Xov xwm tshaj plaws​​ 

California Launch Free Digital Behavioral Health Platforms for Children and Families​​ 

On January 16, DHCS launched the Behavioral Health Virtual Services Platform – two free behavioral health services applications for all families with kids, teens, and young adults ages 0-25. BrightLife Kids, developed by Brightline, is for parents or caregivers and kids 0 -12 years old. Soluna, developed by Kooth, is for teens and young adults ages 13-25. Families with multiple children whose ages span 0-25 can use both platforms to meet their unique needs. Each app will also offer coaching services in English and Spanish, as well as telephone-based coaching in all Medi-Cal threshold languages.​​ 

Medi-Cal Targeted Rate nce (TRI)​​ 

Pursuant to Assembly Bill (AB) 118 (Chapter 42, Statutes of 2023), DHCS published, as part of the proposed 2024–25 Governor’s Budget, a plan for targeted increases to Medi-Cal payments or other investments, effective in 2025, across primary care, maternal care, behavioral health care, specialty care, women’s health services, public hospital services, community and hospital outpatient services, emergency services, and other domains. The proposed investments will be supported with funding from the Managed Care Organization (MCO) Tax, authorized by AB 119 (Chapter 13 , Statutes of 2023), and are designed to advance access, quality, and equity for Medi-Cal members and promote provider participation in the Medi-Cal program. These proposed investments are subject to obtaining all necessary legislative and federal approvals, as applicable. For more information, please visit the Medi-Cal Targeted Provider Rate Increases and Investments webpage and view the Medi-Cal TRI policy paper and MCO Tax-funded investments.​​ 

Extension ntawm Kev Pabcuam Nruam Unwinding Waivers thiab Flexibilities​​ 

 Thaum Lub Kaum Ob Hlis Ntuj hnub tim 18, 2023, Lub Chaw rau Medicare & Medicaid Services (CMS) tau tshaj tawm Cov Lus Qhia Txog Kev Tswj Xyuas Kev Pov Hwm Hauv Medi-Cal Rau Cov Menyuam. Tsab ntawv xov xwm no tau ncua tag nrho cov kev zam thiab kev ywj pheej mus txog rau lub Kaum Ob Hlis 31, 2024. Thoob plaws lub sijhawm txo qhov kev them nqi tas mus li, DHCS tau thov thiab tau txais kev pom zoo rau ntau qhov kev zam thiab kev hloov pauv ntawm tsoomfwv uas tau teev tseg hauv Medi-Cal COVID-19 Kev Noj Qab Haus Huv Pej Xeem thiab Kev Npaj Ua Haujlwm Txog Kev Them Nqi Tsis Tu Ncua. Cov kev zam thiab kev ywj pheej tau tsim los ua kom yooj yim rau cov txheej txheem rov ua dua tshiab rau cov tswv cuab Medi-Cal, yooj yim rau cov kev cai los muab cov ntaub ntawv ntxiv lossis cov ntaub ntawv pov thawj, thiab txo cov txheej txheem xaus. Yav dhau los, cov kev zam no tau pom zoo los ntawm qhov kawg ntawm lub sijhawm so, uas xaus rau lub Tsib Hlis 2024. Yuav muaj cov lus qhia ntxiv los ntawm CMS rau txhua lub xeev.​​ 

Kev hloov kho tshiab​​ 

Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Peev Xwm thiab Cov Txheej Txheem Kev Hloov Pauv, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Round 3 Daim Ntawv Thov Qhib​​ 

Thaum Lub Ib Hlis 15, DHCS tau qhib lub qhov rais thov PATH CITED Round 3. Lub phiaj xwm PATH CITED muab nyiaj txiag los tsim kom muaj peev xwm thiab cov khoom siv rau cov neeg koom tes hauv av, suav nrog cov koom haum hauv zej zog, cov tsev kho mob pej xeem, cov koom haum hauv nroog, cov pab pawg neeg, thiab lwm tus, kom koom nrog Medi-Cal tau zoo. Lub sijhawm kawg rau kev thov nyiaj pab PATH CITED Round 3 yog Lub Ob Hlis 15. Cov xwm txheej hauv qab no yuav pab cov neeg thov kev pab yav tom ntej:​​ 

• Cov sijhawm ua haujlwm txhua lub limtiam: Lub Ib Hlis 22 txog Lub Ob Hlis 12 thaum 9 teev sawv ntxov (xaiv hnub thiab sau npe rau ntawm PATH CITED lub vev xaib).​​ 
• Yuav Ua Li Cas Txhim Kho Koj Daim Ntawv Thov Nyiaj Pab Webinar Part 2: Lub Ib Hlis 23 thaum 10 teev sawv ntxov (yuav tsum tau sau npe ua ntej)​​ 

PATH Kev Npaj Ua Haujlwm thiab Kev Siv (CPI) Cov Kev Ua Zoo Tshaj Plaws Webinar #2 Cov Khoom Siv Tam Sim No Muaj
Thaum Lub Kaum Ob Hlis 7, DHCS tau tuav lub webinar rau pej xeem, hu ua "Kev Tsim Kev Sib Raug Zoo nrog Cov Koom Haum hauv California Advancing thiab Innovating Medi-Cal (CalAIM) Ib puag ncig." Thov mus saib lub vev xaib PATH CPI kom nkag mus thiab qhia cov ntaub ntawv webinar thiab cov slides thiab kawm paub yuav ua li cas:​​ 

• Txheeb xyuas tus nqi tshwj xeeb ntawm ib lub koom haum ua tus koom tes zoo rau cov neeg muaj feem cuam tshuam hauv CalAIM.​​   
• Siv cov txheej txheem tsim kev sib raug zoo los tsim ib txoj kev npaj rau kev txhim kho kev sib koom tes thiab kev koom tes nrog cov phooj ywg Txhim Kho Kev Tswj Xyuas Kev Noj Qab Haus Huv (ECM) thiab Cov Chaw Pabcuam Hauv Zej Zog thiab Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCP).​​  

Cov ntaub ntawv webinar zoo tshaj plaws yuav txuas ntxiv luam tawm rau ntawm lub vev xaib PATH CPI hauv qab ntu "Cov Kev Xyaum Zoo Tshaj Plaws thiab Cov Kev Pabcuam". Cov ntaub ntawv hais txog qhov kev cob qhia webinar zoo tshaj plaws tom ntej no yuav raug qhia rau lub hlis tom ntej.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav:​​ 

• Tus Thawj Coj ntawm Pawg Neeg Tsim Kho Tus Nqi Capitated hauv Kev Pab Nyiaj Txiag Kev Kho Mob ua haujlwm ua tus tsim cai tseem ceeb rau txhua yam kev ua ub no teem tus nqi kom ntseeg tau tias kev kho mob zoo thiab siv nyiaj tau zoo los ntawm DHCS cov Medi-Cal MCPs uas tau cog lus. (Hnub kawg xa daim ntawv thov txuas ntxiv mus txog rau lub Ib Hlis 30)​​ 

DHCS is also 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​​ 

Population Health Management Updated Transitional Care Services (TCS) Policy Webinar​​ 

Thaum Lub Ib Hlis Ntuj hnub tim 22, txij thaum 11 teev sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online los muab kev piav qhia txog cov kev hloov tshiab tshiab rau txoj cai TCS (yuav tsum tau sau npe ua ntej), raws li tau teev tseg hauv Phau Ntawv Qhia Txoj Cai Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg. Txoj cai kho dua tshiab no piav qhia meej txog cov kev cai rau cov tswv cuab uas muaj kev pheej hmoo siab los ntawm kev hloov kho cov lus txhais ntawm "cov pab pawg uas muaj kev pheej hmoo siab", rov lees paub dua DHCS qhov kev tsom mus rau kev saib xyuas cev xeeb tub thiab cov pej xeem uas muaj kev xav tau kev noj qab haus huv, hais txog MCP kev saib xyuas ntawm cov txheej txheem npaj tso tawm hauv chaw kho mob, thiab hais txog qhov tseem ceeb ntawm kev koom tes ntawm cov tswv cuab.​​ 

TCS txoj cai rau cov tswvcuab uas pheej hmoo qis dua kuj tau hloov kho rau xyoo 2024 thiab 2025 los muab kev pabcuam rau cov tswvcuab kev hloov pauv hloov pauv nrog kev sib zog-kov dua li tus qauv rau cov tswvcuab uas muaj kev pheej hmoo siab. Thaum qhov kev hloov kho qis dua tus qauv tshem tawm ib qho kev xav tau ntawm kev sib cuag, nws ua kom pom tseeb tab sis tsawg dua cov neeg ua haujlwm-hnyav rau pawg MCP xov tooj kom muaj rau txhua tus tswvcuab hloov pauv thiab yuav tsum tau rov qab nrog thawj tus kws kho mob lossis chaw kho mob hauv 30 hnub tom qab tso tawm. Nws kuj tseem hais txog cov cai uas twb muaj lawm hauv tsev kho mob hais txog cov txheej txheem tawm. Lub webinar yuav muab sijhawm rau cov neeg koom nrog txaus siab kawm ntxiv thiab nug cov lus nug txog cov kev hloov tshiab tsis ntev los no.​​  

Smile, California Kev Sib Tw rau Medi-Cal Dental Services​​ 

On January 23, from 11 a.m. to 12 p.m., DHCS’ Smile, California campaign will host the Oral Health Champion webinar to incentivize engagement in the National Children’s Dental Health Month (NCDHM) promotion (advance registration required). Participants, including local oral health programs, community-based organizations, California Department of Education partners, school nurses, and other local health leaders, will gain insights on activities that promote the significance of preventive dental care. The focus of the webinar is on fostering the lifelong health of children’s and teenagers’ teeth and gums through the Medi-Cal Dental Program.​​ 

Additionally, on February 1, in recognition of NCDHM, Smile, California will launch a promotion to increase awareness about the significance of routine dental checkups for children and the Medi-Cal Dental Program. The NCDHM promotion emphasizes the importance of preventive dental care and urges parents, guardians, and caregivers to schedule dental check-up appointments for their children.​​ 

CalAIM Intermediate Care Facility for the Developmentally Disabled (ICF/DD) Carve-In Office Teev​​ 

Thaum Lub Ib Hlis 24, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj DHCS yuav tuav lub sijhawm ua haujlwm ua haujlwm ua ib feem ntawm nws qhov kev kawm webinar series ntawm CalAIM qhov chaw saib xyuas nruab nrab rau cov neeg xiam oob qhab (ICF/DD) carve-in (yuav tsum tau sau npe ua ntej). Lub sijhawm ua haujlwm yuav muab lub rooj sib tham tshwj xeeb rau DHCS thiab Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS) los koom nrog ICF/DD Cov Tsev, Lub Chaw Hauv Cheeb Tsam, thiab Medi-Cal MCP cov neeg sawv cev los teb cov lus nug ntsig txog ICF/DD carve-in txoj cai yuav tsum tau thiab ua raws li kev hloov mus rau kev saib xyuas uas tau siv rau lub Ib Hlis 1, 2024.​​  

Cov neeg koom nrog lub sijhawm ua haujlwm raug txhawb kom xa cov lus nug ua ntej thaum sau npe rau lub rooj sib tham lossis los ntawm kev xa email rau LTCtransition@dhcs.ca.gov. Cov ntaub ntawv ntxiv txog cov kev sib tham hauv web uas yuav los txog no muaj nyob rau ntawm nplooj ntawv web CalAIM ICF/DD Long-Term Care Carve-In.​​  

Statewide Home and Community-Based Services (HCBS) Gap Analysis and Multi-Year Roadmap Stakeholder Meeting​​    

Thaum Lub Ib Hlis 24, thaum 1 teev tsaus ntuj txog 2:30 teev tsaus ntuj, DHCS thiab California Lub Tsev Haujlwm Saib Xyuas Kev Laus (CDA) yuav tuav lub rooj sib tham nrog cov neeg koom nrog (yuav tsum tau sau npe ua ntej) rau kev soj ntsuam HCBS Gap Analysis thiab Multi-Year Roadmap. Cov neeg hais lus yuav muab cov ntaub ntawv hloov tshiab thiab kev nce qib ntawm txoj hauv kev rau kev tsom xam qhov tsis sib xws nrog rau cov ntsiab lus hais txog kev koom tes nrog cov neeg koom tes thiab cov neeg siv khoom mloog cov kev sib tham ua ib feem ntawm txoj haujlwm no.​​ 

Yog xav paub ntxiv txog cov haujlwm thiab cov ntaub ntawv sib tham yav dhau los, thov mus saib ntawm DHCS lub vev xaib thiab CDA lub vev xaib. Yog tias koj muaj lus nug, thov xa email rau HCBSGapAnalysis@dhcs.ca.gov.​​  

Doula Stakeholder Implementation Workgroup Meeting​​ 

Thaum Lub Ib Hlis 31, txij thaum 2 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Doula Stakeholder Implementation Workgroup los tshuaj xyuas qhov kev siv ntawm Medi-Cal doula cov txiaj ntsig, raws li Senate Bill 65 (Tshooj 449, Statutes of 2021) thiab tshooj 14132.24 ntawm Txoj Cai Lij Choj thiab Lub Tsev Haujlwm.​​ 

Lub rooj sib tham yuav muaj nyob ntawm Zoom, nrog rau tus kheej xaiv ntawm 1700 K Street, Room 1014, Sacramento, CA 95811. Lub rooj sib tham qhib rau pej xeem. Qhov txuas mus koom lub rooj sib tham zoo thiab cov txheej txheem yuav muab tso rau ntawm Doula Services raws li Medi-Cal Benefit webpage. Pawg neeg ua haujlwm yuav sib tham txog yuav ua li cas kom ntseeg tau tias cov kev pabcuam doula muaj rau cov tswvcuab Medi-Cal thiab ua cov lus pom zoo rau kev nthuav dav. Thov xa email rau DoulaBenefit@dhcs.ca.gov nrog rau cov lus nug.​​  

Launching ECM for Birth Equity Populations: Webinar​​ 

Thaum Lub Ob Hlis 2, thaum 1:30 txog 3 teev tsaus ntuj, DHCS yuav tuav lub vev xaib ntawm Kev Tshaj Tawm ECM rau Cov Neeg Yug Me Nyuam (yuav tsum tau sau npe ua ntej) los tshuaj xyuas lub zeem muag ntawm ECM rau cov neeg yug me nyuam ntawm kev tsom xam (POF) thiab cov hnub pib ntawm kev siv. DHCS, koom tes nrog Medi-Cal MCPs thiab cov chaw muab kev pabcuam thoob plaws lub xeev, tau pib ECM rau kev sib npaug POF thaum Lub Ib Hlis 1.​​ 

Qhov webinar no yuav muab cov ntsiab lus ntawm kev tsim thiab kev taw qhia kev ua haujlwm rau kev yug me nyuam POF; muab kev pom zoo rau tus kws kho mob txog seb lawv npaj li cas rau kev tshaj tawm ECM rau kev yug me nyuam POF thiab cov txheej txheem tsim los muab ECM; thiab muab kev taw qhia rau MCPs, cov nroog, thiab cov chaw muab kev cog lus thiab npaj xa cov txiaj ntsig ECM los daws qhov tsis sib xws hauv kev noj qab haus huv thiab kev yug me nyuam hauv cov haiv neeg thiab haiv neeg uas muaj leej niam muaj mob hnyav thiab cov neeg tuag coob.​​ 

Lub webinar yog qhib rau txhua tus, tab sis yuav muaj kev txaus siab tshwj xeeb rau MCPs thiab cov chaw zov me nyuam ua haujlwm nrog cov neeg yug me nyuam, suav nrog cov nroog thiab cov koom haum hauv zej zog. Cov kws kho mob xav paub ntau ntxiv txog ECM rau kev sib npaug ntawm kev yug me nyuam POF lossis hais txog cov tswv cuab tuaj yeem tuaj koom. Cov neeg koom nrog raug caw kom xa cov lus nug ua ntej Lub Ib Hlis 29 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom yuav tuaj yeem nug cov lus nug thaum lub webinar.​​  

Hauv Case Koj Tsis Tau Nws​​ 

California nqis peev $ 70.5 lab hauv Nonprofits los txhim kho kev ncaj ncees hauv kev saib xyuas tus cwj pwm​​ 

On January 17, DHCS announced the awarding of $70.5 million to 101 nonprofit entities across the state as part of the Health Equity in Behavioral Health Recovery Services (HEAR US) project. These investments will help expand access to, and use of, behavioral health recovery services among communities of color and other historically marginalized communities.​​  

CalAIM Kev Pabcuam Nruam rau Cov Menyuam Hloov Kho Qhib rau pej xeem tawm tswv yim​​ 

Thaum Lub Ib Hlis 12, DHCS tau pib lub sijhawm 30 hnub rau pej xeem thiab cov pab pawg neeg tawm tswv yim los thov cov lus tawm tswv yim txog kev hloov kho tshiab rau CalAIM Tshooj 1115 uas cuam tshuam txog kev them nqi tas mus li rau cov menyuam yaus. Cov lus tawm tswv yim yuav tsum xa tuaj rau lub Ob Hlis 12. DHCS tab tom nrhiav kev pom zoo los ntawm CMS kom suav nrog txoj cai siv nyiaj raws li Tshooj 1115(a)(2) kom tau txais cov nyiaj sib phim los ntawm tsoomfwv los muab kev pab them nqi rau cov menyuam yaus mus txog thaum kawg ntawm lub hlis uas lawv hnub yug 5 xyoos, tsis hais thaum twg lawv thawj zaug rau npe rau hauv Medi-Cal lossis Txoj Haujlwm Pov Hwm Kev Noj Qab Haus Huv Rau Menyuam lossis txhua qhov kev hloov pauv hauv qhov xwm txheej uas yuav ua rau poob qhov tsim nyog. Cov ntaub ntawv ntxiv txog qhov kev thov hloov kho thiab yuav ua li cas xa cov lus tawm tswv yim rau pej xeem muaj nyob rau ntawm CalAIM 1115 Demonstration thiab 1915(b) Waiver webpage.​​ 

Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv​​ 

On January 1, DHCS achieved a significant milestone in its transformation of Medi-Cal with the launch of the new managed care contract and the MCP transition, under which approximately 1.2 million members gained new health plan options and/or transitioned to new MCPs (note: changing MCPs does not affect Medi-Cal member coverage or benefits). To facilitate a smooth transition between MCPs for members, DHCS created Continuity of Care protections to minimize disruptions to members’ care.​​ 

DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the MCP Transition Member webpage with a county “lookup” tool, links to the member notices sent by Medi-Cal about MCP changes, member frequently asked questions in all threshold languages, and a Contact Us page for members to learn more about health plan changes. There are also transition resources for providers, MCPs, and stakeholders. More information about the transition is available in the 2024 MCP Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.​​ 

The MCP Transition Member webpage includes resources and information to support members’ transition. Members unable to resolve issues or questions after working with their MCP may contact DHCS’ Office of the Ombudsman at toll-free (888) 452-8609 or by emailing MMCDOmbudsmanOffice@dhcs.ca.gov.​​