Kev hloov kho tshiab
Rov qab mus rau lub Plaub Hlis 2022 Cov Neeg Koom Tes Kev Sib Txuas Lus Hloov Tshiab
Adverse Childhood Experiences (ACEs) Paub
On March 4, DHCS and the Office of the California Surgeon General, in partnership with the University of California, Los Angeles (UCLA)/University of California, San Francisco (UCSF) ACEs Aware Family Resilience Network (UCAAN), released a new data report detailing the number of ACE screenings conducted for children and adults in California between January 1, 2020, and March 31, 2021. The report also tracks the number of clinical team members that completed the “Becoming ACEs Aware in California” online training between December 4, 2019, and September 30, 2021.
During that period, more than 20,600 individuals took the ACEs Aware training, and about 10,900 providers became ACEs Aware-certified. Based on Medi-Cal claims data from January 2020 to March 2021, Medi-Cal providers conducted approximately 640,700 ACE screenings for nearly 520,000 unique Medi-Cal beneficiaries.
In addition, the report provides demographic information about beneficiaries who have been screened for ACEs, summarizes the characteristics of individuals who have completed the ACEs Aware training, and provides a breakdown of ACE screening rates by Medi-Cal MCP. The report and accompanying fact sheet are available on the ACEs Aware website.
Alternative Residential Model (ARM) Rate Methodology
Thaum Lub Kaum Ob Hlis 30, 2021, DHCS tau xa Cov Kev Pab Cuam Tsis Txaus Siab (DR) Lub Xeev Txoj Kev Hloov Kho (SPA) 21-0031, sawv cev ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS), rau tsoomfwv Lub Tsev Haujlwm rau Medicare & Medicaid Services (CMS) rau tus nqi nce rau cov kws kho mob tau them rov qab raws li qhov txiaj ntsig ntawm ARM. DR SPA tau pom zoo los ntawm CMS thaum Lub Peb Hlis 2, nrog rau hnub pib ntawm Lub Ib Hlis 1 txog Lub Peb Hlis 31, 2022. Txoj cai txuas ntxiv rau SPA no tau muab tso rau hauv SPA 21-0040 raws li txoj cai ruaj khov nyob rau hauv 1915(i) Lub Xeev Plan.
Behavioral Health Continuum Infrastructure Program (BHCIP) Hloov tshiab
Thaum Lub Ib Hlis 31, DHCS, koom tes nrog California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDSS), tau tshaj tawm BHCIP: Round 3 Launch Ready thiab CDSS Community Care Expansion Program Joint Request for Application (RFA). Cov koom haum tsim nyog rau BHCIP Round 3: Launch Ready tuaj yeem thov thiab tau txais kev txhawb nqa nyiaj txiag los tsim, tau txais, thiab rov kho cov cuab yeej cuab tam hauv cov chaw uas pab cov neeg tau txais txiaj ntsig Medi-Cal. Rau BHCIP, cov ntawv thov tsuas yog raug lees txais los ntawm cov haujlwm uas tau txiav txim siab tias tau dhau los ntawm cov txheej txheem kev npaj, npaj rau kev siv, thiab yuav nthuav dav kev coj tus cwj pwm kev noj qab haus huv txuas ntxiv mus. DHCS yuav muab nqi zog txog $518.5 lab nyiaj pab rau BHCIP Round 3: Launch Ready, thiab cov nyiaj yuav tsum tau them los ntawm Lub Rau Hli 2024 thiab tshem tawm thaum lub Kaum Ob Hlis 2026.
BHCIP Round 3: Launch Ready yog suav nrog ob daim ntawv thov kom sib npaug cov kev xav tau ntawm cov haujlwm uas muaj peev xwm nthuav dav tam sim nrog cov neeg thov uas xav tau sijhawm ntxiv los tsim lawv daim ntawv thov. Qhov no yuav muab cov neeg thov ob lub sijhawm kawg rau kev xa ntawv. Ib qho nyiaj ntxiv uas tsis tau muab rau hauv Tshooj Ib yuav muaj rau cov neeg thov thib ob. Hnub kawg yog Lub Peb Hlis 31 rau txhua daim ntawv thov Ntu Ib thiab yog Tsib Hlis 31 rau Daim Ntawv Thov Ntu Ob.
DHCS tau tuav lub rooj sib tham thaum Lub Peb Hlis 16 rau BHCIP Round 4: Cov Me Nyuam thiab Cov Hluas. Los ntawm qhov kev sib tw thib plaub no, DHCS yuav muab $ 480.5 lab rau cov menyuam yaus thiab cov tub ntxhais hluas uas tsom mus rau kev coj cwj pwm kev noj qab haus huv cov phiaj xwm.
DHCS tau tso cai los ntawm 2021 txoj cai lij choj los tsim BHCIP thiab muab nqi zog $ 2.1 nphom los tsim, tau txais, thiab nthuav cov khoom thiab nqis peev hauv cov teeb meem mobile cuam tshuam txog kev noj qab haus huv. CDSS saib xyuas Community of Care Expansion program, uas tau tsim los ntawm Assembly Bill (AB) 172 (Tshooj 20, Txoj Cai ntawm 2021) ua tus khub siv zog, tag nrho $ 805 lab, thiab tsom mus rau kev nrhiav tau, kev tsim kho, thiab kev kho mob ntawm cov neeg laus thiab cov laus cov chaw zov me nyuam uas ua hauj lwm ntxiv Kev Ruaj Ntseg Nyiaj Tau Los thiab Cov Nyiaj Them Nqi Them Nqi Se thiab Cov Nyiaj Them Se cov neeg tau txais kev pab thiab lwm cov neeg laus uas tab tom ntsib lossis muaj kev pheej hmoo ntawm kev tsis muaj tsev nyob.
Yog xav paub ntxiv, thov mus saib ntawm BHCIP qhov project website lossis email BHCIP@dhcs.ca.gov.
Tus Cwj Pwm Kev Noj Qab Haus Huv Federal Grants Update
Thaum Lub Ob Hlis 28, DHCS tau muab $ 14 lab rau 34 Cov Kev Pabcuam Kev Ncaj Ncees Kev Ncaj Ncees (BHJIS). Cov haujlwm tau pib thaum Lub Ob Hlis 2022 thiab yuav xaus rau lub Ob Hlis 2023.
Lub sijhawm nyiaj txiag tau qhib rau pej xeem, ntiag tug tsis muaj txiaj ntsig, thiab pab pawg neeg, thiab tso cai rau lawv thov kom tsawg kawg ntawm $ 50,000 thiab tsis pub tshaj $ 700,000. Cov nyiaj yuav raug siv los txhawb kev koom tes nrog kev npaj, ntiav, kev cob qhia, lossis kev cog lus nrog cov kws kho mob coj tus cwj pwm thiab / lossis cov phooj ywg los koom nrog cov tub ceev xwm, cov kws kho mob xwm txheej ceev, thiab lwm tus thawj cov neeg teb thaum muaj xwm txheej ceev, lossis rau kev sib koom ua ke ntawm kev txo qis, kev txhawb nqa rov qab, thiab cov tswv yim sib txawv.
BHJIS is funded by the Coronavirus Response and Relief Supplemental Appropriations Act, awarded by the federal Substance Abuse and Mental Health Services Administration, and is administered by Advocates for Human Potential, Inc., which is assisting DHCS in overseeing and implementing BHJIS. For more information, please visit the BHJIS website or email BHJIS@ahpnet.com.
California Advancing and Innovating Medi-Cal (CalAIM) Hloov tshiab
Cov txiaj ntsig Standardization
Pib txij lub Ib Hlis Ntuj mus txog rau lub Ib Hlis Ntuj 1, 2023, tag nrho cov MCPs yuav tsum tau tso cai thiab them rau cov kev pab cuam nyob rau lub sij hawm ntev (LTC) raws li lub xeev thiab tsoom fwv txoj cai lij choj nyob rau hauv ib qho chaw tsim nyog LTC. Tam sim no, cov kev pabcuam LTC yog cov txiaj ntsig kev saib xyuas tag nrho hauv County Organized Health Systems (COHS) thiab/lossis Coordinated Care Initiative (CCI) cov phiaj xwm. Hauv cov nroog uas tsis yog COHS thiab tsis yog CCI, MCPs yog lub luag haujlwm rau lub hli nkag thiab lub hli tom qab. Qhov kev hloov pauv no yuav ua qauv thiab txo qhov nyuaj ntawm cov qauv sib txawv ntawm kev saib xyuas hauv California. Cov neeg tsiv teb tsaws chaw yuav muaj kev paub zoo ib yam thaum tau txais kev pabcuam los ntawm MCP. Kev koom ua ke ntawm LTC rau hauv Medi-Cal tswj kev saib xyuas, ua ke nrog Kev Tswj Xyuas Kev Txhim Kho Kev Kho Mob (ECM) thiab Cov Kev Pab Txhawb Zej Zog, nrog rau kev sib koom ua ke thoob plaws lub xeev ntawm ob qhov tsim nyog hauv Medi-Cal kev saib xyuas, yuav muab MCPs nrog cov kev txhawb siab thiab cov cuab yeej los muab tag nrho LTC thiab cov kev pabcuam hauv tsev thiab hauv zej zog nrog cov kev xaiv thiab cov kev pabcuam hauv zej zog.
DHCS tau sau cov ntawv ceeb toom rau cov neeg tau txais txiaj ntsig nrog cov ntaub ntawv hais txog kev hloov pauv, suav nrog cov ntaub ntawv hais txog Medi-Cal tswj hwm kev saib xyuas, nkag mus rau kev saib xyuas, qhov twg yuav mus rau kev pab, xaiv MCP, thiab ntau dua. DHCS yuav tshaj tawm cov ntawv ceeb toom rau cov neeg muaj feem cuam tshuam rau lub Plaub Hlis 2022.
Tsis tas li ntawd, DHCS tab tom koom nrog cov neeg koom nrog los tham txog txhua yam ntawm kev hloov pauv ntsig txog cov neeg tau txais txiaj ntsig thiab kev sib txuas lus, LTC cov cai, kev sib txuas lus txaus, kev saib xyuas txuas ntxiv, thiab lwm yam. Cov rooj sib tham muaj feem cuam tshuam yuav txuas ntxiv mus thoob plaws xyoo 2022.
Pib Lub Xya Hli Ntuj 1, 2023, DHCS yuav muab cov txiaj ntsig tshwj xeeb rau kev puas hlwb (SMH) rau Kaiser Permanente thiab Partnership HealthPlan hauv Sacramento thiab Solano counties. DHCS yuav qhia rau MCPs thiab cov neeg tau txais txiaj ntsig tias SMH cov kev pabcuam yuav tsis muab los ntawm cov phiaj xwm no hauv cov nroog no lawm. DHCS yuav ua kom muaj kev tiv thaiv kev saib xyuas txuas ntxiv rau cov neeg tau txais txiaj ntsig ua ntej hloov ntawm MCPs mus rau lub nroog cov phiaj xwm kev puas siab puas ntsws.
Kev txhawb zej zog
Thaum Lub Ob Hlis 15, DHCS tau txais Cov Qauv Kho Mob (MOCs) tshiab los ntawm MCPs siv Cov Kev Pabcuam Hauv Zej Zog hauv yav dhau los Lub Nroog Tag Nrho Cov Neeg Saib Xyuas/Kev Noj Qab Haus Huv Hauv Nroog, suav nrog cov phiaj xwm sib tham thiab kwv yees lub peev xwm rau cov kev pabcuam. Qhov kawg ntawm MOC kev xa rov qab los ntawm MCPs siv Kev Pabcuam Zej Zog hauv txhua lub nroog yuav dhau los ntawm Lub Plaub Hlis 15. Hloov Kho Kev Txhawb Zej Zog Kev xaiv tsa yuav raug tshaj tawm rau ntawm DHCS lub vev xaib nyob rau nruab nrab Lub Plaub Hlis. DHCS tseem yuav hloov kho Community Supports kev xaiv tsa tsawg kawg ib nrab xyoo, lossis yog tias MCPs tawm tswv yim cov kev hloov pauv tseem ceeb uas tsim nyog rau kev hloov tshiab. Thaum Lub Peb Hlis 2, DHCS tau tshaj tawm hloov kho APL 21-017 nrog cov ntaub ntawv qhia meej ntxiv ntawm Kev Txhawb Zej Zog.
DHCS tseem tab tom nrhiav cov tswv yim tawm tswv yim los ntawm Lub Plaub Hlis 29 ntawm Daim Ntawv Qhia Txog Kev Them Nqi thiab Invoicing thiab Cov Tswvcuab-Qib Cov Ntaub Ntawv Sib Koom Ntawm MCPs thiab ECM Cov Kev Qhia Qhia, suav nrog kev txheeb xyuas cov chaw ntxiv uas cov ntaub ntawv qauv yuav tau txais txiaj ntsig.
Kev Tswj Xyuas Kev Nyab Xeeb (CM).
California is launching the nation’s first CM program in Medicaid for stimulant use disorder. Seven counties were approved to participate in phase one of the implementation, launching in July 2022. Twenty counties sent a letter of intent to participate in phase two, launching this fall. If all 27 counties participate as expected, more than 80 percent of Medi-Cal beneficiaries will live in counties with the CM pilot, which will run through March 2024. DHCS contracted with an independent evaluator to measure the success of the program. DHCS will begin orientation and training participating counties and providers soon. DHCS is actively recruiting a vendor to manage the incentive manager component of the program; applications from vendors were due on April 8. For more information, please visit the DHCS website.
Yuav Tsum Tau Txais Kev Saib Xyuas Kev Nkag Mus Kawm Phaj II
CalAIM qhov yuav tsum tau txais kev saib xyuas kev cuv npe yuav ua tus txheej txheem rau npe los pab xyuas kom cov pej xeem tsiv mus nyob nruab nrab ntawm cov nroog yuav raug raws li qhov yuav tsum tau ua. Qhov no yuav tshem tawm qhov sib txawv ntawm cov txiaj ntsig raws li txoj cai pab, pej xeem, lossis thaj chaw nyob. Muaj ob theem rau qhov yuav tsum tau txais kev tso npe saib xyuas: Theem I ua tiav thaum Lub Ib Hlis 1, 2022, thiab Phase II yuav suav nrog kev hloov pauv ntawm txhua tus neeg ob leeg yuav tsum tau ua rau Medi-Cal tswj kev saib xyuas thaum Lub Ib Hlis 1, 2023. Qhov kev hloov pauv no tsis suav nrog cov neeg tau txais txiaj ntsig nrog ib feem ntawm cov nqi lossis kev txwv. Cov tib neeg nyob rau hauv cov cai pab tu mus sij hawm ntev (dual and non-dual) kuj yuav tsum muaj nyob rau hauv Medi-Cal tswj kev saib xyuas.
DHCS tau sau cov ntawv ceeb toom rau cov neeg tau txais txiaj ntsig nrog cov ntaub ntawv hais txog kev hloov pauv, suav nrog cov ntaub ntawv hais txog Medi-Cal tswj hwm kev saib xyuas, nkag mus rau kev saib xyuas, qhov twg yuav mus rau kev pab, xaiv MCP, thiab ntau dua. DHCS yuav tshaj tawm cov ntawv ceeb toom rau cov neeg tau txais txiaj ntsig los tshuaj xyuas cov neeg koom nrog lub Plaub Hlis 2022.
Hloov mus rau Cov Kev Pabcuam Saib Xyuas Kev Pabcuam Hauv Xeev rau Cov Neeg Tau Txais Kev Pabcuam Ob
Raws li CalAIM, DHCS yuav hloov Cal MediConnect (CMC) thiab Coordinated Care Initiative (CCI) mus rau MLTSS thiab Dual Eligible Special Needs Plan (D-SNP). Txoj cai no yog npaj los pab ua kom tau raws li cov hom phiaj thoob plaws lub xeev ntawm kev txhim kho kev sib koom ua ke ntawm kev saib xyuas thiab kev saib xyuas tib neeg, raws li CalAIM thiab California Master Plan for Aging (MPA).
Qhov kev pab cuam CMC tab tom hloov rau lub Kaum Ob Hlis 31, 2022. Pib txij Lub Ib Hlis Ntuj Tim 1, 2023, CMC cov tswv cuab yuav raug hloov mus rau kev tso npe kawm tshwj xeeb (EAE) Dual Tsim Nyog D-SNPs thiab sib piv Medi-Cal MCPs. Raws li EAE, cov neeg tau txais txiaj ntsig tuaj yeem tso npe rau hauv D-SNP rau Medicare cov txiaj ntsig thiab hauv Medi-Cal MCP rau Medi-Cal cov txiaj ntsig, uas yog ob qho tib si ua haujlwm los ntawm tib lub koom haum niam txiv rau kev saib xyuas zoo dua thiab kev koom ua ke.
Kev hloov pauv yuav tshwm sim hauv tag nrho xya lub nroog CCI: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, thiab Santa Clara. Cov phiaj xwm CMC uas twb muaj lawm thiab tag nrho Medi-Cal MCPs hauv cov nroog no yuav tsum siv EAE D-SNPs los ntawm Lub Ib Hlis 1, 2023, los txhawb qhov kev hloov pauv no.
DHCS tau sau cov ntawv ceeb toom rau cov neeg tau txais txiaj ntsig nrog cov ntaub ntawv ntawm kev hloov pauv, suav nrog cov ntaub ntawv hais txog Medi-Cal tswj hwm kev saib xyuas, nkag mus rau kev saib xyuas, mus rau qhov chaw pab, xaiv MCP, thiab lwm yam. Cov ntawv ceeb toom tau txais txiaj ntsig tab tom kuaj xyuas cov neeg tau txais txiaj ntsig, uas yuav ua tiav thaum kawg ntawm Tsib Hlis 2022.
Tsis tas li ntawd, DHCS ua ntau lub rooj sib tham los tham txog txhua yam ntawm kev hloov pauv uas cuam tshuam nrog kev sib txuas lus ntawm cov neeg tau txais txiaj ntsig, kev pab cuam cuam tshuam rau txhua qhov kev hloov pauv, kev saib xyuas txuas ntxiv, thiab lwm yam.
Dental Transformation Initiative (DTI)
Raws li Medi-Cal 2020 waiver extension, DTI xaus rau lub Kaum Ob Hlis 31, 2021. Vim yog cov kev siv nyiaj tau los thiab khaws cia nyob rau hauv tsoomfwv cov nyiaj tso cai txwv, DHCS tau ncua qhov Kev Pabcuam Xyoo 6 DTI kev txhawb nqa kev them nyiaj tshaj tawm mus txog thaum muaj kev ceeb toom ntxiv. DTI Program Xyoo 5 Daim Ntawv Qhia Kawg, suav nrog cov kev pabcuam txij lub Ib Hlis mus txog Lub Kaum Ob Hlis 2020, tau tshaj tawm rau ntawm DHCS lub vev xaib.
Kev Txhim Kho Kev Tsis Taus Tus Nqi Kawm Tus Qauv
Thaum Lub Kaum Ob Hlis Ntuj 13, 2021, DHCS tau xa SPA 21-0040, sawv cev ntawm DDS, rau CMS los siv 2019 Rate Study Model. Ua raws li Kev Noj Qab Haus Huv thiab Tsev Kawm Ntawv Txoj Cai Tshooj 4519.8, DDS tau xa ib qho kev kawm txog tus nqi hais txog kev ruaj khov, kev ua tau zoo, thiab pob tshab ntawm cov kev pabcuam hauv zej zog rau cov tib neeg uas muaj kev xiam oob qhab kev loj hlob mus rau Pawg Neeg Saib Xyuas Kev Cai Lij Choj thaum Lub Peb Hlis 2019. SPA muab tus nqi nce ntxiv rau cov kev pabcuam tshwj xeeb, thiab tau tshaj tawm rau pej xeem ceeb toom rau 30 hnub thaum Lub Kaum Hli 27, 2021. CMS tau tso cai rau lub Peb Hlis 1, nrog rau hnub pib lub Plaub Hlis 1.
DHCS Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) Cov Kev Pabcuam Kev Pabcuam Kev Pabcuam Hloov Kho
Assisted Living Waiver (ALW) Expansion
On January 7, CMS approved DHCS’ amendment to the ALW to add 7,000 slots to eliminate the current waitlist and expand waiver capacity. This amendment is retroactive to July 1, 2021. ALW providers are enrolling participants from the waitlist. DHCS will continue to work with stakeholders to ensure care coordination and transition as beneficiaries are enrolled in ALW.
The ALW is designed to assist Medi-Cal beneficiaries to remain in their communities as an alternative to long-term placement in a nursing facility. Adding 7,000 slots to ALW will help in the effort to eliminate the ALW waitlist while promoting the vision of the Master Plan for Aging. The proposed addition of 7,000 slots will enable DHCS to provide sufficient ALW capacity to enroll all waitlisted beneficiaries and to clear pending enrollments while still providing capacity for continued growth.
CalBridge Behavioral Health Program
Txij li thaum lub Plaub Hlis 2019, CalBridge Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv tau tshaj tawm txog 94,574 qhov kev siv tshuaj siv tshuaj tiv thaiv kev sib ntsib, nrog 32,204 ntsib qhov twg Medication Assisted Treatment (MAT) tau sau lossis tswj hwm. Los ntawm HCBS, DHCS tau cog lus nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Pej Xeem (PHI) rau $ 40 lab txhawm rau nthuav dav qhov kev ncav cuag ntawm txoj haujlwm thiab lub luag haujlwm ntawm tus neeg taug kev los daws cov teeb meem kev puas siab puas ntsws zoo dua nrog rau kev siv yeeb tshuaj. Txhawm rau faib cov nyiaj, PHI yuav tshaj tawm RFA lub Plaub Hlis los thov kev koom tes los ntawm tsev kho mob, kab ke kev noj qab haus huv, tsev kho mob hauv paus, lossis pab pawg kws kho mob.
Dementia Aware thiab SB 48 Implementation
As part of the HCBS Spending Plan, DHCS is developing the Dementia Aware initiative that will leverage $25 million in one-time enhanced federal funding to establish a statewide provider training program in culturally competent dementia care as well as develop a referral protocol on cognitive health and dementia.
Aligned with this initiative, Senate Bill (SB) 48 (Chapter 484, Statutes of 2021), establishes an annual cognitive health assessment as a Medi-Cal-covered benefit, available to Medi‑Cal‑only beneficiaries who are age 65 years or older and otherwise ineligible for a similar assessment under Medicare. SB 48 makes a Medi-Cal provider eligible to receive payment for this benefit only if the provider completes Cognitive Health Assessment (CHA) training as specified by DHCS. The target implementation date for this benefit, subject to an appropriation by the Legislature for this purpose, is July 1, 2022.
DHCS is executing a contract with UCSF to launch the Dementia Aware training and related activities. By July 1, DHCS, in partnership with UCSF and Dementia Aware’s Clinical Advisory Board, will develop a high-quality, evidence-based online training to educate providers on using the CHA and implementing it into their practices. The Clinical Advisory Board will be comprised of stakeholders from a variety of primary care practice types and settings, community-based organizations serving people living with dementia and their caregivers, and experts in dementia care from the University of California campuses, California Alzheimer’s Disease Centers, California Department of Public Health’s Alzheimer’s Disease Program, and Alzheimer’s Disease and Related Disorders Advisory Committee of the California Health & Human Services Agency (CalHHS). UCSF will also create a toolkit for care planning once dementia is diagnosed and provide practice-support coaching to assist providers in effectively implementing the CHA and toolkit.
Housing and Homelessness Incentive Program (HHIP)
Thaum Lub Peb Hlis 30, DHCS tau tuav nws lub rooj sib tham thib peb ntawm cov neeg koom tes los muab cov txheej txheem tsim kho tshiab, suav nrog kev kho kom zoo ntawm kev ntsuas kev ua tau zoo raws li cov lus thov tau txais thaum lub Peb Hlis. Tag nrho cov Medi-Cal MCPs uas tsim nyog los koom nrog hauv HHIP tau xa Daim Ntawv Ceeb Toom rau DHCS los ntawm lub Plaub Hlis 4. DHCS tab tom ua haujlwm los ua kom tiav cov txheej txheem tshaj tawm cov qauv, suav nrog Txoj Kev Npaj Tsis Muaj Tsev Nyob Hauv Zos (LHP), tsim kev faib nyiaj, thiab tshaj tawm APL thaum kawg lub Plaub Hlis. MCPs uas koom nrog yuav tsum xa lawv LHP mus rau DHCS los ntawm Lub Rau Hli 30. Cov ntaub ntawv los ntawm cov rooj sib tham dhau los thiab cov ntaub ntawv kev pab cuam yog lossis yuav muaj nyob rau ntawm DHCS lub vev xaib. Yog muaj lus nug lossis lus hais txog HHIP, thov email DHCSHHIP@dhcs.ca.gov.
Non-In Home Supportive Services (IHSS) HCBS Care Economy Payments
Thaum lub Plaub Hlis, DHCS yuav tshaj tawm Daim Ntawv Thov Kev Qhia (RFI) txhawm rau txheeb xyuas tus neeg cog lus los pab DHCS hauv kev txheeb xyuas cov neeg tau txais kev pabcuam thiab siv cov txheej txheem los ua cov nyiaj them poob haujlwm. Kev txheeb xyuas cov neeg tau txais kev tsim nyog thiab cov txheej txheem them nyiaj yuav nyuaj thiab tej zaum yuav xav tau kev sib xyaw ntawm cov nyiaj tau los pab txhawb kev them nyiaj thiab DHCS kev them nyiaj ncaj qha vim yog kev sib xyaw ntawm cov kev pab cuam, cov txheej txheem them nyiaj ib txwm siv (xws li, nqi them rau kev pabcuam (FFS), capitation), thiab tus qauv muab kev pabcuam (feem ntau cov chaw muab kev pabcuam thov lossis tau txais kev them nyiaj ncaj qha rau cov neeg ua haujlwm saib xyuas). DHCS, koom tes nrog cov viv ncaus lub tuam tsev thiab cov neeg muaj feem cuam tshuam, tab tom ua haujlwm los txheeb xyuas tus neeg cog lus nrog cov txuj ci tsim nyog, kev paub dhau los, thiab muaj peev xwm txheeb xyuas cov neeg tau txais kev pab tsim nyog thiab siv cov txheej txheem los ua cov nyiaj them poob haujlwm. DHCS npaj yuav txheeb xyuas thiab sau npe rau tus neeg cog lus ua ntej Lub Rau Hli, nrog rau kev ua haujlwm pib thaum Lub Xya Hli. Kev ua tiav ntawm cov nyiaj txhawb siab yuav pib tsis pub dhau lub Kaum Ob Hlis 2022.
This initiative, approved through California’s HCBS Spending Plan, will provide a one-time incentive payment of $500 to each current direct care, non-IHSS provider of Medi-Cal home and community-based services during the specific timeframe of at least two months between March 2020 and March 2021. This proposal will expand access to providers and could increase retention of current providers, covering 25,000 direct care HCBS providers in the Multipurpose Senior Services Program (MSSP) waiver, Community-Based Adult Services (CBAS) program , Home and Community-Based Alternatives (HCBA) waiver, ALW, HIV/AIDS waiver, Program of All-Inclusive Care for the Elderly (PACE), and the California Community Transitions (CCT) program, and would focus on payment for retention, recognition, and workforce development. This effort can help alleviate financial strain and hardships suffered by California’s HCBS direct care workforce, which were worsened by the COVID-19 PHE. The PHE has exacerbated the direct care workforce shortage, driven by high turnover and limited opportunities for career advancement. This proposal, coupled with California’s other proposals, can lead to a more knowledgeable, better trained, and sufficiently staffed HCBS workforce to provide high-quality services
Statewide HCBS Gap Analysis thiab Multiyear Roadmap RFI Release
On March 14, DHCS released a RFI soliciting information from interested parties to assist DHCS in launching a major project to conduct a statewide Gap Analysis and Multiyear Roadmap of California’s HCBS and Managed Medi-Cal Long-Term Supports and Services (MLTSS) programs and networks.
DHCS is seeking a contractor suited to meet the goals of the Money Follows the Person (MFP) Supplemental Funding – Gap Analysis and Multiyear Roadmap. DHCS will make a determination based on the contractor’s capacity and expertise needed to conduct such a large-scale analysis of California’s HCBS and MLTSS programs’ participants, services, providers, and systems of care. Proposals from interested parties were due by April 8. DHCS will make the contract award in June, with the contractor beginning work in July. Submission of the gap analysis will occur by September 30, 2023, and the multiyear roadmap will be submitted by March 31, 2024. DHCS will present final deliverables to stakeholders and legislators by June 30, 2024.
Qhov kev siv zog no suav nrog kev ntsuas cov lus pom zoo los qhia rau LTSS Data Transparency teg num, ib feem ntawm HCBS Kev Npaj Siv Nyiaj. Qhov kev pib no yuav nthuav tawm LTSS cov ntaub ntawv dashboard uas coj los ua ke kev siv, kev ua tau zoo, thiab cov ntaub ntawv raug nqi los ntawm cov chaw saib xyuas mus sij hawm ntev thiab kev sib koom ua ke, kev pabcuam hauv tsev thiab hauv zej zog, kev txhawb nqa hauv tsev thiab kev pabcuam, thiab kev pabcuam rau cov tib neeg muaj kev loj hlob tsis taus. Muab lub hom phiaj sib koom ua ke ntawm MFP Kev Pab Nyiaj Ntxiv thiab LTSS Data Transparency teg num, DHCS suav nrog kev xa tawm hauv MFP Gap Analysis thiab Multiyear Roadmap RFI rau tus neeg muag khoom muab los ntawm Lub Ib Hlis 2, 2023, cov lus pom zoo thiab
Medi-Cal Health Enrollment Navigators Project
Cov kev pab cuam rau npe rau npe rau kev noj qab haus huv yog qhov tseem ceeb tshaj qhov qub vim tias muaj kev cuam tshuam kev noj qab haus huv hauv zej zog ntawm COVID-19. Raws li AB 74 (Tshooj 23, Txoj Cai ntawm 2019), $ 59.7 lab tau tsim nyog rau DHCS los koom tes nrog cov nroog thiab cov koom haum hauv zej zog (CBOs) los ua Medi-Cal kev nthuav qhia, sau npe, tuav pov hwm, thiab kev pabcuam rau kev mus cuag Medi-Cal nyuaj thiab cov neeg muaj feem tsim nyog tau txais MediC. Cov koom tes koom tes tau siv txoj hauv kev tshiab thiab muaj tswv yim los tiv tauj thiab sau npe cov neeg tsim nyog hauv lawv cov zej zog hauv zej zog, muab cov ntaub ntawv tshuaj tiv thaiv thiab kev tshaj tawm hauv zej zog, thiab koom nrog cov tub ntxhais kawm qib siab hauv txhua qib. Lub sijhawm tam sim no ntawm txoj haujlwm tso cai rau CBOs thiab cov nroog los koom nrog cov haujlwm tshiab lossis nthuav tawm cov haujlwm uas twb muaj lawm rau txhua tus neeg koom, thiab txuas ntxiv kho lawv cov kev tshaj tawm thiab kev tso npe nkag los daws cov teeb meem uas tau nthuav tawm los ntawm COVID-19. Raws li lub Peb Hlis 2022, xya tus neeg koom tes tau thov thiab tau txais nyiaj ntxiv. Cov ntaub ntawv thiab kev hloov kho tshiab ntsig txog qhov project muaj nyob rau ntawm DHCS lub vev xaib.
Medi-Cal Rx Kev Hloov Kho Kev Ua Haujlwm
Nrog rau kev hloov pauv ntawm Medi-Cal lub tsev muag tshuaj tau txais txiaj ntsig mus rau ib qho kev xa khoom, muaj cov teeb meem tseem ceeb ntawm kev siv, xws li lub sijhawm tos lub chaw hu xov tooj ntev thiab qeeb hauv kev ua cov ntawv tso cai ua ntej. Thaum lub Ob Hlis Ntuj ntxov, DHCS thiab Magellan (tus neeg cog lus Medi-Cal Rx) tau siv qhov kev tso cai ua ntej kev txo qis ib ntus thiab kev npaj ua haujlwm rau cov neeg ua haujlwm hnyav, nrog lub hom phiaj ntawm kev ua kom lub sijhawm hloov pauv ntawm kev thov kev tso cai ua ntej thiab txo cov ntim hu rau hauv lub chaw hu xov tooj tswj hwm los ntawm Magellan. DHCS kuj tau coj nws lub xeev lub chaw hu xov tooj hauv online los pab hu xov tooj thiab cov neeg ua haujlwm hauv lub xeev los pab nrog kev tso cai ua ntej. Cov tswv yim no tau ua rau cov txheej txheem ua tau zoo dua qub.
DHCS tseem ua kom ntseeg tau tias cov chaw muab kev pabcuam raug muab kho dua tshiab thiab cov ntaub ntawv tseem ceeb raug xa mus rau lawv los ntawm e-mail blasts, xov xwm tshaj tawm, cov ntaub ntawv ntawm DHCS thiab Medi-Cal Rx cov vev xaib, thiab kev nthuav qhia ncaj qha rau tus kws kho mob. Cov kev ua no yog tsim los xyuas kom meej tias Medi-Cal cov tswv cuab tuaj yeem tau txais cov tshuaj uas lawv xav tau thaum lawv xav tau. Rau cov lus nug lossis lus hais txog Medi-Cal Rx, thov xa email rau RxCarveOut@dhcs.ca.gov.
Smile, California Kev Sib Tw rau Medi-Cal Dental Services
In March, Smile, California launched the Molar Sealant March promotion to educate parents and caregivers about molar sealants, remind them that sealants are a covered benefit for children, and motivate them to make an appointment with their children’s dentist to have sealants applied. Molar sealant landing pages were created on both SmileCalifornia.org and SonrieCalifornia.org to offer educational resources and videos. Weekly social media posts ran on the Smile, California Facebook and Instagram pages, which featured questions and answers about molar sealants and directed users to learn more and find a dentist on SmileCalifornia.org.
On March 10 and 11, Smile, California hosted two Facebook Live events for Medi-Cal members, one in English and one in Spanish. Presenters provided an overview of Medi-Cal Dental benefits, answered Medi-Cal member questions about their dental benefits, and reviewed frequently asked questions.
At the end of February, SmileCalifornia.org and SonrieCalifornia.org had 63,132 new visitors, of which 46,032 clicked the “Find a Dentist” button.
Kev ncua ib ntus ntawm HCBA Waiver thiab HIV/AIDS Medi-Cal Waiver Program (MCWP)
On December 22, CMS approved DHCS’ request to extend the current terms of the HCBA and MCWP waivers for 90 days. Both waiver terms were scheduled to expire on December 31, 2021, and the initial temporary extension allowed the waivers to continue through March 31, 2022. Because CMS did not complete their review of the waiver renewal applications by March 31, 2022, DHCS submitted a new request to extend the term of the waivers for an additional 90 days, through June 30, 2022. Additionally, the renewal application proposes to change the name of the HIV/AIDS MCWP to MCWP in order to respect the privacy and confidentiality of waiver participants.
The extension provides CMS with additional time to review the HCBA waiver and MCWP renewal applications, and allows the state time to respond to CMS’ questions and submit a revised waiver renewal application.