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 allocated up to $350 million to incentivize COVID-19 vaccination efforts in the Medi-Cal managed care delivery system from September 1, 2021, through February 28, 2022. Medi-Cal MCPs are eligible to earn incentive payments for activities designed to close vaccination gaps with their enrolled members, and to address vaccine uptake disparities for specific age and race/ethnicity groups. The second outcome ascertainment period for the program ended on January 2. Between November 1 and January 2, the total vaccination rates showed improvement in all reported measures. Statewide, the target (59.2 percent) was exceeded (61.4 percent) for improving the percentage of primary care providers in MCP networks giving the COVID-19 vaccine in their office. On January 2, target goals for all vaccine outcome measures increased to closing two-thirds of the gap between Medi-Cal and county rates, which was a challenge for plans to meet. Three beneficiary sub-groups (ages 12-25 years, African-Americans, and American Indians/Alaska Natives) were successful in closing more than one-third of the gap at this time point, while an additional three groups (overall age 12+ years, 50-64 years, and 65+ years) were within 2 percent of closing one-third of the gap. Specifications for the High Performance Pool program were released to MCPs. For more information, please refer to All Plan Letter (APL) 21-010, Attachment A.
Cov Neeg Laus Loj Tshaj Plaws
On May 1, California will expand state-funded full-scope Medi-Cal benefits to individuals who are 50 years of age or older, regardless of citizenship or immigration status. This coverage expansion includes approximately 185,000 individuals 50 years of age or older who are currently enrolled in restricted scope Medi-Cal. Under this coverage expansion, eligible individuals will be able to access the full range of benefits available to Medi-Cal beneficiaries who have full-scope coverage, including no-cost/low-cost quality health, behavioral health, substance use disorder services, and dental services through organized delivery systems under the Medi-Cal program. Enrolled individuals in restricted-scope Medi-Cal who are eligible under this expansion will receive a My Medi-Cal Choice packet in the mail so they can enroll in a Medi-Cal managed care plan for coordinated, integrated medically necessary services. Once enrolled in a plan, they can select a primary care doctor in their plan network. For more information, please visit the DHCS website.
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.