Lub Xya hli ntuj 1, 2024
Xov xwm tshaj plaws
Kalifonias ua kev zoo siab rau qhov kev nthuav dav ntawm Expanded Indio Behavioral Health Facility
On July 1, DHCS and ABC Recovery Center celebrated the groundbreaking of a facility expansion that will serve people who need mental health and substance use disorder treatment. DHCS awarded ABC Recovery Center more than $27 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) to build two adult substance use disorder residential units, expanding residential treatment capacity by 120 total beds, in addition to intensive outpatient treatment for substance use disorder projected to serve 400 people annually.
DHCS will distribute roughly $4 billion in BHCIP grants under Proposition 1 bond funds to address historic gaps in the behavioral health care system and meet the growing demand for services and support throughout the lifespan of people in need. More information about Proposition 1 can be found at mentalhealth.ca.gov. DHCS holds regular public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on DHCS’ website to receive monthly updates.
Kev hloov kho tshiab
DHCS Launches “PATHways to Success” Web Portal
On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing Enhanced Care Management and Community Supports for the Medi-Cal members they serve.
Cov koom haum raug caw tuaj tshawb nrhiav lub xaib tshiab thiab kawm paub tias PATH pab cov koom haum li cas kom ua tau raws li qhov xav tau ntawm cov tswv cuab Medi-Cal thiab muab kev tswj hwm kev saib xyuas zoo dua thiab kev txhawb nqa hauv zej zog. Thov xa koj cov lus nug mus rau communications@ca-path.com.
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
Pib txij Lub Xya Hli 1, DHCS yuav nthuav qhia cov vev xaib online tshiab rau cov kws kho mob txhawm rau txhim kho kev nkag mus rau kev pab cuam thiab saib xyuas cov tsev neeg tshiab. Los ntawm CPE, cov chaw muab kev pabcuam tuaj yeem muab kev pabcuam ib ntus, tag nrho cov peev txheej rau cov neeg thov tsim nyog. Lub portal no hloov qhov Child Health and Disability Prevention gateway portal. Newborn Gateway portal yog rau kev qhia txog kev yug me nyuam nrog kev sib txuas rau Medi-Cal thiab Medi-Cal Access Infant Program hauv 72 teev tom qab yug los lossis 24 teev tom qab tso tawm. Cov kws kho mob yuav tsum ua kom tiav cov ntaub ntawv pov thawj siv cov portals no thiab tso npe rau cov menyuam mos uas tsim nyog tau txais kev pab pib txij lub Xya Hli 1.
On June 25, DHCS hosted the final CPE and Newborn Gateway portal overview webinar. A recording of the webinar is available through the Medi-Cal Learning Portal by searching for course code CNPE104RW.
Kev Qhia CMS Tshiab Txhim Kho Kev Pabcuam Medicaid Tswj Kev Pabcuam
Over the past decade, Medicaid managed care organizations have increasingly aimed to address members’ health-related social needs, such as housing, food security, and transportation, that affect health outcomes. However, these efforts often remained in pilot stages due to capitation rates not reflecting these services. New guidance from the Centers for Medicare & Medicaid Services (CMS) on in lieu of services (ILOS) is changing this by allowing medically appropriate and cost-effective substitutes for state Medicaid benefits, impacting managed care rates. A new Medicaid policy cheat sheet, published by Center for Health Care Strategies, outlines five key takeaways from CMS’ May 2024 final rule on using ILOS to address health-related social needs. Additionally, a new tool, Designing a Health-Related Social Needs Strategy in Medicaid, presents decision points for states, including a snapshot of how nine states are covering these services through a learning series supported by the Kaiser Permanente National Community Benefit Fund.
Koom nrog peb pab neeg
DHCS tab tom nrhiav tus kws tshaj lij, tshwj xeeb tshaj yog tus neeg mob siab los ua haujlwm xws li:
- Tus Lwm Thawj Coj rau Kev Noj Qab Haus Huv Tus Cwj Pwm los muab kev tswj hwm thiab kev txhawb nqa hauv kev siv cov kev pib noj qab haus huv tus cwj pwm uas tsim los ua kom tiav cov txiaj ntsig kev kho mob sib luag thiab xyuas kom meej tias muaj kev nkag mus rau kev kho mob hlwb zoo thiab kev kho mob siv tshuaj yeeb tsis zoo. (Hnub kawg xa daim ntawv thov: Lub Xya Hli 12)
- Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
Cov nyiaj hli ntau rau txoj haujlwm no yog $11,435 txog $13,623 ib hlis. Kev muaj daim ntawv tso cai kho mob yog xav tau, tab sis tsis tas yuav tsum tau. Cov nyiaj hli ntau ntawm $ 13,624 txog $ 17,855 ib hlis yog muaj rau cov neeg sib tw uas yog kws kho mob lossis kws kho mob. (Hnub kawg ua ntawv thov: Lub Xya Hli 3)
DHCS is also hiring for its legislative and governmental affairs, 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
Kev Cuam Tshuam Kev Noj Qab Haus Huv Hauv Zej Zog-raws li Lub Koom Haum Koom Tes ntawm Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Kho Mob (BH-CONNECT) Kev Qhia Ntxiv Ntxiv: Lub Rooj Hais Plaub Thib Ob
Thaum Lub Xya Hli 2, txij 3:30 txog 4:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham pej xeem thib ob uas muaj kev sib tham hauv tus kheej thiab hauv online rau BH-CONNECT Demonstration Addendum ntawm 1515 K Street, Chav 204 hauv Sacramento thiab ntawm Zoom (yuav tsum tau sau npe ua ntej). Thaum Lub Rau Hli 14, 2024, DHCS tau pib lub sijhawm 30-hnub rau pej xeem tawm tswv yim rau ib qho ntxiv rau qhov kev qhia BH-CONNECT uas tseem tab tom tos. California yuav xa ib daim ntawv ntxiv rau daim ntawv thov ua qauv qhia BH-CONNECT kom txhawb nqa kev kho mob tus cwj pwm kom zoo dua. Cov ntaub ntawv ntxiv yuav muab ob txoj kev xaiv tshiab rau cov phiaj xwm kev noj qab haus huv ntawm lub nroog los them: Cov kev pabcuam hloov pauv hauv zej zog rau cov tib neeg uas nyob hauv tsev kho mob ntev, thiab chav thiab khoom noj hauv cov chaw nyob zoo rau txog rau lub hlis rau cov neeg uas muaj mob hnyav thiab cov yam ntxwv tshwj xeeb. Yog xav paub ntxiv, thov mus saib nplooj ntawv web DHCS BH-CONNECT.
Consumer-Focused Stakeholder Workgroup (CFSW)
On July 5, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage by noon on July 3. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.
California Children’s Services (CCS) Advisory Group Meeting
On July 10, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting. The CCS Advisory Group and DHCS partner to ensure children in the CCS and Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on WCM expansion, Enhanced Care Management, the CCS Compliance, Monitoring, and Oversight Workgroup, the Child Health and Disability Prevention program, and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are posted on the CCS Advisory Group webpage. Please email your questions and comments to CCSProgram@dhcs.ca.gov.
Doula Stakeholder Implementation Workgroup Meeting
Thaum Lub Xya Hli 12, thaum 10 teev sawv ntxov txog 12 teev tsaus ntuj PDT, 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, Txoj Cai ntawm 2021) thiab ntu 14132.24 ntawm Welfare and Institutions Code.
The meeting will be held via Zoom, with an in-person option at 1501 Capitol Avenue, Sacramento, CA 95814, Room 71.4003. The meeting is open to the public. The link to attend the meeting virtually and an agenda will be posted on the Doula Services as a Medi-Cal Benefit webpage. The workgroup will discuss how to ensure doula services are available to Medi-Cal members and make recommendations on outreach efforts. Please email DoulaBenefit@dhcs.ca.gov with any questions.
CalAIM Lub Rooj Sib Tham Txog Kev Noj Qab Haus Huv Tus Cwj Pwm
Thaum Lub Xya Hli 15, txij 3 txog 5 teev tsaus ntuj PDT, DHCS yuav sib sau ua ke lub rooj sib tham CalAIM Behavioral Health Workgroup (yuav tsum tau sau npe ua ntej) los muab cov xov xwm tshiab txog Provider Integration Project thiab BH-CONNECT. Cov tswv cuab ntawm pawg neeg ua haujlwm tuaj yeem muab cov lus taw qhia txog kev siv thiab kev txiav txim siab ua haujlwm. Thov saib daim ntawv teev sijhawm kom paub ntxiv. Lub rooj sib tham no qhib rau pej xeem. Thov xa koj cov lus nug mus rau BHCalAIM@dhcs.ca.gov.
Lub hom phiaj tus neeg muab kev pabcuam nce ntxiv
Thaum Lub Xya Hli 17, txij 3 txog 4:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv online rau cov neeg muab kev pabcuam (yuav tsum tau sau npe ua ntej) los teb cov lus nug txog kev nce tus nqi ntawm cov neeg muab kev pabcuam rau xyoo 2024. Txhua cov lus nug uas cov neeg muab kev pab xav kom teb yuav tsum xa mus rau DHCS ntawm targetedrateincreases@dhcs.ca.gov tsis pub dhau lub Xya Hli 8.
On June 20, DHCS published requirements, through All Plan Letter 24-007, necessary for Medi-Cal managed care plans to implement targeted provider rate increases in calendar year 2024. For additional information, please see the DHCS Medi-Cal Targeted Provider Rate Increases and Investments website.
Hauv Case Koj Tsis Tau Nws
STATE REVEALS POSITIVE Impacts of STIGMA REDUCTION CAMPAIGN
Ze li ib xyoos rau hauv Unshame CA pej xeem kev paub txog kev noj qab haus huv phiaj xwm phiaj xwm txhawm rau rhuav tshem kev qias neeg ntawm kev quav yeeb quav tshuaj thiab ua kom muaj kev paub txog kev kho mob nkag mus rau cov neeg California, cov ntaub ntawv ntsuam xyuas qhia tias tib neeg muaj feem yuav hloov lawv txoj kev xav txog kev quav yeeb quav tshuaj tom qab pom thiab koom nrog kev sib hlub, zej zog cov dab neeg ntawm cov tib neeg cuam tshuam los ntawm kev siv yeeb tshuaj.
Unshame CA yog kev koom tes ntawm DHCS thiab Shatterproof los tsim kom muaj kev nkag siab txog thiab ua kom kev siv tshuaj yeeb tsis zoo li qub raws li ib qho mob uas kho tau. Txoj kev sib tw no siv txoj kev kho mob pej xeem uas muaj pov thawj los siv kev tshaj xov xwm hauv zej zog rau kev kawm thiab kev ncav tes thiab txuas cov neeg California nrog cov neeg uas muaj kev paub dhau los.