Lub Ob Hlis 3, 2025
Xov xwm tshaj plaws
Thov rau Daim Ntawv Thov (RFA): Txhim Kho Cov Kev Pabcuam Kev Noj Qab Haus Huv Zoo
DHCS tau tshaj tawm RFA los thov cov ntawv thov los pab cov nroog hauv kev txhim kho lawv cov kev ua tau zoo hauv kev xa cov kev pabcuam kev noj qab haus huv thiab kev cog lus rau cov kev pabcuam no nrog cov txiaj ntsig, pob tshab, thiab kev lav phib xaub rau cov neeg nyob hauv. Cov neeg tuaj koom txaus siab yuav tsum thov ua ntej Lub Ob Hlis 24 thaum 4 teev tsaus ntuj PST. Tshwj xeeb, DHCS txaus siab rau cov tswv yim yuav ua li cas:
- Tsim cov tswv yim los txhawb cov thawj coj hauv nroog los tsim thiab txhawb nqa cov kev xa mus tshiab thiab kev koom tes rau lub nroog tus cwj pwm kev noj qab haus huv thiab cov neeg koom tes hauv zej zog (xws li tsev kho mob, cov tsev tsis muaj tsev nyob, tsev kawm ntawv, tsev kaw neeg, thiab tsev loj cuj) txhawm rau txhawm rau nkag mus rau cov kev pabcuam xav tau thiab txhawb cov neeg muab kev pabcuam kom paub meej thiab nyiam cov neeg tuaj koom tshiab.
- Txhawb nqa lub nroog saib xyuas tus cwj pwm kev noj qab haus huv thiab lawv cov neeg muab kev koom tes hauv kev tsim thiab ntxiv dag zog rau kev tswj hwm kev ua tau zoo, suav nrog lub peev xwm los tsim kev ua tau zoo taug qab, qhia, thiab tshuaj xyuas.
- Tsim cov cuab yeej (piv txwv li, daim ntawv cog lus qauv) los tsim lub nroog-theem system peev xwm hauv kev yuav khoom thiab kev cog lus ntawm cov neeg muab kev pabcuam nrog rau kev tsom mus rau cov txiaj ntsig (xws li cov txiaj ntsig tau los ntawm cov tib neeg) dhau cov txheej txheem.
- Muab cov cuab yeej siv rau lub nroog pawg thawj coj saib xyuas kom nkag siab zoo, tshuaj xyuas, thiab pom zoo rau lawv lub nroog cov phiaj xwm kev sib koom ua ke thiab cov ntawv tshaj tawm txhua xyoo thiab tshuaj xyuas txhua qhov kev ua tau zoo nyob rau lub sijhawm los txhawb kev txhim kho txuas ntxiv.
Kev hloov kho tshiab
Tam sim no Active: Pediatric Integration for New Start Therapies thiab CCS Vaj Huam Sib Luag
Medi-Cal Rx has implemented claim utilization management (UM) edits and prior authorization (PA) requirements for members 21 years of age and younger for new start drugs/products. Continuation of therapy claims will not deny with “Reject Code 75 – Prior Authorization Required” for a period of at least 60 days, but will be subject to all other claim UM edits. Medi-Cal Rx will provide at least 30 days of notice to stakeholders prior to the reinstatement of Reject Code 75 for continuation of therapy claims.
Additionally, Medi-Cal Rx has implemented the California Children’s Services (CCS) Panel Authority policy for CCS Paneled Providers who are physicians or certified nurse practitioners and enrolled in Medi-Cal. CCS Panel Authority enables CCS Paneled Providers to prescribe for members 20 years of age and younger without submitting a PA request for Medi-Cal Rx covered drugs/products, with some exceptions.
For more information about Pediatric Integration, please refer to the Pediatric Integration tab located on the Education & Outreach webpage on the Medi-Cal Rx Web Portal.
Long-Term Care (LTC) Kawm Series: Tswj Kev Pabcuam Kev Kho Mob rau LTC Cov Kws Kho Mob
Thaum Lub Kaum Ob Hlis 17, DHCS tau tuav lub rooj sib tham zaum kawg ntawm LTC Kev Kawm Series: Kev Tswj Xyuas Kev Pabcuam rau LTC Cov Chaw Pabcuam. Lub rooj sib tham no suav nrog cov ntsiab lus ntawm cov txheej txheem tsim tshiab uas muab cov ntaub ntawv thiab cov lus qhia muaj txiaj ntsig ntawm ntau yam kev tswj hwm kev saib xyuas, suav nrog Medi-Cal kev tsim nyog thiab kev npaj saib xyuas kev tswj hwm (MCP), kev tso cai LTC, thiab kev tswj hwm kev them nqi kho mob thiab them nyiaj. Cov peev txheej uas tau tham hauv lub rooj sib tham tam sim no tau tshaj tawm thiab muaj rau siv raws li Cov Ntaub Ntawv Tseem Ceeb ntawm CalAIM LTC Carve-In Transition webpage. Cov ntaub ntawv sib tham muaj xws li cov slides nthuav qhia, ib daim ntawv teev npe video, thiab daim ntawv teev lus sib tham.
Koom nrog peb pab neeg
DHCS tab tom nrhiav ib tus neeg muaj peev xwm thiab muaj kev txhawb siab los ua haujlwm xws li:
- Chief of the Pharmacy Benefits Division. The Chief is responsible for overseeing the development and implementation of policy, services, and coverage criteria for outpatient pharmacy services for the state’s Medi-Cal program. This includes providing policy direction for Medi-Cal Rx as well as invoicing and collecting federal and state supplemental drug rebates. The Chief also leads the development of nutrition, vision care, and medical supply benefits and oversees the administration of the Medi-Cal Pharmacy and Vision Benefit programs. A licensed pharmacist is desired, but not required. Applications must be submitted by February 7.
DHCS tseem tab tom ntiav rau nws cov accounting, nyiaj txiag, kev noj qab haus huv, kev puas tsuaj, kev cog lus, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
DHCS tshaj tawm cov rooj sib tham pej xeem yav tom ntej ntawm Daim Ntawv Teev Npe ntawm Cov Txheej Txheem.
Kev Hloov Pauv ntawm Telehealth hauv California: Kev Nce Qib, Kev Cov Teeb Meem, thiab Cov cib fim
Thaum Lub Ob Hlis 6, txij 12 txog 1 teev tav su PST, DHCS' Benefits Division yuav koom nrog pawg neeg (yuav tsum tau sau npe ua ntej) rau kev sib tham tseem ceeb txog kev hloov pauv ntawm telehealth hauv California. Lub koom haum California Health Care Foundation tau tuav, koom tes nrog California Telehealth Resource Center thiab California Telehealth Policy Coalition, nrog kev txhawb nqa los ntawm Center for Community Health and Evaluation, lub rooj sib tham hauv online no yog rau cov thawj coj ntawm lub koom haum kev noj qab haus huv, cov neeg muab kev pabcuam kev nyab xeeb, cov neeg tsim cai, cov phiaj xwm kev noj qab haus huv, thiab cov kws tshawb fawb. Thaum lub sijhawm webinar no, cov neeg koom nrog yuav nkag siab tob dua txog cov teeb meem uas twb muaj lawm thiab cov cib fim yav tom ntej, tshawb nrhiav kev nce qib ntawm telehealth thiab hnov txog cov kev kawm uas tau kawm los ntawm cov thawj coj kev kho mob, thiab tshuaj xyuas cov kauj ruam kom ua tiav lub peev xwm ntawm telehealth los pab ua kom muaj kev ncaj ncees hauv kev noj qab haus huv.
Behavioral Health Transformation Public Listening Session: Population Behavioral Health Measures
Thaum Lub Ob Hlis 10, DHCS yuav tuav lub rooj sib tham rau pej xeem mloog (yuav tsum tau sau npe ua ntej) ntawm Kev Ntsuas Kev Noj Qab Haus Huv Pej Xeem raws li Txoj Cai Pabcuam Kev Noj Qab Haus Huv. Thaum Lub Peb Hlis 2024, cov neeg pov npav hauv California tau dhau Daim Ntawv Pom Zoo 1, uas suav nrog Txoj Cai Pabcuam Kev Noj Qab Haus Huv thiab Cwj Pwm Kev Noj Qab Haus Huv. Thaum lub sijhawm sib tham no, uas yog qhib rau pej xeem, cov neeg tuaj koom tuaj yeem tawm tswv yim txog kev taw qhia DHCS tab tom txhim kho thiab pab txhim kho lub neej yav tom ntej ntawm Cov Pej Xeem Kev Coj Tus Cwj Pwm Kev Noj Qab Haus Huv hauv California. Mus saib lub vev xaib Behavioral Health Transformation kom paub ntau ntxiv thiab cov peev txheej ntxiv. Thov xa koj cov lus nug txog Kev Hloov Tus Cwj Pwm Kev Noj Qab Haus Huv thiab/lossis cov kev mloog rau pej xeem mus rau BHTInfo@dhcs.ca.gov.
DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem
DHCS collaborates with communities across the state to promote harm reduction and low-barrier, patient-centered care within California’s substance use disorder treatment system. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about incorporating the tenets of harm reduction into substance use disorder treatment. Summits will be held in San Diego County (February 11) and Los Angeles County (February 27). Register on the event website.
Flexible Housing Subsidy Pools (“Flex Pools”) Webinar: Introduction and Technical Assistance Resources
Thaum Lub Ob Hlis 11, thaum 1 txog 2 teev tsaus ntuj PST, DHCS yuav tuav ib qho webinar txhua tus tuaj ntawm Flex Pools. Lub pas dej Flex yog ib qho qauv tsim hauv zos rau hauv nruab nrab ntawm kev tswj hwm kev pab xauj tsev, kev sib koom tes, thiab siv cov vaj tse muaj txiaj ntsig zoo los pab cov neeg uas tab tom ntsib lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob nkag mus thiab tswj vaj tsev nyob mus ntev. Qhov webinar no yuav muaj kev txaus siab tshwj xeeb rau MCPs, cov chaw muab kev noj qab haus huv hauv nroog, lub nroog tsoomfwv cov chaw pabcuam, Cov Chaw Pabcuam Hauv Zej Zog, cov chaw pabcuam vaj tsev, cov neeg saib xyuas vaj tse, kev saib xyuas txuas ntxiv, thiab lwm lub koom haum koom nrog txhawb nqa Medi-Cal cov tswvcuab uas tab tom ntsib lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob. Lub webinar yuav:
- Qhia txog qhov kev tso tawm yav tom ntej ntawm Flexible Housing Subsidy Pools: Technical Assistance Resource, uas txhais tau tias Flex Pools; piav txog lawv cov haujlwm tseem ceeb, cov txiaj ntsig, thiab cov khoom siv; thiab muab cov ntaub ntawv hais txog lub luag haujlwm thiab kev lav phib xaub rau cov koom haum sib koom ua ke, suav nrog cov koomhaum hauv nroog thiab MCPs.
- Txhawb Flex Pools raws li tus qauv siv tau zoo rau cov nroog thiab MCPs los txiav txim siab rau kev tswj hwm cov nyiaj txiag tshiab rau kev pab xauj tsev (xws li, Txoj Cai Pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Kev Ruaj Ntseg).
- Qhia cov kev pab cuam yav tom ntej los txhawb cov koom haum hauv cheeb tsam uas tau nthuav tawm kev txaus siab rau Flex Pools, tab sis tseem tsis tau ua haujlwm rau lawv, lossis cov cheeb tsam uas tau pib tsim Flex Pools.
Kaw-Loop Kev xa mus rau kev siv cov lus qhia thiab All-Comer Webinar rau Kev Npaj Kho Mob
Thaum Lub Ob Hlis 13, txij 10 txog 11 teev sawv ntxov PST, DHCS yuav tuav ib lub rooj sib tham hauv online rau txhua tus neeg tuaj koom (yuav tsum tau sau npe ua ntej) los muab ib qho kev piav qhia txog Closed-Loop Referral (CLR) Implementation Guidance rau MCPs. Lub rooj sib tham hauv web no qhib rau pej xeem thiab yuav muaj txiaj ntsig tshwj xeeb rau MCPs, Cov Chaw Muab Kev Pabcuam Txhim Kho Kev Saib Xyuas thiab Cov Chaw Muab Kev Pabcuam Hauv Zej Zog , thiab cov chaw xa mus rau cov txiaj ntsig / cov kev pabcuam. Cov Lus Qhia Txog Kev Siv CLR qhia txog cov kev cai rau MCPs hauv kev siv CLRs, suav nrog kev taug qab, kev txhawb nqa, thiab kev saib xyuas CLRs. Tus tswv cuab thawj zaug xa mus rau lwm tus neeg tau ua tiav nrog rau qhov laj thawj uas paub tias yuav kaw, xws li tus tswv cuab tau txais cov kev pabcuam. Cov kev cai tshiab no yuav ua kom ntseeg tau tias ntau tus tswv cuab Medi-Cal txuas nrog kev kho mob uas lawv xav tau los ntawm kev txheeb xyuas thiab daws cov teeb meem ntawm txoj kev xa mus. Cov MCPs yuav tsum ua raws li cov cai ntawm CLR thaum Lub Xya Hli 1, 2025. Cov kev cai yuav siv rau cov kev xa mus rau qhov tseem ceeb ntawm Kev Tswj Xyuas Kev Saib Xyuas Zoo thiab Kev Txhawb Nqa Hauv Zej Zog. Thov xa koj cov lus nug txog cov lus qhia tshiab mus rau PHMSection@dhcs.ca.gov.
Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham
Thaum Lub Ob Hlis 19, thaum 9:30 teev sawv ntxov txog 3 teev tsaus ntuj PST, DHCS yuav tuav lub rooj sib tham hybrid SAC/BH-SAC (kev tso npe ua ntej yuav tsum muaj rau kev koom nrog hauv online thiab ntawm tus kheej) ntawm 1700 K Street (thaum lub rooj sib tham chav 17.1014), Sacramento. SAC muab DHCS nrog cov tswv yim tseem ceeb ntawm kev ua haujlwm hauv California Advancing thiab Innovating Medi-Cal (CalAIM) thiab pab DHCS ntxiv dag zog los muab kev ncaj ncees rau kev saib xyuas zoo. BH-SAC muab DHCS nrog cov tswv yim hais txog kev coj tus cwj pwm kev noj qab haus huv thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev coj tus cwj pwm kev noj qab haus huv nrog rau kev kho mob ntau dua. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
California Tau Txais Kev Pom Zoo los ntawm Tsoom Fwv Teb Chaws Kev Pom Zoo los ntawm Kev Pabcuam Medi-Cal Cov Tswvcuab thiab Cov Chaw Pabcuam cuam tshuam los ntawm Southern California Wildfires
Hauv kev teb rau yav qab teb California cov hluav taws kub nyhiab, DHCS tau thov thiab tau txais kev pom zoo los ntawm tsoomfwv rau ntau lub kaum ob qhov kev hloov pauv kom tsis txhob muaj kev cuam tshuam hauv kev pabcuam kev noj qab haus huv kom cov tswvcuab Medi-Cal tuaj yeem tau txais kev kho mob ntxiv mus. Tshooj 1135 kev zam tso cai rau US Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Pabcuam Tib Neeg tau zam ntau yam kev cai tswj hwm txhawm rau txhawm rau nkag mus rau cov kev pabcuam khomob thaum lub sijhawm muaj xwm txheej ceev hauv tebchaws. Tshooj 1135 kev tso cai zam tseem muaj nyob rau lub sijhawm muaj xwm txheej ceev rau pej xeem kev noj qab haus huv.
California thiab Sierra Vista Cov Kev Pab Cuam Me Nyuam & Tsev Neeg Qhib Tshiab Zej Zog Kev Noj Qab Haus Huv Family Resource Center hauv Stanislaus County
On January 23, DHCS and Sierra Vista Child & Family Services celebrated the opening of a new facility in Stanislaus County to close gaps in mental health and substance use disorder treatment. The Community Wellness and Youth Prevention Center will provide vital behavioral health services, including restorative justice practices for youth, mental health counseling, pregnant and postpartum services, family and parent support services, and other integrated services.
DHCS awarded Sierra Vista Child & Family Services more than $4.6 million through the Behavioral Health Continuum Infrastructure Program (BHCIP), which works to ensure comprehensive behavioral health care for California’s most vulnerable individuals. The facility is expected to serve 4,800 individuals annually. With approved Proposition 1 bonds, in 2025 and 2026, even more behavioral health treatment facilities will be funded and built.
Tshiab Peer Respite Nqa Cov Kev Pabcuam Kev Noj Qab Haus Huv tseem ceeb rau Placer County
Thaum Lub Ib Hlis Ntuj hnub tim 29, DHCS tau mus koom Placer County qhov kev qhib chaw so rau cov neeg laus uas muaj 16 lub txaj pw tshiab uas muab ib qho chaw nyab xeeb, txhawb nqa, thiab zoo li nyob hauv tsev rau cov neeg laus uas tos kom lawv mus rau hauv cov kev pab kho mob hauv tsev lossis tawm ntawm cov kev pab cuam no mus rau qib qis dua ntawm kev saib xyuas. Lub chaw, hu ua "The Harbor," tau pib txais tos cov neeg siv khoom hnub no los ntawm lub kaw lus xa mus rau lwm tus uas tswj hwm los ntawm pab pawg neeg siv tshuaj yeeb dej cawv ntawm Placer County. DHCS tau muab nyiaj pub rau Placer County ze li ntawm $400,000 los ntawm BHCIP.
California muab khoom plig $2.7 lab rau cov pab pawg tiv thaiv kev noj tshuaj ntau dhau hauv cheeb tsam thoob plaws California
DHCS tau muab $2.7 lab rau 15 lub koom haum hauv zos los ntawm California Overdose Prevention Network (COPN), uas yog lub koom haum kawm thoob plaws lub xeev uas tau hwm los tawm tsam kev sib kis ntawm kev siv tshuaj ntau dhau. Cov nyiaj pab no yuav muab kev txhawb nqa tas mus li rau cov koom haum uas txhawb nqa COPN lub hom phiaj los txhawb kev sib txuas lus hauv zej zog thiab muab kev nkag mus rau kev paub, kev cob qhia, thiab cov peev txheej los txhim kho kev coj ua thiab tsim kev hloov pauv mus tas li. Kaum tsib lub koom haum uas tau txais txiaj ntsig yuav siv cov nyiaj pab no ntawm Lub Ib Hlis 1, 2025, thiab Lub Yim Hli 30, 2027, los siv cov tswv yim uas hais txog kev tiv thaiv, kev kho mob, thiab kev rov zoo los ntawm kev siv tshuaj ntau dhau. Cov kev siv zog no suav nrog kev faib naloxone, kev nkag mus rau cov peev txheej cawm txoj sia, thiab kev kawm hauv zej zog, txhua yam tsom mus rau kev txo cov neeg tuag los ntawm kev siv tshuaj ntau dhau thiab txhawb kev rov zoo mus sij hawm ntev thoob plaws lub xeev.
Kalifonias muab khoom plig ntau dua $ 65 lab rau 91 Lub Koom Haum rau Kev Kho Mob Opioid thiab rov qab los
DHCS tau muab nqi zog ze li $65.4 lab rau 91 lub koom haum los txhawb California Hub thiab Spoke System, tus qauv pov thawj tsim los txhawb kev nkag mus rau cov tshuaj rau kev siv tshuaj opioid (MOUD) cov kev pabcuam thoob lub xeev. Cov nyiaj no yuav txhim kho kev tiv thaiv, kev kho mob, thiab kev pabcuam rov qab los thoob plaws hauv lub xeev, txhawb kev sib ntaus tawm tsam opioid teebmeem thiab cawm neeg txoj sia. Lub Hub thiab Spoke System muaj lub network ntawm Kev Kho Mob Ntsws (lub npe hu ua Hubs) tau ntawv tso cai los faib tshuaj methadone thiab lwm yam MOUDs. Cov Hubs no txuas nrog rau lwm tus kws kho mob MOUD (lub npe hu ua Spokes), uas feem ntau muab ntau hom tshuaj buprenorphine-ib yam tshuaj uas txo cov kev xav tau opioid thiab tshem tawm cov tsos mob-thiab kev siv tshuaj opioid tsis tu ncua thiab kev siv tshuaj tsis haum thiab kev kho mob.
Tam sim no Qhib: Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Muaj Peev Xwm thiab Cov Txheej Txheem Hloov Kho, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Daim Ntawv Thov Round 4
Thaum Lub Ib Hlis Ntuj Tim 6, DHCS tau qhib PATH CITED Round 4 daim ntawv thov qhov rais, suav nrog Kev Pabcuam Kev Ruaj Ntseg Hauv Zej Zog. PATH CITED teg num muab nyiaj txiag los tsim kom muaj peev xwm thiab kev tsim kho ntawm cov neeg koom tes hauv av nrog rau cov koom haum hauv zej zog, tsev kho mob, cov koom haum hauv nroog, Pawg Neeg, thiab lwm yam, kom koom nrog Medi-Cal kom tiav. Ze li ntawm $158 lab muaj nyob rau Round 4.
Txhua lub koom haum xav ua Transitional Rent Community Support cov neeg muab kev pab yuav tsum ua li ntawd hauv kev koom tes nrog Medi-Cal MCP thiab lawv lub tuam tsev saib xyuas kev noj qab haus huv hauv nroog. Txhawm rau ua kom pom cov kev sib koom tes no, txhua tus neeg thov CITED npaj yuav thov nyiaj pab rau Transitional Rent Community Support yuav tsum xa tsab ntawv txhawb nqa hauv kev koom tes nrog lawv MCP thiab lub tuam tsev saib xyuas kev noj qab haus huv hauv nroog. Yog xav paub ntxiv txog qhov yuav tsum tau ua no, thov saib Daim Ntawv Qhia Txog Kev Pabcuam Kev Pabcuam Kev Pabcuam thiab Kev Hloov Pauv Xauv Tsab Ntawv ntawm Kev Pabcuam.
Hnub kawg rau kev thov rau PATH CITED Round 4 cov nyiaj pab yog 11:59 teev PST thaum lub Tsib Hlis 2, 2025. Cov ntaub ntawv qhia thiab daim ntawv thov tuaj yeem nrhiav tau los ntawm kev mus saib PATH CITED webpage. Thov xa cov lus nug rau cited@ca-path.com.