Xov xwm tshaj plaws​​ 

DHCS Tus Thawj Coj Xaiv rau 2026 Medicaid Pathways Program​​ 

Bambi Cisneros, Assistant Deputy Director for Managed Care, Health Care Delivery Systems, was selected to participate in the national Medicaid Pathways Program’s 2026 class. Cisneros provides leadership on policy development, compliance, and oversight for the Medi-Cal managed care delivery system. The Medicaid Pathways Program, led by the Center for Health Care Strategies, is designed to strengthen the leadership capacity of senior Medicaid leaders. Now in its fifth year, 100 senior Medicaid agency leaders have participated in this leadership training program. “I’m proud to advocate for our state’s most vulnerable and to support the teams I lead. Together, we work to expand access to care for all Medi-Cal members,” said Cisneros. Program participants are competitively selected to join the nine-month leadership training program designed for individuals who are new to Medicaid leadership roles or aspire to advance into more senior positions.​​ 

CalHHS Txuas Webinar: Yuav Ua Li Cas Tsoom Fwv Teb Chaws Txoj Cai Hloov Pauv cuam tshuam rau California Healthy rau Txhua Tus​​ 

Thaum ntxov xyoo no, feem ntau ntawm Republican hauv Congress thiab Thawj Tswj Hwm Trump tau tsim HR 1 (Txoj Cai Lij Choj Zoo Nkauj Ib Leeg). Thaum Lub Kaum Hli 27 thaum 10 teev sawv ntxov PDT, California Health & Human Services Agency (CalHHS) cov thawj coj yuav qhia txog cov kev siv zog tshiab los daws qhov cuam tshuam ntawm HR 1 rau cov kev pab cuam kev nyab xeeb hauv California. Lub rooj sib tham no kuj tseem yuav muab qhov hloov tshiab txog daim ntawv thov rau Lub Xeev rau Qhov Kev Pab Cuam Hloov Kho Kev Noj Qab Haus Huv Hauv Zos thiab lub cib fim los txhawb kev nkag mus rau kev kho mob, qhov zoo, thiab cov txiaj ntsig hauv cov zej zog nyob deb nroog los ntawm kev hloov pauv tshiab. Cov neeg hais lus suav nrog Tus Tuav Ntaub Ntawv CalHHS Kim Johnson, Tus Thawj Coj DHCS Michelle Baass, Tus Thawj Coj Jennifer Troia ntawm California Department of Social Services (CDSS), thiab Tus Thawj Coj Elizabeth Landsberg ntawm California Department of Health Care Access & Information.​​ 

Kev hloov kho tshiab​​ 

2024 Daim Ntawv Pov Thawj Network Txhua Xyoo (ANC)​​ 

On October 30, DHCS will publish the 2024 Network Adequacy and Access Assurances Report (NAAAR) on its Network Adequacy webpage. The report includes ANC results for Managed Care Plans (MCP) and Dental MCPs for calendar year 2024, and Behavioral Health Plans (BHP) – Mental Health Plans (MHP) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans – for Fiscal Year (FY) 2024–25. The NAAAR fulfills federal Centers for Medicare & Medicaid Services (CMS) requirements by reporting each plan’s compliance with California’s network adequacy standards.​​ 

DHCS assessed 24 MCPs for compliance with provider-to-member ratios and mandatory provider types. All MCPs met these standards. However, under a more rigorous methodology for non-specialty mental health services, Anthem, Health Net, and Santa Clara Family Health Plan did not comply. This noncompliance does not reflect a decline in access, but the elevated standard. All MCPs, except Kaiser Permanente, met geographic access standards. Kaiser must now submit individual Alternative Access Standard (AAS) requests due to changes in its contract model. MCPs with deficiencies are under Corrective Action Plans (CAP), requiring out-of-network access and transportation when standards aren’t met. Also, all six Dental MCPs operating in Los Angeles and Sacramento counties were found compliant with network adequacy standards. Where time or distance standards weren’t met, plans submitted and received approval for AAS requests. DHCS currently oversees eight active Dental MCP AAS requests.​​ 

Tsis tas li ntawd xwb, rau xyoo 2024–25, DHCS tau soj ntsuam MHPs raws li 41 tus qauv thiab cov phiaj xwm DMC-ODS raws li 40 tus qauv. Cov txiaj ntsig thawj zaug qhia tau tias 56 ntawm 56 MHPs (uas suav nrog 58 lub nroog nrog ob lub MHPs sib koom ua ke) thiab 28 ntawm 32 DMC-ODS cov phiaj xwm (hauv 38 lub nroog) tau pom tias tsis ua raws li ib lossis ntau tus qauv, raws li cov txheej txheem tau teev tseg hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm (BHIN) 24-020. Vim muaj kev qeeb hauv kev tshaj tawm cov ntaub ntawv thiab kev txhim kho rau DHCS cov txheej txheem saib xyuas, theem CAP tsis tau ua tiav ua ntej tshaj tawm. Yog li ntawd, NAAAR qhia txog cov ntaub ntawv ua ntej CAP, uas tej zaum yuav tsis sawv cev rau qhov tshwm sim kawg ntawm kev ua raws li txoj cai. Keeb kwm los, ntau yam teeb meem tau daws thaum lub sijhawm CAP. Txawm li cas los xij, DHCS xav tias ntau lub BHPs yuav tseem tsis ua raws li tsawg kawg ib tus qauv, uas tsis yog qhov tsis tshua muaj vim yog txoj kev ua haujlwm nyuaj thiab hloov pauv los ntsuam xyuas qhov txaus ntawm lub network kev noj qab haus huv tus cwj pwm. DHCS tab tom soj ntsuam seb puas yuav rau txim rau kev nyiaj txiag raws li BHIN 25-023 los txhawb kev ua raws li txoj cai. Cov txiaj ntsig ntawm NAAAR, thiab cov kev cai rau BHPs kom ua tiav kev kho kom raug lossis ntsib kev rau txim nyiaj txiag, qhia txog DHCS txoj kev cog lus los txhawb kev lav phib xaub thiab kev pom tseeb hauv cov kev pabcuam kev noj qab haus huv uas tau txais nyiaj los ntawm pej xeem, uas lub nroog tswj hwm.​​ 

Smile, California: Mobile Dental Van Txheej xwm (Modoc County)​​ 

Thaum Lub Kaum Ib Hlis 6 txog 8, txij 8 teev sawv ntxov txog 5 teev tsaus ntuj PST, cov xwm txheej Mobile Dental Van yuav muaj nyob rau hauv Modoc County los muab cov kev pabcuam kho hniav dawb. Lub tsheb van yuav nyob ntawm 701 N Main Street, Suite 6, Alturas. Smile, California yuav txhawb nqa qhov kev tshwm sim 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 kev tshwm sim tom ntej. 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 cov xwm txheej.​​ 

Koom nrog peb pab neeg​​ 

DHCS tab tom nrhiav ib tus neeg muaj peev xwm thiab muaj kev txhawb siab los ua haujlwm xws li:​​ 

• Tus Thawj Coj, Tswj Kev Saib Xyuas Zoo thiab Saib Xyuas Kev Ua Haujlwm​​ . Tus Thawj Coj yog lub luag haujlwm rau kev coj thiab saib xyuas cov haujlwm ntsig txog kev ua raws cai rau Medi-Cal MCPs. Cov dej num suav nrog, tab sis tsis txwv rau, koom tes nrog cov kws kho mob los tsim thiab siv thoob plaws xeev MCP cov cai, cov txheej txheem, thiab kev hloov pauv kev tswj hwm, nrog rau muab kev pab cuam thiab kev soj ntsuam kev pheej hmoo rau kev soj ntsuam thiab kev ua raws li cov kev pab cuam cuam tshuam nrog MCPs. Cov nyiaj hli siab dua yog muaj rau tus kws kho mob uas muaj ntawv tso cai. Cov ntawv thov yuav tsum xa ua ntej lub Kaum Ib Hlis 7.​​ 

DHCS is also hiring for its Accounting, Communications, Medi-Cal Eligibility Division, 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​​ 

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.​​ 

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

Thaum Lub Kaum Hli Ntuj hnub tim 29, 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. Thaum lub rooj sib tham, cov neeg koom nrog yuav kawm paub ntau ntxiv txog kev hloov pauv HR 1 yav tom ntej, kev nthuav dav xyoo 2026 ntawm Medi-Medi Plans, Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) txoj cai thiab kev hloov kho tshiab ntawm kev siv, thiab Transitional Rent. SAC muab cov tswv yim thiab cov lus taw qhia tseem ceeb rau DHCS txog kev siv zog los muab kev nkag mus rau kev kho mob zoo. BH-SAC muab cov tswv yim rau DHCS txog kev pib kho mob tus cwj pwm thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev koom ua ke kev kho mob tus cwj pwm nrog lub cev kho mob loj dua. Cov txheej txheem thiab lwm yam ntaub ntawv ntawm lub rooj sib tham yuav raug tshaj tawm thaum hnub sib tham los txog. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.​​ 

Lub Sijhawm Ceev Ceev rau Kev Koom Tes Hauv Zej Zog: Webinar​​ 

On October 30, from 12 to 1:30 p.m. PDT, DHCS will host a webinar, “The Fierce Urgency for Community Partnerships” (advance registration required). DHCS Director Michelle Baass will provide opening remarks, setting the stage for a conversation about how California is advancing health equity and improving outcomes by partnering across sectors and centering community voices. Leadership from DHCS and the California Department of Public Health (CDPH) will provide an overview of California’s health care delivery transformation, share updates on initiatives that improve accountability, community engagement, and transparency, and discuss recent efforts to strengthen and align community planning and community investments across public health, managed care, and behavioral health. All are welcome to attend.​​ 

Family Planning Webinar​​ 

Thaum Lub Kaum Hli Ntuj hnub tim 30, txij thaum 12 teev txog 1:30 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham Los ntawm Kev Pom Zoo mus rau Kev Ntseeg Siab: Cov Kev Xyaum Zoo Tshaj Plaws rau Kev Ua Haujlwm nrog Cov Hluas Thaum Lub Sijhawm Lawv Txoj Kev Npaj Tsev Neeg Lub Rooj Sib Tham hauv webinar (yuav tsum tau sau npe ua ntej). Lub rooj sib tham hauv online no yuav tshawb nrhiav cov kev coj ua zoo tshaj plaws rau kev ua haujlwm nrog cov tub ntxhais hluas thiab cov tub ntxhais hluas, xav txog cov teeb meem ntawm kev pom zoo thiab kev ceev ntiag tug, kev noj qab haus huv ntawm kev sib deev thiab kev yug me nyuam, thiab kev ywj pheej ntawm cov tub ntxhais hluas hauv kev taug kev hauv kev kho mob. Nws yuav tsom mus rau yuav ua li cas thiaj npaj tau cov tub ntxhais hluas kom pib txoj kev taug kev mus tas li ntawm kev tswj hwm lawv cov kev xav tau kev kho mob. Rau cov neeg uas tsis tuaj yeem koom nrog lub rooj sib tham hauv online, daim ntawv sau thiab cov ntaub ntawv kaw cia ntawm lub rooj sib tham hauv online, nrog rau cov peev txheej ntxiv, yuav muaj nyob rau ntawm lub vev xaib Family PACT tom qab. ​​ 

Transitional Rent Payment Methodology​​ 

DHCS tau tso tawm Txoj Kev Them Nqi Xauj Tsev Hloov Chaw zaum kawg. Raws li tau teev tseg hauv Phau Ntawv Qhia Txog Txoj Cai Txhawb Nqa Hauv Zej Zog Ntu 2, Medi-Cal MCPs yuav tsum them nqi xauj tsev 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.​​ 

Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting​​ 

Thaum Lub Kaum Ib Hlis 6, txij 10 teev sawv ntxov txog 2 teev tav su PST, DHCS yuav tuav lub rooj sib tham MCHAP txhua peb lub hlis ntawm 1700 K Street, Sacramento, hauv chav sib tham hauv pem teb thib ib (17.1014) lossis los ntawm kev sib tham hauv online rau pej xeem. MCHAP qhia DHCS txog txoj cai thiab cov teeb meem kev ua haujlwm uas cuam tshuam rau cov menyuam uas tau sau npe rau hauv Medi-Cal. Lub rooj sib tham yuav muab cov ntaub ntawv hais txog ntau yam tseem ceeb, suav nrog kev txhim kho cov kev pabcuam tiv thaiv kab mob los ntawm Medi-Cal rau Cov Menyuam Yaus & Cov Hluas; Tshuaj Medi-Cal thiab DMC-ODS: Cov ntaub ntawv thiab kev sib tham txog kev nkag mus rau hauv; thiab California Child and Adolescent Mental Health Access Portal (Cal-MAP). Yog xav paub ntxiv, thov xa email rau MCHAP@dhcs.ca.gov.​​ 

Kev Sib Tham 64 Pawg Neeg Tawm Tswv Yim​​ 

Thaum Lub Kaum Ib Hlis 13, txij 10 teev sawv ntxov txog 2 teev tav su PST, DHCS yuav tuav lub rooj sib tham ntawm Pawg Neeg Saib Xyuas Kev Cai Lij Choj Proposition 64. Lub rooj sib tham yuav muaj nyob rau hauv hom ntawv sib xyaw ntawm Sierra Health Foundation Center for Health Program Management, 2150 River Plaza Drive, Suite 400, Sacramento. Hauv lub rooj sib tham, cov neeg koom nrog yuav hnov cov lus nthuav qhia los ntawm California Natural Resources Agency, CDSS, CDPH, thiab Lub Chaw Haujlwm ntawm Sierra Health Foundation txog kev nce qib uas tau ua tiav hauv xyoo tas los nrog lawv cov kev pab cuam Proposition 64 Youth Education, Prevention, Early Intervention and Treatment (YEPEITA)-nyiaj pab. DHCS kuj tseem yuav muab ib daim ntawv qhia txog Daim Ntawv Qhia Txog Kev Cai Lij Choj Xyoo 2025 YEPEITA. Cov ntaub ntawv ntawm lub rooj sib tham, suav nrog cov txheej txheem thiab lwm yam ntaub ntawv, yuav raug tshaj tawm rau ntawm nplooj ntawv web ntawm Proposition 64 Advisory Group. Thov xa koj cov lus nug mus rau DHCSProp64@dhcs.ca.gov.​​ 

Hauv Case Koj Tsis Tau Nws​​ 

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 is seeking input from members, providers, and other interested stakeholders on the proposed amendment to the Medi-Cal HCBS 1915(c) Waiver for Californians with Developmental Disabilities (HCBS-DD waiver). DHCS plans to submit the proposed waiver amendment to CMS by November 28, for a proposed effective date of March 1, 2026. Copies of the proposed amendment can be obtained, and comments may be submitted, by emailing 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.​​ 

DHCS koom tes nrog CalABLE​​  

On October 1, DHCS participated in a webinar hosted by California Achieving a Better Life Experience (CalABLE). This session, Understanding CalABLE and Medi-Cal: Save Without Sacrifice, helped individuals with disabilities and their families learn more about CalABLE and Medi-Cal. The webinar covered how CalABLE and Medi-Cal work together to help families save and invest money without losing access to health care and other essential public benefits. Attendees included CalABLE account holders, people with disabilities and their families, state employees, and service providers. Please watch the webinar recording for more information.​​