Lub Rau Hli 9, 2025
Xov xwm tshaj plaws
Medi-Cal Voices thiab Vision Council
DHCS tam sim no txais cov ntawv thov koom nrog Medi-Cal Voices and Vision Council. Pawg neeg koom tes tshiab no muab ib qho chaw tshwj xeeb rau cov tswv cuab Medi-Cal thiab cov neeg koom tes los tham txog cov teeb meem Medi-Cal thiab muab cov lus taw qhia ncaj qha, muaj kev paub, thiab muaj txiaj ntsig txog qhov kev pab cuam Medi-Cal rau DHCS cov thawj coj. Pawg sab laj txhawb zog cov sawv cev ntawm cov tswv cuab hauv DHCS cov neeg koom tes thiab pab xyuas kom meej tias cov kev pab cuam Medi-Cal teb tau zoo, ncaj ncees, thiab suav nrog txhua tus. Kev hnov ncaj qha los ntawm cov tswv cuab Medi-Cal thiab cov neeg koom nrog uas pabcuam cov tswv cuab Medi-Cal yog ib feem tseem ceeb ntawm Medi-Cal Transformation. Kev koom tes ntawm cov tswv cuab thiab cov neeg muaj feem cuam tshuam kuj txhawb nqa cov hom phiaj uas tau teev tseg hauv DHCS' Comprehensive Quality Strategy, uas tsom mus rau kev txhim kho kev noj qab haus huv ntawm txhua tus neeg California. Yog xav paub ntxiv, thov mus saib nplooj ntawv web ntawm Medi-Cal Voices and Vision Council.
Lub Tsev Kho Mob Cwj Pwm Qhib hauv Oakland
As California continues to strengthen its behavioral health care system, on June 6, DHCS and Safe Passages celebrated the ribbon cutting of a new Community Wellness and Youth Prevention Wellness Center in Oakland. Funded by almost $9 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) Round 4: Children and Youth, the center will offer community-derived models of mental health services to a projected 7,600 individuals annually in an outpatient setting. BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS is distributing up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1.
Kev hloov kho tshiab
PATH Collaborative Planning and Implementation (CPI) Kev Ua Zoo Tshaj Plaws Webinar Cov Ntaub Ntawv thiab Cov Khoom Siv Tam sim no muaj
On May 16, DHCS hosted a public webinar, “Connecting Services for the Enhanced Care Management (ECM) Justice-Involved Population of Focus throughout the Reentry and Post-Release Process.” The webinar discussed the benefits of using referral and billing toolkits to support justice-involved individuals, shared ways to increase referrals for Medi-Cal members to access ECM and Community Supports, and explained how a justice-involved reentry care plan can connect people leaving jail or prison with community-based organizations, justice programs, and managed care plans. The webinar recording and supporting materials are available under the “Best Practices and Resources” section on the Providing Access and Transforming Health (PATH) CPI webpage. Please submit questions to collaborative@ca-path.com.
Koom nrog peb pab neeg
DHCS tab tom nrhiav neeg ua haujlwm rau nws cov pab pawg Medi-Cal managed care, behavioral health, accounting, fiscal, thiab lwm yam. 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 posts upcoming public meetings on the Calendar of Events. DHCS provides free assistive services, including language interpretation, real-time captioning, and alternate formatting of meeting materials. To request services, please email DHCS at the appropriate contact email address at least ten working days before the meeting.
Medi-Cal Requirements thiab Cov txheej txheem rau npe rau cov kws kho mob
On June 10, from 10 to 11 a.m. PDT, DHCS will hold a public hearing via webinar (advance registration required) to discuss the draft regulatory provider bulletin, “Medi-Cal Enrollment Requirements and Procedures for Pharmacy Providers that Hold a Clinical Laboratory Improvement Amendments (CLIA) Certificate of Waiver.” Effective August 1, 2025, pharmacy providers who hold a valid CLIA Certificate of Waiver and current Certificate of California Clinical Laboratory Registration may bill for CLIA-waived tests provided within the pharmacist’s scope of practice as defined by the California State Board of Pharmacy and authorized in Business and Professions Code Section 4052.4. Pharmacy providers must apply to enroll in the Medi-Cal program by submitting a Medi-Cal provider enrollment online application, along with all supporting documentation.
Cov lus tawm tswv yim, cov lus nug, lossis cov lus qhia sau tuaj yeem xa tuaj thaum lub rooj sib hais hauv kev sib tham hauv webinar. Rau cov neeg uas tuaj koom tsis tau, cov lus sau yuav tsum xa tuaj ua ntej 5 teev tsaus ntuj PDT rau lub Rau Hli 10 kom txiav txim siab tshaj tawm. Thaum xa cov lus tawm tswv yim sau ua ntawv, thov xyuas kom meej tias tus neeg tawm tswv yim thiab lub koom haum/koom haum uas sawv cev rau tau txheeb xyuas hauv cov lus tawm tswv yim. Thov xa cov lus tawm tswv yim sau ntawv mus rau DHCSPEDStakeholder@dhcs.ca.gov. Raws li cov lus tawm tswv yim ntawm pej xeem tau txais, DHCS yuav tshaj tawm tsab ntawv xov xwm kawg rau ntawm cov chaw muab kev pabcuam Medi-Cal thiab DHCS Provider Enrollment Division lub vev xaib.
Bond BHCIP Round 2: Unmet Needs Request for Applications (RFA) Informational Webinars
On May 30, DHCS released the Proposition 1 Bond BHCIP Round 2: Unmet Needs RFA. Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award more than $800 million in grants to projects that expand community-based behavioral health facilities and services. This is the anticipated final funding round through the Behavioral Health Infrastructure Bond Act and is open to all eligible entities. Interested parties can attend an informational webinar on June 23 from 1-2 p.m. PDT to learn more about the application process. There will also be a second webinar for Tribal entities on June 24 from 2 to 3 p.m. PDT. For more information, visit the BHCIP website or email BHTInfo@dhcs.ca.gov.
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 US Centers for Disease Control and Prevention (CDC) Medical Eligibility Criteria (MEC), Selected Practice Recommendations (SPR), thiab Quality Family Planning (QFP) Guidelines (yuav tsum sau npe ua ntej). Lub rooj sib tham hauv online no yuav qhia txog cov xov xwm tshiab tseem ceeb uas cov kws kho mob yuav tsum paub, suav nrog cov lus qhia tshiab rau cov tib neeg uas muaj kab mob raum ntev, cov pawg kev pheej hmoo uas tau hloov kho tshiab rau cov neeg siv depot-medroxyprogesterone acetate, cov lus qhia ntxiv txog kev tswj qhov mob ntsig txog cov khoom siv hauv plab, thiab cov kev coj ua zoo tshaj plaws ntawm kev qhia txog kev tiv thaiv kev xeeb tub tshiab. 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, ECM thiab Community Supports cov ntaub ntawv, thiab cov ntaub ntawv rau 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 (CCS) Quality Metric Redesign, thiab cov ntsiab lus hais txog Medi-Cal cov kev pabcuam pom kev.
Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham
Thaum Lub Xya Hli 23, txij 9:30 sawv ntxov txog 3 teev tsaus ntuj PST, DHCS yuav tuav lub rooj sib tham sib koom ua ke SAC/BH-SAC (yuav tsum sau npe ua ntej rau kev koom tes hauv online thiab tus kheej) ntawm 1700 K Street (chav sib tham hauv pem teb thib ib 17.1014), Sacramento. SAC muab cov tswv yim thiab cov lus taw qhia tseem ceeb rau DHCS txog kev siv zog los muab kev nkag mus rau kev kho mob zoo. BH-SAC muab cov tswv yim rau DHCS txog kev pib kho mob tus cwj pwm thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev koom ua ke kev kho mob tus cwj pwm nrog lub cev kho mob loj dua. Cov txheej txheem thiab lwm yam ntaub ntawv ntawm lub rooj sib tham yuav raug tshaj tawm thaum hnub sib tham los txog. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
Kev Pabcuam Hauv Zej Zog Qhia Txog Tus Nqi Thaum Ntxov Thaum Ua Raws Li Medi-Cal Cov Tswv Cuab xav tau
DHCS recently submitted to the Centers for Medicare & Medicaid Services (CMS) its Community Supports, or In Lieu of Services (ILOS), Annual Report, which reviews the progress and impact of Medi-Cal Community Supports in 2024. For the first time, the report also includes a cost-effectiveness analysis for 2023. The report highlights key achievements, such as reduced emergency room visits, hospitalizations, and long-term care use, pointing to early evidence of both improved health outcomes and reduced costs when compared to the services they are replacing, such as inpatient, emergency department, and long-term care services. Of the 12 Community Supports studied, nine are already proving cost-effective, and the remaining three are expected to prove to be cost-effective over time. While progress has been significant, the report also identifies ongoing challenges and opportunities for further improvement, ensuring these services continue to evolve to meet the needs of Medi-Cal members.
Tam sim no Qhib: PATH Kev Ncaj Ncees-Involved Round 4 Daim Ntawv Thov
On May 12, DHCS opened the 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.
Flexible Housing Subsidy Pools RFA
On May 7, DHCS announced the Flexible Housing Subsidy Pools (“Flex Pools”) RFA. DHCS will select up to 10 local teams to participate in the Flex Pools Technical Assistance (TA) Academy and receive Flex Pools planning grants of approximately $150,000. The launch of Medi-Cal Transitional Rent and Behavioral Health Services Act (BHSA) Housing Interventions creates an unprecedented opportunity to help people achieve better health outcomes through housing stability.
To allow participation by both Tribal entities and county behavioral health agencies in one Flex Pools TA team, DHCS amended the RFA to allow the award of two planning grants, one to a county behavioral health agency and one to a Tribal entity, if the applicants are part of the same Flex Pools TA Academy recipient team and otherwise meet scoring criteria. Only one Flex Pools TA Academy recipient team will be allowed per locality. Additionally, DHCS clarified the use of Flex Pools Planning Grants for reserves. All eligible uses for Flex Pools Planning Grants are detailed on pages 11-12 of the RFA. DHCS envisions “one-time startup funds to support Flex Pool launch or expansion” to include legal fees, procurement costs, the development of initial IT infrastructure, and training costs. Planning grants may not be used to fund rental subsidies, even to mitigate cash flow issues while the Flex Pool waits for reimbursement (i.e., creation of “reserves”).
Flex Pools are intended to help counties and Tribal entities improve housing stability for individuals experiencing or at risk of homelessness. They are a locally designed model to coordinate rental assistance and make the best use of available housing supports, aligning the work of managed care plans, county behavioral health agencies, and other key partners in the homeless services and rehousing systems. Applications are due to DHCS by 5 p.m. PDT on June 13, 2025. Organizations selected will be notified in July 2025. To learn more and apply, please visit the DHCS Housing for Health website. Please email questions to FlexPools@dhcs.ca.gov.
HCBA Waiver Amendment Application – 30-Hnub Public Comments Period
Thaum Lub Tsib Hlis 12, DHCS tau tshaj tawm daim ntawv qauv ntawm 2025 Home and Community-Based Alternatives (HCBA) kev hloov kho rau 30 hnub rau pej xeem tawm tswv yim, ua ntej xa daim ntawv kawg rau CMS kom rov tso cai dua. Daim ntawv tso cai HCBA tso cai rau cov neeg sau npe tsim nyog tau txais cov kev pabcuam pom zoo los ntawm lub tshuab xa khoom hauv xov tooj. Qhov kev hloov pauv no ua rau California txhawb nqa txoj kev siv zog los ua raws li Txoj Cai Kawg ntawm Medicaid Home and Community-Based Settings (HCBS) los ntawm kev txhawb nqa kev xa cov kev pabcuam hauv cov chaw sib koom ua ke, hauv zej zog uas txhawb nqa kev xaiv tus kheej thiab kev ywj pheej. DHCS caw txhua tus neeg uas xav paub txog qhov kev hloov kho thiab cov lus qhia tawm tswv yim ntawm nplooj ntawv web DHCS HCBA Waiver nyob rau hauv Daim Ntawv Thov Hloov Kho HCBA Waiver - 30-Hnub Cov Lus Qhia rau Pej Xeem txij lub Tsib Hlis 12, 2025 - Lub Rau Hli 12, 2025 . Txhua cov lus tawm tswv yim yuav tsum tau txais los ntawm Lub Rau Hli 12, 2025. Yog koj muaj lus nug dab tsi, thov xa email rau hcbspolicy@dhcs.ca.gov.
Medicaid State Plan Amendment (SPA) – 30-hnub Public Comments Period
Thaum Lub Tsib Hlis 12, DHCS tau tshaj tawm Intermediate Care Facilities for the Developmentally Disabled - Continuous Nursing (ICF/DD-CN): Transition of Benefit/Setting SPA (SPA #25-0026) rau 30 hnub rau pej xeem tawm tswv yim, ua ntej xa daim ntawv kawg rau CMS kom pom zoo. ICF/DD-CNs muab kev saib xyuas tus kheej 24 teev, kev pabcuam kev loj hlob, thiab kev saib xyuas neeg mob rau cov tib neeg uas muaj kev tsis taus ntawm kev loj hlob uas muaj kev xav tau kev saib xyuas neeg mob tas mus li thiab tau txais daim ntawv pov thawj los ntawm tus kws kho mob thiab kws phais mob tias tsim nyog tau txais kev saib xyuas neeg mob tas mus li. Cov kev pabcuam no tam sim no muab los ntawm HCBA waiver. Daim SPA no yuav hloov qhov kev pab/chaw teeb tsa ICF/DD-CN los ntawm HCBA waiver mus rau Medicaid State Plan ua chaw teeb tsa kev saib xyuas mus sij hawm ntev. Qhov kev hloov pauv no ua rau California txoj kev siv zog los ua raws li txoj cai kawg ntawm tsoomfwv HCBS los ntawm kev txhawb nqa kev xa cov kev pabcuam hauv kev sib koom ua ke, hauv zej zog uas txhawb nqa kev xaiv tus kheej thiab kev ywj pheej. Txhua cov lus tawm tswv yim yuav tsum tau txais los ntawm Lub Rau Hli 12, 2025. Yog koj muaj lus nug dab tsi, thov xa email rau PublicInput@dhcs.ca.gov.