Tsib Hlis 13, 2024 – Kev Hloov Kho Tshiab ntawm Cov Neeg Muaj Feem
Xov xwm tshaj plaws
Tus Thawj Kav Tebchaws Tshaj Tawm Lub Tsib Hlis Hloov Kho rau Xyoo Nyiaj Txiag 2024-25
lees paub txog cov teeb meem ntawm lub xyoo nyiaj txiag nyuaj no, DHCS tseem cog lus tias yuav txhawb nqa cov kev pabcuam tseem ceeb rau cov neeg California. Txawm hais tias Kev Hloov Kho Lub Tsib Hlis rau xyoo nyiaj txiag 2024-25 suav nrog kev txo qis thiab ncua sijhawm nyiaj txiag, DHCS cov peev nyiaj tau thov txhawb nqa lub xeev cov lus cog tseg los hloov Medi-Cal thiab kev noj qab haus huv tus cwj pwm kom ua haujlwm tau zoo dua thiab ua tau zoo dua rau nws cov tswv cuab ntau lab tus hauv cov qauv peev nyiaj uas muaj lub luag haujlwm. Kev Hloov Kho Lub Tsib Hlis suav nrog cov kev daws teeb meem nyiaj txiag uas khaws cia qhov kev ncaj ncees ntawm peb cov kev pab cuam kev nyab xeeb tseem ceeb, tiv thaiv cov txiaj ntsig rau cov neeg California uas muaj nyiaj tsawg yam tsis txo qis kev tsim nyog. Cov peev nyiaj suav nrog ntau yam teeb meem loj thiab cov lus pom zoo, suav nrog cov peev txheej rau kev siv Kev Hloov Pauv Kev Noj Qab Haus Huv Tus Kheej (BHT) vim yog Kev Pom Zoo 1 los ntawm cov neeg pov npav thaum Lub Peb Hlis 2024.
Kev Hloov Kho Lub Tsib Hlis suav nrog kev hloov kho tshiab rau Txoj Cai Pabcuam, Kev Rov Qab Zoo, thiab Kev Muaj Peev Xwm Hauv Zej Zog (CARE), Txoj Kev Npaj Siv Nyiaj Hauv Tsev thiab Hauv Zej Zog, Kev Pib Kho Mob Kev Noj Qab Haus Huv Rau Menyuam Yaus thiab Cov Hluas (CYBHI), thiab cov neeg mob raws li kev txiav txim siab dua txog kev tsim nyog. Kev Hloov Kho Dua Tshiab Lub Tsib Hlis kuj suav nrog ntau yam kev nqis tes ua uas tau npaj tseg los txo cov nqi ntawm Cov Nyiaj Txiag Dav Dav. Cov kev daws teeb meem nyiaj txiag suav nrog kev hloov pauv rau Managed Care Organization Tax thiab kev nqis peev, CYBHI, cov kev pab cuam kev noj qab haus huv tus cwj pwm, xws li Behavioral Health Bridge Housing thiab Behavioral Health Continuum Infrastructure Program, thiab kev tshem tawm cov kev pab cuam, xws li Health Enrollment Navigators thiab Indian Health Grant Program. Cov ntaub ntawv ntxiv txog DHCS cov peev nyiaj uas tau npaj tseg yuav muaj nyob rau ob peb hnub tom ntej.
Nov yog lub sijhawm uas peb yuav tsum muaj tswv yim ntau ntxiv txog seb peb siv thiab siv txhua duas las kom zoo dua los pab cov neeg tsis muaj zog tshaj plaws hauv peb cov zej zog thaum tseem txhawb nqa peb lub hom phiaj ntawm California noj qab haus huv rau txhua tus. DHCS tseem cog lus tias yuav muab kev pabcuam kho mob zoo rau txhua tus thaum peb ntsib teeb meem nyiaj txiag nyuaj no.
Kev hloov kho tshiab
Dental Business Operations Contractor Assumption of Operations
Thaum Lub Tsib Hlis 13, DHCS ua tiav qhov kev hloov pauv ntawm Medi-Cal Kev Kho Hniav tus nqi-rau-kev pabcuam kev pabcuam rau Kev Pabcuam Nyiaj Txiag Intermediary-Dental Business Operations (DBO) tus neeg cog lus, Gainwell Technologies LLC, los ntawm lub koom haum pabcuam kev tswjfwm (ASO) tus neeg cog lus, Delta Dental of California. Gainwell tau ua pov thawj tias nws tau npaj txhij los ua cov kev pabcuam tseem ceeb hauv kev lag luam, suav nrog kev tuav cov ntawv thov thiab Daim Ntawv Tso Cai Kho Mob, cov chaw pabcuam hauv xovtooj, thiab koom nrog cov tswvcuab thiab cov neeg muab kev pabcuam los pab txhawb kev nthuav qhia thiab hais txog lawv cov lus nug thiab kev xav tau.
Koom nrog peb pab neeg
DHCS tab tom nrhiav ib tus neeg uas muaj kev txawj ntse heev, muaj lub siab xav ua haujlwm tshwj xeeb los ua Tus Lwm Thawj Coj ntawm Kev Tswj Xyuas. Tus Lwm Thawj Coj ntawm Kev Tswj Xyuas yog tus coj txhua yam ntawm cov haujlwm tswj hwm DHCS tshwj xeeb, suav nrog cov peev txheej tib neeg, kev yuav khoom, kev yuav khoom, kev cog lus, kev pabcuam lag luam, cov chaw, kev tswj hwm xwm txheej ceev, kev noj qab haus huv thiab kev nyab xeeb, kev npaj tswv yim, thiab kev cob qhia. Yog xav thov, xa daim ntawv thov ua tiav uas muaj Daim Ntawv Thov Hauv Xeev (STD 678) thiab cov lus teb rau cov ntawv thov ntxiv uas txuas rau saum toj no ua ntej lub Tsib Hlis 17.
DHCS kuj tseem tab tom nrhiav neeg ua haujlwm rau kev sib txuas lus, kev pabcuam tib neeg, kev tshuaj xyuas, txoj cai kev noj qab haus huv, kev siv tshuab xov xwm, 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
Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav
Thaum Lub Tsib Hlis 14, txij 12 txog 1 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online txog HACCP txhua peb lub hlis los qhia cov ntaub ntawv nrog cov kws kho mob los pab cov neeg mob menyuam yaus thiab lawv tsev neeg kom tau txais txiaj ntsig ntau tshaj plaws ntawm HACCP. Lub rooj cob qhia yuav hais txog cov kev cai ntawm qhov kev pab cuam rau cov tsev neeg thov kev pab them nqi thiab cov txheej txheem xa cov ntawv thov rau cov kws kho mob hnov lus, kws kho mob otolaryngologists, cov kws kho mob, thiab lawv cov neeg ua haujlwm hauv chaw ua haujlwm. Muaj ntaub ntawv ntxiv nyob rau ntawm nplooj ntawv web HACCP.
Medi-Cal Dental Los Angeles Lub Rooj Sib Tham Cov Neeg Koom Tes
Thaum lub Tsib Hlis 14, thaum 1 txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham Medi-Cal Dental Los Angeles. DHCS yuav qhia cov kev hloov tshiab thiab cov ntaub ntawv hais txog cov haujlwm tshiab thiab yav tom ntej. Lub rooj sib tham tseem muab cov neeg muaj feem cuam tshuam txog kev kho hniav nrog lub rooj sab laj los qhia tawm tswv yim nrog pab pawg Medi-Cal Dental uas tuaj yeem pab txhim kho kev xa cov kev pab kho qhov ncauj. Cov ntaub ntawv rooj sib tham yuav muab tso rau ntawm DHCS Medi-Cal Dental Los Angeles Stakeholder Meetings webpage. Cov ntaub ntawv ntxiv yuav muab tso rau ntawm nplooj ntawv web ua ntej lub rooj sib tham lossis sai li sai tau thaum lawv muaj. Thov xa email rau koj cov lus nug rau dental@dhcs.ca.gov.
Tshuaj Medi-Cal State Plan Memoranda of Understanding
On May 16, from 4 to 5 p.m., DHCS will host an informational webinar (advance registration required) on a Memoranda of Understanding (MOU) between Drug Medi-Cal (DMC) State Plan counties and Medi-Cal managed care plans (MCP), as detailed in Behavioral Health Information Notice No: 24-016. The webinar will provide background, an overview, and implementation guidance related to MOUs that are required to be entered into by DMC State Plan counties and MCPs, as well as details on utilizing the required DMC State Plan-MCP MOU template. The webinar is open to the public.
On May 6, DHCS released detailed requirements for MOUs between MCPs and DMC State Plan counties, which are required to make a good faith effort to enter in a MOU by July 1, 2024. The MOUs outline the responsibilities and obligations of each party to coordinate and facilitate the provision of medically necessary services to members served by multiple parties. Additional information and MOU templates are available on the DHCS MOU webpage. Contact DHCS with any questions or comments about the MOUs at MCPMOUS@dhcs.ca.gov.
California Telehealth Coalition Lub Rooj Sib Tham Txhua hli
Thaum Lub Tsib Hlis 17, DHCS yuav koom nrog Lub Chaw rau Txoj Cai Saib Xyuas Kev Noj Qab Haus Huv Txuas Lus lub rooj sib tham txhua hli ntawm txoj cai sib koom tes hauv xov tooj. Hauv lub rooj sib tham no, DHCS yuav nthuav qhia txog Lub Chaw Haujlwm qhov kev tso tawm lub Plaub Hlis 2024 ntawm lub dashboard tshiab ntawm Medi-Cal telehealth siv cov ntaub ntawv thiab daim ntawv qhia txog kev siv telehealth txhua ob xyoos. Muaj cov ntaub ntawv ntxiv txog DHCS cov peev txheej telehealth nyob rau ntawm nplooj ntawv web Medi-Cal & Telehealth.
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
Thaum Lub Tsib Hlis 29 thaum 10 teev sawv ntxov thiab Lub Rau Hli 6 thaum 1 teev tav su, DHCS yuav tuav CPE thiab cov kev cob qhia txog kev saib xyuas lub rooj vag tshiab. Kev sau npe rau cov kev cob qhia no muaj nyob rau ntawm Medi-Cal Learning Portal, qhov chaw uas cov kev cob qhia uas tau kaw tseg yuav muaj.
Txij li thaum Lub Xya Hli 1, DHCS yuav tso tawm cov chaw muab kev pab cuam los txhim kho kev nkag mus rau kev pab them nqi thiab kev saib xyuas rau cov tsev neeg tshiab. Los ntawm CPE, cov chaw muab kev pab cuam yuav muab kev pab cuam ib ntus, tag nrho rau cov neeg thov kev pab cuam los ntawm lub portal online. Lub portal no hloov chaw lub portal gateway Child Health and Disability Prevention (CHDP). Lub rooj vag nkag mus rau cov menyuam mos tshiab yog rau kev tshaj tawm txog kev yug menyuam uas muaj kev sib txuas rau Medi-Cal thiab Medi-Cal Access Infant Program hauv 72 teev tom qab yug los lossis 24 teev tom qab tawm hauv tsev kho mob, qhov twg ua ntej.
Rau lub portal CPE, txhua tus neeg muab kev pabcuam uas xav koom nrog yuav tsum ua tiav kev cob qhia kom paub txog cov portals tshiab thiab cov kev cai tshaj tawm. Rau lub portal gateway rau cov menyuam mos tshiab, txhua tus neeg muab kev pabcuam uas xav tias tsim nyog yuav tsum siv lub portal no los tshaj tawm cov menyuam mos uas yug los rau cov tswv cuab ntawm Medi-Cal lossis Medi-Cal Access Program hauv lawv cov chaw, suav nrog cov tsev kho mob, cov chaw yug menyuam, thiab lwm qhov chaw yug menyuam.
Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham
Thaum Lub Tsib Hlis 29, txij 9:30 sawv ntxov txog 3 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham sib koom ua ke ntawm SAC/BH-SAC (yuav tsum tau sau npe ua ntej). Lub rooj sib tham yuav suav nrog kev hloov tshiab ntawm Kev Siv Txoj Cai 1. SAC muab cov tswv yim tseem ceeb rau DHCS rau kev siv zog ua haujlwm ntawm California Advancing and Innovating Medi-Cal (CalAIM), thiab pab DHCS txuas ntxiv nws cov kev siv zog los muab kev saib xyuas zoo thiab ncaj ncees.
BH-SAC yog ib lub koom haum dav dav uas faib cov ntaub ntawv thiab tau txais cov tswv yim sib koom tes hais txog DHCS cov haujlwm kev noj qab haus huv tus cwj pwm. Nws tau tsim los ua ib feem ntawm DHCS txoj kev siv zog los koom ua ke kev noj qab haus huv tus cwj pwm nrog lub cev kho mob loj dua thiab suav nrog cov pab pawg uas twb muaj lawm uas tau qhia DHCS txog cov ncauj lus kev noj qab haus huv tus cwj pwm.
CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Lub Rooj Sib Tham Duals Integration Workgroup
Thaum Lub Tsib Hlis 30 thaum 10 teev sawv ntxov, DHCS yuav tuav lub rooj sib tham hauv online ntawm CalAIM MLTSS thiab Duals Integration Workgroup (yuav tsum tau sau npe ua ntej). Pawg neeg ua haujlwm no ua lub hauv paus rau kev 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 thiab tso cai rau cov neeg koom tes 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 ncauj lus ntawm cov txheej txheem suav nrog kev hloov tshiab ntawm Txoj Kev Npaj Pabcuam Tshwj Xeeb Dual Eligible Special Needs Plan (D-SNP) Lub Xeev Medicaid Agency Contract (SMAC) thiab Phau Ntawv Qhia Txoj Cai, cov ntaub ntawv sau npe Medicare rau cov tswv cuab uas tsim nyog ob leeg, Default Enrollment Pilot, thiab 2025 Centers for Medicare & Medicaid Services (CMS) Medicare Advantage thiab Part D Final Rule, nrog rau kev nthuav qhia txog Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog rau cov tswv cuab uas tsim nyog ob leeg.
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, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, 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 info@calduals.org.
Behavioral Health Services Act (Public Listening Session)
Thaum Lub Tsib Hlis 30, txij 1 txog 2 teev tav su, DHCS yuav tuav lub rooj sib tham rau pej xeem mloog txog Txoj Cai Kev Noj Qab Haus Huv Tus Cwj Pwm (BHSA) txog Lub Nroog Txoj Kev Npaj Sib Koom Tes rau Kev Pabcuam Kev Noj Qab Haus Huv Tus Cwj Pwm thiab Cov Txiaj Ntsig. Lub rooj sib tham no qhib rau pej xeem.
Thaum Lub Peb Hlis, cov neeg pov npav hauv California tau pom zoo rau Proposition 1, uas suav nrog BHSA thiab Behavioral Health Infrastructure Bond. BHSA thov kom muaj ib txoj kev npaj tshiab rau kev noj qab haus huv ntawm tus cwj pwm thiab cov txiaj ntsig ntawm lub nroog uas suav nrog txhua yam kev pab nyiaj txiag thiab kev pabcuam kev noj qab haus huv ntawm tus cwj pwm hauv zos. Txoj kev npaj yuav tsum tau kom cov nroog ua qauv qhia txog kev npaj kev noj qab haus huv ntawm tus cwj pwm siv txhua yam kev pabcuam thiab cov peev txheej ntawm kev pab nyiaj txiag rau kev noj qab haus huv ntawm tus cwj pwm los muab kev pom tseeb ntxiv, kev koom tes ntawm cov neeg koom nrog, thiab cov txiaj ntsig rau txhua yam kev pabcuam hauv zos. Thaum lub sijhawm mloog pej xeem, cov neeg tuaj koom tuaj yeem muab cov lus qhia ncaj qha rau cov lus qhia uas DHCS tab tom tsim rau Lub Nroog Txoj Kev Npaj Sib Koom Tes rau Kev Pabcuam Kev Noj Qab Haus Huv thiab Cov Txiaj Ntsig.
Mus saib nplooj ntawv web Behavioral Health Transformation (BHT) kom paub ntxiv txog kev mloog pej xeem txhua hli thiab cov peev txheej ntxiv. Thov xa cov lus nug txog BHT thiab/lossis cov rooj sib tham rau pej xeem mus rau BHTinfo@DHCS.ca.gov.