Cov Ntaub Ntawv Sib Tham ntawm Pawg Neeg Saib Xyuas Kev Pabcuam ntawm Medi-Cal (MMAC)
Hnub Tim: Hnub Wednesday, Lub Kaum Ob Hlis Ntuj 3, 2025
Lub Sijhawm: 5:30 – 7:30 tsaus ntuj
Hom Kev Sib Tham: Virtual ntawm Microsoft Teams
Cov Tswv Cuab Tuaj Koom: 13 tus tswv cuab MMAC tuaj koom
DHCS Staff: Michelle Baass, Director; Lindy Harrington, Assistant State Medicaid Director, Health Care Programs; Tracy Arnold, Assistant Director; Erika Sperbeck, Chief Deputy Director, Policy & Program Support; Krissi Khokhobashvili, Deputy Director, Office of Communications; Paula Wilhelm, Deputy Director, Behavioral Health; Yingjia Huang, Deputy Director, Health Care Benefits & Eligibility; Michael Freeman, Assistant Deputy Director, Health Care Benefits & Eligibility; Pamela Riley, Assistant Deputy Director & Chief Health Equity Officer; Lauren Gavin Solis, Chief, Office of Medicare Innovation & Integration.
Cov Lus Qhia Ntxiv: Thov saib cov lus nthuav qhia PowerPoint uas siv thaum lub rooj sib tham kom paub ntxiv txog cov ntsiab lus thiab cov ntsiab lus.
| Sijhawm | Cov ntsiab lus |
|---|---|
| 5:30 – 5:35 | Txais tos |
5:35 – 5:40 | Cov Kev Hloov Tshiab ntawm Pawg Neeg Saib Xyuas
|
| 5:40 – 5:50 | Kev Hloov Tshiab ntawm Tus Thawj Coj ntawm DHCS |
| 5:50 – 6:05 | Kev Npaj Txog Kev Ua Haujlwm ntawm Medi-Cal |
| 6:05 – 6:45 | Kev Sib Tham Txog Chav Breakout |
| 6:45 – 7:05 | Cov Ntawv Tshaj Tawm Los Ntawm Kev Sib Tham Txog Kev Sib Tsoo |
| 7:05 – 7:25 | Qhib Kev Sib Tham |
| 7:25 – 7:30 | Cov Lus Xaus Los Ntawm Tus Thawj Coj |
Txais Tos thiab Qhib
Hom Kev Ua: Cov Ntaub Ntawv
Tus tsim tawm: Maria Romero-Mora
Cov Ncauj Lus Sib Tham:
- Cov tswv cuab ntawm MMAC tau txais tos, thiab kev ncaj ncees ntawm cov lus thiab cov qauv hauv zej zog tau raug tshuaj xyuas kom ceeb toom cov neeg koom nrog txog kev koom tes thiab kev koom tes.
- Cov neeg koom nrog tau raug hais kom qhia txog tej kev tsis sib haum xeeb; tsis muaj leej twg tau txheeb xyuas.
- Michael Freeman provided an overview of the areas he oversees as Assistant Deputy Director of the Health Care Benefits & Eligibility Division.
- Cov tswv cuab ntawm MMAC tau saib thiab xav txog cov duab kos uas tau tsim los ntawm MMAC thiab Medi-Cal Voices thiab Vision Council lub rooj sib tham ua ke thaum lub Cuaj Hli. Daim duab kos, uas tus kws kos duab Tiranjini Pillai tau tsim, sawv cev rau kev ntseeg siab ntawm lub zej zog thiab DHCS.
Cov Kev Hloov Tshiab ntawm Pawg Neeg Saib Xyuas
Hom Kev Ua: Cov Lus Qhia thiab Cov Lus Qhia ntawm Tus Thawj Coj
Presenter: Kiran Poonia
Cov Ncauj Lus Sib Tham:
Kiran guided the members through the chairperson election process and provided voting instructions. Voting took place confidentially over an electronic poll via email. DHCS administered the voting process and informed the members about the outcome.
Candidate Speeches:
Candidate one: This member wants to develop a space in health care where every voice matters, not just the loudest. The member expressed a strong desire to pursue a career in health care to serve low-income Californians. They shared that hearing the voices of Medi-Cal members has deepened their commitment to entering the medical field and thanked the attendees for their participation and insights.
Candidate two: This member represents the older adult population, and they want a health care system that truly listens to people. They have served on stakeholder groups and are passionate about advocacy, believing that meaningful change must come from the bottom up, not the top down. They emphasized that members are the recipients and customers of the system, and that customer service should work for everyone across all spectrums of diversity and age. Noting recent changes in mental health systems and CalAIM’s integration of physical and behavioral health, they shared that these innovations inspired them to run for this seat.
Voting: Members voted online, privately by December 5
Kev Hloov Tshiab ntawm Tus Thawj Coj ntawm DHCS
Hom Kev Ua: Cov ntaub ntawv thiab kaw lub voj voog txog cov khoom teev tseg ua ntej.
Tus tsim tawm: Michelle Baass
Chav Sib Tham MMAC:
- Tus Thawj Coj tau ua tsaug rau cov tswv cuab rau lawv cov lus taw qhia txog cov cai ntawm MMAC. Cov cai kawg tau muab tso rau ntawm MMAC nplooj ntawv web.
- Nws tau sau tseg ob lub rooj sib tham dhau los thaum Lub Ob Hlis 2025 DHCS tau thov kom muaj lus tawm tswv yim txog lub microsite tshiab rau cov tswv cuab Medi-Cal. Tus My.Medi-Cal.ca.gov. tshiab tam sim no muaj nyob thiab yooj yim nyeem. Cov ntsiab lus muaj nyob rau hauv 19 hom lus rau cov tswv cuab tam sim no thiab cov neeg yuav los ua tswv cuab. Cov tswv cuab tuaj yeem kawm txog cov txiaj ntsig Medi-Cal thiab nkag mus rau daim ntawv thov Medi-Cal online. Lub xaib no muaj xws li yuav ua li cas txuas nrog lub chaw ua haujlwm Medi-Cal hauv zos thiab kab xov tooj pabcuam rau cov tswv cuab Medi-Cal.
- Ib tug tswv cuab tau nug txog qhov xav tau tus thawj coj ntawm MMAC
- DHCS respoinded by thanks the member for their question and reminder th member that when DHCS started the MMAC, it was a member-only group formed by DHCS without bylaws or a chairperson. However, the MMAC must now align with federal Access Rule requirements, so bylaws and a chairperson are now required.
Kev Npaj Txog Kev Ua Haujlwm ntawm Medi-Cal
Hom Kev Ua: Cov Ntaub Ntawv
Presenter: Yingjia Huang thiab Michael Freeman
Cov Ncauj Lus Sib Tham:
- Starting January 1, 2027, some Medi-Cal members must work, volunteer, or attend school for at least 80 hours each month to keep their coverage. This new federal rule applies to adults ages 19–64 who earn less than about $1,800 a month. There are exceptions, such as former foster youth, parents with children under age 19, and people facing short-term hardships. California is still waiting for full federal guidance and working on state-specific details. Along with this change, the Medi-Cal eligibility renewal process will change to every six months. These updates are major and confusing, so DHCS is creating simple materials, asking for member feedback, and using text messages to make communication easier and faster.
Cov lus nug txog kev nthuav qhia:
Lo lus nug: Qhov txwv ntawm cov nyiaj tau los yog dab tsi; 138% ib hlis yog pes tsawg?
DHCS cov lus teb: Rau ib tus neeg, $1800 ib hlis; rau ob tus neeg, $2430 ib hlis
Lo lus nug: Yuav ua li cas txog cov nqi sib koom?
DHCS cov lus teb: Qhov sib koom ntawm cov nqi pej xeem yuav tsis raug rau qhov yuav tsum tau ua.
Lo lus nug: Ua li cas txog 250% ntawm cov neeg xiam oob qhab uas ua haujlwm?
Cov Lus Teb ntawm DHCS: Cov pej xeem no yuav tsis raug rau qhov yuav tsum tau ua.
Kev Sib Tham Hauv Chav Breakout
Hom Kev Ua: Tsis muaj, Kev Sib Tham
Cov Neeg Pab Txhawb: Isabel Flores thiab Hatzune Aguilar
Cov Ncauj Lus Sib Tham:
Koj puas paub txog qhov kev hloov pauv no rau qee tus tswv cuab ntawm Medi-Cal?
Kev Paub Txog Dav Dav
- Muaj ntau tus tswv cuab tsis tau hnov txog cov kev hloov pauv ntawm qhov yuav tsum tau ua haujlwm ua ntej lub rooj sib tham.
- Muaj ib txhia hais tias kev hnov cov ntsiab lus thaum lub sijhawm nthuav qhia tau pab txo qhov kev ntshai thiab kev tsis meej pem vim yog cov ntaub ntawv tsis tseeb.
- Muaj ob peb tug lees tias lawv tsis ua raws li xov xwm ze, uas tej zaum yuav piav qhia vim lawv tsis paub txog.
Kev Txhawj Xeeb Uas Tau Tshwm Sim
- Members who rely heavily on Medi-Cal services are the ones who are most likely the most aware of this change.
- Muaj ib txhia tswv cuab tau qhia tias muaj kev txhawj xeeb txog seb puas yuav muaj sijhawm ua haujlwm pab dawb txaus los ua kom tau raws li qhov yuav tsum tau ua 80 teev.
- Questions were raised about how volunteer or work hours will be tracked, especially considering challenges in the current job market and the impact of AI on entry-level jobs.
- One member shared prior experience with verifying volunteer hours, which involved working with an assigned person to sign off and approve hours, suggesting a need for clear processes and support.
- Ib tug tswv cuab tau qhia tias cov neeg uas muaj teeb meem kev noj qab haus huv ntawm lub hlwb tam sim no yuav muaj lub sijhawm nyuaj dua los nrhiav kev pabcuam vim yog qhov teeb meem no.
- Cov tswv cuab tau thov kom meej ntxiv txog cov kev zam, suav nrog qhov yuav tshwm sim yog tias ib tug neeg ua tiav tsawg dua 80 teev uas yuav tsum tau ua (piv txwv li, 75 teev).
Koj hnov dab tsi hauv koj cov zej zog?
Cov tswv cuab xav paub seb cov txheej txheem yuav ua haujlwm li cas thiab cov tswv cuab yuav pom cov txiaj ntsig sai npaum li cas.
Muaj ntau tus tswv cuab tau hais tias qhov no yog thawj zaug uas lawv tau hnov txog kev hloov pauv ntawm qhov yuav tsum tau ua haujlwm, yog li muaj kev tsis meej pem thiab kev txhawj xeeb dav dav.
Cov tswv cuab xav nkag siab tias cov txheej txheem yuav ua haujlwm li cas, suav nrog:
Lub sijhawm rau kev siv thiab thaum twg cov tswv cuab yuav pib pom cov txiaj ntsig.
Kev ua haujlwm tsis siv neeg thiab kev ceev ntiag tug thiab kev pom zoo.
Tej yam tshwm sim: Kev ntxhov siab txog qhov yuav muaj kev nplua lossis kev hloov pauv sai npaum li cas.
Muaj ib txhia tswv cuab tau tshaj tawm tias:
Medi-Cal tej zaum yuav tsis pub dawb lawm txij li xyoo 2026, nrog rau cov nqi ntxiv, uas yog qhov txhawj xeeb heev.
Cov nqi pov hwm ntiag tug yuav nce ntxiv, txawm hais tias tsis muaj kev sib txuas ncaj qha rau Medi-Cal tau lees paub.
Kev pab them nqi kho mob Medi-Cal yuav raug tshem tawm rau qee cov tswv cuab.
Tus Tswv Cuab tau hais tias kev hloov pauv nyuaj thiab hais txog qhov tseem ceeb ntawm:
Kev sib qhia cov ntaub ntawv tseeb sai sai.
Muab cov txheej txheem txhawb nqa los pab cov tswv cuab nkag siab thiab taug kev hla cov kev hloov pauv.
Peb ua tau dab tsi los txhawb koj lossis lwm cov tswv cuab?
Kev tsom mus rau kev tsim kom muaj kev ncav cuag rau cov zej zog tshwj xeeb, tshwj xeeb yog:
Cov neeg laus uas tej zaum yuav tsis ncav cuag tau los ntawm cov channel digital.
Cov tsev neeg uas yuav raug cuam tshuam los ntawm ntau txoj kev nyuaj.
Muaj cov lus qhia xws li:
Kev sib txuas lus meej thiab ntxov.
Kev ncav cuag hauv cov chaw zej zog uas ntseeg siab tau.
Cov tswv yim los tawm tsam cov ntaub ntawv tsis tseeb thiab daws kev ntshai, kev raug mob, thiab kev ntxhov siab.
Tuav cov rooj sib tham mloog kom sau cov kev txhawj xeeb uas feem ntau muaj thiab tshaj tawm cov lus teb rau ntawm lub vev xaib DHCS.
Lus yooj yim to taub: Siv cov lus yooj yim, meej, thiab luv luv, thiab tsis txhob hais lus ntau dhau. Muab cov ntaub ntawv sib koom tau uas yooj yim to taub ua ib qho kev saib me ntsis.
Xav txog kev siv cov lus tso dag lossis cov qauv uas txaus nyiam kom cov ntaub ntawv yooj yim nkag siab.
Ntau Txoj Kev:
Kev tshaj xov xwm hauv zej zog rau cov neeg hluas.
Cov chaw rau cov neeg laus, cov neeg ua haujlwm hauv zej zog (CHW), thiab cov kws tshwj xeeb txhawb nqa cov phooj ywg rau cov neeg laus lossis cov pej xeem uas tsis tau txais kev pabcuam.
Cov Neeg Xa Ntawv thiab lub vev xaib DHCS rau cov neeg uas tsis nquag siv social media.
Cov lus tshaj tawm rau pej xeem, YouTube, podcasts, thiab xov xwm hauv zos kom ncav cuag cov neeg tuaj saib dav dua.
Xyuas kom meej tias lub kaw lus sib txuas lus qhia txog ntau yam kev xav tau, kab lis kev cai, thiab tus nqi.
Tswj cov lus sib xws thoob plaws cov kws tshaj lij thiab cov platform.
Txhim kho kev pom tseeb hauv txhua qhov kev sib txuas lus.
Xav txog cov chaw kho mob hauv zej zog thiab cov chaw zoo sib xws ua cov chaw pab dawb.
Ua kom muaj kev sib txuas lus ntau ntxiv rau cov chaw uas cov tswv cuab Medi-Cal feem ntau mus xyuas, xws li cov chaw ua haujlwm ntawm cov kws kho mob.
Tsim cov tswv yim los tshaj tawm cov ntaub ntawv tseeb thiab daws teeb meem kev ntshai, kev raug mob, thiab cov ntaub ntawv tsis tseeb uas yuav tshwm sim los ntawm cov kev hloov pauv no.
Muab sijhawm rau cov tswv cuab los ua cov ntaub ntawv thiab nkag siab tias lawv yuav txhawb nqa lawv tus kheej li cas.
Lees paub tias cov kev hloov pauv uas yuav los tom ntej no yuav nyuaj, thiab ntau tus neeg yuav xav tau kev taw qhia thiab kev nplij siab.
Cov kev pabcuam hauv lub nroog tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev coj thiab txhawb nqa cov tswv cuab.
Ib tug tswv cuab tau qhia tias nyob rau hauv lub zej zog cov neeg xiam oob qhab, cov ntaub ntawv hnyav twb siab lawm. Qhov yuav tsum tau ua haujlwm yuav tsum tsis txhob siv rau cov neeg no, tab sis yog tias nws ua li ntawd, cov ntaub ntawv yuav tsis tuaj yeem ua tau thiab yuav tsum ua kom yooj yim tswj hwm.
Cov zej zog uas tsis raug kev cuam tshuam xav tau kev nplij siab.
Cov Lus Qhia ntawm Cov Tswv Cuab
Hom Kev Ua CovNtaub Ntawv
Cov neeg pab txhawb nqa : Maria Romero-Mora
Cov Ncauj Lus Sib Tham:
- Members shared mixed feelings about the upcoming changes. Many appreciated being informed and praised the group for listening and taking action. Some asked for simple, easy-to-read flyers and online resources to help them understand what’s coming. Others expressed worry. One member was concerned for a parent turning 64, while another said the changes feel like a “paperwork nightmare” for people with disabilities and asked for reassurance. There were questions about opting out, and some described the changes as “heartbreaking,” stressing that preparation is key. Despite concerns, members offered hope and support, saying the group should “join hands” to help families through these changes.
Cov Lus Xaus
Hom Kev Ua CovNtaub Ntawv
Cov neeg pab txhawb nqa : Michelle Baass
Cov Ncauj Lus Sib Tham:
- Lindy ua tsaug rau cov tswv cuab rau kev hais lus los ntawm lub siab thiab koom nrog lawv txoj kev tshaj tawm thiab kev saib xyuas.
- Yingjia ua tsaug rau cov tswv cuab thiab hais tias kev hloov pauv nyuaj rau cov tswv cuab thiab DHCS. Peb lub hom phiaj tsis yog ua kom tej yam nyuaj dua rau cov tswv cuab. Nws tau hais txog kev txhawj xeeb txog kev ua haujlwm pab dawb, thiab hais tias ib qho ntawm cov kev daws teeb meem tseem ceeb yog ntxiv tus lej zip code.
- Krissi tau hais txog txhua yam kev ris txiaj. Nws hais tias kev hloov pauv nyuaj heev thiab lub rooj sib tham no tau qhib qhov muag. Cov ntaub ntawv tsis muaj lub ntsiab lus dab tsi yog tias nws tsis tau muab qhia rau cov neeg uas xav tau. Qhov tseem ceeb tshaj plaws yog qhia rau peb cov tswv cuab txog yam lawv xav paub kom lawv thiaj li khaws tau lawv txoj kev pov hwm.
- Michelle thanked members for their willingness to serve as ambassadors and help spread the word about Medi-Cal coverage. She encouraged everyone to use the tools available to reach families and friends, emphasizing the urgency and importance of this work. Michelle highlighted the Coverage Ambassador Program as a great opportunity to become an active participant, learn more, and share vital information within your communities.
Kev Tshem Tawm Lub Rooj Sib Tham
Lub npe ntawm tus neeg uas tau ncua lub rooj sib tham: Michelle Baass, Tus Thawj Coj
Time Adjourned: 7:29 p.m. PST