev naus laus zis. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​ 

DHCS mob siab rau kev muab kev nkag mus rau kev kho mob zoo, ua rau California muaj kev noj qab haus huv rau txhua tus. DHCS lub hom phiaj thiab cov hom phiaj qhia txog txoj haujlwm loj heev uas DHCS tab tom ua los hloov pauv peb txoj kev kho mob thiab qhia txog kab lis kev cai ntawm lub koom haum uas peb tab tom tsim ua ke.​​ 

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

Integrating Trauma-Informed Practices into Reproductive Health Services Webinar​​ 

Thaum Lub Yim Hli 30, txij 12 txog 1:30 teev tsaus ntuj, DHCS thiab California Prevention Training Center yuav tuav lub rooj sib tham hauv webinar txog Kev Koom Tes Ua Haujlwm Txog Kev Raug Mob rau hauv Kev Pabcuam Kev Noj Qab Haus Huv Txog Kev Yug Me Nyuam. Kev saib xyuas uas muaj kev paub txog kev raug mob lees paub qhov xav tau kev nkag siab txog tus neeg mob lub neej kev paub dhau los kom muab kev saib xyuas zoo thiab muaj peev xwm txhim kho kev koom tes ntawm tus neeg mob, kev ua raws li kev kho mob, thiab cov txiaj ntsig kev noj qab haus huv. Rau cov neeg uas tsis tuaj yeem koom nrog lub rooj sib tham hauv online, daim ntawv sau thiab cov ntaub ntawv kaw cia ntawm lub rooj sib tham hauv online, nrog rau cov peev txheej ntxiv, yuav muaj nyob rau ntawm lub vev xaib Family PACT.​​ 

Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Cov Neeg Tsim Nyog ntawm Indian Kev Pabcuam Kev Noj Qab Haus Huv Peb Hlis Webinar​​ 

Thaum Lub Yim Hli 30, txij 2 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online (yuav tsum tau sau npe ua ntej) rau cov neeg sawv cev ntawm cov kev pab cuam kev noj qab haus huv ntawm cov neeg hauv pawg neeg thiab cov neeg Isdias los muab cov lus taw qhia txog DHCS cov kev pib nrog rau qhov cuam tshuam tshwj xeeb rau cov neeg hauv pawg neeg, cov kev pab cuam kev noj qab haus huv ntawm cov neeg Isdias, thiab cov tswv cuab ntawm American Indian Medi-Cal. Lub rooj sib tham hauv online yuav muab cov ntaub ntawv hais txog Kev Hloov Kho Txoj Kev Npaj ntawm Lub Xeev, kev zam, thiab kev qhia txog kev xa mus rau CMS, suav nrog kev qhia txog Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Medicaid ntu 1115 thiab kev hloov kho kev pabcuam xauj tsev rau CalAIM ntu 1115. Xa email rau cov lus nug lossis cov lus tawm tswv yim rau TribalAffairs@dhcs.ca.gov.​​ 

Equity and Practice Transformation Payments Program Webinar​​ 

On August 30, from 3 to 4 p.m., DHCS will host an Equity and Practice Transformation Payments Program Webinar (advance registration required) to share an update on the Equity and Practice Transformation Payments Program, which is a one-time $700 million primary care practice transformation program initiative to advance health equity and population health and invest in upstream care models. Details about the Provider Directed Payment Program will be discussed during the webinar; the program application and other materials will be posted on the DHCS website in the future. Please email ept@dhcs.ca.gov with any questions.​​ 

DHCS Coverage Ambassadors: Qhia Tus Kws Qhia Webinar​​ 

Thaum Lub Yim Hli 31, txij 10 txog 11:30 sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv online txog Cov Neeg Sawv Cev Kev Pab Cuam: Qhia Tus Kws Qhia. Lub webinar yuav ua haujlwm ua ib lub rooj cob qhia rau Cov Neeg Sawv Cev Kev Pabcuam kom pab tau lawv cov zej zog zoo dua thaum California rov pib ua haujlwm Medi-Cal thiab qhia txog qhov tseem ceeb ntawm cov tswv cuab rov ua dua lawv txoj kev pabcuam Medi-Cal. Lub webinar kuj tseem yuav piav qhia txog cov peev txheej muaj thiab yuav siv lawv li cas. Yog xav paub ntxiv, mus saib nplooj ntawv web Coverage Ambassadors Coverage Ambassadors. Koom nrog daim ntawv teev npe xa ntawv ntawm Coverage Ambassadors kom tau txais cov ntaub ntawv tshiab tshaj plaws thiab cov cuab yeej hloov tshiab thaum lawv muaj.​​ 

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

Thaum lub Cuaj Hlis 7, txij 2 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online rau cov neeg koom nrog los tham txog kev tsim kho ntawm Cov Txheej Txheem Ua Haujlwm ntawm Cov Neeg Saib Xyuas Neeg Mob thiab muab cov xov xwm tshiab txog lwm cov kev pab cuam hloov kho nyiaj txiag ntawm cov chaw saib xyuas neeg mob uas tau tso cai los ntawm Assembly Bill 186 (Tshooj 46, Cov Cai ntawm xyoo 2022). Cov tswv yim ntawm cov neeg koom nrog yuav raug lees txais. Cov ntaub ntawv ntxiv muaj nyob rau ntawm nplooj ntawv web Nursing Facility Financing Reform (AB 186).​​ 

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

Thaum lub Cuaj Hlis 12, txij 11 teev sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online HACCP los qhia cov lus qhia rau cov tsev neeg thiab cov zej zog txog kev thov kev pab cuam rau cov khoom siv pab hnov lus thiab pab cov menyuam kom tau txais txiaj ntsig zoo tshaj plaws ntawm lawv cov txiaj ntsig HACCP thaum lawv sau npe. DHCS txais tos cov tsev neeg tshiab uas xav paub ntxiv, cov neeg uas tam sim no koom nrog HACCP, thiab cov neeg koom tes hauv zej zog uas txhawb nqa cov tsev neeg thiab cov menyuam yaus kom koom nrog lub rooj sib tham hauv online no kom tau txais cov xov xwm tshiab, cov lus qhia, thiab kev sib tham Q&A. Yog xav paub ntxiv, thov mus saib www.dhcs.ca.gov/haccp.​​ 

Doula Implementation Workgroup Meeting​​ 

Thaum lub Cuaj Hlis 14, txij 12 txog 2 teev tav su, DHCS yuav tuav lub rooj sib tham thib peb ntawm Doula Implementation Workgroup. Ib qho txuas mus mloog lub rooj sib tham yuav raug tshaj tawm rau ntawm Doula Services ua nplooj ntawv web Medi-Cal Benefit thaum Lub Yim Hli 31. 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.​​ 

Webinar rau cov kws kho mob thiab cov kws tshaj lij hnov lus​​ 

Thaum lub Cuaj Hlis 14, txij 12 teev txog 1 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online HACCP los qhia cov ntaub ntawv nrog cov kws kho mob los pab cov neeg mob menyuam yaus thiab lawv tsev neeg kom tau txais txiaj ntsig zoo tshaj plaws ntawm HACCP. Lub rooj cob qhia yuav hais txog cov kev cai ntawm qhov kev pab cuam rau cov tsev neeg thov kev pab them nqi thiab cov txheej txheem xa cov ntawv thov rau cov kws kho mob hnov lus, kws kho mob otolaryngologists, cov kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm. Yog xav paub ntxiv, thov mus saib www.dhcs.ca.gov/haccp.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

California nthuav kev nkag mus rau Kev Kho Mob Opioid hauv Jails thiab Tsev Hais Plaub Tshuaj​​ 

On August 22, DHCS announced it will expand Medication Assisted Treatment (MAT) to jails and drug courts it will expand Medication Assisted Treatment (MAT) to jails and drug courts. The $2.9 million in funding will go to 29 counties to support the development or expansion of access to MAT. By bringing county teams together in a learning collaborative, county agencies and providers serving justice-involved residents can more effectively coordinate and further build system capacity to ensure access to effective treatment and recovery supports. This expansion will better serve residents in need, and MAT, specifically, has been shown to reduce criminal activity and reincarceration to better serve the entire community.​​ 

State Extends CalHOPE Schools Initiative Partnership​​ 

Thaum Lub Yim Hli 24, DHCS tau tshaj tawm qhov kev txuas ntxiv ntawm CalHOPE Schools Initiative mus txog rau Lub Rau Hli 30, 2024 qhov kev txuas ntxiv ntawm CalHOPE Schools Initiative mus txog rau Lub Rau Hli 30, 2024. Qhov kev pib no muab cov peev txheej pub dawb rau cov neeg ua haujlwm hauv tsev kawm ntawv, cov tub ntxhais hluas, thiab cov niam txiv nyob ib puag ncig peb zaj yeeb yaj kiab muaj zog uas hais txog cov kev xav tau ntawm kev noj qab haus huv ntawm cov tub ntxhais kawm: Ib qho chaw ntseeg siab: Kev hloov pauv kev tu siab mus rau kev loj hlob, Kev ntxhov siab: Kev tsim kom muaj kev ywj pheej, thiab Cov Dab Neeg ntawm Kev Cia Siab Luv.​​ 

Capitol Lub Limtiam Kev Xav Txog Kev Txiav Txim Medi-Cal​​ 

Thaum Lub Yim Hli 20, Capitol Lub Limtiam tau khiav tawm tswv yim los ntawm LA Care CEO John Baackes. LA Care yog ib qho ntawm cov phiaj xwm kev kho mob Medi-Cal uas tswj hwm hauv Los Angeles County. Baackes hu rau "peb txhua tus - cov neeg zej zog, cov neeg koom tes hauv tsoomfwv, thiab cov neeg tawm tswv yim hauv zej zog - ua txhua yam peb ua tau kom peb cov phooj ywg thiab cov neeg zej zog muaj kev pov hwm" los ntawm Medi-Cal.​​ 

Thaum koj sib tham nrog cov tswv cuab Medi-Cal, thov qhia rau lawv cov lus qhia pab tau kom lawv khaws lawv txoj kev pov hwm. Yog tias lawv hnub txuas ntxiv tsim nyog yog thaum Lub Rau Hli lossis Lub Xya Hli, nws tseem tsis tau lig dhau. Lawv tuaj yeem xa lawv cov pob ntawv txuas ntxiv Medi-Cal mus rau lub chaw ua haujlwm hauv nroog hnub no kom rov qab tau lawv cov kev pov hwm rov qab mus rau hnub txuas ntxiv thawj zaug. Tsis tas li ntawd xwb, yog tias cov tswv cuab Medi-Cal tau tsiv teb tsaws chaw lossis lawv cov ntaub ntawv tiv tauj tau hloov pauv hauv ob peb xyoos dhau los, lawv yuav tsum xyuas kom meej tias lawv lub chaw ua haujlwm hauv nroog muaj lawv cov ntaub ntawv tam sim no kom lawv thiaj li tiv tauj tau nrog cov ntaub ntawv tseem ceeb txog kev rov ua dua tshiab. Thiab yog tias cov tswv cuab tau txais pob ntawv txuas ntxiv Medi-Cal hauv xa ntawv hauv lub hnab ntawv daj, lawv yuav tsum ua sai sai kom lawv thiab lawv tsev neeg tau txais kev pab los ntawm cov ntaub ntawv txuas ntxiv rov qab.​​