October 14, 2024 – Stakeholder Update​​ 

Xov xwm tshaj plaws​​ 

DHCS Kev Ncaj Ncees-Involved Reentry Initiative Mus Nyob​​ 

Thaum Lub Kaum Hli 1, DHCS tau tshaj tawm Txoj Haujlwm Rov Qab Nkag Mus Rau Kev Ncaj Ncees, uas yog tsim los muab cov kev pabcuam kho mob thiab kev noj qab haus huv ntawm lub hlwb rau cov hluas thiab cov neeg laus hauv tsev loj cuj hauv xeev, tsev loj cuj hauv nroog, thiab cov chaw kaw cov hluas hauv 90 hnub ua ntej lawv raug tso tawm, lub hom phiaj yog kom ntseeg tau tias muaj kev hloov pauv zoo dua thiab txhim kho kev noj qab haus huv thiab kev noj qab haus huv pej xeem. Peb lub nroog - Inyo, Santa Clara, thiab Yuba - tau txais kev pom zoo txij li lub Kaum Hli 1 los pib muab cov kev pabcuam Medi-Cal rau cov neeg rov qab mus rau cov zej zog tom qab raug kaw. Cov nroog ntxiv yuav pib muab cov kev pabcuam rau thaum ntxov xyoo 2025.​​ 

California yog thawj lub xeev hauv lub tebchaws uas tau txais kev pom zoo los ntawm tsoomfwv thiab siv txoj haujlwm keeb kwm no. Rau cov neeg uas tsim nyog, yuav muaj ib tus thawj saib xyuas kev saib xyuas - txawm yog tus kheej lossis los ntawm kev sib tham hauv xov tooj - los tsim kom muaj kev sib raug zoo nrog tus neeg ntawd, nkag siab txog lawv cov kev xav tau kev noj qab haus huv, sib koom tes cov kev pabcuam tseem ceeb, thiab npaj rau kev hloov pauv hauv zej zog. Qhov Kev Pib Rov Qab Nkag Mus Rau Hauv Kev Ncaj Ncees yog tsim los pab tswj cov mob nkeeg uas mob ntev thiab mob hnyav, suav nrog kev mob hlwb thiab kev siv tshuaj yeeb dej cawv, thiab los pab txhawb kev rov qab nkag mus rau hauv lub neej kom txhawb kev hloov pauv zoo dua thiab txhim kho kev noj qab haus huv pej xeem. Ntxiv mus, Lub Hom Phiaj Rov Qab Nkag Mus Rau Kev Ncaj Ncees lub hom phiaj yog kaw qhov sib txawv ntawm kev ncaj ncees thiab txhim kho cov txiaj ntsig kev noj qab haus huv rau cov neeg uas raug kaw lossis tau raug kaw.​​ 

DHCS tau ua haujlwm nrog nws cov neeg koom tes ua haujlwm, suav nrog California Department of Corrections and Rehabilitation, lub nroog cov tsev lojcuj thiab kev sim siab, lub nroog cov kev pabcuam kev noj qab haus huv thiab kev sib raug zoo, Medi-Cal cov phiaj xwm kev saib xyuas, cov chaw muab kev pabcuam hauv zej zog, thiab cov neeg koom tes hauv Tribal, los tsim qhov Kev Pib Rov Qab Los Ntawm Kev Ncaj Ncees. Cov chaw kaw neeg raug kaw muaj kev ywj pheej los txiav txim siab hnub uas lawv yuav pib ua haujlwm ntawm lub Kaum Hli 1, 2024, thiab lub Cuaj Hli 30, 2026, thiab yuav raug rau DHCS cov txheej txheem tshuaj xyuas kev npaj txhij ua ntej lawv tuaj yeem pib ua haujlwm.​​ 

Kev hloov kho tshiab​​ 

Medi-Cal Txoj Kev Tso Cai Rau Cov Txheej Txheem Zoo Tshaj Plaws​​ 

The federal Centers for Medicare & Medicaid Services approved the Superior Systems Waiver (SSW) renewal application, effective from October 1, 2024, through September 30, 2029. The SSW describes the utilization review process for acute inpatient hospitals that serve fee-for-service Medi-Cal patients. Under SSW authority, DHCS employs the following utilization review approaches, depending on the type of acute inpatient service, hospital type, and characteristics of the member’s health care coverage:​​ 

• Kev Thov Kev Tso Cai Kho Mob (TAR) txheej txheem: TAR txheej txheem xav kom DHCS tso cai rau cov neeg mob hauv tsev kho mob ua ntej pom zoo them nyiaj rov qab. Cov tsev kho mob xa TARs rau DHCS rau kev tshuaj xyuas thiab kev pom zoo ntawm kev tso npe nkag los xyuas kom muaj kev kho mob tsim nyog ua ntej thov kev pabcuam.​​  
• Cov txheej txheem TAR-Dawb: Cov txheej txheem TAR-Dawb xav kom tsev kho mob siv cov ntaub ntawv pov thawj, cov qauv tshuaj xyuas kev kho mob los txiav txim siab txog kev kho mob thiab thov rau cov kev pab cuam hauv tsev kho mob, thaum DHCS ua tom qab them nqi kho mob thiab kev saib xyuas kev ua raws cai siv cov qauv siv tau ntawm cov nqi them. inpatient tsev kho mob thov.​​  

Please see the SSW webpage for more information, and please email your questions to SSWRenewal@dhcs.ca.gov. The Cal Health Find database includes listings of different facilities, including acute care hospitals.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav cov neeg txawj ntse, tshwj xeeb tshaj yog txhawb nqa cov tib neeg los ua:​​ 

• Tus Thawj Saib Xyuas Kev Sau Npe (PED) los ua tus thawj coj txhim kho thiab ua raws li cov cai, cov txheej txheem, thiab cov kev pabcuam cuam tshuam txog kev tso npe rau tus kws kho mob, suav nrog kev tshuaj xyuas, sau npe, thiab rov lees paub cov chaw muab Medi-Cal. Tsis tas li ntawd, Tus Thawj Coj ntawm PED muaj lub luag haujlwm tag nrho rau kev txhim kho thiab ua raws li kev tswj hwm thiab kev hloov pauv rau kev lag luam thiab kev txhim kho rau Daim Ntawv Thov Kev Pabcuam thiab Kev Ua Haujlwm rau Kev Sau Npe. (Hnub kawg ua ntawv thov: Lub Kaum Hli 14)
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• Tus Thawj Coj, Lub Chaw Saib Xyuas Nyiaj Txiag Hauv Xeev los muab kev coj noj coj ua hauv zej zog thiab tsim txoj cai txhawb nqa Medi-Cal Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Lub Chaw Haujlwm Saib Xyuas Kev Kawm Hauv Zos Hauv Zos nrog rau lwm cov kev pabcuam hauv nroog thiab lub nroog ntawm tsoomfwv cov nyiaj them rov qab thiab kev saib xyuas nyiaj txiag. (Hnub kawg ua ntawv thov: Lub Kaum Hli 18)​​ 

DHCS is also hiring for its auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.​​ 

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

Behavioral Health Task Force (BHTF) Webinar​​ 

Thaum Lub Kaum Hli 15, txij 12 txog 1:30 teev tsaus ntuj PDT, BHTF yuav tuav lub rooj sib tham hauv online txog kev tiv thaiv raws li pej xeem (yuav tsum tau sau npe ua ntej). Cov neeg koom nrog suav nrog Dr. Tomás Aragón, MD, DrPH, Tus Thawj Coj ntawm California Department of Public Health (CDPH) thiab State Public Health Officer, thiab Julie Nagasako, Tus Lwm Thawj Coj ntawm Lub Chaw Haujlwm Saib Xyuas Txoj Cai thiab Kev Npaj ntawm CDPH. Cov webinar no yuav pab npaj cov neeg tuaj koom rau kev sib tham tob tob ntawm lub rooj sib tham txhua peb lub hlis rau lub Kaum Ib Hlis 13 BHTF. Lub webinar yuav raug kaw thiab muab tso rau hauv lub vev xaib BHTF. Yog koj muaj lus nug, lus tawm tswv yim, lossis xav koom nrog BHTF daim ntawv teev npe, thov xa email rau BehavioralHealthTaskForce@chhs.ca.gov.​​ 

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

Thaum Lub Kaum Hli Ntuj hnub tim 16, txij thaum 9:30 sawv ntxov txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham sib koom ua ke SAC/BH-SAC (yuav tsum sau npe ua ntej rau kev koom tes hauv online thiab tus kheej) ntawm 1700 K Street (chav sib tham hauv pem teb thib ib 17.1014), Sacramento. SAC muab cov tswv yim tseem ceeb rau DHCS rau kev siv zog ua haujlwm ntawm California Advancing and Innovating Medi-Cal (CalAIM) thiab pab DHCS txuas ntxiv nws cov kev siv zog los muab kev saib xyuas zoo thiab ncaj ncees. BH-SAC muab cov tswv yim rau DHCS txog kev ua ub ua no txog kev noj qab haus huv ntawm tus cwj pwm thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev koom ua ke ntawm kev noj qab haus huv ntawm tus cwj pwm nrog rau lub cev kho mob loj dua. Nws suav nrog cov pab pawg uas twb muaj lawm uas tau muab lus qhia rau DHCS txog cov ncauj lus txog kev noj qab haus huv ntawm tus cwj pwm. Daim ntawv teem sijhawm muaj nyob rau hauv cov ntaub ntawv ntawm lub rooj sib tham. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.​​ 

DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem​​ 

Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). Through these convenings, DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder (SUD) treatment system and create low-barrier, patient-centered care. DHCS encourages SUD treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in SUD treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into SUD treatment. Additional summits will be held in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.​​ 

Xaiv Tsev Neeg Webinar: Kev Tiv Thaiv Kev Txhaum Cai rau Cov Neeg Transgender thiab Poj Niam Txiv Neej Txawv Tebchaws​​ 

On October 29, from 10 a.m. to 11:30 a.m. PDT, DHCS and the California Prevention Training Center will host the Chosen Family: Contraception for Transgender and Gender Diverse People webinar (advanced registration required). Transgender and gender diverse (TGD) people represent a growing subset of patient populations, yet many continue to report a lack of provider knowledge when it comes to TGD health. This webinar will build upon TGD health terminology and competency essentials by reviewing evidence-based recommendations for contraceptive counseling. For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.​​ 

Skilled Nursing Facility Workforce Standards Program​​ 

On November 6, from 10 to 11 a.m. PST, DHCS will host a provider webinar (advance registration required) to provide an overview of the Skilled Nursing Facility (SNF) Workforce Standards Program (WSP) opt-in process launched by DHCS on October 1. Providers can send questions they would like answered during the webinar to SNFWSP@dhcs.ca.gov by October 30.​​ 

This program will provide an increased Workforce Rate Adjustment to SNFs that maintain a collective bargaining agreement, participate in a statewide multi-employer labor management committee, or meet basic wages and benefit standards established by DHCS. The SNF WSP makes available more than $500 million annually to enable SNFs to recruit and retain a workforce that provides high-quality long-term care to Medi-Cal members. SNFs wishing to participate in the WSP for calendar years 2024 and 2025 must submit the required opt-in materials no later than December 1, 2024. Please visit the SNF WSP webpage for more information.​​ 

Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav​​ 

On November 12, from 12 to 1 p.m. PST, DHCS will host the quarterly HACCP webinar for medical providers and hearing professionals. For more information and to register, please visit DHCS’ HACCP webpage.​​ 

HACCP Webinar rau Tsev Neeg thiab Cov Neeg Koom Tes Hauv Zej Zog​​ 

Thaum Lub Kaum Ob Hlis 3, txij 11 teev sawv ntxov txog 12 teev tav su PST, DHCS yuav tuav lub rooj sib tham hauv online los qhia cov lus qhia rau cov tsev neeg thiab cov neeg koom tes hauv zej zog txog kev thov kev pab cuam rau cov khoom siv pab hnov lus thiab siv cov txiaj ntsig HACCP kom ntau tshaj plaws thaum koj sau npe lawm. Yog xav paub ntxiv thiab xav sau npe ua ntej, thov mus saib HACCP webpage.​​  

Hauv Case Koj Tsis Tau Nws​​ 

Muaj peev xwm nrhiav nyiaj txiag tseem ceeb muaj los nthuav tawm Kev Pabcuam Kev Noj Qab Haus Huv​​ 

Thaum Lub Xya Hli 17, DHCS tau tshaj tawm qhov Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Kev Thov Npaj Txhij Rau Cov Ntawv Thov. Cov koom haum tsim nyog tuaj yeem thov nyiaj pab los tsim, yuav, thiab kho dua tshiab cov vaj tse rau kev pabcuam kev noj qab haus huv rau cov tswv cuab Medi-Cal. Cov neeg uas xav paub ntxiv tuaj yeem nrhiav cov lus qhia txog kev thov hauv lub vev xaib BHCIP thiab yuav tsum sau npe rau kev sab laj ua ntej daim ntawv thov ua ntej lub Kaum Hli 15 kom tsim nyog. Cov ntawv thov yuav tsum xa tuaj rau lub Kaum Ob Hlis 13. Qhov kev pib no, ib feem ntawm Proposition 1, nrhiav kev hloov pauv California txoj kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv, muab kev saib xyuas zoo dua rau cov pej xeem uas muaj kev phom sij tshaj plaws hauv lub xeev. Yog xav paub ntxiv, hu rau DHCS ntawm BHTinfo@dhcs.ca.gov​​ 

Txhawb Kev Nyuaj Siab​​ 

DHCS, ua ke nrog The Children's Partnership, tau tshaj tawm tias tau muab $ 8 lab rau yim lub tsev kawm ntawv theem siab hauv California los ua qhov chaw sim ua qhov Peer-to-Peer Youth Mental Health Program. Cov khoom plig no yog ib feem ntawm Tus Thawj Kav Xeev Gavin Newsom txoj Kev Npaj Kho Mob Rau Menyuam Yaus thiab Cov Hluas, uas yog lub hauv paus ntawm nws Txoj Kev Npaj Loj rau Kev Noj Qab Haus Huv ntawm Lub Siab ntawm Menyuam Yaus. Qhov kev pab cuam no tau tsim los ntawm kev koom tes nrog cov tub ntxhais hluas los txheeb xyuas cov kev pab cuam zoo uas muaj pov thawj los txhim kho kev noj qab haus huv ntawm lub hlwb ntawm cov tub ntxhais hluas.
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