Rov qab mus rau Lub Rau Hli 2022 Cov Neeg Koom Tes Kev Sib Txuas Lus Hloov Tshiab

Cov Khoom Muaj Cai Txwv - Tsis Hloov Kho Cov Nyiaj Tau Los (MAGI) Medi-Cal

Assembly Bill (AB) 133 (Chapter 143, Statutes of 2021) authorizes a two-phased approach to eliminating the asset test for all non-MAGI Medi-Cal programs, including long-term care and the Medicare Savings Programs. Phase I will be implemented on July 1, and will increase asset limits to $130,000 per person and $65,000 per additional person being evaluated. Phase II will be implemented on January 1, 2024, and will eliminate the asset test. In November 2021, CMS approved State Plan Amendment 21-0053, and DHCS issued policy guidance to the counties regarding the Phase I implementation in an All County Welfare Directors Letter (ACWDL 21-31). DHCS has also submitted to CMS an application to amend the CalAIM Section 1115 demonstration waiver to permit California to increase, and eventually eliminate, the asset test for the Supplementary Security Income deemed coverage groups. DHCS published Medi-Cal Eligibility Division Information Letter (MEDIL I 22-02), which provides counties, advocacy groups, and other partners with global outreach messaging to use in their outreach activities regarding the increased asset limits as of July 1.

Behavioral Health Continuum Infrastructure Program (BHCIP) Hloov tshiab

BHCIP Round 3: Launch Ready
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 (CCE) Program Joint Request for Application (RFA). Cov neeg thov raug caw tuaj thov rau lub sijhawm nyiaj txiag lossis ob qho tib si. Lub sijhawm kawg rau BHCIP Round 3: Daim ntawv thov Npaj Npaj yog Lub Plaub Hlis 8, thiab kev tshuaj xyuas daim ntawv thov tab tom pib, nrog rau cov neeg thov thov kwv yees li $ 2 nphom. DHCS cia siab tias yuav tshaj tawm BHCIP Round 3: Launch Ready khoom plig rau lub Rau Hli.

Cov neeg thov BHCIP yuav tsum tau ua kom pom kev nthuav dav nrog kev coj tus cwj pwm kev noj qab haus huv txuas ntxiv ntawm kev kho mob thiab kev pabcuam hauv cov chaw uas ua haujlwm rau cov neeg tau txais txiaj ntsig Medi-Cal, thiab muaj cov txheej txheem npaj tsim nyog los xyuas kom meej tias cov phiaj xwm npaj txhij rau kev siv. DHCS yuav muab nqi zog txog $518.5 lab hauv cov 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 4: Cov Me Nyuam thiab Cov Hluas
BHCIP Round 4: Cov Me Nyuam thiab Cov Hluas tsom rau cov menyuam yaus thiab cov hluas hnub nyoog 25 thiab qis dua, suav nrog cov neeg cev xeeb tub thiab tom qab yug menyuam thiab lawv cov menyuam, menyuam yaus, thiab cov hluas hnub nyoog hloov pauv (TAY), nrog rau lawv tsev neeg. Txhua tus neeg thov yuav tsum tau ua kom pom tias lawv txoj kev tsim kho vaj tse yuav nthuav dav li cas kev pabcuam kev noj qab haus huv rau cov pej xeem nkaus xwb. Los ntawm qhov kev sib tw thib plaub no, DHCS yuav muab $ 480.5 lab rau cov menyuam yaus thiab cov tub ntxhais hluas-tsim kev coj cwj pwm kev noj qab haus huv cov phiaj xwm.  

The RFA for Round 4: Children and Youth was released on June 1. DHCS has released a program update as a supplement to the upcoming RFA for BHCIP Round 4: Children and Youth funding. As was the case with Round 3: Launch Ready, applicants are required to undergo a pre-application consultation. They will be expected to demonstrate “project readiness”, as detailed in the forthcoming RFA, and will be funded according to which of three pre-construction phases their project is in. Full project funding will be contingent upon completion of all three phases of development planning. 

DHCS was authorized through 2021 legislation to establish BHCIP and award $2.1 billion to construct, acquire, and expand properties and invest in mobile crisis infrastructure related to behavioral health. CDSS oversees the CCE program, which was established through AB 172 (Chapter 20, Statutes of 2021) as a companion effort, totaling $805 million. The CCE program focuses on the acquisition, construction, and rehabilitation of adult and senior care facilities that serve Supplemental Security Income/State Supplementary Payment and Cash Assistance Program for Immigrants applicants and recipients and other adults who are experiencing or at risk of homelessness. For more information, please visit the BHCIP project website or email BHCIP@dhcs.ca.gov.

Tus Cwj Pwm Kev Noj Qab Haus Huv Federal Grants Update

DHCS tsis ntev los no tau xa nws Xyoo 2, Mid-Year State Opioid Response (SOR) II daim ntawv qhia txog kev nce qib mus rau nws tsoomfwv cov peev nyiaj, Lub Tsev Haujlwm Saib Xyuas Kev Ua Phem Txhaum Cai thiab Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv. Nyob nruab nrab ntawm lub Cuaj Hlis 2021 txog Lub Peb Hlis 2022, SOR cov nyiaj pab txhawb nqa kev kho mob rau 21,672 tus neeg uas muaj kev siv tshuaj opioid. Ntawm cov no, ntau dua 16,000 tau txais buprenorphine, 5,000 tau txais methadone, thiab 400 tau txais tshuaj naltrexone. SOR kuj txhawb kev rov qab los lossis kev cob qhia cov phooj ywg rau ntau dua 30,000 tus neeg, kev pabcuam vaj tsev rov qab rau ntau dua 1,600 tus neeg, thiab kev pabcuam ua haujlwm rau ze li 1,500 tus neeg. Lub sijhawm no, SOR tau txhawb nqa Naloxone Distribution Project, ua rau ntau dua 9,000 opioid overdose reversals. Tsis tas li ntawd, SOR tau pab nyiaj txhawb kev siv tshuaj kho mob rau ntau dua 5,600 tus neeg.

For more information about the SOR grant, please visit the Medication Assisted Treatment Expansion Project webpage or email DHCSMATExpansion@dhcs.ca.gov. 

Behavioral Health Quality Improvement Program (BHQIP)

The Department of Health Care Services (DHCS) created a three-year Behavioral Health Quality Improvement Program (BHQIP) to support implementation of the CalAIM initiative. The CalAIM BHQIP is structured as an incentive program, whereby counties may earn incentive payments by achieving certain CalAIM implementation milestones. Senate Bill (SB) 129 (Chapter 69; Statutes of 2021), authorized $21,750,000 in General Fund dollars for the CalAIM BHQIP for Fiscal Year 2021-22, which included a startup allocation amount of $250,000 to each County Behavioral Health Plan participating in BHQIP, and the rest was allocated to counties based on each county’s share of statewide claims value reported to DHCS. For inquiries about BHQIP, please contact BHQIP@dhcs.ca.gov.

CalAIM Hloov tshiab

Kev txhawb zej zog
Thaum Lub Plaub Hlis 15, DHCS tau txais Cov Qauv Kev Saib Xyuas (MOCs) tshiab kawg los ntawm Medi-Cal MCPs uas siv Cov Kev Txhawb Nqa Hauv Zej Zog hauv txhua 58 lub nroog California, suav nrog cov tes hauj lwm uas tau npaj tseg thiab cov peev xwm kwv yees rau cov kev pabcuam. Thaum Lub Xya Hli 1, MCPs yuav txuas ntxiv mus rau theem tom ntej ntawm kev siv Cov Kev Txhawb Nqa Hauv Zej Zog thiab coj cov kev pabcuam Txhawb Nqa Hauv Zej Zog ntxiv uas raug xaiv los ntawm cov txheej txheem MOC. Cov kev xaiv tsa Kev Txhawb Nqa Hauv Zej Zog uas tau kho dua tshiab yuav raug tshaj tawm rau ntawm nplooj ntawv web CalAIM thaum nruab nrab Lub Rau Hli, thaum DHCS tau pom zoo rau txhua qhov MCP MOCs uas tseem tshuav. DHCS yuav txuas ntxiv hloov kho cov kev xaiv tsa Community Supports tsawg kawg yog txhua ib nrab xyoo.

Txhim Kho Kev Tswj Xyuas (ECM)
ECM was implemented in counties with Health Homes Programs (HHP) and Whole Person Care (WPC) pilots on January 1, 2022. On July 1, 2022, counties that did not have HHP and WPC programs will begin implementation of ECM for the following Populations of Focus (POF): individuals and families experiencing homelessness, adult high utilizers, and adults with serious mental illness (SMI) or substance use disorder (SUD). DHCS is reviewing each MCP’s policies and procedures and confirming provider networks are ready for implementation.
Also, to ensure operational readiness, MCPs will submit updated MOCs by July 1 for two long-term care (LTC) POFs (members eligible for LTC and those at risk of institutionalization; and nursing home residents transitioning to the community), scheduled to go-live on January 1, 2023.

Population Health Management (PHM)
Thaum Lub Tsib Hlis 3, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Txoj Cai thiab Daim Ntawv Qhia Kev Npaj PHM rau pej xeem tawm tswv yim, thiab cov lus sau yuav tsum tau xa tuaj rau Lub Tsib Hlis 16. Daim ntawv no piav qhia txog DHCS lub zeem muag rau PHM, piav qhia txog cov kev pib tseem ceeb ntawm txoj cai thiab cov txheej txheem kev lav ris, txhais thiab piav qhia txog cov tswv yim thiab cov lus siv ntawm PHM, thiab piav qhia txog cov kev cai rau Medi-Cal MCPs rau xyoo 2023 thiab 2024. Thaum Lub Tsib Hlis 9, DHCS tau tshaj tawm Daim Ntawv Caw Kom Tau Txais Daim Ntawv Thov (IFP) rau PHM Service, thiab xav tias yuav muab daim ntawv cog lus rau tus neeg muag khoom uas tau xaiv los ntawm lub caij ntuj sov no.

Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH)
Thaum Lub Rau Hli, thawj zaug ntawm kev xa daim ntawv thov rau cov neeg koom nrog thiab cov neeg pab txhawb nqa PATH Collaborative Planning, Justice-Involved Capacity Building, thiab Capacity and Infrastructure Transition Expansion and Development (CITED) yuav pib. DHCS ua tiav qhov kev yuav khoom IFP rau PATH Tus Thawj Coj Sab Nraud (TPA) thaum lub Tsib Hlis. DHCS tab tom soj ntsuam cov lus pom zoo thiab lub hom phiaj yog muab daim ntawv cog lus muag khoom TPA rau thaum kawg ntawm lub Rau Hli. DHCS txuas ntxiv tsim thiab ua tiav cov ntaub ntawv qhia rau Kev Lag Luam Kev Pab Cuam Txuj Ci, Kev Npaj Ua Haujlwm Ua Ke, CITED, thiab Kev Txhim Kho Peev Xwm Uas Muaj Kev Koom Tes Hauv Kev Ncaj Ncees. Mus saib nplooj ntawv web CalAIM PATH Initiative kom paub cov ntaub ntawv thiab cov peev txheej tam sim no ntawm cov kev pib PATH.

CalHOPE

CalHOPE has continued providing Crisis Counseling Assistance and Training Program (CCP) services to Californians in need of support. CalHOPE was approved for a 30-day and a 60-day cost extension that allowed CCP services through May 10, 2022. The federal partners recently approved DHCS’ 90-day no-cost extension, extending CalHOPE CCP services through July 9, 2022 and administrative close out activities through August 10, 2022.

CalHOPE txuas ntxiv muab cov kev pabcuam kev kawm CCP rau cov tsev kawm ntawv, ua kom muaj kev paub txog cov teebmeem tsis zoo ntawm kev ntxhov siab. CalHOPE tau koom tes nrog IndieFlix txij li lub Kaum Hli Ntuj xyoo 2021, suav nrog kev tso tawm zaj yeeb yaj kiab ANGST: Building Resilience, uas yog raws li kev pab txhawb nqa kev noj qab haus huv ntawm lub hlwb. Qhov kev tshaj tawm tau ua tiav, vim muaj ntau dua 150 lub koog tsev kawm ntawv tau sau npe, ntau qhov kev tshuaj xyuas Angst tus kheej tau ua hauv tsev kawm ntawv, thiab kev tshaj tawm / kev sib txuas lus mus rau lwm qhov chaw tau teem sijhawm. Tsis tas li ntawd xwb, All It Takes, koom tes nrog CalHOPE thiab California Department of Education, tau txais cov lus tawm tswv yim zoo tom qab tso tawm zaj yeeb yaj kiab, A Trusted Space, uas yog lub hom phiaj los cob qhia cov kws qhia ntawv txog yuav ua li cas los pab txo cov kev cuam tshuam ntawm kev ntxhov siab rau cov tub ntxhais kawm thiab lawv tsev neeg.

DHCS’ service provider, California Consortium of Urban Indian Health (CCUIH), has remained engaged in outreach of CCP services to their Tribal community. CCUIH has tabled various indigenous events, such as the Stanford Pow Wow, Mariposa Pow Wow, Indigenous Red Markets, and Healing and Coping events, sharing resources of the CalHOPE RedLine.

Community Mental Health Equity Project (CMHEP)

DHCS, koom tes nrog California Department of Public Health, tab tom muab kev txhawb nqa rau CBOs thiab cov chaw haujlwm kev noj qab haus huv ntawm lub nroog los ntawm CMHEP los siv cov kev qhia tshwj xeeb rau cov pej xeem thiab cov zej zog. AB 74 (Tshooj 23, Cov Cai Lij Choj Xyoo 2019) tau tso cai nyiaj txiag los muab kev cob qhia thiab kev pab txhawb rau cov chaw haujlwm kev noj qab haus huv ntawm lub nroog. Cov kev siv zog ntawm CMHEP yuav siv sijhawm ob xyoos. DHCS tau ntiav Lub Chaw rau Kev Tshawb Fawb Siv Los Tsim cov lus qhia txoj cai thoob plaws lub xeev uas tsav los ntawm zej zog, nrog rau cov tswv yim thiab kev cuam tshuam uas tsom mus rau kev txo qhov sib txawv hauv kev nkag mus rau kev noj qab haus huv thiab kev kho mob tus cwj pwm. Yuav muaj ib lub moj khaum sau cov ntaub ntawv zoo los soj ntsuam kev txhim kho hauv kev nkag mus rau kev saib xyuas kab lis kev cai nrog rau cov lus qhia tshiab uas tau tsim tawm. Yog xav paub ntxiv, mus saib lub vev xaib CMHEP.

DHCS Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) Kev Npaj Npaj Siv Nyiaj

CalBridge Behavioral Health Program
Raws li Lub Ob Hlis 2022, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv / CA Choj (PHI) tau tshaj tawm 112,474 tus neeg mob pom los ntawm kev siv tshuaj yeeb tshuaj, 90,593 tus neeg mob pom tias muaj kev siv tshuaj opioid thiab 40,044 tus neeg mob tau muab tshuaj pab kho mob. Los ntawm Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog, DHCS tau cog lus nrog PHI rau $ 40 lab txhawm rau nthuav dav qhov kev pabcuam thiab lub luag haujlwm ntawm tus navigator los daws cov teebmeem kev mob hlwb zoo dua nrog rau kev siv yeeb tshuaj los ntawm CalBridge Behavioral Health Navigator Program. Txhawm rau faib cov nyiaj, PHI tau tshaj tawm Daim Ntawv Thov Kev Thov RFA thaum Lub Plaub Hlis 2022 los thov kev koom tes los ntawm cov tsev kho mob nrog cov chaw kho mob xwm txheej ceev, kab mob kev noj qab haus huv, tsev kho mob hauv paus, lossis pab pawg kws kho mob. 

For more information about the CalBridge Behavioral Health Navigator Program, please visit the Bridge Navigator Program website. 

Cov Neeg Laus Muaj Peev Xwm Tag Nrho Medi-Cal Expansion

On May 1, individuals 50 years of age or older who met all Medi-Cal eligibility criteria, and who do not have satisfactory immigration status for federally-funded full-scope Medi-Cal, became newly eligible for state-funded full-scope Medi-Cal under the Older Adult Expansion. DHCS successfully transitioned 247,522 existing Older Adult Expansion individuals in restricted scope Medi-Cal to full-scope Medi-Cal, effective May 1. Individuals who apply now will automatically be determined eligible for full-scope Medi-Cal if they are 50 years of age or older and meet all other Medi-Cal eligibility criteria, regardless of immigration status. This expansion of Medi-Cal supports the Newsom Administration’s vision of a Healthy California for All by addressing health coverage disparities that disproportionately impact disadvantaged communities.

Peer Support Services

On May 2, DHCS received CMS approval of SPA 22-0024, with an effective date of July 1, to broaden the definition of a Peer Support Specialist as someone who must be in recovery themselves or have lived experience with the process of recovery as a parent, caregiver, or family member. Prior to this update, Peer Support Specialists were defined solely as individuals in recovery, which excluded parents, caregivers, or family members from becoming certified as Peer Support Specialists. This update aligns the definition of Peer Support Specialist with the Medi-Cal Peer Support Specialist Certification Program requirements.

On May 6, DHCS issued Behavioral Health Information Notice (BHIN) 22-026, which provides guidance regarding the submission of an opt-in letter and claiming requirements for Peer Support Services in the Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Specialty Mental Health Services (SMHS) programs. In order to implement Peer Support Services effective July 1, counties must have provided a letter to DHCS stating their request to opt in to provide peer support services, and indicating the program(s) (SMHS, DMC-ODS, and/or DMC) for which they are opting in. The letter must be signed by the Behavioral Health Director and emailed to CountySupport@dhcs.ca.gov by May 20 to implement peer support services, effective July 1. To date, 48 counties have submitted a signed letter stating their request to opt in to provide Peer Support Services effective July 1, 2022, with most counties opting to cover Peer Support Services in both their SMHS and their DMC or DMC-ODS programs.

Lub nroog uas tsis tuaj yeem xaiv los xaiv los muab Kev Pabcuam Peer Support los ntawm lub Tsib Hlis 20 lub sijhawm kawg tseem yuav muaj sijhawm xaiv rau txhua lub hlis. DHCS yuav muab cov ntaub ntawv ntxiv txog cov hauv qab no rau kev xaiv los muab Kev Pabcuam Peer Support yav tom ntej.

Daim Ntawv Thov Kev Pabcuam thiab Kev lees paub rau Kev Sau Npe (PAVE) Portal rau Cov Kws Kho Hniav

DHCS yuav siv PAVE portal rau cov kws kho hniav thaum lub caij nplooj zeeg 2022. PAVE portal yog daim ntawv thov web-based tsim los ua kom yooj yim thiab ceev cov txheej txheem rau npe. PAVE yuav muab hom tshiab rau xa daim ntawv thov kev sau npe ntawm tus kws kho hniav thiab cov ntaub ntawv xav tau rau DHCS, tso cai rau cov neeg thov siv daim foos hluav taws xob hu ua Medi-Cal Provider e-Form Application. DHCS yuav tsis lees txais daim ntawv thov ntxiv lawm ib zaug PAVE tau ua tiav. 

Smile, California Kev Sib Tw rau Medi-Cal Dental Services

SmileCalifornia.org, SonrieCalifornia.org, and all materials pertaining to pregnant members were updated to reflect the American Rescue Plan Act of 2021 Postpartum Care Extension policy that was enacted on April 1, 2022.

Smile, California launched a promotion in April to support the required Kindergarten Oral Health Assessment (KOHA). The promotion brought awareness to the California law that requires all children to complete a dental assessment by their first year in public school, either Kindergarten or first grade, before May 31. Local oral health programs, school-based health centers, and CBOs received digital toolkits with educational KOHA materials, and the KOHA landing page was updated on SmileCalifornia.org and SonrieCalifornia.org. 

In May, Smile, California launched an effort to promote the new Medi-Cal Older Adult Expansion to inform adults 50 years of age or older enrolled in restricted scope Medi-Cal that they are now eligible to receive full-scope Medi-Cal benefits, regardless of immigration status. A new landing page was created on SmileCalifornia.org and SonrieCalifornia.org with information about the expansion, frequently asked questions, and covered dental services. Social media ads and boosted posts ran on the Smile, California Facebook and Instagram accounts throughout May.

At the end of April, SmileCalifornia.org and SonrieCalifornia.org had received 66,794 new visitors, of which 51,361 clicked the “Find a Dentist” button.