September 30, 2024 – Stakeholder Update
Xov xwm tshaj plaws
Dental Managed Care (DMC) Kev Muag Khoom
Thaum Lub Yim Hli 3, 2023, DHCS tau tshaj tawm Daim Ntawv Thov rau Kev Pom Zoo rau DMC cov phiaj xwm los ua haujlwm hauv Sacramento thiab Los Angeles counties. Thaum lub Cuaj Hlis 27, DHCS tau muab peb daim ntawv cog lus rau ib lub nroog. Cov neeg tau txais txiaj ntsig rau ob lub nroog Sacramento thiab Los Angeles yog cov neeg cog lus tam sim no LIBERTY Dental Plan of California thiab Health Net Community Solutions thiab tus neeg cog lus tshiab California Dental Network. DHCS xav tias cov phiaj xwm DMC no yuav ua haujlwm tau rau lub Xya Hli 1, 2025. Yuav muaj kev sib txuas lus ntxiv rau cov tswv cuab los npaj rau kev siv cov ntawv cog lus tshiab. Medi-Cal DMC muab kev kho mob qhov ncauj zoo, yooj yim siv, thiab pheej yig los ntawm cov txheej txheem kev tswj hwm kev kho mob. Cov ntawv cog lus Medi-Cal DMC muab cov kev pabcuam kho mob los ntawm cov tes hauj lwm uas tau tsim tsa los ntawm cov txheej txheem kev saib xyuas uas tau teeb tsa zoo, uas tsom mus rau kev tiv thaiv thiab kev saib xyuas hniav tas li.
Kev hloov kho tshiab
Yuav tsum tso npe kawm rau cov menyuam yaus thiab cov tub ntxhais hluas nyob rau hauv Ib Lub Nroog Plan
Txij li Lub Ib Hlis Ntuj hnub tim 1, 2025, DHCS yuav yuam kom cov menyuam yaus thiab cov hluas uas tam sim no thiab yav dhau los nyob hauv ib lub nroog uas muaj kev npaj them nqi (FFS) Medi-Cal rau hauv Medi-Cal managed care plan (MCP). FFS Medi-Cal yuav tsis muaj nyob rau hauv ib lub nroog uas muaj ib txoj kev npaj kho mob tom qab Lub Ib Hlis 1. Qhov no yuav ua kom cov cai sib haum xeeb hauv txhua tus qauv MCP uas muaj ib txoj kev npaj ua haujlwm hauv lub nroog, raws li Assembly Bill (AB) 118 (Tshooj 42, Statutes of 2023).
Cov tswv cuab uas raug cuam tshuam hauv cov nroog uas muaj ib txoj kev npaj yuav tau txais cov ntawv ceeb toom rau cov tswv cuab 60 thiab 30 hnub qhia rau lawv txog kev hloov pauv tom ntej. Txhua daim ntawv ceeb toom yuav muaj qhov txuas hauv web thiab tus lej teb sai rau cov tswv cuab kom mus rau Daim Ntawv Ceeb Toom ntawm Cov Ntaub Ntawv Ntxiv, uas suav nrog cov ntaub ntawv ntxiv txog kev hloov mus rau kev tswj hwm kev saib xyuas thiab nws txhais li cas rau cov menyuam yaus thiab cov hluas tam sim no thiab yav dhau los hauv ib lub nroog. Yog xav paub ntxiv thiab xav tau cov ntaub ntawv ntxiv, mus saib nplooj ntawv web ntawm Mandatory Enrollment for Foster Children and Youth in Single Plan Counties 2025.
MCPs sib koom tes cov txiaj ntsig ntawm cov tswv cuab Medi-Cal, tswj hwm lub network ntawm cov neeg muab kev pabcuam Medi-Cal, thiab muab cov txiaj ntsig tseem ceeb thiab cov kev pabcuam uas tsis muaj nyob hauv FFS Medi-Cal, xws li Kev Tswj Xyuas Kev Kho Mob Zoo (ECM) thiab Kev Txhawb Nqa Hauv Zej Zog. Daim ntawv cog lus MCP xyoo 2024 muaj cov yam ntxwv uas pab tau cov menyuam yaus thiab cov hluas uas raug saib xyuas ncaj qha, suav nrog txoj haujlwm tshiab rau Tus Neeg Saib Xyuas Kev Noj Qab Haus Huv Rau Menyuam Yaus los ua tus neeg sib txuas lus tshwj xeeb ntawm MCP rau cov menyuam yaus, cov hluas, tsev neeg, thiab cov koom haum saib xyuas menyuam yaus hauv zos. Tus Neeg Sib Txuas Lus Txog Kev Noj Qab Haus Huv Rau Menyuam yuav ua tus thawj coj hauv MCP los tawm tswv yim rau cov menyuam yaus thiab cov hluas uas koom nrog kev noj qab haus huv rau menyuam yaus los ntawm kev ua tus neeg sib txuas lus los txheeb xyuas thiab daws cov teeb meem tshwj xeeb, teeb meem tsis tu ncua, thiab kev ua haujlwm rau kev nkag mus rau cov kev pabcuam. Daim ntawv cog lus MCP xyoo 2024 kuj tseem yuav tsum tau kom MCPs tsim kev koom tes nrog cov koom haum saib xyuas menyuam yaus hauv nroog thiab nkag mus rau hauv Cov Lus Cog Tseg ntawm Kev Nkag Siab (MOUs) los sib koom tes thiab pab txhawb kev muab cov kev pabcuam kho mob tsim nyog. Cov MOUs no qhia meej txog lub luag haujlwm thiab lub luag haujlwm ntawm cov koom haum saib xyuas menyuam yaus hauv nroog thiab MCPs, txhawb kev koom tes hauv zos, thiab pab txhawb kev sib pauv cov ntaub ntawv tsim nyog los pab txhawb kev sib koom tes saib xyuas thiab txhim kho kev xa mus.
PATH Technical Assistance (TA) Marketplace Video Tutorial
Thaum Lub Cuaj Hlis 20, DHCS tau tso tawm cov peev txheej video tshiab rau cov koom haum uas tab tom nrhiav kev pab nrog kev tsim nyog rau cov kev pabcuam dawb ntawm Providing Access and Transforming Health (PATH) TA Marketplace. Cov kauj ruam-rau-kauj ruam video qhia txog kev ua haujlwm no yog los pab cov koom haum taug kev hauv TA Marketplace, tsim ib tus account, thiab xa Daim Ntawv Thov Kev Tsim Nyog Tau Txais TA. Lub PATH TA Marketplace yog ib lub vev xaib uas muaj ib qho chaw uas cov chaw ua haujlwm tuaj yeem nkag mus rau cov kev pabcuam TA dawb los ntawm cov neeg muag khoom uas tau xaiv thiab pom zoo. Cov kev pabcuam no yog tsim los pab cov neeg tau txais kev pom zoo TA kom ua tiav hauv kev siv ECM thiab Kev Txhawb Nqa Hauv Zej Zog. Cov kev pabcuam uas muab los ntawm TA Marketplace yog muab pub dawb rau tus neeg tau txais TA.
Koom nrog peb pab neeg
DHCS tab tom nrhiav cov neeg txawj ntse, tshwj xeeb tshaj yog txhawb nqa cov tib neeg los ua:
- Chief, Local Governmental Financing Division (LGFD) los muab kev coj noj coj ua thiab tsim txoj cai los txhawb Medi-Cal Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Lub Koom Haum Saib Xyuas Kev Kawm Hauv Zos nrog rau lwm cov kev pabcuam hauv nroog thiab nroog thiab tsoomfwv cov nyiaj them rov qab thiab kev saib xyuas nyiaj txiag. (Hnub kawg ua ntawv thov: Lub Kaum Hli 4)
- Tus Thawj Saib Xyuas Kev Sau Npe (PED) los ua tus thawj coj txhim kho thiab ua raws li cov cai, cov txheej txheem, thiab cov kev pabcuam cuam tshuam txog kev tso npe rau tus kws kho mob, suav nrog kev tshuaj xyuas, sau npe, thiab rov lees paub cov chaw muab Medi-Cal. Tsis tas li ntawd, Tus Thawj Coj ntawm PED muaj lub luag haujlwm tag nrho rau kev txhim kho thiab ua raws li kev tswj hwm thiab kev hloov pauv rau kev lag luam thiab kev txhim kho rau Daim Ntawv Thov Kev Pabcuam thiab Kev Ua Haujlwm rau Kev Sau Npe. (Hnub kawg ua ntawv thov: Lub Kaum Hli 14)
DHCS kuj tseem tab tom nrhiav neeg ua haujlwm rau nws txoj kev sib txuas lus, kev tshuaj xyuas, txoj cai kev noj qab haus huv, kev siv thev naus laus zis, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib lub vev xaib CalCareers.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Txhim kho kev nkag mus rau ECM
DHCS zoo siab los qhia txog cov cai tshiab uas yuav tso cai rau cov tswv cuab nkag mus rau ECM sai dua thiab yuav ua kom cov kev coj ua ntawm MCPs zoo ib yam. DHCS tau ua haujlwm ntau nrog cov neeg koom tes los tsim ib txoj cai tso cai ECM uas hloov kho tshiab hauv Phau Ntawv Qhia Txoj Cai ECM (nplooj ntawv 107), uas tso cai rau cov neeg muab kev pabcuam ECM uas tsim nyog muab cov kev pabcuam tam sim ntawd thaum ntsib ib tus tswv cuab txog li 30 hnub thaum muaj kev xa mus rau lwm tus. Ntxiv rau qhov ntawd, DHCS tau tso tawm cov Qauv Kev Xa Mus Rau ECM thoob plaws lub xeev uas yuav xav tau kev coj ua zoo sib xws thoob plaws MCPs, suav nrog cov lus qhia tshiab txwv tsis pub qee hom kev sau cov ntaub ntawv uas yuav ncua sijhawm tau txais cov kev pabcuam ECM. Cov qauv thiab txoj cai yuav siv tau rau lub Ib Hlis 1, 2025, thiab MCPs tam sim no tab tom ua haujlwm cov lus qhia tshiab.
Cov qauv thiab txoj cai no yog cov txiaj ntsig tseem ceeb ntawm 12 lub hlis los koom nrog cov koom haum hauv zej zog, cov neeg muab kev pabcuam, cov neeg tawm tswv yim, MCPs, thiab lwm tus kom txhim kho ECM thiab Kev Txhawb Nqa Hauv Zej Zog, uas yog qhov uas tau tsim txoj kev npaj ua haujlwm ECM/Kev Txhawb Nqa Hauv Zej Zog . Piv txwv li, DHCS tau muab cov lus taw qhia ntawm tus neeg muab kev pab ECM los ntawm kev ncig xyuas mloog nrog kev tshuaj xyuas ntawm txhua daim ntawv xa mus rau ECM uas siv thoob plaws lub xeev los tsim cov qauv xa mus. Cov qauv no ces tau raug cob qhia ntau yam nrog MCPs thiab lwm cov neeg koom nrog. Cov qauv thiab txoj cai yog cov txiaj ntsig tseem ceeb ntawm txoj kev npaj ua haujlwm, thiab yuav muaj ntau ntxiv tom qab, suav nrog cov lus txhais tshiab ntawm Kev Txhawb Nqa Zej Zog.
Thaum Lub Kaum Hli 9, txij 11 teev sawv ntxov txog 12 teev tav su PDT, DHCS yuav tuav lub rooj sib tham hauv online los qhia cov ntsiab lus ntawm cov qauv thiab txoj cai. Yuav tsum tau sau npe ua ntej rau lub rooj sib tham hauv online. Lub rooj sib tham hauv web no qhib rau txhua tus thiab yuav muaj txiaj ntsig tshwj xeeb rau MCPs, cov chaw muab kev pabcuam, cov neeg koom tes hauv zej zog, thiab cov koom haum xa cov tswv cuab mus rau ECM. Cov neeg koom tes kuj tseem tuaj yeem xa cov lus nug txog cov lus qhia tshiab mus rau CalAIMECMILOS@dhcs.ca.gov.
Hloov Kho Cov Qauv Txheej Txheem Txheej Txheem Txheej Txheem (ICPM) Cov Lus Qhia thiab Kev Qhia Txog Kev Ua Haujlwm (ITG) Webinars
Lub Tsev Kawm Ntawv Qib Siab University of California, Davis yuav tuav ib lub rooj sib tham hauv online los txhawb kev tshaj tawm ntawm ICPM Guide tshiab thiab ITG. Cov peev txheej no yuav pab cov thawj coj, cov neeg saib xyuas kev pabcuam, cov neeg ua haujlwm pabcuam zej zog, cov neeg pabcuam rau cov hluas, cov tub ceev xwm saib xyuas cov hluas, thiab lwm tus uas txhawb nqa Lub Tsev Haujlwm Saib Xyuas Menyuam Yaus thiab Cov Hluas hauv zos kom txhim kho thiab txhim kho kev nyab xeeb, kev nyob mus ib txhis, thiab kev noj qab haus huv rau cov menyuam yaus thiab tsev neeg thoob plaws California.
Lub rooj sib tham hauv online, thaum Lub Kaum Hli 9, txij 11 teev sawv ntxov txog 12:30 teev tav su PDT, yuav muab ib qho kev piav qhia dav dav ntawm ICPM Guide thiab ITG thiab cov ntsiab lus theem kev xyaum uas tau hloov kho tshiab (yuav tsum tau sau npe ua ntej). Ib qho kev cob qhia hauv online ua ntej uas tau muaj nyob rau lub Cuaj Hlis 18 tau muab ib qho kev piav qhia dav dav txog Phau Ntawv Qhia ICPM thiab ITG uas tau hloov kho tshiab, kev coj cwj pwm ntawm cov thawj coj, thiab kev siv rau cov tswv cuab ntawm Cov Pab Pawg Thawj Coj Hauv Zos.
California Children’s Services Advisory Group Meeting
On October 9, DHCS will host the quarterly meeting of the California Children’s Services (CCS) Advisory Group. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include a post-transition update on the Kaiser Permanente January 1, 2024, WCM implementation and the WCM January 2025 expansion progress, as well as updates from Blue Shield Promise Health Care Plan on childhood lead poisoning prevention services; the CCS Compliance, Monitoring, and Oversight Workgroup; and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are available on the CCS Advisory Group webpage.
Behavioral Health Task Force (BHTF) Webinar
Thaum Lub Kaum Hli 15, txij 12 txog 1:30 teev tsaus ntuj PDT, BHTF yuav tuav lub rooj sib tham hauv online txog kev tiv thaiv raws li pej xeem (yuav tsum tau sau npe ua ntej). Cov neeg koom nrog suav nrog Dr. Tomás Aragón, MD, DrPH, Tus Thawj Coj ntawm California Department of Public Health (CDPH) thiab State Public Health Officer, thiab Julie Nagasako, Tus Lwm Thawj Coj ntawm Lub Chaw Haujlwm Saib Xyuas Txoj Cai thiab Kev Npaj ntawm CDPH. Cov webinar no yuav pab npaj cov neeg tuaj koom rau kev sib tham tob tob ntawm lub rooj sib tham txhua peb lub hlis rau lub Kaum Ib Hlis 13 BHTF. Lub webinar yuav raug kaw thiab muab tso rau hauv lub vev xaib BHTF. Yog koj muaj lus nug thiab lus tawm tswv yim los yog xav koom nrog BHTF daim ntawv teev npe, thov xa email rau BehavioralHealthTaskForce@chhs.ca.gov.
Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham
Thaum Lub Kaum Hli Ntuj hnub tim 16, txij thaum 9:30 sawv ntxov txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham SAC/BH-SAC (yuav tsum tau sau npe ua ntej) ntawm 1700 K Street (chav sib tham hauv pem teb thib ib 17.1014), Sacramento. SAC muab cov tswv yim zoo rau DHCS rau kev siv zog ua haujlwm ntawm California Advancing and Innovating Medi-Cal (CalAIM), uas tseem hu ua Medi-Cal Transformation, thiab pab DHCS txuas ntxiv nws cov kev siv zog los muab kev saib xyuas zoo thiab ncaj ncees. BH-SAC muab cov tswv yim rau DHCS txog kev ua ub ua no txog kev noj qab haus huv ntawm tus cwj pwm thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev koom ua ke ntawm kev noj qab haus huv ntawm tus cwj pwm nrog rau lub cev kho mob loj dua. Nws suav nrog cov pab pawg uas twb muaj lawm uas tau muab lus qhia rau DHCS txog cov ncauj lus txog kev noj qab haus huv ntawm tus cwj pwm. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.
DHCS Lub Rooj Sib Tham Txog Kev Txom Nyem
Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). Through these convenings, DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder (SUD) treatment system and create low-barrier, patient-centered care. DHCS encourages SUD treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in SUD treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into SUD treatment. Additional summits will be held in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.
Hearing Aid Coverage for Children Program (HACCP) Webinar rau Cov Kws Kho Mob thiab Cov Kws Kho Hniav
On November 12, from 12 to 1 p.m. PST, DHCS will host the quarterly HACCP webinar for medical providers and hearing professionals. For more information and to register, please visit DHCS’ HACCP webpage.
Hauv Case Koj Tsis Tau Nws
Muaj peev xwm nrhiav nyiaj txiag tseem ceeb muaj los nthuav tawm Kev Pabcuam Kev Noj Qab Haus Huv
On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications. Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. Interested parties can find application instructions on the BHCIP website and must sign up for a pre-application consultation by October 15 in order to be eligible. Applications must be submitted by December 13. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.