Tsev Chav Xov Xwm - Chaw Ua Haujlwm Sib Txuas Lus Kaum Ib Hlis 17, 2023 – Xov Xwm Txog Cov Neeg Muaj Feem Xyuam​​ 

Kaum Ib Hlis 17, 2023 – Xov Xwm Txog Cov Neeg Muaj Feem Xyuam​​ 

Xov xwm tshaj plaws​​ 

Txhim Kho Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Zej Zog Txhawb Kev Siv Cov Ntaub Ntawv​​ 

Lub lim tiam no DHCS tau tshaj tawm ECM thiab Kev Txhawb Nqa Hauv Zej Zog: Cov Ntaub Ntawv Txog Q2 2023. Qhov hloov tshiab no sau cov ntaub ntawv theem xeev los ntawm ECM thiab Community Supports, uas tau pib xyoo 2022 los pab cov tswv cuab ntawm txoj kev npaj kho mob (MCP) uas muaj kev xav tau kev kho mob, tsis yog kev kho mob, thiab kev noj qab haus huv. Tsim los ntawm ECM thiab Kev Txhawb Nqa Zej Zog Xyoo Ib Daim Ntawv Qhia, qhov kev hloov kho tshiab ntawm kev siv suav nrog cov ntaub ntawv tshiab ntawm cov tswv cuab Medi-Cal thiab cov koom haum muab kev pabcuam thiab muab thawj qhov kev saib xyuas ECM rau ob pawg neeg saib xyuas mus sij hawm ntev uas tau tsim nyog rau ECM thaum Lub Ib Hlis 2023. Cov ntaub ntawv rau cov pej xeem ECM ntxiv uas tau tsom mus rau qhov uas tau pib tom qab Q2 2023, suav nrog cov menyuam yaus thiab cov hluas, yuav raug hais txog hauv kev tshaj tawm yav tom ntej.​​ 

Both ECM and Community Supports continued to grow and serve more Californians during the first half of 2023, including a 29 percent growth in cumulative ECM enrollment and 108 percent growth in cumulative Community Supports recipients since the end of 2022. To provide further data transparency and visibility around ECM and Community Supports, DHCS will soon release a comprehensive report with MCP- and county-level data through Q2 2023.​​ 

2024 Medi-Cal MCP Txoj Cai Hloov Pauv Txoj Cai​​ 

On November 15, DHCS released frequently asked questions (FAQs) as a companion resource to version five of the 2024 Medi-Cal MCP Transition Policy Guide that includes DHCS policy and MCP requirements related to member transitions of Medi-Cal MCPs that take effect on January 1, 2024. The latest version includes a summary of communications resources, a transition policy for assessment and screening tools, and updates to the data sharing section and Appendix. Please email questions about the policy guide to MCPTransitionPolicyGuide@dhcs.ca.gov. The policy guide and FAQs will be updated throughout the remainder of this calendar year to keep MCPs informed of new and developing guidance.​​ 

Kev hloov kho tshiab​​ 

Qhia Kev Txhim Kho Dementia Experience (GUIDE) Qauv thiab Webinar​​ 

To help address the needs of Medicare beneficiaries, including those dually eligible for Medicare and Medi-Cal, with Alzheimer’s disease and related dementias, the Centers for Medicare & Medicaid Services (CMS) released a Request for Applications (RFA) for the GUIDE model. This model aims to support people living with dementia and their unpaid caregivers by helping them with care coordination and management, infrastructure building, and higher quality of care. Interested applicants should submit their application via web portal by January 30, 2024.​​ 

The GUIDE model begins on July 1, 2024, and will continue for eight years. The goal of the model is to improve the quality of life, reduce the burden and strain on unpaid caregivers of people living with dementia, and prevent or delay long-term nursing home care. The care delivery approach is a person-centered plan that standardizes a set of services, has an interdisciplinary care team, and includes training requirements for the care team to improve care coordination to address the behavioral and functional needs of people living with dementia. Original Medicare providers may apply to participate. Since many Medicare beneficiaries with dementia are also dually eligible for Medi-Cal, DHCS strongly encourages California Medicare providers to participate in the GUIDE model. For more information, please visit the CMS GUIDE webpage.​​ 

Also, on December 8, from 11 a.m. to 12 p.m., DHCS, in partnership with the University of California, San Francisco and DHCS’ Dementia Care Aware initiative, will host a webinar on the GUIDE model in California (advance registration required). This webinar will offer Medicare providers and community-based organizations information about what is required to participate in GUIDE, examples of a successful partnership in California that follows the GUIDE model, and resources to help California applicants apply for the GUIDE model. For more information, please visit the Dementia Care Aware webpage.​​ 

LUS CEEV: DHCS yuav tsis tshaj tawm cov kev hloov tshiab txhua lub lim tiam rau cov neeg koom nrog lub lim tiam tom ntej. Qhov hloov tshiab tom ntej yuav muab tso tawm rau hnub Friday, Lub Kaum Ob Hlis 1.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav! DHCS muaj cib fim rau:​​ 

  • Behavioral Health Policy Medical Consultant II within Behavioral Health (FFD is November 27). This position provides clinical expertise and strategic advice to DHCS Behavioral Health leadership on the development and implementation of policy and initiatives designed to strengthen behavioral health care access, quality, and service delivery.​​ 
  • Tus Lwm Thawj Coj Kho Mob rau Cov Txheej Txheem Kev Kho Mob Sib Koom Tes (FFD yog Kaum Ib Hlis 29). Txoj haujlwm no yog lub luag haujlwm rau kev sab laj txog kev kho mob rau cov kev pab cuam tseem ceeb rau pej xeem hauv California, thiab yuav muab cov lus qhia thiab kev taw qhia txog cov kev pabcuam kho mob tsim nyog rau cov tib neeg uas muaj teeb meem kev noj qab haus huv.​​ 
  • 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​​ 

Hearing Aid Coverage for Children Program (HACCP) Webinar for Families and Community Partners​​ 

Thaum Lub Kaum Ib Hlis 28, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj, DHCS yuav tuav HACCP webinar (yuav tsum tau sau npe ua ntej) los qhia kev taw qhia rau cov tsev neeg thiab cov zej zog txog kev thov kev pab cuam mloog lus thiab pab cov me nyuam kom tau txais txiaj ntsig HACCP ntau tshaj plaws. DHCS zoo siab txais tos cov tsev neeg tshiab, cov tsev neeg uas tam sim no koom nrog HACCP, thiab cov koom tes hauv zej zog txhawb nqa cov tsev neeg thiab cov menyuam yaus tuaj koom lub vev xaib no rau kev hloov kho tshiab, cov lus qhia, thiab kev sib tham nug-thiab-lus teb. Yog xav paub ntxiv, thov mus saib hauv 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 lub vev xaib rau cov neeg koom tes hauv zej zog, suav nrog cov neeg tawm tswv yim, cov chaw muab kev pabcuam, MCPs, thiab lwm yam, ntawm kev tshem tawm cov khoom muaj nqis rau cov nyiaj tau los tsis tau hloov kho (tsis yog MAGI) Medi-Cal cov kev pab cuam, 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: Subacute Care Facility Carve-In Billing and Payment Webinar​​ 

On November 29, from 3 to 4 p.m., DHCS will virtually host the third in a series of educational webinars on the California Advancing and Innovating Medi-Cal (CalAIM) long-term care (LTC) carve-in of subacute care facilities in Medi-Cal managed care. The goal of these webinars is to provide subacute care facilities and Medi-Cal MCPs with an understanding of the carve-in to operationalize the new benefit, including scope of services and relevant policies, in preparation for the January 1, 2024, carve-in.​​ 

Lub rooj sib tham hauv online, uas qhib rau pej xeem, yuav tsom mus rau kev muab kev nkag siab txog cov cai ntawm txoj cai them nyiaj thiab cov kev coj ua zoo txog kev them nqi rau MCPs thiab cov chaw kho mob subacute. Cov ntaub ntawv ntxiv txog qhov chaw kho mob subacute carve-in muaj nyob rau ntawm nplooj ntawv web hloov pauv CalAIM Subacute Care Facility LTC Carve-In.​​ 

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.​​ 

Agenda topics will include reminders about the 2024 Medi-Cal transitions and noticing timelines, updates on Medi-Medi Plan outreach and the 2024 Dual Eligible Special Needs Plan Policy Guide development, July 2023 duals enrollment data, a spotlight presentation on the CalAIM recuperative care Community Support, and a presentation on the continuous coverage unwinding.​​ 

Background materials, transcripts, and video recordings of previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.​​ 

CalAIM: Lub Rooj Sib Tham Txog Kev Noj Qab Haus Huv Tus Cwj Pwm​​ 

On December 1, DHCS will virtually convene the CalAIM Behavioral Health Workgroup meeting to provide updates on and discussion of the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) and CalAIM behavioral health documentation redesign initiatives. Workgroup members may provide feedback on implementation and operational considerations. The meeting is open to the public. Please email questions to BHCalAIM@dhcs.ca.gov.​​ 

Medi-Cal Adult Expansion Webinar​​ 

Thaum Lub Kaum Ob Hlis 4, txij 11 teev sawv ntxov txog 12 teev tav su, DHCS yuav tuav lub rooj sib tham hauv online txog kev nthuav dav ntawm Medi-Cal rau cov neeg laus (yuav tsum tau sau npe ua ntej) rau cov koom haum hauv zej zog, MCPs, cov chaw muab kev pabcuam, thiab lwm tus neeg koom nrog, suav nrog cov neeg sawv cev rau cov neeg siv khoom, kev nkag tebchaws, kev kho mob, kev pabcuam raug cai, thiab cov neeg laus nkag tebchaws. DHCS tab tom siv qhov kev nthuav dav no raws li Senate Bill 184 (Tshooj 47, Cov Cai Lij Choj ntawm 2022) rau lub Ib Hlis 1, 2024. Thaum siv qhov kev nthuav dav no, yuav muab rau cov tib neeg hnub nyoog 26-49 xyoo nrog cov txiaj ntsig Medi-Cal tag nrho, tsis hais txog kev ua pej xeem lossis kev nkag tebchaws, yog tias lawv ua tau raws li lwm cov qauv tsim nyog Medi-Cal.​​ 

The webinar, which will be live interpreted in Spanish, will provide background information about the expansion, implementation planning, noticing, outreach, and more. Individuals may also submit questions or request to register for the webinar by sending an email to AdultExpansion@dhcs.ca.gov.​​ 

Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Sib Koom Tes Kev Npaj thiab Kev Ua Haujlwm (CPI) Qhov Zoo Tshaj Plaws Webinar​​ 

On December 7, from 12:30 to 1:30 p.m., DHCS will host a statewide webinar, Relationship Building with Organizations in the CalAIM Environment (advance registration required) for community-based organizations, county, city, and local government agencies, federally qualified health centers, MCPs, Medi-Cal tribal and designees of Indian Health Programs, and providers. The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with MCPs, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, please visit the PATH CPI webpage.​​ 

HACCP Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav​​ 

On December 19, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will address program requirements for families to apply for coverage and the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Kalifonias txuas ntxiv Medi-Cal Kev Hloov Pauv Mus Rau Person-Centered, Equity-Focused Care​​ 

On November 15, DHCS issued a news release about how the Department is transforming Medi-Cal to ensure Californians can get the care they need to live healthier lives. As a result of the new Medi-Cal managed care contract, Medi-Cal members will have access to new and improved services to get person-centered, whole-person care that goes beyond the doctor’s office or hospital and addresses their physical and behavioral health and health care-related social needs.​​ 

Tshooj 1115 Kev Tawm Tsam: BH-CONNECT thiab CalAIM Kev Hloov Pauv Hloov Hloov Hloov​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 20, DHCS tau xa daim ntawv thov qhia txog Tshooj 1115 tshiab rau CMS - qhov kev qhia txog BH-CONNECT - thiab qhov kev hloov kho tshiab rau qhov kev qhia txog CalAIM Tshooj 1115 uas cuam tshuam txog cov kev pabcuam xauj tsev hloov pauv. Tsis tas li ntawd xwb, lub sijhawm tawm tswv yim rau pej xeem hauv tebchaws yuav qhib rau BH-CONNECT thiab CalAIM cov kev pabcuam xauj tsev hloov pauv txij lub Kaum Hli 27 txog rau lub Kaum Ib Hlis 26.​​ 

Lub Ib Hlis 2024 Medi-Cal MCP Kev Hloov Pauv​​ 

As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members who transition to a new MCP are receiving notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.​​