Xov xwm tshaj plaws
Rov qab mus rau lub Plaub Hlis 2022 Cov Neeg Koom Tes Kev Sib Txuas Lus Hloov Tshiab
DHCS Coverage Ambassadors
DHCS tau tshaj tawm txoj kev mob siab rau thoob plaws lub xeev los pab Medi-Cal cov neeg tau txais txiaj ntsig khaws lawv cov Medi-Cal cov kev pab them nqi kho mob lossis rau npe rau lwm qhov kev pab them nqi kho mob.
In the largest effort of its kind, across the country, Medicaid (e.g., Medi-Cal) and the Children’s Health Insurance Program will soon begin the process of redetermining eligibility for about 85 million people who use these programs to access the health care they need. This large, complex effort will be triggered by the official end of the COVID-19 public health emergency (PHE) and the end of the federal Medicaid continuous coverage requirement that was implemented as part of the Families First Coronavirus Response Act.
Raws li California npaj yuav rov pib ua haujlwm tau txais Medi-Cal ib txwm muaj, kwv yees li 14.5 lab tus neeg tau txais txiaj ntsig yuav tsum muaj lawv qhov kev tsim nyog tau txais kev pov hwm rov qab txiav txim siab. Thaum kawg ntawm PHE, cov nroog yuav rov txiav txim siab txog kev tsim nyog tau txais Medi-Cal rau txhua tus neeg tau txais txiaj ntsig raws li lawv hnub rov ua dua txhua xyoo tom ntej (ua tiav raws li kev sib tw thiab tsis yog tag nrho ib zaug). Raws li cov txheej txheem ntawd, ob txog peb lab tus neeg tau txais txiaj ntsig tuaj yeem tsis tsim nyog rau Medi-Cal ntxiv lawm.
DHCS has been actively preparing for this unprecedented event for many months, and has implemented a two-phased communication campaign to reach beneficiaries with messages across multiple channels using trusted partners called DHCS Coverage Ambassadors. DHCS encourages its partners, including local county social services agencies, managed care plans (MCPs), health enrollment navigators, clinics, providers, and community stakeholders, to sign up to serve as DHCS Coverage Ambassadors.
For Phase 1 of the campaign, DHCS recently launched a customizable Medi-Cal Continuous Coverage toolkit and webpage to help trusted entities and individuals act as DHCS Coverage Ambassadors to provide critical information to beneficiaries and to help preserve health coverage for millions. The toolkit includes social media, call scripts, noticing, and website banners. During Phase 1, trusted entities and individuals encourage beneficiaries to update their contact information with their local county offices, if they have not done so already. Beneficiaries need to know what to expect and what they can do to keep their Medi-Cal health coverage. Those no longer eligible for Medi-Cal may qualify for tax subsidies that allow them to buy affordable Covered California coverage.
Theem 2 yog npaj rau kev tshaj tawm kwv yees li 60 hnub ua ntej qhov kawg ntawm COVID-19 PHE, thiab yog tsim los txhawb cov neeg tau txais txiaj ntsig los hloov kho cov ntaub ntawv tiv tauj thiab tshaj tawm cov xwm txheej hloov pauv mus rau lawv lub nroog lub chaw lis haujlwm hauv nroog, nrog rau xyuas lawv cov ntawv xa mus rau cov pob ntawv txuas ntxiv yuav los tom ntej. Raws li cov cuab yeej ntxiv lossis cov peev txheej tau dhau los, DHCS yuav xa email hloov tshiab tseem ceeb kom khaws DHCS Kev Pabcuam Ambassadors qhia kom lawv tuaj yeem tshaj tawm cov lus.
DHCS paub tias nws yuav yog ib qho tseem ceeb rau kev sib qhia cov ntaub ntawv thiab hnov cov lus tawm tswv yim los ntawm koj ua ke peb ua cov kauj ruam kom dhau los ntawm COVID-19 PHE. Nws yuav coj peb txhua tus ua haujlwm sib koom tes los pab peb cov neeg tau txais txiaj ntsig paub tias lawv yuav tsum ua dab tsi - thiab thaum twg - txhawm rau tswj lossis hloov pauv lawv cov kev pab them nqi kho mob. Ua tsaug rau koj txoj kev koom tes txuas ntxiv mus.
Medi-Cal Qhov Kev Pab Cuam Tiv Thaiv Kab Mob Khaus Viv-19
DHCS tau muab nyiaj txog li $350 lab los txhawb kev siv zog txhaj tshuaj tiv thaiv COVID-19 hauv Medi-Cal txoj kev tswj hwm kev saib xyuas txij lub Cuaj Hli 1, 2021, txog rau Lub Ob Hlis 28, 2022. Cov MCPs ntawm Medi-Cal tsim nyog tau txais nyiaj pab txhawb rau cov haujlwm uas tsim los kaw qhov sib txawv ntawm kev txhaj tshuaj tiv thaiv kab mob nrog lawv cov tswv cuab uas tau sau npe, thiab los daws qhov sib txawv ntawm kev txhaj tshuaj tiv thaiv kab mob rau cov hnub nyoog thiab haiv neeg/pawg neeg tshwj xeeb. Lub sijhawm thib ob ntawm kev txheeb xyuas qhov tshwm sim rau qhov kev pab cuam tau xaus rau lub Ib Hlis 2. Nruab nrab ntawm lub Kaum Ib Hlis 1 thiab Lub Ib Hlis 2, tag nrho cov nqi txhaj tshuaj tiv thaiv kab mob tau qhia txog kev txhim kho hauv txhua qhov kev ntsuas uas tau tshaj tawm. Thoob plaws lub xeev, lub hom phiaj (59.2 feem pua) tau tshaj (61.4 feem pua) rau kev txhim kho feem pua ntawm cov kws kho mob thawj zaug hauv MCP network uas muab tshuaj tiv thaiv COVID-19 hauv lawv chaw ua haujlwm. Thaum Lub Ib Hlis 2, cov hom phiaj rau txhua qhov kev ntsuas qhov tshwm sim ntawm kev txhaj tshuaj tau nce mus txog qhov kaw ob feem peb ntawm qhov sib txawv ntawm Medi-Cal thiab cov nqi hauv nroog, uas yog qhov nyuaj rau cov phiaj xwm kom ua tiav. Peb pawg neeg tau txais txiaj ntsig (hnub nyoog 12-25 xyoo, Neeg Asmeskas Dub, thiab Neeg Asmeskas Isdias/Alaska Natives) tau ua tiav hauv kev kaw ntau dua ib feem peb ntawm qhov sib txawv ntawm lub sijhawm no, thaum peb pawg ntxiv (tag nrho hnub nyoog 12+ xyoo, 50-64 xyoo, thiab 65+ xyoo) nyob hauv 2 feem pua ntawm kev kaw ib feem peb ntawm qhov sib txawv. Cov lus qhia tshwj xeeb rau qhov kev pab cuam High Performance Pool tau tso tawm rau MCPs. Yog xav paub ntxiv, thov mus saib Tsab Ntawv Qhia Txog Txhua Txoj Kev Npaj (APL) 21-010, Daim Ntawv Txuas A.
Cov Neeg Laus Loj Tshaj Plaws
Thaum Lub Tsib Hlis 1, California yuav nthuav dav cov txiaj ntsig Medi-Cal uas lub xeev pab nyiaj rau cov tib neeg uas muaj hnub nyoog 50 xyoo lossis laus dua, tsis hais lawv yog pej xeem lossis neeg nkag tebchaws li cas los xij. Qhov kev nthuav dav ntawm kev pab them nqi no suav nrog kwv yees li ntawm 185,000 tus tib neeg hnub nyoog 50 xyoo lossis laus dua uas tam sim no tau sau npe rau hauv Medi-Cal uas muaj kev txwv. Nyob rau hauv qhov kev nthuav dav ntawm kev them nqi no, cov neeg tsim nyog yuav muaj peev xwm nkag mus rau tag nrho cov txiaj ntsig muaj rau cov neeg tau txais Medi-Cal uas muaj kev them nqi tag nrho, suav nrog kev noj qab haus huv zoo tsis raug nqi / pheej yig, kev noj qab haus huv tus cwj pwm, kev pabcuam kev siv tshuaj yeeb dej cawv, thiab kev pabcuam kho hniav los ntawm cov txheej txheem xa khoom uas tau teeb tsa raws li qhov kev pab cuam Medi-Cal. Cov tib neeg uas tau sau npe rau hauv Medi-Cal uas muaj kev txwv thiab tsim nyog raws li qhov kev nthuav dav no yuav tau txais pob ntawv My Medi-Cal Choice hauv xa ntawv kom lawv tuaj yeem sau npe rau hauv Medi-Cal txoj kev npaj kho mob rau kev sib koom tes, kev pabcuam kho mob uas tsim nyog. Thaum lawv tau sau npe rau hauv ib txoj kev npaj, lawv tuaj yeem xaiv tus kws kho mob thawj zaug hauv lawv lub network ntawm txoj kev npaj. Yog xav paub ntxiv, thov mus saib lub vev xaib DHCS.
Kev Tshawb Fawb Kev Noj Qab Haus Huv ntawm Californians Hnub nyoog 55 thiab laus dua
In April, DHCS will release the results from a survey of California adults ages 55 and older on health care needs, services, and coverage, including Medicare, Medi-Cal, and other health coverage. The survey included questions about respondents’ medical needs, coordination of and access to health care services, caregiver experiences, and the need for and access to in-home care and services. Interviews for this survey were conducted between January 25 and February 10, 2022. A total of 1,540 individuals completed the survey. It was administered by NORC at the University of Chicago, with funding from The SCAN Foundation and oversight from DHCS’ Office of Medicare Innovation and Integration. The survey results will be posted on the DHCS website.