January 5, 2024 – DHCS Stakeholder News
Kev hloov kho tshiab
Multipurpose Senior Services Program (MSSP) Daim Ntawv Thov Txiaj Ntsig Rov Ntxiv - 30-Hnub Pej Xeem Tshaj Tawm Lub Sijhawm
Thaum Lub Ib Hlis 8, Lub Chaw Haujlwm Saib Xyuas Kev Laus Hauv Xeev (CDA), koom tes nrog DHCS, yuav tshaj tawm tsab ntawv thov kev zam rau xyoo 2024 MSSP rau lub sijhawm 30-hnub tawm tswv yim rau pej xeem, ua ntej xa daim ntawv thov zaum kawg mus rau Tsoom Fwv Teb Chaws Kev Pabcuam Medicare & Medicaid (CMS) rau kev tso cai rov qab. Qhov kev zam ntawm MSSP yuav tas rau lub Rau Hli 30, 2024; CDA npaj siab yuav txuas ntxiv qhov kev zam rau lwm lub sijhawm zam tsib xyoos pib txij lub Xya Hli 1, 2024.
MSSP muab kev pabcuam kev tswj hwm kev noj qab haus huv thiab kev pabcuam hauv zej zog los pab cov tib neeg hnub nyoog 65 xyoo thiab laus dua kom nyob hauv lawv lub tsev thiab zej zog. Yuav kom tsim nyog tau txais MSSP, cov tib neeg no yuav tsum ua tau raws li cov qauv rau kev saib xyuas cov neeg mob uas muaj kev txawj ntse. Lub hom phiaj ntawm MSSP yog los tiv thaiv lossis ncua kev kho mob los ntawm kev tswj hwm kev saib xyuas tas mus li, siv cov kev pabcuam hauv zej zog thiab cov peev txheej uas muaj thiab yuav cov kev pabcuam uas xav tau thaum lawv tseem tsis tau muaj.
The MSSP waiver renewal application will be posted to CDA’s website, along with an email address for submitting written feedback. All comments must be received by February 6. CDA invites all interested parties to review the amendments and comment instructions on the CDA webpage.
Thov xa email rau koj cov lus nug rau MSSPService@aging.ca.gov.
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 phiaj xwm kho mob Medi-Cal managed care (MCP) uas tau cog lus. (Hnub kawg xa daim ntawv thov txuas ntxiv mus txog rau lub Ib Hlis 30)
- Chief of Fee-for-Service Rates Development Division within Health Care Financing develops, interprets, and issues policy on Medi-Cal reimbursement methodologies for Medi-Cal fee-for-service (FFS) non-institutional and long-term care services and provider fee programs. (Final filing date extended to January 9)
DHCS tseem ntiav peb cov kev sib txuas lus, tib neeg cov peev txheej, kev tshuaj xyuas, txoj cai tswjfwm kev noj qab haus huv, kev siv thev naus laus zis, 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
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.
Hauv Case Koj Tsis Tau Nws
Cov se ntawm Lub Koom Haum Saib Xyuas Kev Tswj Xyuas hauv California (MCO) Tau Txais Kev Pom Zoo Los Ntawm Tsoom Fwv Tebchaws
On January 3, DHCS issued a news release announcing that the State of California received federal approval from CMS for its MCO tax federal waiver application. This approval paves the way for DHCS to move forward with targeted provider rate increases and additional health care system investments that will advance access, quality, and equity in care and services for millions of Medi-Cal members. These rate increases also promote provider participation in the state’s Medi-Cal program, helping shore up the health care workforce.
Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv
Thaum Lub Ib Hlis 1, DHCS tau ua tiav ib qho tseem ceeb hauv nws txoj kev hloov pauv ntawm Medi-Cal nrog kev tshaj tawm daim ntawv cog lus tshiab ntawm kev tswj hwm kev saib xyuas thiab kev hloov pauv MCP, uas kwv yees li 1.2 lab tus tswv cuab tau txais cov kev xaiv phiaj xwm kho mob tshiab thiab / lossis hloov mus rau MCPs tshiab (ceeb toom: kev hloov MCPs tsis cuam tshuam rau kev them nqi lossis cov txiaj ntsig ntawm Medi-Cal cov tswv cuab). Yuav kom yooj yim rau kev hloov pauv ntawm MCPs rau cov tswv cuab, DHCS tau tsim cov kev tiv thaiv Kev Saib Xyuas Txuas Ntxiv uas ua kom cov tswv cuab tuaj yeem khaws lawv cov neeg muab kev pabcuam mus txog 12 lub hlis thiab/lossis txuas ntxiv tau txais cov kev pabcuam raug cai.
DHCS tau tsim ntau yam kev pab los txhawb cov tswv cuab, cov kws kho mob, thiab lwm cov neeg koom nrog kev hloov pauv, suav nrog nplooj ntawv web Managed Care Plan Transition Member nrog lub cuab yeej "nrhiav" ntawm lub nroog, cov kev sib txuas mus rau cov ntawv ceeb toom ntawm cov tswv cuab uas Medi-Cal xa txog kev hloov pauv MCP, cov lus nug nquag nug ntawm cov tswv cuab, thiab nplooj ntawv Tiv Tauj Peb rau cov tswv cuab kom paub ntau ntxiv txog kev hloov pauv ntawm txoj kev npaj kho mob. Kuj tseem muaj cov peev txheej hloov pauv rau cov neeg muab kev pabcuam thiab MCPs thiab cov neeg koom nrog. Muaj cov ntaub ntawv ntxiv txog kev hloov pauv no nyob rau hauv Phau Ntawv Qhia Txog Txoj Cai Hloov Pauv ntawm Txoj Kev Npaj Saib Xyuas Kev Kho Mob Xyoo 2024 thiab Tsab Ntawv Qhia Txog Kev Tsim Nyog ntawm Medi-Cal Tus lej I 23-54.