Kev hloov kho tshiab​​ 

Medi-Cal FAQs Kev Tsim Nyog Kev Nkag Tebchaws​​ 

DHCS tau tshaj tawm cov lus nug nquag nug (FAQ) tshiab txog kev tsim nyog tau txais Medi-Cal. Yog koj nrhiav tsis tau lus teb rau koj cov lus nug, koj tuaj yeem tiv tauj koj lub chaw ua haujlwm hauv nroog (los ntawm xov tooj lossis tus kheej) lossis xa email rau kev pabcuam rau cov tswv cuab Medi-Cal kom tau kev pab hauv koj hom lus uas koj nyiam. Tsis tas li ntawd xwb, thaum Lub Rau Hli 13, DHCS tau tshaj tawm ib daim ntawv tshaj tawm txog nws txoj kev cog lus los tiv thaiv kev ceev ntiag tug thiab kev noj qab haus huv ntawm txhua tus tswv cuab Medi-Cal. Cov ntawv ceeb toom tsis ntev los no tau tsa kev txhawj xeeb loj heev txog seb cov koom haum tsoomfwv yuav siv cov ntaub ntawv Medicaid li cas, suav nrog cov ntaub ntawv tus kheej ntawm tag nrho 15 lab tus neeg California uas Medi-Cal them.​​ 

Qhov Kev Pabcuam Zoo Tshaj Plaws (QIP) Daim Ntawv Qhia Kev Ntsuas Xyoo 6​​ 

Thaum Lub Rau Hli 19, DHCS tau tshaj tawm daim ntawv qhia txog kev ntsuam xyuas QIP Program Xyoo 6 (xyoo 2023), raws li tau hais los ntawm Centers for Medicare & Medicaid Services (CMS). QIP tau pib xyoo 2017 los txhawb kom muaj cov tsev kho mob pej xeem uas tau tsim tsa (DPH) thiab cov tsev kho mob pej xeem hauv nroog thiab hauv nroog (DMPH) los txhim kho qhov zoo ntawm kev kho mob rau cov tswv cuab Medi-Cal. QIP yog ib qho kev pab cuam them nqi raws li Code of Federal Regulations (CFR) Seem 438.6(c), uas 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 supports the state’s quality strategy by tying funding to performance on specific high-priority measures. The evaluation report assesses the impact of $2.2 billion in directed payments to participating hospital systems in 2023, based on the quality of inpatient and outpatient services for Medi-Cal members who received care at DPHs and DMPHs. In 2023, DHCS continued to require DPHs to make improvements on a set of nine mandatory priority measures and continue meaningful work on some of the 47 elective measures selected by each QIP entity. DPHs improved on eight of nine priority measures, and DMPHs improved on seven of nine priority measures, as compared with 2022. The report also showed QIP entities met performance targets more frequently in 2023 than in 2022.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav neeg ua haujlwm rau nws cov kev suav nyiaj, kev pab nyiaj txiag rau kev kho mob, cov txheej txheem kev kho mob sib koom ua ke, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib lub vev xaib CalCareers.​​ 

Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

DHCS tshaj tawm cov rooj sib tham pej xeem yav tom ntej ntawm Daim Ntawv Teev Npe ntawm Cov Txheej Txheem. DHCS muab cov kev pabcuam pub dawb, suav nrog kev txhais lus, kev sau npe hauv lub sijhawm, thiab hloov pauv cov ntaub ntawv sib tham. Txhawm rau thov cov kev pabcuam, thov xa email rau DHCS ntawm tus email chaw nyob uas tsim nyog tsawg kawg kaum hnub ua haujlwm ua ntej lub rooj sib tham.​​ 

Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 2: Unmet Needs Informational Webinars​​ 

Thaum Lub Rau Hli 23, txij 1 txog 2 teev tsaus ntuj PDT, DHCS yuav tuav ib qho kev qhia hauv webinar txog Bond BHCIP Round 2: Daim ntawv thov nyiaj pab tsis tau raws li qhov xav tau thiab cov txheej txheem muab khoom plig. Thaum Lub Rau Hli 24, txij 2 txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv online thib ob rau cov koom haum hauv pab pawg neeg los tshuaj xyuas cov ntaub ntawv tshwj xeeb ntawm pab pawg neeg. DHCS yuav muab ntau dua $ 800 lab nyiaj pab rau cov koom haum tsim nyog uas nthuav dav cov chaw kho mob hauv zej zog los ntawm kev tsim kho, kev yuav khoom, thiab / lossis kev kho dua tshiab ntawm cov cuab yeej cuab tam. Cov nyiaj pab txhawb nqa ntawm Bond BHCIP Round 2 tsis yog siv los khaws cia cov peev xwm kev pabcuam uas twb muaj lawm. Cov phiaj xwm yuav tsum cog lus los pab cov tswv cuab Medi-Cal thiab cov pej xeem uas tsis muaj zog, suav nrog cov neeg tsis muaj tsev nyob, cov tub rog qub, cov neeg laus, cov neeg laus uas muaj kev tsis taus, thiab cov menyuam yaus thiab cov hluas. Yog xav paub ntxiv txog kev tsim nyog thiab cov kev cai, thov mus saib Daim Ntawv Thov. Qhov no yog qhov kev pab nyiaj zaum kawg los ntawm Proposition 1's Behavioral Health Infrastructure Bond Act thiab qhib rau txhua tus neeg tsim nyog. Yog xav paub ntxiv, mus saib lub vev xaib BHCIP lossis xa email rau BR2@ahpnet.com.​​ 

CDC Guidelines Webinar​​ 

Thaum Lub Rau Hli 24, txij 12 txog 1:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv online txog Dab Tsi Tshiab hauv Xyoo 2024 ntawm Chaw Tswj thiab Tiv Thaiv Kab Mob hauv Tebchaws Meskas (CDC) Cov Qauv Kev Tsim Nyog Kho Mob (MEC), Cov Lus Qhia Txog Kev Xyaum Xaiv (SPR), thiab Cov Lus Qhia Txog Kev Npaj Tsev Neeg Zoo (QFP) (yuav tsum tau sau npe ua ntej). Lub rooj sib tham hauv online yuav hais txog cov kev hloov tshiab tseem ceeb rau cov kws kho mob, suav nrog cov lus qhia tshiab rau cov tib neeg uas muaj kab mob raum ntev, cov pawg kev pheej hmoo kho dua tshiab rau cov neeg siv depot-medroxyprogesterone acetate, cov lus qhia ntxiv txog kev tswj hwm qhov mob ntsig txog cov khoom siv hauv tsev menyuam, thiab cov kev coj ua zoo tshaj plaws ntawm kev qhia txog kev tiv thaiv kev xeeb tub. Cov kev hloov pauv yuav raug tham txog kom meej, thiab lub rooj sib tham hauv online yuav tshuaj xyuas MEC/SPR app thiab cov kev pab cuam ua haujlwm uas muaj los ntawm CDC. Yog tias koj tuaj koom tsis tau lub rooj sib tham hauv online, daim ntawv sau thiab cov ntaub ntawv kaw cia ntawm lub rooj sib tham hauv online, nrog rau cov ntaub ntawv ntxiv, yuav muaj nyob rau ntawm lub vev xaib Family PACT tom qab.​​ 

CalAIM MLTSS thiab Duals Integration Workgroup Meeting​​ 

Thaum Lub Rau Hli 25, txij 11 teev sawv ntxov txog 12:30 teev tav su PDT, DHCS yuav tuav lub rooj sib tham California Advancing and Innovating Medi-Cal (CalAIM) Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration Workgroup (yuav tsum tau sau npe ua ntej). Pawg ua haujlwm yog lub chaw sib koom tes ntawm cov neeg koom tes rau CalAIM MLTSS thiab kev saib xyuas sib koom ua ke rau cov tswv cuab uas tsim nyog ob leeg. Nws tso cai rau cov neeg koom nrog los muab cov lus taw qhia thiab sib qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab lub tswv yim rau kev hloov pauv yav tom ntej rau Medi-Cal thiab Medicare. Cov txheej txheem ntawm lub rooj sib tham suav nrog cov kev hloov tshiab ntawm 2026 Medi-Medi Plan nthuav dav, DHCS 'Dual Eligible Special Needs Plan (D-SNP) cov kev pib, D-SNP State Medicaid Agency Contract and Policy Guide, thiab kev nthuav qhia cov ntaub ntawv duals txog cov ntaub ntawv D-SNP, cov ntaub ntawv kho hniav, Cov ntaub ntawv Enhanced Care Management thiab Community Supports, thiab cov ntaub ntawv sau npe Medicare rau cov neeg duals. Cov ntaub ntawv ntxiv, cov ntaub ntawv keeb kwm yav dhau los, cov ntawv sau ua haujlwm, thiab cov yeeb yaj kiab kaw ntawm cov rooj sib tham ua haujlwm yav dhau los tau muab tso rau ntawm nplooj ntawv web CalAIM MLTSS thiab Duals Integration Workgroup. Yog koj muaj lus nug lossis lus tawm tswv yim, thov email rau DHCS ntawm info@calduals.org.​​ 

California Maternal Health Task Force Launch​​ 

Thaum Lub Rau Hli 27, txij 11:30 sawv ntxov txog 1 teev tav su PDT, California Maternal Quality Care Collaborative thiab California Maternal Health Innovation Program yuav tsim California Maternal Health Task Force. Lub rooj sib tham no (yuav tsum tau sau npe ua ntej) yuav coj cov thawj coj kev noj qab haus huv ntawm cov niam thiab cov neeg koom tes los ntawm thoob plaws lub xeev los tsim kom muaj lub zeem muag sib koom rau kev txhim kho kev noj qab haus huv ntawm cov niam hauv California. Cov koom haum hauv zej zog, cov neeg pab nyiaj txiag, cov chaw haujlwm kev noj qab haus huv hauv zos, cov neeg ua haujlwm saib xyuas kev noj qab haus huv ntawm cov niam tsev, cov kws tshaj lij hauv kev kho mob, cov koom haum tshaj lij, cov neeg koom nrog txoj cai thiab kev noj qab haus huv pej xeem, cov kws tshawb fawb, thiab cov neeg uas mob siab rau kev txhim kho kev noj qab haus huv ntawm cov niam tsev hauv California raug txhawb kom tuaj koom.​​ 

Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting​​  

Thaum Lub Xya Hli 10, txij 10 teev sawv ntxov txog 2 teev tav su PDT, DHCS yuav tuav lub rooj sib tham MCHAP txhua peb lub hlis ntawm 1700 K Street, Sacramento, CA 95811, hauv chav sib tham hauv pem teb thib ib (17.1014) lossis los ntawm kev sib tham hauv online rau pej xeem (yuav tsum tau sau npe ua ntej). MCHAP qhia DHCS txog txoj cai thiab cov teeb meem kev ua haujlwm uas cuam tshuam rau cov menyuam yaus hauv Medi-Cal. Lub rooj sib tham yuav muab cov ntaub ntawv hais txog kev txhim kho cov txiaj ntsig kev saib xyuas tiv thaiv menyuam yaus, cov kev hloov tshiab ntawm California Children's Services Quality Metric Redesign, thiab cov ntsiab lus hais txog Medi-Cal cov kev pabcuam pom kev.​​ 

Tiv thaiv Access to Health Care Act (PAHCA) Stakeholder Advisory Committee (SAC)​​  

On July 18, from 9:30 a.m. to 2 p.m. PDT (the time is tentative), DHCS will host the PAHCA-SAC meeting (advance registration for online participation required) at 1700 K Street (first-floor conference room 17.1014), Sacramento. The committee is responsible for advising DHCS on developing and implementing components of the PAHCA of 2024 (Proposition 35).​​ 

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

On July 23, from 9:30 a.m. to 3 p.m. PDT, 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 and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Tam sim no Qhib: PATH Kev Ncaj Ncees-Involved Round 4 Daim Ntawv Thov​​ 

On May 12, DHCS opened the Providing Access and Transforming Health (PATH) Justice-Involved Round 4 application window. The deadline to apply for Round 4 funding is July 11, 2025. Only PATH Justice-Involved Round 3 awardees are eligible for the Justice-Involved Round 4 funding opportunity, and applications must be submitted on behalf of county sheriff’s offices, county probation offices, the California Department of Corrections and Rehabilitation, and county behavioral health agencies. Eligible agencies will receive email communications with instructions on how to apply. For more information about PATH Justice-Involved Round 4, please visit the PATH Justice-Involved webpage. All resources are available under “Reference Materials.” Please submit questions to justice-involved@ca-path.com.
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