March 18, 2024 – Stakeholder News
Xov xwm tshaj plaws
Tyler Sadwith hu ua State Medicaid Director
Tus Thawj Kav Xeev tau tshaj tawm tias tau xaiv Tyler Sadwith ua Tus Thawj Coj Medicaid ntawm Lub Xeev, pib siv txij li lub Peb Hlis 25. Tyler tau ua tus Lwm Thawj Coj rau Kev Noj Qab Haus Huv ntawm Tus Kheej txij li lub Rau Hli 2022, thiab ua tus Lwm Thawj Coj rau BH txij lub Xya Hli 2021 txog lub Tsib Hlis 2022, ua tus thawj coj ntawm DHCS cov kev siv zog los txhawb kom lub xeev txoj kev saib xyuas kev noj qab haus huv ntawm tus kheej rau txhua tus neeg California. Tyler tau coj ntau txoj cai hloov pauv, cov kev pab cuam, thiab kev nqis peev nyiaj txiag los txhawb kom muaj kev nkag mus rau kev kho mob tus cwj pwm, qhov zoo, thiab kev muab kev pabcuam rau cov tswv cuab Medi-Cal thiab cov neeg California uas tau txais kev pabcuam los ntawm cov kev pab cuam pej xeem, suav nrog kev pab kom tau txais kev pom zoo los ntawm tsoomfwv thawj zaug hauv lub tebchaws rau California Advancing and Innovating Medi-Cal (CalAIM) Justice-Involved Initiative thiab kev tswj hwm xwm txheej ceev; ua tus thawj coj ntawm Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) kev ua qauv qhia; thiab coj DHCS siv 988 kev nthuav dav thiab Medi-Cal mobile crisis services, Community Assistance, Recovery, and Empowerment (CARE) Act, CalAIM behavioral health cov cai, thiab kev hloov pauv daim ntawv tso cai kho mob tus cwj pwm.
Beverlee A. Myers Award for Excellence in Public Health
Kev xaiv tsa rau xyoo 2024 Beverlee A. Myers Award rau Kev Ua Tau Zoo hauv Kev Noj Qab Haus Huv Pej Xeem tam sim no qhib lawm. Qhov khoom plig no lees paub txog kev koom tes ntawm cov kws tshaj lij kev noj qab haus huv pej xeem thiab cov kws tshaj lij kev kho mob hauv kev txhim kho txoj kev noj qab haus huv ntawm txhua tus neeg uas hu California ua tsev thiab ntau lab tus neeg uas tuaj xyuas txhua xyoo. Qhov khoom plig yuav muab rau ib tus kws tshaj lij kev noj qab haus huv pej xeem uas ua piv txwv zoo tshaj plaws ntawm cov yam ntxwv hauv qab no: kev mob siab rau thiab kev ua tiav hauv kev txhim kho kev noj qab haus huv ntawm cov neeg California; muaj peev xwm ua haujlwm koom tes thiab muab kev coj noj coj ua hauv zej zog kev noj qab haus huv pej xeem thiab kev pabcuam kev noj qab haus huv; cov txheej txheem muaj tswv yim los txhawb cov kev pabcuam kev noj qab haus huv pej xeem tseem ceeb; thiab kev nkag siab txog kev daws cov kev xav tau ntawm cov pej xeem tshwj xeeb thiab txo qhov sib txawv hauv kev kho mob thiab cov txiaj ntsig kev noj qab haus huv.
Txhua qhov kev xaiv tsa yuav tsum tau txais los ntawm lub Plaub Hlis 5 thaum 5 teev tsaus ntuj Hauv koj tsab email xa mus rau tus neeg raug xaiv tsa, thov muab cov ntaub ntawv hauv qab no txog tus neeg raug xaiv tsa: lub npe, tus xov tooj (ob qho tib si ua haujlwm thiab xov tooj ntawm tes), chaw nyob email (ob qho tib si ua haujlwm thiab tus kheej), chaw nyob xa ntawv, ib zaj dab neeg piav qhia txog vim li cas koj thiaj xaiv tus neeg ntawd, thiab ib daim qauv ntawm koj tus neeg raug xaiv tsa CV lossis resume. Thov xa cov kev xaiv tsa thiab cov lus nug rau InternalComms@cdph.ca.gov.
Kev hloov kho tshiab
Skilled Nursing Facility (SNF) Performance Data
Lub lim tiam no, DHCS yuav tshaj tawm cov ntaub ntawv kev ua tau zoo ntawm qib chaw rau SNF Workforce & Quality Incentive Program (WQIP) rau pej xeem thawj zaug, uas txhawb cov chaw kom txhim kho qhov zoo ntawm kev saib xyuas, ua kom muaj kev ncaj ncees hauv kev kho mob, thiab nqis peev rau hauv kev ua haujlwm. Cov ntaub ntawv kev ua tau zoo yuav raug tshaj tawm rau ntawm nplooj ntawv web SNF WQIP. Yog koj muaj lus nug lossis kev txhawj xeeb txog WQIP program, thov email rau SNFWQIP@dhcs.ca.gov. Yog xav paub ntxiv txog lwm cov kev pab cuam hloov kho nyiaj txiag rau chaw saib xyuas neeg mob uas tau tso cai los ntawm AB 186 (Tshooj 46, Cov Cai Lij Choj Xyoo 2022), thov mus saib nplooj ntawv web Nursing Facility Financing Reform (AB 186).
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
On March 16, Smile, California presented at the State Migrant Parent Virtual Conference, Trabajando Juntos, Mejores Futuros Para Todos. This conference, organized by the California Department of Education, assisted about 1,000 parents of children enrolled in Migrant Education Programs by offering valuable insight into various programs, strategies, and resources. The primary goal was to empower these parents to actively engage in their children’s education. The conference was mainly conducted in Spanish, including both the general sessions and workshops. A Smile, California representative presented information on dental services covered by Medi-Cal, conducted a walkthrough of the SonrieCalifornia.org website, and answered frequently asked questions.
Hloov Kho Kho Mob
On February 21, Change Healthcare, a subsidiary of Optum/United Healthcare, experienced a cyberattack that took the company’s systems offline. Change Healthcare is one of several vendors that routes claims between entities, such as pharmacies and dental providers, and payers.
Thaum Lub Peb Hlis 13, DHCS tau tshaj tawm ib daim ntawv ceeb toom rau nws cov neeg koom tes Medi-Cal managed care plan (MCP) txog kev ywj pheej kom ntseeg tau tias lub kaw lus xa khoom ruaj khov tom qab Change Healthcare cyberattack. Daim ntawv ceeb toom no ceeb toom rau MCPs txog lawv lub luag haujlwm them nqi thov thiab txhawb kom MCPs ua cov kauj ruam los txhawb nqa cov zej zog muab kev pabcuam, suav nrog kev txo cov kev cai thov raws sijhawm thiab tshem tawm lossis txo cov kev cai tso cai ua ntej thiab lwm yam kev cai tswj kev siv, ntawm lwm cov kev thov.
Medi-Cal providers continue to operate, ensuring members can make appointments to receive covered services. DHCS will continue to monitor the situation to quickly identify and mitigate any potential impacts. DHCS stands ready to help plans, providers, and stakeholders address any interruptions to care and ensure systems are fully operational to process claims.
Koom nrog peb pab neeg
DHCS tau tshaj tawm cov haujlwm qhib hauv qab no:
- Tus Lwm Thawj Coj Tus Kws Pab Tswv Yim, Lub Chaw Haujlwm Saib Xyuas Kev Cai Lij Choj (OLS), yuav npaj, teeb tsa, thiab ua haujlwm ntawm OLS hauv kev txhawb nqa kev ua haujlwm OLS thiab kev tswj hwm tag nrho ntawm DHCS cov haujlwm. (Hnub kawg ua ntawv thov yog Lub Peb Hlis 22)
- Tus Thawj Saib Xyuas Kev Noj Qab Haus Huv Kev Tswj Xyuas Cov Ntaub Ntawv, yuav coj cov pab pawg muaj kev txhawb siab los hloov pauv cov ntaub ntawv thiab tswj cov txheej txheem tseem ceeb rau DHCS cov kev pab cuam, suav nrog Medi-Cal, thiab cov neeg muaj feem. (Hnub kawg ua ntawv thov yog Lub Peb Hlis 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 Intermediate Care Facility for the Developmentally Disabled Individuals (ICF/DD) Carve-In
Thaum Lub Peb Hlis Ntuj hnub tim 22, DHCS yuav tuav lub rooj sib tham ua haujlwm ua ib feem ntawm nws cov kev kawm hauv webinar ntawm CalAIM ICF/DD Carve-In. Cov sijhawm ua haujlwm muab lub rooj sib tham tshwj xeeb rau DHCS thiab Lub Tsev Haujlwm Saib Xyuas Kev Txhim Kho kom koom nrog ICF/DD Homes, Regional Centers, thiab Medi-Cal MCP cov neeg sawv cev los teb cov lus nug ntsig txog ICF/DD Carve-In txoj cai xav tau thiab kev siv txoj kev hloov mus rau kev tswj hwm kev saib xyuas uas tau siv rau lub Ib Hlis 1, 2024.
Cov neeg koom nrog lub sijhawm ua haujlwm raug txhawb kom xa cov lus nug mus rau LTCtransition@dhcs.ca.gov ua ntej thaum sau npe. Cov ntaub ntawv ntxiv txog cov kev sib tham hauv web uas yuav los txog no muaj nyob rau ntawm nplooj ntawv web CalAIM ICF/DD Long-Term Care Carve-In.
Kev Pabcuam Ambassador Webinar
Thaum Lub Peb Hlis 28, txij 11 txog 11:45 sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv webinar "Keep Your Community Covered" Coverage Ambassador (yuav tsum tau sau npe ua ntej). DHCS yuav muab ib daim ntawv qhia txog cov peev txheej tshiab, thiab Cov Neeg Sawv Cev rau Kev Pabcuam yuav qhia txog yam lawv hnov thiab pom hauv lawv cov zej zog. Pawg neeg kuj tseem yuav tham txog cov peev txheej uas xav tau los txhawb cov tswv cuab Medi-Cal kom lawv khaws tau lawv cov kev pov hwm. Yuav muaj kev txhais lus Mev.
CalAIM Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Technical Assistance (TA) Marketplace Virtual Vendor Fairs
Thaum Lub Plaub Hlis 9 thiab 25, txij 9 txog 10:30 sawv ntxov, DHCS yuav tuav lub rooj sib tham zaum kawg ntawm PATH TA Marketplace Vendor Fairs, qhov chaw uas cov neeg muag khoom nthuav qhia lawv lub koom haum thiab cov kev pabcuam rau cov neeg tau txais TA thiab txhawb kom siv TA Marketplace. Cov Neeg Tau Txais TA uas Tau Pom Zoo thiab cov koom haum uas tam sim no tau cog lus nrog lossis npaj yuav cog lus nrog Medi-Cal MCP lossis lwm lub koom haum tsim nyog los muab Kev Tswj Xyuas Kev Kho Mob Zoo Dua/Kev Txhawb Nqa Hauv Zej Zog raug txhawb kom tuaj koom.
Lub Rooj Muag Khoom Muag Khoom Plaub Hlis 9 muaj cov muag khoom muab kev pabcuam hauv Cheeb Tsam 2: Kev Txhawb Nqa Hauv Zej Zog thiab Cheeb Tsam 7: Cov Neeg Ua Haujlwm. Lub Rooj Muag Khoom Muag Khoom rau lub Plaub Hlis 25 muaj cov muag khoom muab kev pabcuam hauv Cheeb Tsam 5: Kev Txhawb Nqa Kev Ncaj Ncees Kev Noj Qab Haus Huv thiab Cheeb Tsam 6: Kev Txhawb Nqa Kev Koom Tes Thoob Plaws Hauv Cheeb Tsam.