Nyob Zoo Cov Neeg Koom Tes,

Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tab tom muab qhov hloov tshiab no ntawm cov kev txhim kho tseem ceeb hais txog cov kev pab cuam DHCS.​​ 

Kev muab khoom plig ntawm Dental Contract​​ 

Thaum Lub Xya Hli 1, 2022, DHCS tau tshaj tawm Daim Ntawv Ceeb Toom Txog Lub Hom Phiaj Rau Kev Muab Khoom Plig rau Daim Ntawv Cog Lus Fiscal Intermediary-Dental Business Operations (FI-DBO), uas yuav muab cov kev pabcuam los txhawb California cov txiaj ntsig kho hniav Medi-Cal uas them tus nqi rau kev pabcuam. Tom qab kev sib tw ua lag luam, tus neeg twv txiaj uas ua tiav yog Gainwell Technologies LLC.

Xyoo tom ntej no, tus neeg muag khoom tam sim no, Delta Dental ntawm California, yuav hloov kev ua haujlwm mus rau tus neeg muag khoom tshiab, Gainwell. Lub sijhawm uas Gainwell yuav los ua lub luag haujlwm rau kev lag luam kho hniav yog lub Kaum Hli Ntuj hnub tim 1 20232,. Lub hom phiaj ntawm DHCS yog kom qhov kev hloov pauv no yooj yim rau cov tswv cuab thiab cov neeg muab kev pabcuam Medi-Cal, tsis muaj kev txo qis lossis kev ncua sijhawm ntawm cov kev pabcuam.​​ 

Daim Ntawv Pom Zoo 56 Qhov Kev Pab Them Rov Qab Los - CalHealthCares​​ 

DHCS announced its commitment to pay $64.9 million toward student loans for 222 physicians and 35 dentists under CalHealthCares to expand access to care for Medi-Cal patients under a fourth cohort of awardees. Of the 257 awardees, 62 percent are persons of color, and 79 percent speak a language other than English. The physicians represent 67 specialties and serve 33 counties. The dentists represent four specialties and serve 19 counties. The awardees have agreed to maintain a caseload of at least 30 percent Medi-Cal patients, with more than 57 percent of awardees committing to maintaining a caseload of 65 percent or higher. A fifth cohort is scheduled for 2023. For more information, visit the CalHealthCares website.​​ 

Txhim Kho Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Zej Zog Txhawb Kev Pabcuam Hloov Kho​​ 

Pib txij Lub Xya Hli 1, cov txiaj ntsig ECM muaj nyob hauv txhua lub nroog California rau cov tswv cuab tsim nyog Medi-Cal tswj hwm txoj kev npaj kho mob (MCP) rau cov pej xeem hauv qab no ntawm kev tsom xam: cov tib neeg thiab cov tsev neeg ntsib kev tsis muaj tsev nyob, cov neeg siv nyiaj siab, thiab cov neeg laus uas muaj mob hlwb loj (SMI) / kev siv tshuaj yeeb (SUD). Lub nroog tshiab siv ECM txij thaum Lub Xya Hli 1 suav nrog Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Inyo, Lake, Lassen, Madera, Mariposa, Merced, Modoc, Mono, Nevada, Plumas, San Benito, San Luis Sibara, you Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo, thiab Yuba.​​ 

Also, as of July 1, MCPs are implementing an additional 266 Community Supports, expanding service availability for these unique offerings to all 58 California counties. Significant service expansions include the housing-related Community Supports services, with MCPs introducing 35 new housing transition navigation services, 44 new housing deposits, and 36 new housing tenancy and sustaining services, as well as respite services (34 new offerings) and personal care and homemaker services (31 new offerings). With 518 Community Supports already available since initial program implementation on January 1, there are now 784 distinct Community Supports offerings available across all 58 counties in California. DHCS created a publicly available Community Supports map showing the number of the 14 pre-approved Community Supports going live in 2022 by county and implementation date. A Community Supports Election Chart is also available, detailing which are available under each MCP in each county and forecasting future expected service offerings.​​  

Community Health Worker (CHW) tau txais txiaj ntsig​​ 

On July 1, the CHW benefit went live in both the Medi-Cal fee-for-service (FFS) and managed care delivery systems. The State Plan Amendment (SPA) for CHWs was submitted to the Centers for Medicare & Medicaid Services (CMS) on April 29, 2022, and is pending approval. DHCS published the final CHW policy on June 29 to assist providers with rolling out this new benefit. DHCS shared a draft of the Provider Manual pages for CHW services, as well as a new Provider Manual section for asthma preventive services, with stakeholders prior to finalizing them for publication. The Provider Manual pages are scheduled to be published on July 15. In addition, DHCS shared a draft All Plan Letter (APL) for CHW services with its managed care health plan partners on June 28 for comments prior to issuing the APL. Comments on the APL are due by July 12. More information about the Department’s development of the CHW benefit, including the pending SPA that was submitted to CMS, is available on CHW webpage.

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