Kaum Ib Hlis 10, 2023 – Xov Xwm Txog Cov Neeg Muaj Feem Xyuam
Xov xwm tshaj plaws
Txhim Kho Kev Tswj Xyuas (ECM) rau Cov Menyuam Yaus thiab Cov Hluas Kev Pom Zoo (POF) tsom teeb
Thaum Lub Kaum Ib Hlis 3, DHCS tau tshaj tawm ECM rau Cov Menyuam Yaus thiab Cov Hluas POF Spotlight, uas yog tsim los pab cov neeg cog lus thiab cov neeg yav tom ntej ECM uas pab cov menyuam yaus thiab cov hluas txhim kho thiab txhim kho lawv cov qauv ECM. Nws kuj tseem yog los txhawb cov koom haum muab kev pabcuam uas tab tom xav txog seb ECM rau cov menyuam yaus thiab cov hluas puas yog rau lawv. Cov peev txheej tshiab no piav qhia txog cov cai tseem ceeb ntawm ECM rau cov menyuam yaus thiab cov hluas POFs, suav nrog cov cheeb tsam uas cov phiaj xwm tuaj yeem siv kev tso cai ua ntej; cov xwm txheej ntawm cov tswv cuab uas qhia txog yuav ua li cas xa ECM rau cov menyuam yaus thiab cov hluas POFs, nrog rau cov piv txwv ntawm yuav ua li cas Kev Txhawb Nqa Hauv Zej Zog tuaj yeem koom ua ke los pab cov menyuam yaus, cov hluas, thiab cov neeg saib xyuas zoo tshaj plaws; thiab kev taw qhia txog yuav ua li cas cov neeg muab kev pabcuam yav tom ntej tuaj yeem pib, nrog rau kev sau cov peev txheej tseem ceeb thiab cov cib fim nyiaj txiag.
DHCS cog lus tias yuav muab kev pab txog kev siv tshuab thiab kev txhawb nqa rau California lub network ntawm cov neeg muab kev pabcuam ECM uas tab tom loj hlob tuaj. Qhov no yog thawj zaug ntawm cov teeb pom kev zoo ECM uas DHCS npaj yuav tso tawm rau lub hlis tom ntej los txhawb cov neeg koom nrog uas tab tom nrhiav cov ntsiab lus ntxiv txog seb cov neeg muab kev pabcuam kho ECM li cas kom tau raws li qhov xav tau ntawm cov POF sib txawv. Yog xav paub ntxiv, mus saib nplooj ntawv web ECM thiab Community Supports.
Kev hloov kho tshiab
Medi-Cal thiab Foster Care Updates
DHCS developed a resource to provide updates on foster care youth in Medi-Cal. The resource covers changes to managed care for the child welfare population in 2024, Enhanced Care Management and Community Supports transition policies, the 2024 Medi-Cal managed care plan (MCP) contract and memorandum of understanding requirements, and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment child and youth components.
Doula Cov Kev Pabcuam Hloov Tshiab muaj nyob online
Thaum Lub Kaum Ib Hlis 3, DHCS tau hloov kho Doula Services raws li Medi-Cal Benefit lub vev xaib. Cov nplooj ntawv tshiab tshiab suav nrog cov peev txheej pab tau rau Medi-Cal cov tswv cuab thiab cov kws kho mob doula, suav nrog cov lus pom zoo uas tau tshaj tawm tshiab rau cov kev pabcuam doula los ntawm DHCS Tus Thawj Coj Kho Mob Dr. Karen Mark. Cov lus pom zoo sawv cev ua tiav raws li tsoomfwv txoj cai rau kev pom zoo rau cov kev pabcuam doula raws li kev pabcuam tiv thaiv.
Kev hloov kho tshiab rau nplooj ntawv web kuj suav nrog cov lus nug tshiab uas nquag nug rau cov tswv cuab doulas thiab Medi-Cal, tag nrho cov ntawv thov kev pom zoo doula tus kws kho mob thiab cov neeg muab kev pabcuam rau npe, thiab cov ntaub ntawv pov thawj uas txhawb nqa cov txiaj ntsig ntawm cov kev pabcuam doula rau kev yug menyuam thiab kev yug menyuam. Thov xa email rau cov lus nug txog kev pabcuam doula rau DoulaBenefit@dhcs.ca.gov.
Koom nrog peb pab neeg
DHCS tab tom ntiav! DHCS muaj cib fim rau:
- Tus Thawj Coj ntawm Lub Chaw Tswj Xyuas Nyiaj Txiag hauv Fiscal (hnub kawg rau kev xa daim ntawv thov (FFD) yog Lub Kaum Ib Hlis 15). Lub luag haujlwm ua tus thawj coj no tsim cov cai thiab cov txheej txheem los xyuas kom meej tias muaj kev ncaj ncees, kev pob tshab, thiab kev lav ris txog li $ 150 billion hauv kev pab nyiaj txhua xyoo rau DHCS.
- Tus Kws Pab Tswv Yim Kho Mob Txoj Cai Kev Noj Qab Haus Huv II hauv Kev Noj Qab Haus Huv (FFD yog Kaum Ib Hlis 27). Txoj haujlwm no muab kev txawj ntse hauv kev kho mob thiab cov lus qhia zoo rau DHCS Behavioral Health cov thawj coj ntawm kev tsim thiab kev siv txoj cai thiab cov kev pib tsim los txhawb kev nkag mus rau kev kho mob tus cwj pwm, qhov zoo, thiab kev muab kev pabcuam.
- Senior Assistant Chief Counsel for Fiscal and Financing within the Office of Legal Services (FFD is November 28). This position is responsible for complex legal counsel and litigation strategy formulation regarding DHCS fiscal, financial management, and health care policy.
- Senior Assistant Chief Counsel for Health Care Delivery Systems nyob rau hauv lub Office of Legal Services (FFD yog lub Kaum Ib Hlis 30). Txoj hauj lwm no yog lub luag haujlwm rau cov kws pab tswv yim kev cai lij choj thiab kev tsim cov tswv yim hais txog ntau yam ntawm cov kab ke kev noj qab haus huv.
DHCS is also hiring for our human resources, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Khaws Koj Lub Zej Zog Covered: Tsev Kawm Ntawv thiab Tsev Neeg Webinar
Thaum Lub Kaum Ib Hlis 16, thaum 2 txog 3 teev tsaus ntuj, DHCS yuav muaj kev sib tham hauv Webinar ntawm Khaws Koj Lub Zej Zog Covered: Tsev Kawm Ntawv thiab Tsev Neeg (yuav tsum tau sau npe ua ntej). Lub webinar yuav muab cov ntaub ntawv tseem ceeb rau tsev kawm ntawv cov neeg koom tes los pab cov tub ntxhais kawm thiab lawv tsev neeg nrog kev rov kho dua Medi-Cal. Lub webinar tseem yuav qhia txog cov peev txheej nthuav tawm thiab cov kev coj ua zoo tshaj plaws rau kev koom nrog tsev neeg nrog cov menyuam hnub nyoog kawm ntawv.
Medi-Cal Cov Cai Nkag Mus Kawm thiab Cov Txheej Txheem rau CBOs thiab LHJs Webinar
Thaum Lub Kaum Ib Hlis 17, thaum 10 txog 11:30 teev sawv ntxov, DHCS yuav tuav lub rooj sib hais rau pej xeem los ntawm webinar (yuav tsum tau sau npe ua ntej) los tham txog cov kev cai tswj xyuas cov ntawv xov xwm ntawm Medi-Cal cov kev cai rau npe kawm thiab cov txheej txheem rau cov koom haum hauv zej zog (CBO) thiab cov chaw saib xyuas kev noj qab haus huv hauv cheeb tsam (LHJ) cov chaw zov me nyuam / cov chaw pabcuam kev noj qab haus huv hauv zej zog. Pib txij lub Ib Hlis Ntuj hnub tim 9, 2024, CBO thiab LHJ cov chaw muab kev pab thov kev tso npe rau hauv Medi-Cal tus nqi-rau-kev pabcuam tuaj yeem xa lawv daim ntawv thov los ntawm Tus Muab Kev Pabcuam thiab Validation for Enrollment (PAVE) online enrollment portal.
Cov lus sau, cov lus nug, lossis cov lus qhia yuav raug xa tuaj thaum lub rooj sib hais hauv webinar tham. Rau cov neeg tsis tuaj yeem tuaj koom, cov lus sau yuav tsum xa los ntawm 5 teev tsaus ntuj rau lub Kaum Ib Hlis 17 kom txiav txim siab rau kev tshaj tawm. Thaum xa cov lus hauv kev sau ntawv, thov xyuas kom meej tias tus neeg tawm tswv yim thiab lub koom haum / koom haum uas sawv cev yog ob qho tib si raug txheeb xyuas hauv cov lus. Cov lus sau yuav tsum xa mus rau DHCSPEDStakeholder@dhcs.ca.gov. Raws li pej xeem cov lus tau txais, DHCS yuav tshaj tawm cov ntawv xov xwm kawg ntawm Medi-Cal thiab DHCS cov vev xaib.
CalAIM Intermediate Care Facility for the Developmentally Disabled (ICF/DD) Carve-In Billing and Payment Webinar
Thaum Lub Kaum Ib Hlis 17 thaum 1 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online thib plaub hauv cov koob tsheej kev kawm txog California Advancing and Innovating Medi-Cal (CalAIM) ICF/DD carve-in (yuav tsum tau sau npe ua ntej). Cov kev cob qhia hauv webinars no piav qhia txog kev hloov pauv rau cov cai ntawm ICF/DD carve-in. Txij li thaum Lub Ib Hlis Ntuj hnub tim 1, 2024, txhua tus Medi-Cal MCPs yuav tsum tau them thiab sib koom tes saib xyuas kev saib xyuas mus sij hawm ntev rau cov tswv cuab nyob hauv ICF/DD. Cov kev sib tham hauv webinar yuav muaj ntau lub ntsiab lus, suav nrog ICF/DD carve-in 101, txoj cai them nyiaj thiab cov kev cai them nyiaj, tus nqi them txhua hnub, kev hloov pauv cov lej chaw nyob, thiab cov kev coj ua zoo tshaj plaws rau kev them nqi thiab kev them nyiaj. Cov neeg sawv cev ntawm ICF/DD hauv tsev, Chaw Haujlwm Hauv Cheeb Tsam, thiab Medi-Cal raug txhawb kom tuaj koom. Txhua lub webinars yog qhib rau pej xeem.
Yog tias muaj cov lus nug tshwj xeeb uas koj xav kom teb thaum lub sijhawm webinar, thov xa lawv ua ntej siv daim ntawv sau npe no lossis xa email rau LTCtransition@dhcs.ca.gov. Cov ntaub ntawv webinar, suav nrog cov ntaubntawv kaw suab, thiab cov ntsiab lus ntxiv txog cov webinar tom ntej no tau muab tso rau ntawm nplooj ntawv web CalAIM ICF/DD Long-Term Care Carve-In.
Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Nyiaj Txiag Kev Hloov Kho Webinar
On November 17, from 3 p.m. to 4 p.m., DHCS will hold a virtual stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program, Accountability Sanctions Program, and Workforce & Quality Incentive Program (WQIP) authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). This meeting will also provide an opportunity for stakeholder input. Additional information is posted on DHCS’ Nursing Facility Financing Reform (AB 186) webpage.
Hearing Aid Coverage for Children Program (HACCP) Webinar for Families and Community Partners
On November 28, from 11 a.m. to 12 p.m., DHCS will host a HACCP webinar (advance registration required) to share guidance with families and communities about applying for hearing aid coverage and helping children to maximize their HACCP benefits once enrolled. DHCS welcomes newly interested families, as well as families currently participating in HACCP, and community partners supporting families and children to join this webinar for program updates, tips, and a question-and-answer session. For more information, please visit www.dhcs.ca.gov/haccp.
HACCP Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav
Thaum Lub Kaum Ob Hlis 19, txij 12 txog 1 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online HACCP (yuav tsum tau sau npe ua ntej) 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. Yog xav paub ntxiv, thov mus saib www.dhcs.ca.gov/haccp.
Medi-Cal Asset Elimination Webinar
Thaum Lub Kaum Ib Hlis 29, thaum 1:30 txog 2:30 teev tsaus ntuj, DHCS yuav tuav ib lub rooj sib tham txog kev tshem tawm cov cuab tam rau cov kev pab cuam uas tsis tau hloov kho tag nrho cov nyiaj tau los (MAGI) Medi-Cal, pib lub Ib Hlis Ntuj 1, 2024. Thaum ua tiav, qhov kev pib no yuav tshem tawm qhov kev sim khoom vaj khoom tsev rau txhua qhov kev pabcuam uas tsis yog MAGI, suav nrog kev saib xyuas mus sij hawm ntev thiab Medicare Savings Programs. Lub webinar yuav muab cov ntaub ntawv keeb kwm yav dhau los ntawm kev tshem tawm cov cuab yeej cuab tam, kev npaj ua, kev hloov cov txheej txheem, thiab cov ntaub ntawv nthuav tawm. Cov ntaub ntawv ntau ntxiv muaj nyob rau ntawm Cov Khoom Muaj Cai Limit Hloov Pauv rau Non-MAGI Medi-Cal lub vev xaib.
CalAIM Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa (MLTSS) thiab Duals Integration Workgroup Virtual Meeting
On November 30 at 10 a.m., DHCS will virtually host the CalAIM MLTSS and Duals Integration Workgroup meeting (advance registration required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members, and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.
Cov ncauj lus ntawm cov txheej txheem yuav suav nrog kev ceeb toom txog kev hloov pauv Medi-Cal xyoo 2024 thiab cov sijhawm ceeb toom, kev hloov tshiab ntawm Medi-Medi Plan thiab kev tsim cov lus qhia txog Txoj Cai Tswjfwm Kev Xav Tau Tshwj Xeeb Xyoo 2024, cov ntaub ntawv sau npe rau ob leeg thaum Lub Xya Hli 2023, kev nthuav qhia tseem ceeb txog CalAIM kev pabcuam kho mob rov zoo hauv zej zog, thiab kev nthuav qhia txog kev txo qis kev pabcuam txuas ntxiv.
Cov ntaub ntawv keeb kwm yav dhau los, cov ntawv sau ua ntaub ntawv, 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 DHCS ntawm info@calduals.org.
Medi-Cal Adult Expansion Webinar
On December 4, from 11 a.m. to 12 p.m., DHCS will host a webinar on the adult expansion of Medi-Cal (advance registration required) for CBOs, MCPs, providers, and other interested stakeholders, including those representing consumers, immigration, health care, legal aid, and immigrant adults. DHCS is implementing this expansion pursuant to Senate Bill 184 (Chapter 47, Statutes of 2022) on January 1, 2024. When implemented, the expansion will provide individuals 26-49 years of age with full scope Medi-Cal benefits, regardless of citizenship or immigration status, if they meet all other Medi-Cal eligibility criteria.
Lub webinar, uas yuav txhais ua lus Mev, yuav muab cov ntaub ntawv keeb kwm yav dhau los txog kev nthuav dav, kev npaj siv, kev ceeb toom, kev ncav cuag, thiab ntau ntxiv. Cov tib neeg kuj tseem tuaj yeem xa cov lus nug lossis thov kom sau npe rau lub webinar los ntawm kev xa email rau AdultExpansion@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
Tshooj 1115 Kev Tawm Tsam: BH-CONNECT thiab CalAIM Kev Hloov Pauv Hloov Hloov Hloov
On October 20, DHCS submitted to Centers for Medicare & Medicaid Services (CMS) the new Section 1115 demonstration request, entitled the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration, and the proposed amendment to the CalAIM Section 1115 demonstration related to transitional rent services. Additionally, the federal public comment period will be open for BH-CONNECT and CalAIM transitional rent services from October 27 through November 26, 2023.
Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv
Raws li ib feem ntawm kev hloov pauv Medi-Cal, qee cov MCPs yuav hloov pauv rau lub Ib Hlis 1, 2024, thiab kwv yees li 1.2 lab tus tswv cuab yuav muaj cov kev xaiv phiaj xwm kho mob tshiab thiab/lossis yuav tsum hloov mus rau MCPs tshiab. Kev hloov MCPs yuav tsis cuam tshuam rau kev pab them nqi lossis cov txiaj ntsig ntawm Medi-Cal rau cov tswv cuab. Cov tswv cuab uas hloov mus rau MCP tshiab tau txais cov ntawv ceeb toom txog kev hloov pauv. DHCS tau tsim ntau yam kev pab los txhawb cov tswv cuab, cov neeg muab kev pab, thiab lwm cov neeg koom nrog kev hloov pauv, suav nrog nplooj ntawv web Managed Care Plan Transition Member nrog lub cuab yeej "nrhiav" ntawm lub nroog, cov kev sib txuas mus rau cov ntawv ceeb toom rau cov tswv cuab uas Medi-Cal xa txog kev hloov pauv MCP, cov lus nug nquag nug, thiab nplooj ntawv Tiv Tauj Peb rau cov tswv cuab kom paub ntau ntxiv txog cov phiaj xwm kev noj qab haus huv thiab cov kev xaiv ntawm cov neeg muab kev pab. Kuj tseem muaj cov peev txheej hloov pauv rau cov neeg muab kev pabcuam thiab MCPs thiab cov neeg koom nrog. Xav paub ntxiv txog kev hloov pauv no muaj nyob rau hauv Phau Ntawv Qhia Txog Txoj Cai Hloov Pauv ntawm Txoj Kev Npaj Saib Xyuas Kev Kho Mob Xyoo 2024 thiab Tsab Ntawv Qhia Txog Kev Tsim Nyog ntawm Medi-Cal Tus lej I 23-54.