Xov xwm tshaj plaws

Medi-Cal Managed Care Plan (MCP) Lub luag haujlwm rau Cov Neeg Kho Mob Khab Khab thiab Cov Neeg Qhab Asmeskas

On February 8, DHCS published All Plan Letter (APL) 24-002, which summarizes and clarifies existing federal and state protections and alternative health coverage options for American Indian members enrolled in Medi-Cal MCPs. It consolidates various MCP requirements regarding protections for Indian health care providers, including requirements related to contracting and reimbursing claims in an appropriate and expeditious manner. Additionally, the APL provides guidance regarding MCP tribal liaison requirements and expectations in relation to their roles and responsibilities.

Kev hloov kho tshiab

Kev Pab Txhawb Kev Mloog Lus Rau Cov Me Nyuam (HACCP) Hloov tshiab

On February 5, DHCS released an addendum to the HACCP Action Plan, which is available on the Hearing Aid Coverage for Children webpage. The addendum details how DHCS is being responsive to and addressing the specific items outlined in the Governor’s veto message for Senate Bill 635 and provides the most current updates related to DHCS’ work on the HACCP.

On February 13, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will outline program requirements for families to apply for coverage. It will also outline the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.

Kev Pabcuam Hauv Tsev thiab Zej Zog (HCBS) 1915(i) Lub Xeev Txoj Kev Npaj thiab 1915(c) Kev Hloov Kho Rau Cov Neeg Tsis Taus Kev Loj Hlob

Thaum Lub Ob Hlis 6, Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS), koom tes nrog DHCS, tau tshaj tawm cov kev hloov kho rau HCBS 1915(i) Lub Xeev Txoj Kev Npaj thiab HCBS 1915(c) zam rau 30-hnub lub sijhawm tawm tswv yim rau pej xeem, ua ntej xa cov ntawv kawg rau Lub Chaw rau Medicare & Medicaid Services (CMS) rau kev pom zoo  

• 1915(i) State Plan Amendment (SPA 24-0005) would add group homes for children with special health care needs as a new provider of community living arrangement services and add participant-directed as a service delivery method for self-directed support services. 
• 1915(i) SPA (SPA 24-0006) would implement the next round of rate reform adjustments, effective July 1, 2024, as currently required in Welfare and Institutions Code section 4519.10. The 2024-25 Governor’s Budget proposes to return full implementation of rate reform, including this next round of adjustments, to the original date of July 1, 2025, from the accelerated date of July 1, 2024. DDS is continuing to prepare administratively for the full implementation of rate reform, subject to the final 2024-25 budget agreement.
• HCBS Waiver Amendment CA.0336.R05.04 yuav ntxiv telehealth raws li txoj kev xa khoom rau cov kev pabcuam tshwj xeeb, ntxiv pab pawg tsev rau cov menyuam yaus uas xav tau kev khomob tshwj xeeb ua tus pabcuam tshiab ntawm cov kev pabcuam hauv zej zog, thiab ntxiv cov neeg koom nrog-qhia raws li kev pabcuam kev pabcuam rau kev pabcuam tus kheej. 
• Kev Hloov Kho HCBS Zam CA.0336.R05.05 yuav siv qhov kev hloov kho tus nqi tom ntej, siv tau rau lub Xya Hli 1, 2024, raws li tam sim no xav tau nyob rau hauv Welfare and Institutions Code ntu 4519.10. Xyoo 2024-25 Tus Thawj Kav Tebchaws cov Nyiaj Txiag tau hais kom rov qab siv tag nrho cov kev hloov pauv tus nqi, suav nrog qhov kev hloov kho tom ntej no, mus rau hnub qub ntawm Lub Xya Hli 1, 2025, txij li hnub ua kom nrawm ntawm Lub Xya Hli 1, 2024. DDS txuas ntxiv npaj kev tswj hwm rau kev siv tag nrho ntawm kev hloov pauv tus nqi, raws li daim ntawv cog lus kawg ntawm kev siv nyiaj xyoo 2024-25.

The proposed amendments will be posted to DDS’s website, along with an email address for submitting written feedback. All comments must be received by March 7. DDS invites all interested parties to review the amendments and comment instructions on the DDS HCBS Programs webpage. Please email your questions to Federal.Programs@dds.ca.gov.

ADRC Advisory Committee Recruitment

The California Department of Aging (CDA) is recruiting members for the Aging and Disability Resource Connection (ADRC) Advisory Committee. Additional information about the advisory committee, its responsibilities, and member expectations is included in this announcement and membership application. Please send your questions and applications to ADRC@aging.ca.gov by March 8 if you are interested in joining this advisory committee beginning in July 2024.

PATH Capacity and Infrastructure Transition, Expansion, and Development (CITED) Round 3 Daim Ntawv Thov

Hnub kawg rau kev thov rau Kev Pabcuam Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) CITED Round 3 nyiaj yog Lub Ob Hlis 15. PATH CITED teg num muab nyiaj txiag los tsim kom muaj peev xwm thiab kev tsim kho ntawm cov neeg koom tes hauv av, suav nrog cov koom haum hauv zej zog, tsev kho mob pej xeem, cov koom haum hauv nroog, pab pawg neeg, thiab lwm tus, kom koom nrog Medi-Cal kom tiav. Cov sijhawm ua haujlwm yuav muaj nyob rau Lub Ob Hlis 12, thaum tav su txog 12:30 teev tsaus ntuj (sau npe rau ntawm PATH CITED lub vev xaib), txhawm rau pab cov neeg thov yav tom ntej.

RFI: California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Initiative Centers of Excellence (COE)

Thaum Lub Ib Hlis Ntuj hnub tim 31, DHCS tau tshaj tawm Daim Ntawv Thov Cov Ntaub Ntawv (RFI) los thov cov tswv yim los ntawm cov neeg koom nrog kom tsim ib lossis ntau COE uas yuav muab kev cob qhia thiab kev pab txhawb rau cov kws kho mob tshwj xeeb ntawm Medi-Cal thiab cov phiaj xwm kho mob ntawm lub nroog. Lub cib fim no yog los txhawb kev siv cov kev coj ua raws li pov thawj (EBPs), suav nrog Assertive Community Treatment (ACT), Forensic Assertive Community Treatment (FACT), Coordinated Specialty Care for First Episode Psychosis (CSC for FEP), Individual Placement and Support (IPS) model of Supported Employment, Clubhouse Services, thiab ntxiv EBPs rau cov menyuam yaus thiab cov hluas. Thov saib RFI # 23-070 kom paub ntxiv txog cov haujlwm tshwj xeeb ntawm COEs thiab cov EBPs uas suav nrog. Lub sijhawm kawg rau cov lus nug yog Lub Ob Hlis 14, thiab lub sijhawm kawg rau cov lus teb rau RFI yog Lub Peb Hlis 1. Thov xa koj cov lus nug txog RFI no mus rau PCDRFI3@dhcs.ca.gov.

Koom nrog peb pab neeg

Qhov kev xeem hauv qab no qhib:

• Tus Thawj Saib Xyuas Kev Noj Qab Haus Huv Indian, ntawm lwm lub luag haujlwm, yuav ua tus kws tshaj lij kws tshaj lij hauv Indian kev noj qab haus huv los pab DHCS hauv kev npaj, kev tsim kho, kev siv, kev sib koom tes, kev ua haujlwm, thiab kev ntsuam xyuas ntawm Indian Health Program. (Hnub kawg ua ntawv thov yog Lub Ob Hlis 16)

Also, DHCS is hiring for our communications, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.

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

California Advancing and Innovating Medi-Cal (CalAIM) Population Health Management (PHM) Lub Rooj Sib Tham Pab Pawg

On February 12, from 10:30 a.m. to 12 p.m., DHCS will host the PHM Advisory Group meeting. The meeting will focus on the Transitional Care Services (TCS) policy, including a summary of the TCS policy update that went into effect on January 1, 2024, for all members. PHM Advisory Group members will have the opportunity to comment on DHCS’ priorities for TCS implementation in 2024, including connecting members to primary care, ensuring smooth transitions for those transitioning into or out of skilled nursing and long-term care facilities, and transitional care services for birthing individuals. Also, members will discuss how to leverage TCS to improve referring eligible individuals to Enhanced Care Management, Community Supports, and other services post-discharge. Additionally, DHCS welcomes recommendations from members on improving timely, thorough, and accurate transfer of data/information between discharging facilities, MCPs, and post-discharge providers.

Furthermore, the meeting will focus on the MCP Community Reinvestment Policy, including an overview of the quality achievement Community Reinvestment requirements, funding allocation methodology, guiding principles, use categories, and permissible Community Reinvestment activities. DHCS is in the process of finalizing a draft Community Reinvestment All Plan Letter (APL), scheduled for public comment in Quarter 2 2024. PHM Advisory Group members will have the opportunity to provide feedback on the Community Reinvestment program in advance of the APL release.

The meetings are open to the public, and meeting information and materials will be available on the CalAIM Population Health Management Initiative webpage. Stakeholders are encouraged to submit questions in advance of the webinar to PHMSection@dhcs.ca.gov. 

CalAIM Subacute Care Facility Carve-In Virtual Office Teev

On February 14, from 2:30 to 3:30 p.m., DHCS will host an office hours session as part of an educational webinar series on the CalAIM subacute care facility long-term care (LTC) carve-in. The office hours provide a dedicated forum for DHCS to engage with subacute care facilities, Medi-Cal MCP representatives, and other stakeholders to address questions related to the subacute care facility carve-in policy requirements and implementation of the transition to managed care that took effect on January 1, 2024. 

Participants are encouraged to submit questions in advance when registering for the office hours session or by emailing them to LTCtransition@dhcs.ca.gov. Additional details about past webinars are available on the CalAIM Subacute Care Facility LTC Carve-In transition webpage.  

PATH Technical Assistance (TA) Marketplace Virtual Vendor Fair

On February 29, from 9 to 10:30 a.m., DHCS will host the first PATH TA Marketplace virtual Vendor Fair. TA Vendor Fairs are an opportunity for vendors to pitch their organization and services to potential TA recipients and encourage utilization of the TA Marketplace. TA recipients and organizations interested in learning more about the TA Marketplace, including how to apply to receive free services, are invited to attend. This is the first in a series of upcoming Vendor Fairs and will focus on presentations from vendors providing services in Domain 3 of the PATH TA Marketplace: “Engaging in CalAIM through Medi-Cal Managed Care”.

Hauv Case Koj Tsis Tau Nws

CalAIM Kev Pabcuam Nruam rau Menyuam Yaus Cov Lus Qhia

The 30-day public comment period for the CalAIM Section 1115 Continuous Coverage for Children amendment application is from January 12 through February 12. To ensure consideration prior to submission to CMS, comments must be received no later than 11:59 PM PST on February 12. DHCS welcomes all public comments.

DHCS is requesting to amend the CalAIM Section 1115 demonstration to include expenditure authority under Section 1115(a)(2) to receive federal matching funds to provide continuous coverage for children through the end of the month in which their 5th birthday falls, regardless of when they first enroll in Medi-Cal or the Children’s Health Insurance Program and any changes in circumstances that would otherwise cause a loss of eligibility. Implementation of this policy is contingent upon a state determination of available General Fund resources in 2024-2025 and subsequent fiscal years and CMS approval. Additional information is available on the DHCS CalAIM 1115 Demonstration and 1915(b) Waiver webpage.