Kev hloov kho tshiab​​ 

Medi-Cal Birth Statistics​​ 

DHCS recently posted the 2007-2022 Medi-Cal Birth Statistics on the Open Data Portal. These machine-readable files are designed to be user-friendly and promote seamless access to better inform the public, stakeholders, and researchers. The data provide extensive information about births and birth outcomes for Medi-Cal members using data from the California Department of Public Health vital records and Medi-Cal eligibility information.​​ 

Cov ntaub ntawv nthuav tawm cov lus qhia luv luv ntawm cov neeg yug hauv California uas tau tshwm sim hauv tsev kho mob, suav nrog cov ntaub ntawv ntawm leej niam, xws li hnub nyoog, txoj kev yug menyuam, thiab cov txiaj ntsig yug menyuam xaiv, suav nrog qhov hnyav me me thiab yug ntxov. Cov lus qhia kuj suav nrog cov kab mob tseem ceeb thiab kev coj cwj pwm kev noj qab haus huv uas paub tias cuam tshuam rau cov txiaj ntsig ntawm kev yug menyuam, xws li qhov hnyav ua ntej cev xeeb tub thiab kev haus luam yeeb thaum cev xeeb tub. Tsis tas li ntawd xwb, DHCS qhia txog kev yug menyuam uas tau txais kev pab nyiaj los ntawm kev pov hwm ntiag tug, kev yug menyuam uas tau txais kev pab nyiaj los ntawm lwm qhov chaw pab nyiaj rau pej xeem, thiab kev yug menyuam ntawm cov niam tsev uas tsis muaj kev pov hwm.​​ 

Medi-Cal yog ib lub chaw them nqi tseem ceeb rau cov kev pabcuam saib xyuas kev noj qab haus huv niam thiab menyuam mos hauv California. Xyoo 2022, qhov kev pab cuam Medi-Cal tau pab nyiaj rau 44.6 feem pua ntawm tag nrho cov menyuam yug hauv tsev kho mob hauv California. Ntawm 183,844 tus menyuam yug los uas tau txais nyiaj los ntawm Medi-Cal, 78.2 feem pua yog rau cov niam uas koom nrog kev saib xyuas.​​ 

Cov Kev Pabcuam Tshiab CalAIM rau Medi-Cal Cov Chaw Pabcuam​​ 

On November 12, DHCS launched a series of new resources to help providers succeed in California Advancing and Innovating Medi-Cal (CalAIM) opportunities. The resources are available in the Providing Access and Transforming Health (PATH) On-Demand Resource Library and include Medi-Cal Managed Care 101 for Community Supports Providers, Medi-Cal Managed Care 101 for Enhanced Care Management (ECM) Providers, and a CalAIM Navigator video series.​​ 

Cov peev txheej no yog tsim los pab cov koom haum uas tau cog lus nrog lossis npaj yuav cog lus nrog Medi-Cal cov phiaj xwm kev saib xyuas kev noj qab haus huv los muab ECM thiab/lossis cov kev pabcuam Txhawb Nqa Hauv Zej Zog. Thov xa cov lus nug rau ta-marketplace@ca-path.com.​​ 

2023 Daim Ntawv Pov Thawj Network Txhua Xyoo (ANC)​​ 

On October 31, DHCS submitted the 2023 ANC to the federal Centers for Medicare & Medicaid Services (CMS), inclusive of Medi-Cal managed care plan and behavioral health plan networks. The 2023 ANC was originally due to CMS on June 28, 2024, but DHCS requested an extension because DHCS operationalized enhancements to its monitoring processes that resulted in a significant increase in the volume of Medi-Cal managed care plan alternative access standard requests (AAS) and a delay in county data reporting and incomplete data submissions for behavioral health plans.​​ 

For Medi-Cal managed care plans, the increased AAS volume does not indicate a change in member access to care and is a direct result of DHCS strengthening the system platform and methodology for measuring compliance with time or distance standards, in collaboration and alignment with the Department of Managed Health Care. The new system platform and methodology strengthen DHCS’ ability to monitor member access to care, better reflect the member experience, and apply a consistent approach across all populations, enabling DHCS to target resources to areas with true gaps in access. Several Medi-Cal managed care plans did not meet AAS submission requirements and are required to complete a Corrective Action Plan (CAP) detailing the actions they will immediately implement to ensure compliance.​​ 

Qhov kev ncua sij hawm thiab cov ntaub ntawv BHP tsis tiav yog qhov tshwm sim ncaj qha ntawm kev txhim kho DHCS ua rau txoj kev tshaj tawm cov ntaub ntawv nkag mus raws sijhawm kom txhawb nqa DHCS lub peev xwm los saib xyuas cov tswv cuab nkag mus rau kev kho mob tus cwj pwm. Rau kev tshuaj xyuas lub network ntawm txoj kev npaj kho mob tus cwj pwm, ntau txoj kev npaj Drug Medi-Cal Organized Delivery System (DMC-ODS) thiab cov phiaj xwm kev noj qab haus huv ntawm lub nroog tsis tau ua raws li ib lossis ntau tus qauv txaus ntawm lub network thiab yuav tsum xa thiab ua tiav CAP rau DHCS uas qhia txog cov kauj ruam uas lawv yuav ua tam sim ntawd los qhia txog kev ua raws li txoj cai.​​ 

Vim muaj kev hloov pauv tseem ceeb rau lub kaw lus AAS rau cov phiaj xwm kev saib xyuas Medi-Cal thiab cov kev cai tshaj tawm cov ntaub ntawv rau cov phiaj xwm kev noj qab haus huv tus cwj pwm, ntau cov phiaj xwm tau xa cov ntaub ntawv tsis raug thiab/lossis tsis tiav ua ib feem ntawm kev tshuaj xyuas ANC. DHCS kwv yees tias ntau yam ntawm CAPs yuav raug daws los ntawm kev daws cov teeb meem tshaj tawm cov ntaub ntawv thiab tsis qhia txog kev tsis ua raws li cov qauv kev txaus ntawm lub network.​​ 

By November 29, DHCS will post the ANC results for Medi-Cal managed care plan and behavioral health plan networks on the Network Adequacy webpage. These results will also include the Subcontractor Network Certification (SNC) for Medi-Cal managed care plan networks. Medi-Cal managed care plans are required to undergo a SNC annually that is separate and distinct from the ANC submission process. Under the SNC, Medi-Cal managed care plans must hold their subcontractors and downstream subcontractors to the same network adequacy components DHCS requires of Medi-Cal managed care plans through the ANC (i.e., time or distance, timely access, provider-to-member ratio, and mandatory provider-type contracting requirements). All managed care plans met the SNC submission requirements as required by All Plan Letter 23-006.​​ 

Additionally, DHCS is implementing strategies to monitor and improve access to care for Medi-Cal members. These strategies focus on aligning access standards across managed care delivery systems, identifying gaps in access to care and formulating strategies to eliminate those gaps over time, and developing enhanced tools for ongoing access monitoring.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav ib tus neeg muaj peev xwm thiab muaj kev txhawb siab los ua tus Thawj Saib Xyuas Kev Cog Lus thiab Kev Sau Npe (CERD) hauv Kev Tshawb Fawb thiab Kev Tshawb Fawb. Tus Thawj Coj yog lub luag haujlwm rau kev npaj, npaj, thiab coj cov dej num rau kev soj ntsuam kev ua raws li cov phiaj xwm kev noj qab haus huv, cov neeg muab kev pabcuam, thiab Cov Tshuaj Medi-Cal Organized Delivery Systems. Tus Thawj Coj tseem ua tus thawj coj txhim kho thiab ua raws li cov cai thiab cov txheej txheem ntsig txog kev ncaj ncees ntawm Medi-Cal thiab lwm yam kev pab cuam DHCS. Cov ntawv thov yuav tsum xa ua ntej lub Kaum Ob Hlis 6, 2024.​​ 

DHCS tseem tab tom ntiav rau nws txoj cai tswjfwm kev noj qab haus huv, kev siv thev naus laus zis, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​ 

Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej​​ 

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem​​ 

DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder treatment system and create low-barrier, patient-centered care. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into substance use disorder treatment. Summits will be held in Fresno, Los Angeles, and San Diego counties in winter 2025. Register on the event website.​​ 

Qhov Kev Pab Txhawb Kev Mloog Lus rau Cov Me Nyuam Webinar​​ 

Thaum Lub Kaum Ob Hlis 3, thaum 11 teev sawv ntxov txog 12 teev tsaus ntuj PST, DHCS yuav tuav lub webinar los qhia cov kev taw qhia rau cov tsev neeg thiab cov neeg koom tes hauv zej zog txog kev thov kev pab cuam mloog lus thiab ua kom tau txais txiaj ntsig Hearing Aid Coverage for Children Program ib zaug. Yog xav paub ntxiv thiab sau npe ua ntej, thov mus saib ntawm Qhov Kev Pab Hniav Hniav rau Cov Menyuam Yaus lub vev xaib.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Tus Cwj Pwm Kev Noj Qab Haus Huv Txoj Cai Hloov Hloov Txoj Cai Phau Ntawv Qhia Module 1 Lub Sijhawm Saib Xyuas Pej Xeem​​ 

Thaum Lub Kaum Ib Hlis 8, DHCS tau qhib lub sijhawm rau pej xeem tawm tswv yim rau Phau Ntawv Qhia Txog Kev Hloov Pauv Txoj Cai Kev Noj Qab Haus Huv Tus cwj pwm Module 1 thiab yuav txais cov tswv yim txog rau Lub Kaum Ob Hlis 2. Phau Ntawv Qhia Txog Txoj Cai kawg, uas tau teem sijhawm tso tawm thaum ntxov xyoo 2025, yuav coj cov nroog hauv kev siv Kev Hloov Pauv Kev Noj Qab Haus Huv Tus cwj pwm, California txoj kev pib los txhim kho kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv thoob plaws lub xeev, txhim kho kev nkag mus thiab kev txhawb nqa rau txhua tus neeg California. Peb caw koj los saib dua Phau Ntawv Qhia Txog Txoj Cai Module 1 thiab muab koj cov tswv yim. Koj cov lus taw qhia yog qhov tseem ceeb rau kev tsim kho yav tom ntej ntawm cov kev pabcuam kev noj qab haus huv thiab kev txhawb nqa hauv California. Yog xav paub ntxiv txog kev muab tswv yim nrog rau cov cuab yeej Policy Manual, thov saib cov yeeb yaj kiab qhia kev cob qhia uas tau muab tso rau ntawm nplooj ntawv web Public Comment Period. Yog xav paub ntxiv txog cov lus tawm tswv yim rau pej xeem, thov xa email rau BHTPolicyFeedback@dhcs.ca.gov.​​