Rov qab mus rau lub Plaub Hlis 2022 Cov Neeg Koom Tes Kev Sib Txuas Lus Hloov Tshiab​​ 

Adverse Childhood Experiences (ACEs) Paub​​ 

Thaum Lub Peb Hlis 4, DHCS thiab Chaw Haujlwm ntawm California Surgeon General, koom tes nrog University of California, Los Angeles (UCLA) / University of California, San Francisco (UCSF) ACEs Aware Family Resilience Network (UCAAN), tau tshaj tawm daim ntawv qhia tshiab uas qhia txog tus lej ntawm kev tshuaj ntsuam ACE rau cov menyuam yaus thiab cov neeg laus hauv California ntawm Lub Ib Hlis 1, 2020, thiab Lub Peb Hlis 31, 2021. Daim ntawv tshaj tawm kuj taug qab tus naj npawb ntawm cov tswv cuab hauv pab pawg kho mob uas tau ua tiav kev cob qhia online "Becoming ACEs Aware in California " ntawm lub Kaum Ob Hlis 4, 2019, thiab lub Cuaj Hlis 30, 2021.

Thaum lub sijhawm ntawd, muaj ntau dua 20,600 tus tib neeg tau kawm ACEs Aware, thiab kwv yees li 10,900 tus neeg muab kev pabcuam tau txais ACEs Aware-certified. Raws li cov ntaub ntawv thov Medi-Cal txij lub Ib Hlis 2020 txog lub Peb Hlis 2021, cov kws kho mob Medi-Cal tau ua kwv yees li 640,700 qhov kev kuaj ACE rau yuav luag 520,000 tus neeg tau txais txiaj ntsig Medi-Cal tshwj xeeb.

Ntxiv rau qhov ntawd, daim ntawv tshaj tawm no muab cov ntaub ntawv hais txog cov neeg tau txais txiaj ntsig uas tau raug tshuaj xyuas rau ACEs, sau luv luv txog cov yam ntxwv ntawm cov tib neeg uas tau ua tiav kev cob qhia ACEs Aware, thiab muab kev faib tawm ntawm cov nqi tshuaj ntsuam ACE los ntawm Medi-Cal MCP. Daim ntawv qhia thiab daim ntawv qhia txog qhov tseeb no muaj nyob rau ntawm lub vev xaib ACEs Aware.
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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 Ntuj hnub tim 31, DHCS, koom tes nrog California Department of Social Services (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 yuav thov thiab tau txais kev txhawb nqa nyiaj txiag los tsim, yuav, thiab kho dua tshiab cov cuab tam vaj tse hauv cov chaw uas pabcuam cov neeg tau txais Medi-Cal. Rau BHCIP, cov ntawv thov tsuas yog yuav raug txais los ntawm cov haujlwm uas tau txiav txim siab tias tau dhau los ntawm cov txheej txheem npaj, npaj txhij rau kev siv, thiab yuav nthuav dav kev noj qab haus huv ntawm tus cwj pwm. DHCS yuav muab nyiaj pab txog li $518.5 lab rau BHCIP Round 3: Npaj Txhij Pib Siv, thiab yuav tsum tau txais nyiaj pab thaum Lub Rau Hli 2024 thiab yuav tsum tau them thaum Lub Kaum Ob Hlis 2026. 

BHCIP Round 3: Kev Npaj Txhij Pib Siv muaj ob ntu ntawm daim ntawv thov kom sib npaug cov kev xav tau ntawm cov haujlwm uas muaj peev xwm nthuav dav tam sim ntawd nrog cov neeg thov uas xav tau sijhawm ntau dua los tsim lawv daim ntawv thov. Qhov no yuav muab ob lub sijhawm kawg rau cov neeg thov kev pab. Cov nyiaj uas tseem tshuav uas tsis tau muab rau hauv Ntu Ib yuav muaj rau cov neeg thov Ntu Ob. Lub sijhawm kawg yog Lub Peb Hlis 31 rau txhua daim ntawv thov Tshooj Ib thiab yog Tsib Hlis 31 rau daim ntawv thov Tshooj Ob.

DHCS tau muaj ib lub rooj sib tham mloog rau lub Peb Hlis 16 rau BHCIP Round 4: Cov Menyuam Yaus thiab Cov Hluas. Los ntawm qhov kev sib tw thib plaub no, DHCS yuav muab $ 480.5 lab rau cov menyuam yaus thiab cov hluas cov haujlwm kev noj qab haus huv tus cwj pwm.  

DHCS tau tso cai los ntawm txoj cai lij choj xyoo 2021 los tsim BHCIP thiab muab $ 2.1 billion los tsim, yuav, thiab nthuav cov cuab yeej cuab tam thiab nqis peev rau hauv cov chaw tsim kho vaj tse thaum muaj xwm txheej ceev uas cuam tshuam nrog kev noj qab haus huv ntawm tus cwj pwm. CDSS saib xyuas qhov kev pab cuam Community of Care Expansion, uas tau tsim los ntawm Assembly Bill (AB) 172 (Tshooj 20, Statutes of 2021) ua ib qho kev sib koom tes, tag nrho $ 805 lab, thiab tsom mus rau kev yuav, kev tsim kho, thiab kev kho dua tshiab ntawm cov chaw saib xyuas neeg laus thiab cov neeg laus uas ua haujlwm rau Supplemental Security Income/State Supplementary Payment and Cash Assistance Program rau cov neeg thov thiab cov neeg tau txais kev pab cuam thiab lwm tus neeg laus uas tab tom ntsib lossis muaj feem yuav tsis muaj tsev nyob.

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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 tau txais nyiaj los ntawm Coronavirus Response and Relief Supplemental Appropriations Act, uas tau muab los ntawm tsoomfwv teb chaws Substance Abuse and Mental Health Services Administration, thiab yog tswj hwm los ntawm Advocates for Human Potential, Inc., uas tab tom pab DHCS hauv kev saib xyuas thiab kev siv BHJIS. Yog xav paub ntxiv, thov mus saib lub vev xaib BHJIS lossis xa email rau 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.
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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.
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Kev Tswj Xyuas Kev Nyab Xeeb (CM).​​ 

California tab tom tshaj tawm thawj qhov kev pab cuam CM hauv lub tebchaws hauv Medicaid rau kev siv tshuaj stimulant tsis zoo. Xya lub nroog tau txais kev pom zoo los koom nrog theem ib ntawm kev siv, pib thaum Lub Xya Hli 2022. Nees nkaum lub nroog tau xa ib tsab ntawv qhia txog lub hom phiaj los koom nrog theem ob, pib lub caij nplooj zeeg no. Yog tias tag nrho 27 lub nroog koom nrog raws li qhov xav tau, ntau dua 80 feem pua ntawm cov neeg tau txais txiaj ntsig Medi-Cal yuav nyob hauv cov nroog uas muaj CM pilot, uas yuav khiav mus txog rau lub Peb Hlis 2024. DHCS tau cog lus nrog ib tus neeg ntsuam xyuas ywj pheej los ntsuas qhov kev vam meej ntawm qhov kev pab cuam. DHCS yuav pib qhia thiab cob qhia cov nroog thiab cov chaw muab kev pab cuam uas koom nrog sai sai no. DHCS tab tom nrhiav ib tus neeg muag khoom los tswj hwm qhov kev pab cuam ntawm tus thawj tswj kev txhawb siab; cov ntawv thov los ntawm cov neeg muag khoom tau xa tuaj rau lub Plaub Hlis 8. Yog xav paub ntxiv, thov mus saib lub vev xaib DHCS. 
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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. 
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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.
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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​​ 

Thaum Lub Ib Hlis 7, CMS tau pom zoo rau DHCS qhov kev hloov kho rau ALW kom ntxiv 7,000 qhov chaw kom tshem tawm daim ntawv tos tam sim no thiab nthuav dav peev xwm zam. Qhov kev hloov kho no yuav siv tau rau lub Xya Hli 1, 2021. Cov chaw muab kev pab ALW tab tom sau npe cov neeg koom nrog los ntawm daim ntawv tos. DHCS yuav txuas ntxiv ua haujlwm nrog cov neeg koom tes kom ntseeg tau tias kev sib koom tes thiab kev hloov pauv ntawm kev saib xyuas thaum cov neeg tau txais txiaj ntsig tau sau npe rau hauv ALW.

Tus ALW yog tsim los pab cov neeg tau txais Medi-Cal kom nyob hauv lawv cov zej zog ua lwm txoj hauv kev rau kev tso chaw mus sij hawm ntev hauv chaw saib xyuas neeg mob. Ntxiv 7,000 qhov chaw rau ALW yuav pab tshem tawm cov npe tos ALW thaum txhawb nqa lub zeem muag ntawm Txoj Kev Npaj Loj rau Cov Neeg Laus. Qhov kev ntxiv 7,000 qhov chaw yuav ua rau DHCS muaj peev xwm txaus rau ALW los sau npe rau txhua tus neeg tau txais kev pab tos thiab tshem tawm cov neeg sau npe uas tseem tab tom tos thaum tseem muab peev xwm rau kev loj hlob txuas ntxiv mus.
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CalBridge Behavioral Health Program​​ 

Txij li thaum Lub Plaub Hlis Ntuj xyoo 2019, CalBridge Behavioral Health Program tau tshaj tawm txog 94,574 qhov kev ntsib teeb meem siv tshuaj yeeb dej cawv, nrog rau 32,204 qhov kev ntsib uas tau sau ntawv lossis muab tshuaj kho mob (MAT). Los ntawm HCBS, DHCS tab tom cog lus nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Pej Xeem (PHI) rau $ 40 lab los nthuav dav qhov kev ncav cuag ntawm qhov kev pab cuam thiab lub luag haujlwm ntawm tus neeg taw qhia kom daws tau zoo dua cov teeb meem kev noj qab haus huv ntawm lub hlwb nrog rau kev siv tshuaj yeeb dej cawv. Txhawm rau faib cov nyiaj, PHI yuav tso tawm RFA thaum lub Plaub Hlis los thov kev koom tes los ntawm cov tsev kho mob, cov kab ke kev noj qab haus huv, cov hauv paus tsev kho mob, lossis cov 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.
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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.​​ 

Qhov kev pib no, tau pom zoo los ntawm California's HCBS Spending Plan, yuav muab nyiaj them ib zaug ntawm $ 500 rau txhua tus neeg muab kev pabcuam hauv tsev thiab hauv zej zog uas tsis yog IHSS tam sim no, thaum lub sijhawm tshwj xeeb tsawg kawg yog ob lub hlis ntawm lub Peb Hlis 2020 thiab lub Peb Hlis 2021. Daim ntawv thov no yuav nthuav dav kev nkag mus rau cov neeg muab kev pabcuam thiab tuaj yeem ua rau kom cov neeg muab kev pabcuam tam sim no khaws cia ntau dua, suav nrog 25,000 tus neeg muab kev pabcuam HCBS ncaj qha hauv 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), thiab California Community Transitions (CCT) program, thiab yuav tsom mus rau kev them nyiaj rau kev khaws cia, kev lees paub, thiab kev txhim kho cov neeg ua haujlwm. Qhov kev siv zog no tuaj yeem pab txo qhov kev nyuaj siab nyiaj txiag thiab kev nyuaj siab uas cov neeg ua haujlwm saib xyuas HCBS hauv California tau raug, uas tau raug COVID-19 PHE ua rau hnyav zuj zus. PHE ua rau muaj kev tsis txaus ntawm cov neeg ua haujlwm saib xyuas ncaj qha, uas yog vim muaj kev hloov pauv ntau thiab muaj tsawg lub sijhawm rau kev nce qib hauv kev ua haujlwm. Cov lus pom zoo no, ua ke nrog California lwm cov lus pom zoo, tuaj yeem ua rau muaj cov neeg ua haujlwm HCBS uas muaj kev paub ntau dua, tau kawm zoo dua, thiab muaj neeg ua haujlwm txaus los muab cov kev pabcuam zoo
​​ 

Statewide HCBS Gap Analysis thiab Multiyear Roadmap RFI Release​​ 

Thaum Lub Peb Hlis 14, DHCS tau tshaj tawm RFI thov cov ntaub ntawv los ntawm cov neeg txaus siab los pab DHCS hauv kev pib ua ib qho project loj los ua qhov kev tshuaj xyuas qhov sib txawv thoob plaws lub xeev thiab Multiyear Roadmap ntawm California's HCBS thiab Managed Medi-Cal Long-Term Supports and Services (MLTSS) cov kev pab cuam thiab network.​​  

DHCS tab tom nrhiav tus neeg cog lus uas haum rau ua tiav lub hom phiaj ntawm Money Follows the Person (MFP) Supplemental Funding - Gap Analysis thiab Multiyear Roadmap. DHCS yuav txiav txim siab raws li tus neeg cog lus lub peev xwm thiab kev txawj ntse uas xav tau los ua qhov kev tshuaj xyuas loj ntawm cov neeg koom nrog, cov kev pabcuam, cov neeg muab kev pabcuam, thiab cov txheej txheem kev saib xyuas ntawm California cov kev pab cuam HCBS thiab MLTSS. Cov ntawv thov los ntawm cov neeg txaus siab yuav tsum xa tuaj rau lub Plaub Hlis 8. DHCS yuav ua daim ntawv cog lus thaum Lub Rau Hli, nrog rau tus neeg cog lus pib ua haujlwm thaum Lub Xya Hli. Kev xa daim ntawv tshuaj xyuas qhov sib txawv yuav tshwm sim thaum lub Cuaj Hlis 30, 2023, thiab daim ntawv qhia kev ua haujlwm ntau xyoo yuav raug xa thaum lub Peb Hlis 31, 2024. DHCS yuav nthuav qhia cov khoom xa tuaj zaum kawg rau cov neeg koom nrog thiab cov neeg tsim cai lij choj thaum Lub Rau Hli 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 pabcuam rau kev sau npe rau kev noj qab haus huv tseem ceeb dua li yav dhau los vim muaj kev cuam tshuam rau kev noj qab haus huv hauv zej zog los ntawm COVID-19. Raws li AB 74 (Tshooj 23, Cov Cai Lij Choj Xyoo 2019), $59.7 lab tau muab faib rau DHCS los koom tes nrog cov nroog thiab cov koom haum hauv zej zog (CBOs) los ua kev ncav tes, kev sau npe, kev khaws cia, thiab kev pabcuam kev taw qhia rau Medi-Cal uas nyuaj mus txog thiab cov pej xeem Medi-Cal uas tsim nyog. Cov neeg koom tes hauv qhov project tau siv cov tswv yim tshiab thiab muaj tswv yim los tiv tauj thiab sau npe cov pej xeem tsim nyog hauv lawv cov zej zog, muab cov ntaub ntawv txhaj tshuaj tiv thaiv kab mob thiab kev ncav cuag ntawm theem hauv zos, thiab koom nrog cov tub ntxhais kawm qib siab ntawm txhua qib. Lub sijhawm tam sim no ntawm qhov project tso cai rau CBOs thiab cov nroog los koom ua ke cov haujlwm tshiab lossis nthuav cov haujlwm uas twb muaj lawm rau txhua tus neeg koom nrog, thiab txuas ntxiv kho lawv txoj kev ncav cuag thiab kev sau npe kom kov yeej cov teeb meem uas COVID-19 tau nthuav tawm. Txij li lub Peb Hlis Ntuj xyoo 2022, xya tus khub tau thov thiab tau txais nyiaj ntxiv. Cov ntaub ntawv thiab cov kev hloov tshiab ntsig txog qhov project muaj nyob rau ntawm lub vev xaib DHCS.​​ 

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.
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Kev ncua ib ntus ntawm HCBA Waiver thiab HIV/AIDS Medi-Cal Waiver Program (MCWP)​​ 

Thaum Lub Kaum Ob Hlis 22, CMS tau pom zoo rau DHCS qhov kev thov kom txuas ntxiv cov nqe lus tam sim no ntawm HCBA thiab MCWP kev zam rau 90 hnub. Ob lub sijhawm zam tau teem sijhawm tas sijhawm rau lub Kaum Ob Hlis 31, 2021, thiab thawj qhov kev ncua sijhawm ib ntus tau tso cai rau cov kev zam txuas ntxiv mus txog rau lub Peb Hlis 31, 2022. Vim tias CMS tsis tau ua tiav lawv qhov kev tshuaj xyuas ntawm daim ntawv thov kev zam tshiab thaum Lub Peb Hlis 31, 2022, DHCS tau xa daim ntawv thov tshiab kom txuas lub sijhawm ntawm cov kev zam rau ntxiv 90 hnub, txog rau Lub Rau Hli 30, 2022. Tsis tas li ntawd xwb, daim ntawv thov rov ua dua tshiab no xav kom hloov lub npe ntawm HIV/AIDS MCWP mus rau MCWP kom thiaj li hwm tau qhov kev ceev ntiag tug thiab kev ceev ntiag tug ntawm cov neeg koom nrog kev zam.

Qhov kev txuas ntxiv
muab sijhawm ntxiv rau CMS los tshuaj xyuas daim ntawv thov HCBA waiver thiab MCWP renewal, thiab muab sijhawm rau lub xeev los teb cov

ntawm CMS thiab xa daim ntawv thov renewal waiver
tau kho dua tshiab.​​