Xov xwm tshaj plaws​​ 

Kev Txhim Kho Kev Tswj Xyuas Kev Pabcuam Tseeb thiab Kev Pabcuam Hauv Zej Zog Kev Tshaj Tawm Txog Peb Hlis Muaj​​ 

Thaum Lub Kaum Hli 10, DHCS tau tshaj tawm daim ntawv qhia txog Kev Tswj Xyuas Kev Kho Mob Zoo Dua (ECM) thiab Kev Txhawb Nqa Hauv Zej Zog tshiab tshaj plaws txhua peb lub hlis, uas suav nrog cov ntaub ntawv txij Lub Ib Hlis 2022 txog Lub Peb Hlis 2025. Cov kev pabcuam no pab cov tswv cuab Medi-Cal kom noj qab haus huv zoo dua thiab zam kev pabcuam kev kho mob kim dua, xws li kev mus ntsib chav kho mob thaum muaj xwm txheej ceev thiab kev nyob hauv tsev kho mob. Cov ntsiab lus tseem ceeb los ntawm Q1 2025 suav nrog:​​ 

• Kev tso npe ECM tau nce 61 feem pua piv rau Q1 2024, nrog 177,527 cov tswv cuab tau txais kev pab.​​ 
• Kev cuv npe ECM ntawm cov menyuam yaus thiab cov hluas muaj ntau dua ob npaug.​​ 
• Kev Txhawb Zej Zog tau mus txog ntau dua 429,000 tus tswv cuab, nrog ntau dua 1.1 lab cov kev pabcuam xa tuaj.​​ 
• Ze li ntawm 94 feem pua ntawm Medi-Cal cov tswv cuab tau nkag mus rau yam tsawg kawg 10 Cov Kev Txhawb Zej Zog.​​ 
• Cov kev pabcuam siv feem ntau suav nrog kev kho mob noj mov thiab kev txhawb nqa vaj tse.​​ 

Tsis tas li ntawd, txhawm rau txhawb kev nthuav dav ntawm ECM thiab Kev Txhawb Zej Zog, DHCS tau muab nyiaj ntau dua $ 1.43 billion los ntawm nws​​  Muab Kev Nkag Mus thiab Hloov Kho Kev Noj Qab Haus Huv​​  (PATH) cov kev pib, suav nrog Kev Hloov Pauv Hloov Pauv Hloov, Kev nthuav dav, thiab Kev Txhim Kho (CITED), Kev Npaj Ua Haujlwm thiab Kev Ua Haujlwm (CPI), thiab Kev Pabcuam Kev Lag Luam. Txoj haujlwm no pab cov neeg California muaj kev noj qab haus huv, lub neej ruaj khov dua.​​ 

Medi-Medi Plans muaj nyob rau hauv Medicare Qhib Sau Npe​​ 

Thaum lub sijhawm Medicare qhib rau npe, Lub Kaum Hli 15 txog Lub Kaum Ob Hlis 7, Cov Neeg California uas tsim nyog tuaj yeem tso npe rau hauv​​  Medi-Medi Plans​​ , ib hom phiaj xwm Medicare Advantage uas muab cov txiaj ntsig Medicare thiab Medi-Cal ua ke rau hauv ib txoj kev npaj sib koom ua ke. Xyoo 2026, cov phiaj xwm no yuav muaj nyob rau hauv 41 lub nroog, nce ntxiv los ntawm 12 lub nroog hauv xyoo 2025. Cov phiaj xwm Medi-Medi tam sim no pab kwv yees li ntawm 330,000 tus tswv cuab. Pib xyoo 2026, cuaj lub phiaj xwm Medi-Medi tshiab yuav pib, thiab peb lub phiaj xwm Medi-Medi uas twb muaj lawm yuav nthuav dav, los pab 461,000 tus tswv cuab hauv 29 lub nroog ntxiv. Cov Phiaj Xwm Medi-Medi ua kom kev saib xyuas yooj yim dua nrog ib daim npav qhia tus tswv cuab, ib pab neeg saib xyuas, thiab cov kev pabcuam sib koom ua ke thoob plaws kev kho mob, kev noj qab haus huv tus cwj pwm, thiab cov kev pabcuam thiab kev txhawb nqa mus sij hawm ntev. Lawv kuj suav nrog cov kev pabcuam Medi-Cal uas puag ncig thiab kev sib koom tes saib xyuas tshwj xeeb. Kev koom nrog Medi-Medi Plan yog kev ua siab dawb. Yog xav koom nrog ib qho, cov tswv cuab tuaj yeem hu rau Medicare ntawm 1-800-MEDICARE lossis hu rau Medi-Cal's Health Care Options ntawm 1-800-430-4263 (TTY 1-800-430-7077). Yog tias twb tau rau npe rau hauv Medi-Cal txoj kev npaj kho mob lawm, cov tswv cuab tuaj yeem hu rau txoj kev npaj ncaj qha thiab nug txog lawv txoj kev xaiv Medi-Medi Plan. Yog xav paub ntxiv, mus saib​​  DHCS Medi-Medi Plan lub vev xaib​​ .​​ 

Kev hloov kho tshiab​​ 

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 tab tom nrhiav kev tawm tswv yim los ntawm cov tswv cuab, cov neeg muab kev pab, thiab lwm cov neeg muaj feem cuam tshuam txog qhov kev hloov kho rau Medi-Cal HCBS 1915(c) Kev Zam Txim rau Californians nrog Kev Loj Hlob (​​ HCBS-DD kev zam​​ ). Raws li Txoj Cai Lanterman uas tswj hwm los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Txhim Kho (DDS), cov neeg uas muaj kev tsis taus ntawm kev loj hlob muaj cai tau txais cov kev pabcuam thiab kev txhawb nqa uas ua tau raws li lawv tus kheej xav tau thiab xaiv. DDS, nyob rau hauv DHCS kev saib xyuas, ua kom ntseeg tau tias HCBS-DD daim ntawv zam tau raug siv los ntawm Cov Chaw Hauv Cheeb Tsam raws li txoj cai Medicaid thiab daim ntawv thov zam uas Lub Xeev tau pom zoo. Cov chaw hauv cheeb tsam sib koom tes, muab, npaj, thiab/lossis yuav cov kev pabcuam thiab kev txhawb nqa uas muaj nyob rau hauv HCBS-DD waiver.​​ 

DHCS npaj yuav xa daim ntawv thov kev zam hloov mus rau Lub Chaw rau Medicare & Medicaid Services (CMS) los ntawm lub Kaum Ib Hlis 28, rau hnub tim uas tau thov rau lub Peb Hlis 1, 2026. Cov ntawv theej ntawm qhov kev hloov kho tuaj yeem tau txais, thiab cov lus tuaj yeem xa tuaj, los ntawm email​​  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.​​ 

New allcove Youth Drop-In Center Qhib hauv San Juan Capistrano​​ 

Thaum Lub Kaum Hli 9, DHCS tau tshaj tawm qhov qhib lub chaw pabcuam rau cov tub ntxhais hluas allcove tshiab hauv San Juan Capistrano, uas tau txais nyiaj los ntawm Children and Youth Behavioral Health Initiative (CYBHI) thiab koom tes nrog Behavioral Health Services Oversight and Accountability Commission. Cov chaw no tau tsim los nrog thiab rau cov hluas, nthuav kev nkag mus rau cov kev pabcuam kev noj qab haus huv raws li pov thawj, cov hluas tsav los ntawm kev noj qab haus huv rau cov neeg hnub nyoog 12-25 hauv Orange County. Lub chaw muab kev txhawb nqa kev noj qab haus huv ntawm lub hlwb, kev noj qab haus huv lub cev, kev pabcuam los ntawm cov phooj ywg, kev txhawb nqa kev siv tshuaj yeeb dej cawv, thiab kev kawm thiab kev ua haujlwm hauv ib qho chaw txais tos, tsis muaj kev ntxub ntxaug. Qhov kev nqis peev no yog ib feem ntawm CYBHI txoj kev siv zog dav dua los hloov California txoj kev noj qab haus huv tus cwj pwm los ntawm kev txo cov teeb meem rau kev saib xyuas, txhawb kev sib txuas lus hauv zej zog, thiab tsim kom muaj cov tub ntxhais hluas tsom mus rau, kev sib koom tes ntawm kev txhawb nqa thoob plaws California. Yog xav paub ntxiv txog qhov chaw thiab kev nkag mus, thov mus saib allcove San Juan Capistrano.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav cov neeg muaj peev xwm thiab txhawb nqa los ua haujlwm xws li:​​ 

• Chief, Integrated Systems of Care Division. Tus Thawj Coj ua tus xa khoom, ua raws, thiab saib xyuas cov haujlwm rau cov kab ke kev noj qab haus huv thoob plaws lub xeev rau cov neeg tsis muaj zog uas tsim nyog tau txais Medi-Cal thiab lwm lub xeev cov kev pab cuam kho mob thiab cov kev pabcuam. Cov ntawv thov yuav tsum xa ua ntej Lub Kaum Hli 14.
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• Chief, CA-MMIS Operations Division. The Chief leads the administration, oversight, and monitoring of DHCS’ Fiscal Intermediary (FI) Business Operations and FI-Maintenance and Operations (M&O) contracts for the Medi-Cal program. In this role, the Chief also provides oversight of the FI-M&O vendor and related systems used to assist with the processing of approximately $21 billion annually in Medi-Cal claim payments. Applications must be submitted by October 16.​​ 

DHCS kuj tseem tab tom nrhiav neeg ua haujlwm rau nws qhov Kev Tshuaj Xyuas thiab Kev Tshawb Nrhiav, Kev Tswj Nyiaj Txiag, Kev Npaj Tswv Yim thiab Kev Txhim Kho Cov Neeg Ua Haujlwm, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib lub vev xaib CalCareers.​​ 

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.​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

On October 15, from 1 to 3 p.m. PDT, DHCS will hold the quarterly California Children’s Services Advisory Group meeting. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities and Medi-Cal Rx pharmacy benefits. Additional information and meeting details are available on the CCS Advisory Group webpage. Please email CCSProgram@dhcs.ca.gov if you have any questions.​​ 

Comprehensive Intrauterine Device (IUD) thiab Contraceptive Implant Placement Training​​  

Thaum Lub Kaum Hli 15-17, DHCS Lub Chaw Haujlwm Saib Xyuas Tsev Neeg yuav tuav lub rooj sib tham txog Kev Kawm Txog IUD thiab Kev Tso Tshuaj Tiv Thaiv Kab Mob. Cov neeg koom nrog tuaj yeem xaiv ntawm IUD thiab Implant Placement kev cob qhia rau lub Kaum Hli 15-16, txij 7:15 sawv ntxov txog 5 teev tsaus ntuj (yuav tsum tau sau npe ua ntej), nrog rau ob hnub uas npog tib cov ntsiab lus. Qhov kev cob qhia no yog tsim los rau cov kws kho mob tshiab thiab cov kws kho mob uas muaj kev paub dhau los uas xav txhim kho lossis txhim kho lawv cov txuj ci hauv kev tso thiab tshem tawm IUD. Cov txheej txheem no suav nrog kev qhia tswv yim thiab kev pom zoo rau tus neeg mob, kev xaiv txoj kev, kev siv cov cuab yeej, thiab cov lus qhia ib kauj ruam zuj zus rau txhua lub IUD uas tau pom zoo los ntawm U.S. Food and Drug Administration. Cov neeg koom nrog yuav tau txais kev xyaum ua haujlwm nrog cov qauv pelvic thiab cov tshuab simulators hauv computer raws li kev taw qhia ntawm cov kws tshaj lij npaj tsev neeg. Cov ncauj lus siab heev suav nrog kev tswj cov kev mob tshwm sim, kev tswj qhov mob, kev daws teeb meem qhov chaw nyuaj, thiab tsim kom muaj kev nkag mus rau hauv tsev kho mob rau cov kev pabcuam IUD tib hnub.​​ 

Los yog, cov neeg koom nrog tuaj yeem xaiv qhov chaw Implant-Only Placement rau lub Kaum Hli 17, txij 10 teev sawv ntxov txog 1:45 teev tsaus ntuj (yuav tsum tau sau npe ua ntej). Cov neeg koom nrog yuav tau txais kev cob qhia txog kev tso thiab tshem tawm NEXPLANON ® nrog rau cov txheej txheem kev cog hniav. Yog xav paub ntxiv txog IUD, mus saib IUD & Implant Resources.​​ 

Cwj Pwm Kev Noj Qab Haus Huv Hloov Pauv Txheej Txheem Kev Npaj Zej Zog: Webinar​​ 

Thaum Lub Kaum Hli 16, txij 2 txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hauv online rau pej xeem txog kev koom nrog hauv Txoj Cai Kev Pabcuam Kev Noj Qab Haus Huv Kev Coj Tus Kheej . Cov txheej txheem no sawv cev rau cov neeg koom tes hauv zos thiab cov neeg koom tes uas yuav tsum tau koom tes rau txhua lub nroog txoj Kev Npaj Sib Koom Tes raws li Txoj Cai Kev Noj Qab Haus Huv Kev Coj Tus Kheej. Thaum lub sijhawm sib tham, cov neeg koom nrog yuav kawm paub yuav ua li cas koom nrog hauv Cov Txheej Txheem Npaj Zej Zog, DHCS soj ntsuam kev koom tes ntawm cov neeg muaj feem cuam tshuam li cas hauv Txoj Kev Npaj Sib Koom Tes, thiab txog cov peev txheej muaj los pab txhawb kev koom tes. Cov tib neeg yuav tsum sau npe koom nrog hauv online. Mus saib nplooj ntawv web Behavioral Health Transformation kom paub ntau ntxiv thiab cov peev txheej.​​ 

Behavioral Health Transformation Quality and Equity Advisory Committee: Webinar​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 21, txij thaum 11 teev sawv ntxov txog 1 teev tav su PDT, DHCS yuav tuav lub rooj sib tham hauv online rau pej xeem rau Pawg Neeg Saib Xyuas Kev Hloov Pauv Kev Noj Qab Haus Huv Zoo thiab Kev Ncaj Ncees (QEAC) thib yim (yuav tsum tau sau npe ua ntej). Thaum lub rooj sib tham, cov tswv cuab ntawm pawg neeg yuav koom tes thiab muab cov lus taw qhia txog DHCS txoj haujlwm los ntsuas thiab soj ntsuam qhov zoo thiab kev ua tau zoo ntawm cov kev pabcuam kev noj qab haus huv thiab cov kev pab cuam hauv California. Cov neeg tuaj koom tuaj yeem muab cov lus qhia ncaj qha rau DHCS siv qhov tshwj xeeb Q&A. Mus saib nplooj ntawv web Behavioral Health Transformation Stakeholder Engagement kom paub ntau ntxiv txog QEAC webinars thiab lwm cov peev txheej ntxiv. Thov xa cov lus nug txog Kev Hloov Pauv Kev Noj Qab Haus Huv thiab/lossis cov kev cob qhia hauv web ntawm QEAC mus rau BHTinfo@dhcs.ca.gov.​​ 

ACES Aware Learning Center Webinar​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 23, txij thaum 12 teev txog 1 teev tav su PDT., DHCS' ACEs Aware initiative yuav tuav ib lub webinar, California Providers: Txhawb Kev Noj Qab Haus Huv ntawm Cov Hluas nrog Cov Cuab Yeej Digital Dawb no (yuav tsum tau sau npe ua ntej). Ua ib feem ntawm Cov Txheej Txheem Siv Nrog Lub Hom Phiaj, ACES Aware Learning Center yuav muaj cov Behavioral Health Virtual Services Platforms uas tsim los ntawm CYBHI, uas suav nrog Mirror, Soluna, thiab BrightLife Kids. Cov kev nthuav qhia yuav suav nrog kev nkag siab txog yuav ua li cas cov platform no tuaj yeem koom ua ke rau hauv txoj kev saib xyuas, txhim kho kev koom tes nrog cov tub ntxhais hluas, thiab nthuav dav kev pabcuam kev noj qab haus huv ntawm tus cwj pwm thoob plaws ntau haiv neeg.​​ 

Txhim khu kev sib txuas nrog Cov Me Nyuam thiab Cov Hluas Kev Ua Zoo Tshaj Plaws: Webinar​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 24, txij thaum 10 teev sawv ntxov txog 11 teev sawv ntxov. PDT, DHCS yuav tuav lub rooj sib tham hauv online rau pej xeem, Txhim Kho Kev Sib Txuas Lus nrog Cov Neeg Muab Kev Pabcuam Menyuam Yaus thiab Cov Hluas (yuav tsum tau sau npe ua ntej). Lub rooj sib tham hauv online no yog ib feem ntawm cov rooj sib tham hauv online 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 California Advancing and Innovating Medi-Cal (CalAIM), thiab txhim kho kev koom tes nrog Medi-Cal cov phiaj xwm kho mob, cov koom haum tsoomfwv hauv xeev thiab hauv zos, thiab lwm tus los tsim thiab xa cov txiaj ntsig zoo thiab cov kev pabcuam rau cov tswv cuab Medi-Cal. Lub rooj sib tham hauv online yuav qhia txog seb First 5 cov kev pab cuam thoob plaws California ua haujlwm nrog ECM thiab cov kev pabcuam thiab cov chaw muab kev pabcuam hauv zej zog li cas thiab piav qhia txog seb cov tsev kawm ntawv thiab cov koog tsev kawm ntawv pab txuas cov menyuam yaus thiab tsev neeg nrog cov koom haum hauv zos, cov kev pab cuam rau cov hluas, thiab cov phiaj xwm kev noj qab haus huv li cas. Txhua cov ntaubntawv kaw suab hauv webinar thiab cov peev txheej zoo tshaj plaws yuav muaj nyob rau ntawm ca-path.com/collaborative hauv qab ntu "Cov Kev Xyaum Zoo Tshaj Plaws thiab Cov Peev Xwm". Yog koj muaj lus nug, thov email rau collaborative@ca-path.com.​​ 

Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham​​ 

On October 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

Smile, California: Mobile Dental Van Event (Inyo County)​​ 

Thaum Lub Kaum Hli 16-18, txij 8 teev sawv ntxov txog 5 teev tsaus ntuj PDT, cov xwm txheej tsheb thauj hniav txawb yuav muaj nyob rau hauv Inyo County los muab kev pabcuam kho hniav dawb. Lub tsheb van yuav nyob ntawm 1360 N Main Street hauv Bishop. Smile, California yuav txhawb nqa cov xwm txheej nrog daim ntawv tshaj tawm tshwj xeeb, cov ntawv tshaj tawm hauv social media, thiab Smile Alert los ceeb toom rau cov tswv cuab thiab cov neeg koom tes txog qhov xwm txheej. Cov qhua tuaj xyuas raug txhawb kom hu rau 1-888-585-3368 kom sau npe ua ntej thiab ua tiav daim ntawv tso cai ua ntej qhov kev tshwm sim.​​ 

Transitional Rent Payment Methodology​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 3, DHCS tau tshaj tawm Txoj Kev Them Nqi Xauj Tsev Hloov Chaw zaum kawg. Daim ntawv no suav nrog tus nqi them rov qab siab tshaj plaws ("cov nqi them rov qab") thiab cov nqi tswj hwm cuam tshuam nrog Transitional Rent—qhov kev pabcuam Community Supports tshiab tshaj plaws uas tsim los muab kev pabcuam xauj tsev txog rau lub hlis rau cov tswv cuab Medi-Cal uas tab tom ntsib lossis muaj feem yuav tsis muaj tsev nyob thiab ua tau raws li cov qauv tsim nyog ntxiv. Raws li tau teev tseg hauv Phau Ntawv Qhia Txog Txoj Cai Txhawb Nqa Hauv Zej Zog Ntu 2, cov phiaj xwm kev saib xyuas Medi-Cal yuav tsum them rau Cov Nqi Xauj Tsev Hloov Chaw rau cov pej xeem kev noj qab haus huv raws li thawj qhov kev pabcuam Txhawb Nqa Hauv Zej Zog uas yuav tsum tau ua pib thaum Lub Ib Hlis 1, 2026. Yuav kom muab cov ntaub ntawv ntxiv txog Txoj Kev Them Nqi Xauj Tsev Hloov Chaw, DHCS yuav tuav lub rooj sib tham hauv online rau lub Kaum Hli Ntuj hnub tim 31, txij thaum 10 txog 11 teev sawv ntxov. DHCS kuj txhawb kom cov neeg koom tes thiab cov neeg muaj feem cuam tshuam mus saib nplooj ntawv ECM thiab Community Supports kom paub ntau ntxiv thiab nplooj ntawv tshiab ntawm DHCS Housing for Health kom paub txog cov kev hloov tshiab ntawm ntau yam kev pib ua haujlwm uas tsom mus rau vaj tse uas DHCS coj.
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