Kaum Ib Hlis 10, 2025
Xov xwm tshaj plaws
Txhawb Cov Tub Ntxhais Kawm kom nkag mus rau kev txhawb nqa kev coj cwj pwm
DHCS tsis ntev los no tau tshaj tawm tias Children and Youth Behavioral Health Initiative (CYBHI) Fee Schedule program, thawj qhov kev them nyiaj ntau rau kev them nyiaj rov qab rau cov koom haum kev kawm hauv zos (LEA), uas yog cov tsev kawm ntawv hauv nroog thiab lub nroog cov chaw ua haujlwm ntawm kev kawm, thiab cov tsev kawm ntawv qib siab (IHE) rau kev coj tus cwj pwm kev noj qab haus huv tau muab rau cov tub ntxhais kawm, tau pom zoo.
Raws li lub Kaum Hlis 15, 2025, CYBHI Fee Schedule program tau tso npe ntau dua 500 LEAs thiab IHEs thiab tau them nyiaj rov qab ntau dua $ 1.8 lab rau ntau dua 26,000 daim ntawv thov kev pabcuam. Tsis tas li ntawd, ntau dua 5,000 tus tub ntxhais kawm tau txais kev pabcuam xa rov qab. Tsis tas li ntawd, 55 LEAs thiab IHEs tau xa cov ntawv thov los ntawm qhov kev zov me nyuam, sawv cev rau 32 cov phiaj xwm saib xyuas thiab lwm tus neeg tuav pov hwm. Cov txiaj ntsig ntxov no qhia txog kev ua tiav tseem ceeb hauv tsawg dua ob xyoos txij li qhov Kev Pab Cuam Nqi Them tau pib, thiab tsuas yog ntau tshaj li ib xyoos txij li cov neeg koom ua ntej tau tsim nyog tau txais daim nqi rau cov kev pabcuam.
Yuav kom siv tau qhov kev pab cuam teem sijhawm them nqi ntau dua, DHCS tau tshaj tawm CYBHI Cov Lus Qhia Txog Qhov Kev Pab Cuam Tshuam Sijhawm Them Nqi rau LEAs thiab IHEs, muab cov lus qhia dav dav rau cov neeg muab kev pab cuam koom nrog, thiab tau tshaj tawm kev tshaj tawm rau pej xeem rau cov niam txiv thiab cov neeg saib xyuas txog qhov kev pab cuam thiab cov tub ntxhais kawm yuav tau txais txiaj ntsig li cas. Mus saib lub vev xaib CYBHI Fee Schedule kom paub ntau ntxiv.
Kev hloov kho tshiab
Tam sim no Qhib: Tswj Kev Pabcuam Kev Sau Npe Tus Neeg Saib Xyuas Kev Muag Khoom
On November 5, DHCS released Invitation for Proposal (IFP) 25-007 to entities that may be able to deliver Medi-Cal managed care plan enrollment services. The enrollment broker helps Medi-Cal members enroll in, change, or leave Medi-Cal managed care plans; assists Medi-Cal members with selecting a primary care provider; creates and distributes informational materials; and supports member education and outreach. DHCS will award a single contract to the applicant that meets all qualifications and demonstrates the greatest overall value to the state. The opportunity is open to all eligible applicants, including commercial businesses, nonprofit organizations, state or public universities (including auxiliary organizations), and other entities that meet the proposal requirements. For more information about this procurement, please visit the Procurement and Contract Division webpage.
Medi-Cal Rx Tus Kws Kho Mob Tswj Tshuaj Kho Mob Hloov Kho Cov Cai
Raws li tau tshaj tawm hauv 30-Hnub Countdown: Upcoming Policy Change to Medi-Cal Rx Physician Administered Drugs ceeb toom uas tau tshaj tawm rau lub Kaum Hli 17, DHCS tau siv cov kev hloov pauv rau Medi-Cal Rx Physician Administered Drug (PAD) Policy, uas muaj qee qhov kev cuam tshuam tsis tau xav txog rau ob tus neeg muab kev pabcuam thiab cov tswv cuab ntsig txog kev nkag mus rau qee cov PADs. Txhawm rau kom txo cov teeb meem no thiab xyuas kom muaj kev nkag mus tau txuas ntxiv, DHCS tau ncua cov kev hloov tshiab txoj cai tsis ntev los no ib ntus thiab rov qab siv txoj cai ua ntej sai sai. Txhawm rau txhawb kom muaj kev paub ntau ntxiv, thaum Lub Kaum Hli 30, DHCS tau tshaj tawm ib qho kev ceeb toom rau ntawm lub vev xaib Medi-Cal Rx.
DHCS yuav sai sai no teem sijhawm sib ntsib nrog cov neeg koom tes tseem ceeb, suav nrog cov chaw muab tshuaj, cov neeg sau tshuaj, thiab cov phiaj xwm kev saib xyuas, kom muaj kev pom tseeb ntxiv thiab los pab DHCS nrog kev ua tiav cov kev hloov pauv txoj cai PAD ua ntej kev siv. Qhov no yog los xyuas kom meej tias txoj cai ua tau raws li DHCS lub hom phiaj tseem ceeb thiab pab txhawb kev nkag mus rau kev kho mob txuas ntxiv mus. Thaum txoj cai PAD tiav lawm los ntawm cov txheej txheem no thiab hnub tim siv tau txiav txim siab, DHCS yuav muab ntawv ceeb toom ua ntej rau cov chaw muab tshuaj, cov neeg sau tshuaj, thiab cov phiaj xwm kev saib xyuas los ntawm cov channel ib txwm kom ntseeg tau tias muaj kev npaj txhij tag nrho.
Koom nrog peb pab neeg
DHCS is hiring for its Accounting, Licensing and Certification Division, Quality and Population Health Management program, and other teams. For more information, please visit the CalCareers website.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
DHCS tshaj tawm cov rooj sib tham pej xeem yav tom ntej ntawm DHCS Calendar of Events. DHCS muab cov kev pabcuam pub dawb, suav nrog kev txhais lus, kev sau npe hauv lub sijhawm, thiab hloov pauv cov ntaub ntawv sib tham. Txhawm rau thov kev pabcuam, thov xa email rau DHCS ntawm tus email chaw nyob uas tsim nyog tsawg kawg kaum hnub ua haujlwm ua ntej lub rooj sib tham.
Kev Sib Tham 64 Pawg Neeg Tawm Tswv Yim
On November 13, from 10 a.m. to 2 p.m. PST, DHCS will host the Proposition 64 Advisory Group meeting. The meeting will be held in hybrid format at the Sierra Health Foundation Center for Health Program Management, 2150 River Plaza Drive, Suite 400, Sacramento. At the meeting, participants will hear presentations from DHCS, the California Natural Resources Agency, the California Departments of Social Services and Public Health, and The Center at Sierra Health Foundation on progress achieved over the last year with their Proposition 64 Youth Education, Prevention, Early Intervention and Treatment (YEPEITA)-funded programs. Meeting information, including the agenda and other materials, will be posted on the Proposition 64 Advisory Group webpage. Please email your questions to DHCSProp64@dhcs.ca.gov.
CalAIM MLTSS thiab Duals Integration Workgroup Meeting
Thaum Lub Kaum Ib Hlis 19, txij 12 txog 1:30 teev tsaus ntuj PST, DHCS yuav tuav lub rooj sib tham California Advancing and Innovating Medi-Cal (CalAIM) Managed Long-Term Services and Supports (MLTSS) thiab Duals Integration Workgroup (yuav tsum tau sau npe ua ntej). Pawg ua haujlwm yog lub chaw sib 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. Nws tso cai rau cov neeg koom nrog los 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 txheej txheem ntawm lub rooj sib tham suav nrog cov kev hloov tshiab ntawm 2026 Medi-Medi Plan nthuav dav, Exclusively Aligned Enrollment (EAE) Dual Eligible Special Needs Plan (D-SNP) tus qauv rau kev sau npe ua ntej, thiab 2026 D-SNP State Medicaid Agency Contract and Policy Guide. Nws tseem yuav qhia txog kev sib koom tes ntawm Medi-Medi Plan nrog cov ntaub ntawv kev noj qab haus huv ntawm lub nroog thiab cov ntaub ntawv duals ntawm Medicare Enrollment. Cov ntaub ntawv ntxiv, 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 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.
Kev Pabcuam Ambassador Webinar Series
On November 20, from 11 a.m. to 12 p.m. PST, DHCS will host a Coverage Ambassador webinar (advanced registration required). DHCS will share overviews of the Medi-Cal adult expansion enrollment freeze and asset limit reinstatement and upcoming changes to the Medi-Cal Rx pharmacy benefit. Coverage Ambassadors help spread the word about Medi-Cal benefits, enrollment information, and new projects focused on creating a healthy California for all. Please visit the Coverage Ambassador website for more information, including how to subscribe to receive regular updates.
Hauv Case Koj Tsis Tau Nws
Thov Kev Hloov Kho rau Medi-Cal Tsev thiab Cov Kev Pabcuam Hauv Zej Zog (HCBS) 1915(c) Kev zam rau cov neeg nyob hauv California uas muaj kev xiam oob khab
DHCS is seeking input from members, providers, and other interested stakeholders on the proposed amendment to the Medi-Cal HCBS 1915(c) Waiver for Californians with Developmental Disabilities (HCBS-DD waiver). DHCS plans to submit the proposed waiver amendment to the federal Centers for Medicare & Medicaid Services (CMS) by November 28, for a proposed effective date of March 1, 2026. Copies of the proposed amendment can be obtained and comments may be submitted by emailing Federal.Programs@dds.ca.gov. Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.