Xov xwm tshaj plaws​​ 

DHCS Awards $144 lab txhawm rau rhuav tshem cov kev cuam tshuam kev noj qab haus huv​​ 

Thaum Lub Kaum Hli 31, DHCS tau muab $ 144 lab rau 145 tus kws kho mob thoob plaws California kom lawv muaj peev xwm ua tau zoo tshaj plaws Kev Tswj Xyuas Kev Kho Mob thiab Kev Txhawb Zej Zog. Cov khoom plig tau ua los ntawm Round 2 ntawm Kev Pabcuam Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Peev Xwm thiab Kev Txhim Kho, Kev Hloov, Kev nthuav dav, thiab Kev Txhim Kho (CITED) pib. Cov nyiaj tau txais txiaj ntsig hauv Round 2 yog ntxiv rau $ 207 lab muab rau 139 tus neeg thov thaum Round 1A thiab Round 1B. Tag nrho $352 lab tau txais txiaj ntsig los ntawm PATH CITED teg num txog niaj hnub no. Nyeem ntxiv hauv peb cov xov xwm tshaj tawm.​​ 

Kev hloov kho tshiab​​ 

Medi-Cal Rx​​ 

Thaum Lub Kaum Ib Hlis 10, Theem 4, Lift 4 ntawm Medi-Cal Rx rov qab los yuav raug siv rau cov tswv cuab hnub nyoog 22 xyoos thiab laus dua. Theem 4/Lift 4 yuav so tawm txoj cai hloov pauv rau txhua qhov kev pab cuam hauv khw muag tshuaj rau cov tswv cuab 22 xyoo thiab laus dua (cov tswv cuab 21 xyoo thiab qis dua yuav tsis cuam tshuam rau lub sijhawm no). Rau cov tswvcuab hnub nyoog 22 xyoos thiab laus dua, Phase 4/Lift 4 yuav rov ua dua qhov kev tso cai ua ntej (PA) cov cai rau txhua qhov kev kho mob rau cov chav kawm kho mob 68, 86, thiab 87, uas suav nrog cov khoom noj khoom haus nkag mus, thiab rov ua dua Brand Medically Necessary PA cov cai rau txhua qhov kev thov.​​ 

Smile, California Kev Sib Tw rau Medi-Cal Dental Services​​ 

On November 6, the Sealants for a Healthy Smile mobile van will make a stop in Colusa County. Smile, California representatives will encourage attendees to be mindful about their oral health and will disseminate multilingual oral health educational materials and other resources. In addition, Smile, California outreach representatives will encourage members to take advantage of their dental benefits and help families with referrals to local Medi-Cal dental providers. Sealants for a Healthy Smile reminds Medi-Cal parents and guardians to schedule regular dental checkups for their children and to request that sealants be applied to their children’s teeth to prevent dental decay.​​ 

DHCS Major Program Initiatives – Go-Live Dates​​ 

From California Advancing and Innovating Medi-Cal (CalAIM) to transforming the state’s behavioral health programs, DHCS’ initiatives provide equitable access to quality health care leading to a healthy California for all. The links below reflect DHCS’ major program initiatives and anticipated go-live dates, pending readiness, and federal approvals. This information is updated as necessary.​​ 

• Cov Kev Pib Ua Haujlwm Tseem Ceeb ntawm DHCS - Go-Live (Excel) - Kaum Ib Hlis 1, 2023​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom ntiav! DHCS muaj txoj hauv kev rau Tus Thawj Saib Xyuas Kev Tswj Nyiaj Txiag hauv Nyiaj Txiag (hnub kawg ua ntawv thov (FFD) yog Kaum Ib Hlis 15). Lub luag haujlwm thawj coj no tsim cov cai thiab cov txheej txheem los ua kom muaj kev ncaj ncees ntawm nyiaj txiag, pob tshab, thiab kev lav phib xaub ntawm kwv yees li $ 150 nphom hauv lub xeev thiab tsoomfwv cov nyiaj txiag rau DHCS txhua xyoo.​​ 

Tsis tas li ntawd, DHCS muaj lub sijhawm rau Tus Cwj Pwm Saib Xyuas Kev Noj Qab Haus Huv Txoj Cai Kho Mob II hauv Tus Cwj Pwm Kev Noj Qab Haus Huv (FFD yog Kaum Ib Hlis 27). Txoj haujlwm no muab cov kws tshaj lij kho mob thiab cov lus qhia tswv yim rau DHCS Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv rau kev txhim kho thiab ua raws li txoj cai thiab cov phiaj xwm tsim los txhawb kev coj tus cwj pwm kev saib xyuas kev noj qab haus huv, kev zoo, thiab kev pabcuam.​​ 

DHCS tseem tab tom ntiav rau peb cov nyiaj txiag, tib neeg cov peev txheej, kev cai lij choj, kev tshuaj xyuas, kev noj qab haus huv txoj cai, thiab pab pawg xov xwm thev naus laus zis. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.​​ 

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.​​ 

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

Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Ncaj Ncees-Involved Program Lub Sijhawm Ua Haujlwm​​ 

Thaum Lub Kaum Ib Hlis 6, DHCS yuav tuav lub rooj sib tham tom ntej PATH Kev Ncaj Ncees-Involved Program virtual chaw ua haujlwm teev sijhawm rau Round 3 cov koom haum tsim nyog (yuav tsum tau sau npe ua ntej). Cov sijhawm ua haujlwm yuav muaj nyob rau txhua hnub Monday thaum 12 teev tsaus ntuj txog Lub Kaum Ob Hlis 18 txhawm rau pab Round 3 cov koom haum, suav nrog kev txhawb nqa kev npaj ua tiav. Yog xav paub ntxiv, mus saib ntawm Kev Ncaj Ncees-Involved Program lub vev xaib.​​ 

Medi-Cal Health Enrollment Navigators Project Stakeholder Meeting​​ 

Thaum Lub Kaum Ib Hlis 6, thaum 1 txog 2:30 teev tsaus ntuj, DHCS Medi-Cal Health Enrollment Navigators Project yuav tuav nws lub rooj sib tham rau cov neeg koom nrog peb lub hlis twg tom ntej. Pab Pawg Navigators Project yuav muab cov kev hloov tshiab ntawm cov haujlwm tam sim no, thiab cov neeg hais lus qhua yuav qhia cov ntaub ntawv tseem ceeb ntxiv. Yog xav paub ntxiv, mus saib hauv Medi-Cal Health Enrollment Navigators Project lub vev xaib.
​​ 

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 thib plaub hauv kev kawm hauv webinar ntawm CalAIM ICF/DD carve-in (yuav tsum tau sau npe ua ntej). Cov webinars no qhia txog kev hloov pauv rau ICF / DD carve-in txoj cai xav tau. Pib txij Lub Ib Hlis Ntuj Tim 1, 2024, tag nrho Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) yuav tsum tau them thiab koom tes hauv tsev kho mob mus sij hawm ntev rau cov tswv cuab uas nyob hauv ICF/DD. Lub webinar series yuav nthuav tawm ntau lub ntsiab lus, suav nrog ICF / DD carve-in 101, qhia txoj cai them nyiaj thiab cov kev cai them nyiaj, tus nqi ntawm ib tus neeg tuag, kev hloov pauv cov cai, thiab cov kev coj ua zoo tshaj plaws rau kev them nqi thiab kev them nyiaj. ICF/DD home, Regional Center, thiab Medi-Cal cov neeg sawv cev saib xyuas raug txhawb kom tuaj koom. Txhua qhov webinars tau qhib rau pej xeem.​​ 

Yog tias muaj lus nug tshwj xeeb uas koj xav tau hais txog 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 ntaub ntawv kaw tseg, thiab cov ntsiab lus ntxiv txog cov webinars yav tom ntej tau muab tso rau ntawm CalAIM ICF/DD Long-Term Care Carve-In webpage.​​ 

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.​​ 

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.​​ 

 Tsis tas li ntawd xwb, CMS tshaj tawm tias 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, 2023.​​ 

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.​​