Xov xwm tshaj plaws

DHCS pab Medi-Cal cov tswv cuab thiab cov kws kho mob cuam tshuam los ntawm Southern California Wildfires

In response to the Southern California wildfires, DHCS applied for and received several dozen Medicaid Section 1135 waivers and Appendix K flexibilities to prevent disruptions in health care delivery so patients can continue to receive needed care. These actions are designed to reduce administrative burdens and provide flexibility in the delivery of health care during a critical time. Key provisions of California’s Medicaid Section 1135 waivers and Appendix K flexibilities include:

• Kev tiv thaiv rau Medi-Cal Cov Tswv Cuab: Txuas ncua sij hawm rau kev thov rooj sib hais ncaj ncees thiab rov qab tau txais txiaj ntsig, muab Medi-Cal cov tswv cuab ntxiv sij hawm los daws teeb meem kev tsim nyog lossis cov txiaj ntsig. Kho cov kev xav tau kev pabcuam kev noj qab haus huv hauv tsev kom tso cai ncua sijhawm ntawm kev sib ntsib tim ntsej tim muag vim muaj kev txwv tam sim no.
• Flexibility nyob rau hauv Kev Sau Npe Tus Kws Kho Mob: Ua kom nrawm thiab ua kom yooj yim rau kev tso npe tus kws kho mob kom yooj yim rau cov kws kho mob kom muab kev saib xyuas rau cov tswv cuab cuam tshuam.
• Flexibility rau Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog: Ntxiv sijhawm rau kev ntsuam xyuas thawj zaug, kev ntsuam xyuas dua, thiab kev tshuaj xyuas cov phiaj xwm saib xyuas kom ntseeg tau tias kev saib xyuas tsis muaj kev cuam tshuam rau cov tib neeg uas xav tau kev txhawb nqa tsis tu ncua vim hnub nyoog, kev tsis taus, lossis mob ntev. Tso cai xa cov kev pabcuam mus sij hawm ntev thiab kev txhawb nqa hauv lwm qhov chaw, xws li chaw nyob lossis tsev so.
• Kev them nyiaj yug rau Cov Chaw Kho Mob: Tso cai rau cov chaw kho mob xa cov kev saib xyuas hauv lwm qhov chaw, xws li chaw kho mob mobile lossis chaw nyob ib ntus, thaum cov chaw tseem ceeb raug puas los yog nkag tsis tau.

DHCS nkag siab tias kev rov zoo los ntawm cov hluav taws kub no yuav nyuaj heev thiab tau tsim ib qho chaw pabcuam online los pab teb cov lus nug los ntawm cov tswv cuab Medi-Cal, cov neeg koom tes, cov kws kho mob, thiab cov phiaj xwm kev noj qab haus huv thaum muaj xwm txheej ceev no. DHCS tseem cog lus tias yuav txhawb nqa cov zej zog thaum lub sijhawm nyuaj no thiab ua tsaug rau cov neeg teb xov tooj thaum muaj xwm txheej ceev thiab cov neeg ua haujlwm kho mob hauv av. Nyob twj ywm kom muaj kev nyab xeeb, saib cov xov xwm tshiab tshaj plaws, thiab ua raws li cov lus txib kom khiav tawm uas cov thawj coj hauv zos tau tshaj tawm.

Kev hloov kho tshiab

Smile, California to Celebrate National Children’s Dental Health Month

Thaum Lub Ob Hlis 1, Smile, California yuav ua kev zoo siab rau Lub Hlis Kev Noj Qab Haus Huv Hniav Rau Menyuam Yaus Hauv Tebchaws (NCDHM) nrog rau qhov kev sib tw tshiab "Kev Lom Zem Luag Ntxhi Noj Qab Haus Huv". Tsim los kom txo qhov kev ntshai ntsig txog kev mus ntsib kws kho hniav, qhov kev sib tw no rov xav txog cov chaw kho hniav ua "Lub Tebchaws Luag Ntxhi Noj Qab Haus Huv," ua tiav nrog cov chaw nres tsheb xws li Fluoride Falls, Sealant Island, thiab X-Ray Cove. Cov chaw kho hniav no muaj tswv yim zoo heev qhia txog kev saib xyuas tiv thaiv thaum ua rau kev mus ntsib kws kho hniav yooj yim thiab lom zem rau tsev neeg. Ib daim ntawv tshaj tawm tshiab ntawm nplooj ntawv tseem ceeb thiab cov nplooj ntawv web NCDHM tshwj xeeb hauv lus Askiv thiab lus Mev yuav tso tawm rau ntawm SmileCalifornia.org thiab SonrieCalifornia.org, muab cov peev txheej thiab cov ntaub ntawv rau cov tswv cuab thiab cov neeg muab kev pab.

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:

• Assistant Division Chief for the Quality Health Equity Division. The Assistant Division Chief provides strategic leadership to advance quality and health equity for Medi-Cal’s nearly 15 million members. The Assistant Division Chief oversees policy implementation, program operations, budget management, and staff supervision. Responsibilities include leading special projects, driving performance improvement, and fostering collaboration with internal and external stakeholders. Experience in health policy, program management, and equity-focused initiatives is highly desired. Applications must be submitted by January 28.

• 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 of PBD 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 is also hiring for its accounting/financing, behavioral health, eligibility, legislative and governmental affairs, 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

Kev Pabcuam Ambassador Webinar: Kev Ncaj Ncees-Involved Reentry Initiative thiab Children and Youth Behavioral Health Initiative

Thaum Lub Ib Hlis 30, txij thaum 11 teev sawv ntxov txog 11:45 teev sawv ntxov PST, DHCS yuav tuav lub rooj sib tham hauv online rau DHCS Coverage Ambassadors (yuav tsum tau sau npe ua ntej). Lub webinar yuav muab cov xov xwm tshiab txog Kev Ncaj Ncees-Kev Koom Tes Rov Qab Los thiab Kev Noj Qab Haus Huv ntawm Cov Menyuam thiab Cov Hluas (CYBHI). Nws yuav qhia cov ntaub ntawv txog cov tib neeg uas koom nrog kev ncaj ncees uas tam sim no, lossis tau siv sijhawm, nyob hauv tsev loj cuj, chaw kaw cov tub ntxhais hluas, lossis tsev loj cuj thiab cov uas muaj kev pheej hmoo siab dua rau cov txiaj ntsig kev noj qab haus huv tsis zoo, raug mob, thiab tuag dua li pej xeem. Nws yuav tsom mus rau cov kauj ruam tseem ceeb uas California tab tom ua los txhim kho cov txiaj ntsig kev noj qab haus huv tsis zoo rau cov tib neeg thaum lawv npaj rov qab nkag mus rau hauv lawv cov zej zog los ntawm kev ua haujlwm kom ntseeg tau tias lawv muaj kev pov hwm txuas ntxiv mus tom qab lawv raug tso tawm. Tsis tas li ntawd xwb, Cov Neeg Sawv Cev Saib Xyuas Kev Pabcuam yuav kawm paub txog yuav ua li cas cov kev pabcuam qhwv menyuam yaus thaum yau yuav raug nthuav dav los ntawm CYBHI, uas yuav muab cov kev pabcuam kev noj qab haus huv ntawm lub hlwb rau cov menyuam yaus, cov hluas, thiab cov tsev neeg. Kawm paub ntxiv txog DHCS Coverage Ambassadors, lossis sau npe los ua Tus Neeg Sawv Cev Pabcuam.

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem

DHCS koom tes nrog cov zej zog thoob plaws lub xeev los txhawb kev txo qhov kev raug mob thiab kev saib xyuas uas tsis muaj teeb meem ntau, tsom mus rau tus neeg mob hauv California txoj kev kho mob kev siv tshuaj yeeb dej cawv. DHCS txhawb kom cov neeg muab kev pab kho mob thiab cov neeg ua haujlwm kho mob siv tshuaj yeeb (xws li cov neeg ua haujlwm pabcuam zej zog, cov phooj ywg, cov neeg ua haujlwm pem hauv ntej, cov thawj tswj xyuas cov ntaub ntawv, cov kws tu mob, cov kws kho mob, thiab txhua tus neeg ua haujlwm hauv chaw kho mob siv tshuaj yeeb) tuaj koom thiab kawm txog kev siv cov ntsiab cai ntawm kev txo kev raug mob rau hauv kev kho mob siv tshuaj yeeb. Cov rooj sib tham yuav muaj nyob rau hauv San Diego County (Lub Ob Hlis 11) thiab Los Angeles County (Lub Ob Hlis 27). Sau npe rau ntawm lub vev xaib ntawm qhov kev tshwm sim.

Kaw-Loop Kev xa mus rau kev siv cov lus qhia thiab All-Comer Webinar

On February 13, from 10 to 11 a.m. PST., DHCS will hold an all-comer webinar (advance registration required) to provide an overview of the Closed-Loop Referral (CLR) Implementation Guidance for managed care plans. The webinar is open to the public and will be of special interest to Medi-Cal managed care plans (MCP), Enhanced Care Management and Community Supports providers, and entities making referrals to the benefit/services. The CLR Implementation Guidance outlines requirements for MCPs in implementing CLRs, including tracking, supporting, and monitoring CLRs. The member’s initial referral loop is completed with a known closure reason, such as the member receiving services. These new requirements will ensure more members are connected to the care they need by identifying and addressing gaps in referral paths. MCPs must implement CLR requirements by July 1, 2025. Requirements will first apply to referrals made to priority Enhanced Care Management and Community Supports services. Please send your questions about the new guidance to PHMSection@dhcs.ca.gov.

Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham

On February 19, from 9:30 a.m. to 3 p.m. PST, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts and helps DHCS further its efforts to provide high-quality, equitable care. BH-SAC provides DHCS with input regarding behavioral health activities and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.

Hauv Case Koj Tsis Tau Nws

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

On January 6, DHCS opened the PATH CITED Round 4 application window, including the Transitional Rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. Nearly $158 million is available for Round 4.

Txhua lub koom haum uas xav los ua cov neeg muab kev pabcuam rau zej zog Transitional Rent yuav tsum ua li ntawd nrog kev koom tes nrog Medi-Cal MCP thiab lawv lub chaw haujlwm saib xyuas kev noj qab haus huv ntawm tus cwj pwm hauv nroog. Yuav kom qhia tau tias cov kev koom tes no, txhua tus neeg thov CITED uas npaj yuav thov nyiaj pab rau Transitional Rent Community Support yuav tsum xa cov ntawv txhawb nqa los ntawm kev koom tes nrog lawv lub MCP thiab lub chaw haujlwm kev noj qab haus huv ntawm lub nroog. Yog xav paub ntxiv txog qhov yuav tsum tau ua no, thov mus koom lub rooj sib tham hauv webinar rau lub Ib Hlis 27 thaum 10 teev sawv ntxov. PST (yuav tsum tau sau npe ua ntej) thiab tshuaj xyuas cov lus qhia ntawm Daim Ntawv Qhia Txog Kev Pab Them Nqi Xauj Tsev thiab Daim Ntawv Qhia Txog Kev Pab Them Nqi Xauj Tsev.

The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PST on May 2, 2025. The guidance document and application can be found by visiting the PATH CITED webpage. Please submit questions to cited@ca-path.com.

PATH Technical Assistance (TA) Marketplace Round 5 Tus neeg muag khoom thov

On January 1, DHCS opened the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but it will focus on services for the following provider types: rural providers, Tribal and Indian health care providers, maternal and child-serving providers, and transitional rent providers.

DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. Please visit the TA Marketplace Vendor webpage to access the guidance documents and to apply. Please submit questions to ta-marketplace@ca-path.com.