June 10, 2024 – Stakeholder Update
Xov xwm tshaj plaws
CALIFORNIA ZOO TSHAJ PLAWS ZOO TSHAJ PLAWS RAU HAUV LUB CHAW UA HAUJ LWM HAUJ LWM THIAB KEV PAB CUAM NTAWM OAKLAND
Thaum Lub Rau Hli 6, DHCS tau koom nrog Safe Passages los ua kev zoo siab rau qhov kev tsim kho tshiab ntawm Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Tiv Thaiv Hauv Zej Zog los pab cov tub ntxhais hluas hauv thaj chaw Oakland. DHCS tau muab $ 9 lab nyiaj pab rau Safe Passages los tsim ib qho chaw nyab xeeb los daws cov teeb meem hauv kev noj qab haus huv ntawm lub hlwb thiab kev kho mob siv tshuaj yeeb rau cov menyuam yaus thiab cov hluas uas hloov mus rau cov neeg laus. Lub chaw kho mob kom noj qab haus huv yuav ua rau Safe Passages muaj peev xwm pab tau ntxiv rau 4,800 tus tswv cuab hauv zej zog nrog cov peev txheej tseem ceeb, ua rau tag nrho cov kev pab txhua xyoo yog 9,800. Nrog rau cov ntawv cog lus Proposition 1 uas nyuam qhuav pom zoo, xyoo 2025 thiab 2026, yuav muaj ntau qhov chaw kho mob ntxiv uas yuav tau txais nyiaj txiag thiab tsim kho.
Los ntawm Behavioral Health Continuum Infrastructure Program (BHCIP), DHCS muab nyiaj pab rau cov chaw tsim nyog los tsim, yuav, thiab nthuav cov vaj tse thiab nqis peev rau hauv cov chaw pabcuam thaum muaj xwm txheej ceev kom nthuav dav ntxiv ntawm ntau txoj kev xaiv kho mob kev noj qab haus huv hauv zej zog rau cov neeg uas muaj kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv. Safe Passages tau txais nyiaj los ntawm BHCIP Round 4: Cov Menyuam Yaus thiab Cov Hluas.
Kev hloov kho tshiab
Qhov Zoo Tshaj Plaws Zoo Tshaj Plaws (QIP) Txoj Haujlwm Xyoo 5 (PY5) Daim Ntawv Qhia Kev Ntsuam Xyuas
Thaum Lub Rau Hli 6, DHCS tau tshaj tawm daim ntawv qhia txog kev ntsuam xyuas QIP PY5 (xyoo 2022), raws li cov kev cai ntawm Chaw rau Medicare & Medicaid Services. QIP tau pib xyoo 2017 thiab txhawb kom cov Tsev Kho Mob Pej Xeem (DPH) thiab Cov Tsev Kho Mob Pej Xeem Hauv Cheeb Tsam thiab Hauv Nroog (DMPH) txhim kho qhov zoo ntawm kev saib xyuas rau cov tswv cuab Medi-Cal. QIP yog ib qho kev pab cuam them nqi raws li Txoj Cai Kawg ntawm Txoj Cai Kev Noj Qab Haus Huv Medicaid thiab Menyuam Yaus xyoo 2020; Tshooj Cai ntawm Tsoom Fwv Teb Chaws 438.6(c) muab kev ywj pheej rau cov xeev los siv cov txheej txheem xa khoom thiab cov kev pib them nqi rau cov neeg muab kev pab raws li cov ntawv cog lus npaj kho mob Medicaid. QIP txhawb nqa lub xeev txoj kev npaj zoo los ntawm kev khi nyiaj txiag rau kev ua tau zoo ntawm cov kev ntsuas zoo tshwj xeeb. Daim ntawv ntsuam xyuas tsom mus rau qhov cuam tshuam ntawm $ 1.9 billion tus nqi them rau kev ua tau zoo PY5 uas Medi-Cal cov phiaj xwm kev saib xyuas tau ua rau cov tsev kho mob koom nrog ua ib feem ntawm qhov kev pab cuam QIP. Hauv PY5, feem ntau yog vim muaj kev cuam tshuam ntawm COVID-19 kev kub ntxhov hauv kev noj qab haus huv rau pej xeem rau cov tsev kho mob thiab cov kab ke kev noj qab haus huv, DHCS tau siv cov kev hloov kho uas suav nrog kev txo cov kev ntsuas zoo hauv kev kho mob mus rau cuaj. DHCS kuj tau txhawb nqa cov kev cai, piv rau xyoo 2021, rau cov tsev kho mob kom txhim kho cov kev ntsuas tseem ceeb no thiab cov kev ntsuas xaiv ntxiv. 17 lub DPHs thiab 33 lub DMPHs tau qhia txog kev txhim kho ua ke ntawm tag nrho cuaj qhov kev ntsuas, piv rau xyoo 2021.
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
Effective July 1, DHCS will launch provider online portals to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full scope coverage to eligible applicants through an online portal. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. The Newborn Gateway portal is for reporting the birth of a baby with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours after birth or 24 hours after discharge, whichever is sooner.
Txhua tus neeg muab kev pabcuam uas xav koom nrog cov portals no yuav tsum ua tiav kev cob qhia txog daim ntawv pov thawj kom paub txog cov portals tshiab thiab cov kev cai tshaj tawm. Txhua tus neeg muab kev pab cuam uas tsim nyog koom nrog hauv kev tsim nyog xav tias yuav tsum siv Newborn Gateway los sau npe cov menyuam mos uas tsim nyog uas yug hauv lawv cov chaw rau hauv kev pov hwm txij li Lub Xya Hli 1.
Thaum Lub Rau Hli 25 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham zaum kawg ntawm CPE thiab Newborn Gateway portal overview webinar. Kev sau npe muaj los ntawm Medi-Cal Learning Portal. Tsis tas li ntawd xwb, yuav muaj cov ntaubntawv kaw suab ntawm lub rooj sib tham hauv online los ntawm kev tshawb nrhiav tus lej kawm CNPE104RW.
CalAIM Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Technical Assistance (TA) Marketplace Vendor Fair Recordings
Organizations are invited to review vendor presentations across the seven TA Marketplace domains to learn how they can access free services designed to help providers build data capacity, contract with Medi-Cal managed care plans, scale their workforce, promote health equity, and more. On-demand resources are free, static resources made available directly through the PATH website for organizations seeking to learn more about PATH and build their understanding and capacity to successfully participate in California Advancing and Innovating Medi-Cal (CalAIM).
Cov peev txheej raws li qhov xav tau yog qhov tsim nyog rau cov koom haum ntawm txhua qib kev npaj rau Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab / lossis Kev Txhawb Nqa Hauv Zej Zog, suav nrog cov kev pib koom nrog kev ncaj ncees. Tsis tas yuav muaj daim ntawv thov kom nkag mus rau cov peev txheej raws li qhov xav tau. Cov ntaub ntawv kaw cia ntawm kev ncaj ncees ntawm cov neeg muag khoom tuaj yeem nkag mus tau hauv PATH On-Demand Resource Library.
PATH Capacity and Infrastructure Transition, Expansion, and Development (CITED) Round 3 khoom plig
Thaum Lub Ob Hlis 15, DHCS tau kaw lub qhov rais nyiaj txiag PATH CITED Round 3. Cov kev tshaj tawm txog qhov khoom plig CITED Round 3 tau teem sijhawm rau lub caij nplooj zeeg xyoo 2024. Lub hom phiaj PATH CITED muab nyiaj txiag los tsim kom muaj peev xwm thiab cov khoom siv rau cov neeg koom tes hauv zej zog, 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 ua tau cov neeg muab kev pabcuam Medi-Cal zoo. Mus saib nplooj ntawv web PATH CITED kom paub ntxiv.
Drug Medi-Cal Organized Delivery System (DMC-ODS) Cov Lus Nug Nquag (FAQs)
New and revised FAQs related to DMC-ODS program requirements pursuant to CalAIM have been posted to the CalAIM Behavioral Health Initiative webpage. These updated and new FAQs address questions submitted during or shortly after the February 1, 2024, DMC-ODS technical assistance webinar and address several topics, including residential treatment/billing, Medications for Addicted Treatment, prior authorization, length of stay, and recovery services. Please email BHCalAIM@dhcs.ca.gov with questions about DMC-ODS.
Koom nrog peb pab neeg
DHCS tab tom nrhiav ib tus neeg txawj ntse, tshwj xeeb tshaj yog kev txhawb siab rau ib tus neeg los ua:
- Tus Thawj Coj ntawm Lub Chaw Saib Xyuas Kev Kho Mob (CAD) los ua tus tsim cai tseem ceeb thiab coj pab pawg CAD hauv kev siv kev tswj hwm kev siv rau cov tswv cuab Medi-Cal uas them tus nqi rau kev pabcuam hauv kev koom tes nrog DHCS' Health Care Benefits and Eligibility program. Tsis tas li ntawd xwb, tus Thawj Coj ntawm CAD yog tus saib xyuas kev tswj hwm ntawm Cov Lus Thov Kev Tso Cai Kho Mob (TARs), qhov kev pab cuam tsis muaj TAR, thiab kev tswj hwm kev siv cov txiaj ntsig Medi-Cal tom qab them nyiaj.
The salary range for this position is $11,435 to $13,623 per month. Possession of a medical license is desired, but not required. A salary range of $13,624 to $17,855 per month is available for candidates who are medical doctors or clinicians. (Final filing date: June 26)
DHCS tseem ntiav rau 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
CalAIM PATH Cov Kev Cai Zoo Tshaj Plaws Webinar
On June 27, from 11 a.m. to 12 p.m. PDT, DHCS will host a webinar, Tools to Better Engage Eligible Members in CalAIM (advance registration required). The webinar is part of a biannual series of PATH Collaborative Planning and Implementation (CPI) webinars designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, including past webinar resources and recordings, please visit the PATH CPI webpage.