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.​​ 

Ob qho tib si ECM thiab Community Supports tau txuas ntxiv loj hlob thiab pab ntau tus neeg California thaum lub sijhawm ib nrab xyoo 2023, suav nrog kev loj hlob 29 feem pua ntawm cov neeg sau npe ECM thiab kev loj hlob 108 feem pua ntawm cov neeg tau txais Community Supports txij li thaum kawg ntawm xyoo 2022. Yuav kom muab cov ntaub ntawv pom tseeb thiab pom tseeb ntxiv txog ECM thiab Kev Txhawb Nqa Hauv Zej Zog, DHCS yuav tso tawm daim ntawv qhia txog kev ua haujlwm nrog cov ntaub ntawv MCP thiab lub nroog txog Q2 2023.​​ 

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

Thaum Lub Kaum Ib Hlis 15, DHCS tau tshaj tawm cov lus nug nquag nug (FAQs) ua ib qho chaw pabcuam rau version tsib ntawm 2024 Medi-Cal MCP Transition Policy Guide uas suav nrog DHCS txoj cai thiab MCP cov kev cai ntsig txog kev hloov pauv ntawm cov tswv cuab ntawm Medi-Cal MCPs uas yuav siv tau rau Lub Ib Hlis 1, 2024. Cov qauv tshiab tshaj plaws suav nrog cov ntsiab lus ntawm cov peev txheej sib txuas lus, txoj cai hloov pauv rau cov cuab yeej ntsuas thiab tshuaj xyuas, thiab kev hloov kho tshiab rau ntu sib qhia cov ntaub ntawv thiab Cov Lus Qhia Ntxiv. Thov xa email rau cov lus nug txog phau ntawv qhia txoj cai rau MCPTransitionPolicyGuide@dhcs.ca.gov. Cov lus qhia txog txoj cai thiab cov lus nug nquag nug yuav raug hloov kho tshiab thoob plaws lub xyoo no kom cov MCPs paub txog cov lus qhia tshiab thiab cov lus qhia uas tab tom txhim kho.​​ 

Kev hloov kho tshiab​​ 

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

Txhawm rau pab daws cov kev xav tau ntawm cov neeg tau txais Medicare, suav nrog cov neeg uas tsim nyog tau txais Medicare thiab Medi-Cal, uas muaj tus kab mob Alzheimer thiab cov kab mob dementia cuam tshuam, Lub Chaw rau Medicare & Medicaid Services (CMS) tau tshaj tawm Daim Ntawv Thov (RFA) rau tus qauv GUIDE. Tus qauv no lub hom phiaj yog los txhawb cov neeg uas muaj teeb meem kev puas hlwb thiab lawv cov neeg saib xyuas uas tsis tau them nqi los ntawm kev pab lawv nrog kev sib koom tes thiab kev tswj hwm kev saib xyuas, kev tsim kho vaj tse, thiab kev saib xyuas zoo dua. Cov neeg thov uas xav tau yuav tsum xa lawv daim ntawv thov los ntawm lub vev xaib portal thaum Lub Ib Hlis 30, 2024.​​ 

Tus qauv GUIDE pib thaum Lub Xya Hli 1, 2024, thiab yuav txuas ntxiv mus rau yim xyoo. Lub hom phiaj ntawm tus qauv no yog los txhim kho lub neej zoo, txo qhov hnyav thiab kev nyuaj siab rau cov neeg saib xyuas cov neeg uas muaj kev puas hlwb uas tsis tau them nqi, thiab tiv thaiv lossis ncua kev saib xyuas hauv tsev laus mus sij hawm ntev. Txoj kev npaj saib xyuas yog ib txoj kev npaj uas tsom mus rau tus neeg uas ua kom cov kev pabcuam zoo ib yam, muaj ib pab neeg saib xyuas ntau yam kev kawm, thiab suav nrog cov kev cai cob qhia rau pab neeg saib xyuas kom txhim kho kev sib koom tes saib xyuas kom daws tau cov kev xav tau ntawm tus cwj pwm thiab kev ua haujlwm ntawm cov neeg uas muaj kev puas hlwb. Cov kws kho mob Medicare thawj zaug tuaj yeem thov koom nrog. Vim tias ntau tus neeg tau txais Medicare uas muaj kev puas hlwb kuj tsim nyog tau txais Medi-Cal, DHCS txhawb kom cov neeg muab kev pabcuam Medicare hauv California koom nrog tus qauv GUIDE. Yog xav paub ntxiv, thov mus saib CMS GUIDE webpage.​​ 

Tsis tas li ntawd xwb, thaum Lub Kaum Ob Hlis 8, txij 11 teev sawv ntxov txog 12 teev tav su, DHCS, koom tes nrog University of California, San Francisco thiab DHCS 'Dementia Care Aware initiative, yuav tuav lub rooj sib tham hauv online txog tus qauv GUIDE hauv California (yuav tsum tau sau npe ua ntej). Cov webinar no yuav muab cov ntaub ntawv rau cov kws kho mob Medicare thiab cov koom haum hauv zej zog txog yam uas yuav tsum tau koom nrog GUIDE, piv txwv ntawm kev koom tes ua tiav hauv California uas ua raws li tus qauv GUIDE, thiab cov peev txheej los pab cov neeg thov California thov rau tus qauv GUIDE. Yog xav paub ntxiv, thov mus saib nplooj ntawv web Dementia Care Aware.​​ 

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:​​ 

• Tus Lwm Thawj Coj rau Kev Pabcuam Technology Enterprise thiab Tus Thawj Coj Saib Xyuas Cov Ntaub Ntawv los ua tus thawj coj thiab tswj hwm cov kev pabcuam IT thoob plaws Chav Haujlwm (FFD yog Lub Kaum Ob Hlis 8). Lub luag haujlwm rau kev tswj hwm txhua yam kev pabcuam IT, kev ruaj ntseg ntawm cov ntaub ntawv, cov haujlwm lag luam, thiab kev siv zog tsim kho tshiab.​​ 

• 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.​​ 

• 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​​ 

Thaum Lub Kaum Ib Hlis 29, txij 3 txog 4 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online thib peb hauv cov kev kawm hauv online txog California Advancing and Innovating Medi-Cal (CalAIM) kev saib xyuas mus sij hawm ntev (LTC) ntawm cov chaw saib xyuas mob subacute hauv Medi-Cal managed care. Lub hom phiaj ntawm cov kev cob qhia hauv webinars no yog los muab kev nkag siab txog qhov kev txiav tawm los ua haujlwm rau cov txiaj ntsig tshiab, suav nrog cov kev pabcuam thiab cov cai cuam tshuam, los npaj rau lub Ib Hlis 1, 2024, kev txiav tawm.​​ 

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.​​ 

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.​​ 

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

Thaum Lub Kaum Ob Hlis 1, DHCS yuav sib sau ua ke lub rooj sib tham CalAIM Behavioral Health Workgroup los muab cov xov xwm tshiab thiab kev sib tham txog California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) thiab CalAIM behavioral health documentation redesigned. Cov tswv cuab ntawm pawg neeg ua haujlwm yuav muab cov lus taw qhia txog kev siv thiab kev txiav txim siab ua haujlwm. Lub rooj sib tham no qhib rau pej xeem. Thov xa email rau cov lus nug rau 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.​​ 

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.​​ 

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​​ 

Thaum Lub Kaum Ob Hlis 7, txij 12:30 txog 1:30 teev tsaus ntuj, DHCS yuav tuav lub rooj sib tham hauv online thoob plaws lub xeev, Kev Tsim Kev Sib Raug Zoo nrog Cov Koom Haum hauv CalAIM Ib puag ncig (yuav tsum tau sau npe ua ntej) rau cov koom haum hauv zej zog, lub nroog, lub nroog, thiab cov koom haum tsoomfwv hauv zos, cov chaw kho mob uas tau tsim nyog los ntawm tsoomfwv, MCPs, Medi-Cal pawg neeg thiab cov neeg sawv cev ntawm Indian Health Programs, thiab cov kws kho mob. Lub rooj sib tham hauv online no yog ib feem ntawm cov rooj sib tham hauv online uas muaj ob xyoos ib zaug ntawm PATH CPI uas tsim los qhia txog cov kev coj ua zoo tshaj plaws rau kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog, ua kom cov neeg muab kev pabcuam koom tes zoo hauv CalAIM, thiab txhim kho kev koom tes nrog MCPs, cov koom haum tsoomfwv hauv xeev thiab hauv zos, thiab lwm tus los tsim thiab xa cov kev pabcuam txhawb nqa zoo rau cov tswv cuab Medi-Cal. Yog xav paub ntxiv, thov mus saib PATH CPI nplooj ntawv web.​​ 

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.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

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

Thaum Lub Kaum Ib Hlis 15, DHCS tau tshaj tawm xov xwm txog seb Lub Chaw Haujlwm tab tom hloov pauv Medi-Cal li cas kom ntseeg tau tias cov neeg California tuaj yeem tau txais kev kho mob uas lawv xav tau kom muaj lub neej noj qab haus huv zoo. Vim yog daim ntawv cog lus tshiab ntawm Medi-Cal managed care, cov tswv cuab ntawm Medi-Cal yuav muaj kev nkag mus rau cov kev pabcuam tshiab thiab zoo dua kom tau txais kev saib xyuas tus neeg, kev saib xyuas tag nrho tus neeg uas mus dhau qhov chaw ua haujlwm ntawm tus kws kho mob lossis tsev kho mob thiab daws lawv cov kev xav tau kev noj qab haus huv lub cev thiab tus cwj pwm thiab kev saib xyuas kev noj qab haus huv hauv zej zog.​​ 

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​​ 

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.​​