Tsib Hlis 27, 2024 – Kev Hloov Kho Tshiab ntawm Cov Neeg Muaj Feem
Kev hloov kho tshiab
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tsis ntev los no tau tshaj tawm tias California yog ib qho ntawm tsib lub xeev los koom nrog nws Lub Xeev Lub Tsev Kho Mob Kev Tsim Kho Tshiab & Transparency Learning Collaborative, nrog rau Kentucky, Michigan, Oregon, thiab Virginia. Qhov kev pib ua haujlwm ntev xyoo yuav txhawb pab pawg koom nrog hauv kev siv cov tswv yim tshiab uas txhim kho kev pom zoo hauv tsev laus thiab kev lav phib xaub. Cov pab pawg hauv xeev yuav tau txais kev pabcuam ib leeg rau ib leeg thiab koom nrog cov hauv kev kawm rau cov phooj ywg. Thaum kawg ntawm kev sib koom tes ntawm kev kawm, cov koom nrog hauv lub xeev yuav muaj pov thawj, kev txawj ntse, thiab kev paub zoo tshaj plaws los tsim cov phiaj xwm uas txhawb nqa kev txhim kho tseem ceeb hauv kev saib xyuas hauv tsev rau lawv cov neeg nyob.
Koom nrog peb pab neeg
DHCS tab tom nrhiav cov neeg txawj ntse, tshwj xeeb tshaj yog txhawb cov tib neeg los ua haujlwm xws li:
- Tus Thawj Coj ntawm Medi-Cal Enterprise Systems Modernization los ua txhua yam kev siv thev naus laus zis (IT) kev tswj hwm thiab kev tswj hwm txoj cai rau lub Division, suav nrog kev siv cov txheej txheem agile / lub hauv paus los xyuas kom meej cov haujlwm thiab cov haujlwm ua tau raws li cov neeg siv khoom xav tau los ntawm kev xa khoom IT. (Hnub Kawg Ua Ntawv Thov: Lub Rau Hli 4)
- Tus Thawj Saib Xyuas Kev Lag Luam Technology Strategy Services los coj kev txhim kho, kev siv, thiab kev tswj hwm ntawm IT-hais txog lub tswv yim, cov cai, thiab kev npaj hauv kev lag luam system architecture, kev tswj hwm, qhov project portfolio thiab kev xa khoom, thiab kev tswj xyuas cov haujlwm. (Hnub Kawg Ua Ntawv Thov: Lub Rau Hli 4)
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
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
On May 29 at 10 a.m. and June 6 at 1 p.m. PDT, DHCS will host CPE and newborn gateway portal overview trainings. Registration for these trainings is available through the Medi-Cal Learning Portal, where recorded trainings will be available.
Txij li thaum Lub Xya Hli 1, DHCS yuav tso tawm cov chaw muab kev pabcuam hauv online los txhim kho kev nkag mus rau kev pov hwm 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). Txhua tus kws kho mob uas xav koom nrog yuav tsum ua tiav kev cob qhia uas muaj los ntawm Medi-Cal Learning Portal kom paub txog cov portals thiab cov kev cai tshaj tawm tshiab.
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. Txhua tus neeg muab kev pab cuam uas xav tias tsim nyog yuav tsum siv lub portal no los tshaj tawm cov menyuam mos uas yug los ntawm 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
On May 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation.
SAC muab DHCS nrog cov tswv yim tseem ceeb ntawm kev ua haujlwm hauv California Advancing thiab Innovating Medi-Cal (CalAIM) thiab pab DHCS ntxiv dag zog los muab kev saib xyuas zoo, sib npaug. BH-SAC muab DHCS cov tswv yim hais txog kev coj cwj pwm kev noj qab haus huv. Nws tau tsim los ua ib feem ntawm DHCS kev siv zog txuas ntxiv mus rau kev sib koom ua ke ntawm tus cwj pwm kev noj qab haus huv nrog rau kev saib xyuas kev noj qab haus huv ntau dua thiab suav nrog cov pab pawg uas twb muaj lawm uas tau qhia DHCS txog cov ntsiab lus kev noj qab haus huv.
CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Lub Rooj Sib Tham Duals Integration Workgroup
Lub Tsib Hlis 30 thaum 10 teev sawv ntxov PDT, DHCS yuav tuav lub CalAIM MLTSS thiab Duals Integration Workgroup virtual lub rooj sib tham (yuav tsum tau sau npe ua ntej). Pawg neeg ua hauj lwm ua hauj lwm los ua ib lub koom haum koom tes nrog rau CalAIM MLTSS thiab kev saib xyuas kev koom ua ke rau ob tus tswv cuab uas tsim nyog thiab tso cai rau cov neeg koom nrog los muab kev tawm tswv yim thiab qhia cov ntaub ntawv hais txog txoj cai, kev ua haujlwm, thiab cov tswv yim rau kev hloov pauv rau Medi-Cal thiab Medicare yav tom ntej.
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) State Medicaid Agency Contract and Policy Guide, 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 Medicare Advantage thiab Part D Final Rule, nrog rau kev nthuav qhia txog Enhanced Care Management (ECM) thiab Community Supports rau cov tswv cuab uas tsim nyog ob leeg.
Cov ntaub ntawv keeb kwm yav dhau, cov ntawv sau tseg, thiab cov ntaub ntawv kaw tseg ntawm pawg neeg ua haujlwm yav dhau los, nrog rau cov ntaub ntawv ntxiv txog pawg neeg ua haujlwm, tau tshaj tawm rau ntawm CalAIM MLTSS thiab Duals Integration Workgroup lub vev xaib. Rau cov lus nug lossis lus pom, thov email info@calduals.org.
Behavioral Health Transformation (BHT) Pej Xeem Mloog Kev Sib Tham
On May 30, from 1 to 2 p.m. PDT, DHCS will host a BHT public listening session on the County Integrated Plan for Behavioral Health Services and Outcomes. This session is open to the public.
Thaum Lub Peb Hlis, cov neeg pov npav hauv California tau pom zoo rau Txoj Cai 1, uas suav nrog Txoj Cai Kev Noj Qab Haus Huv Tus Kheej(BHSA) thiab Txoj Cai Kev Noj Qab Haus Huv Tus Kheej. BHSA hu kom muaj cov phiaj xwm tshiab rau Lub Nroog rau Kev Pabcuam Kev Noj Qab Haus Huv thiab Cov Txiaj Ntsig uas yuav tsum tau kom cov nroog ua qauv qhia txog kev sib koom tes ntawm kev npaj kev noj qab haus huv siv txhua yam kev pabcuam thiab cov peev txheej ntawm kev pabcuam kev noj qab haus huv 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.
Visit the BHT webpage for more information about the monthly public listening sessions and additional resources. Please send questions related to BHT and/or the public listening sessions to BHTinfo@dhcs.ca.gov. Additionally, please sign up on our website to receive monthly BHT updates.
Further, on June 3, from 2 to 3:30 p.m. PDT, the California Health & Human Services Agency will host a BHT all-comer webinar (advance registration required) for the public to learn more about BHT.
Kev Sib Tham Txog Kev Ntsuas Kev Ua Haujlwm Zoo ntawm California Children's Services (CCS)
Thaum Lub Tsib Hlis 30, txij 11 teev sawv ntxov txog 1 teev tav su PDT, DHCS yuav tuav lub rooj sib tham CCS Redesign Performance Measure Quality Workgroup raws li Assembly Bill 118 (Tshooj 42, Statutes of 2023). DHCS thiab pawg neeg ua haujlwm tab tom koom tes los tsim cov kev ntsuas kev siv thiab kev ntsuas zoo, uas yuav raug tshaj tawm txhua xyoo, uas cuam tshuam nrog CCS kev saib xyuas tshwj xeeb rau ob lub nroog Whole Child Model thiab Classic CCS. Cov ntaub ntawv ntxiv thiab cov ntsiab lus ntawm lub rooj sib tham muaj nyob rau ntawm nplooj ntawv web CCS Redesign Performance Measure Quality Subcommittee .
CalAIM rau cov tib neeg thiab tsev neeg ntsib kev tsis muaj tsev nyob Webinar
On May 31, from 1:30 to 3 p.m. PDT, DHCS will host an informational webinar (advance registration required) on the available ECM benefit and Community Supports services for individuals and families experiencing homelessness. DHCS will provide an overview of the impact of ECM and Community Supports on meeting members’ clinical and non-clinical needs. The webinar will also feature a panel discussion with providers and Medi-Cal managed care plans (MCP) that offer ECM and key housing-related Community Supports. DHCS will share guidance with MCPs, counties, and other providers on referring individuals to ECM and Community Supports, engaging members experiencing homelessness in ECM and Community Supports, and coordinating care across ECM and Community Supports providers.
Lub rooj sib tham hauv web no qhib rau txhua tus, tab sis yuav muaj txiaj ntsig tshwj xeeb rau MCPs, cov chaw muab kev pabcuam, thiab cov koom haum ua haujlwm nrog cov tib neeg thiab cov tsev neeg uas muaj kev tsis muaj tsev nyob, suav nrog cov nroog thiab cov koom haum hauv zej zog. Cov neeg koom nrog tuaj yeem xa cov lus nug los ntawm lub Tsib Hlis 28 mus rau CalAIMECMILOS@dhcs.ca.gov. Cov neeg tuaj koom yuav muaj peev xwm nug cov lus nug thaum lub sijhawm webinar.
CalAIM Population Xav Tau Kev Ntsuam Xyuas Webinar
Thaum Lub Rau Hli 3, txij 2:30 txog 3:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv online los muab kev piav qhia txog cov lus qhia txoj cai rau Kev Ntsuam Xyuas Cov Kev Xav Tau ntawm Cov Neeg (PNA). Txhawm rau txhawb kev vam meej ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg (PHM) thiab kev siv zog hloov pauv Medi-Cal dav dua, DHCS tau tsim dua tshiab cov kev cai ntawm Medi-Cal MCP rau kev tsim PNA, uas tau ua lub hauv paus tseem ceeb rau MCPs los txheeb xyuas qhov tseem ceeb ntawm kev noj qab haus huv thiab kev xav tau ntawm lawv cov tswv cuab, suav nrog txhua qhov kev tsis sib xws ntawm kev noj qab haus huv. DHCS xav kom cov MCPs koom nrog cov chaw saib xyuas kev noj qab haus huv hauv zos (LHJs) Kev Ntsuam Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog (CHA) / Cov Phiaj Xwm Txhim Kho Kev Noj Qab Haus Huv Hauv Zej Zog (CHIP) es tsis txhob ua tiav PNA sib cais uas tsom mus rau lawv cov tswv cuab cov ntaub ntawv xwb. Lub rooj sib tham no yuav muab ib qho kev piav qhia txog cov lus qhia ntawm txoj cai PHM rau lub Ib Hlis 2024 rau MCPs kom koom nrog hauv LHJ CHA/CHIP cov txheej txheem thiab kev saib ua ntej ntawm 2024 DHCS PHM Strategy Template.