Cov Kev Hloov Kho Qhia Txog CalAIM & Medi-Cal Xyoo 2020
Rov qab mus rau CalAIM 1115 Kev Qhia Tawm & 1915(b) Kev Tso Cai Hauv Tsev
Rov qab mus rau Medi-Cal 2020 Homepage
Thov xa cov lus nug, lus tawm tswv yim, lossis kev txhawj xeeb txog 1115 kev hloov kho qauv qhia rau CalAIMWaiver@dhcs.ca.gov.
CalAIM Kev Hloov Kho
Siv Lub Nroog-Based Model Hloov hauv Medi-Cal Managed Care Program
Hnub Friday, Kaum Ib Hlis 4, 2022, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau xa cov lus thov kom hloov kho California Advancing and Innovating Medi-Cal (CalAIM) Tshooj 1115 qhia thiab Tshooj 1915(b) zam. DHCS tab tom nrhiav kev pom zoo hloov kho CalAIM Tshooj 1115 thiab 1915 (b) los ntawm Lub Chaw rau Medicare & Medicaid Services (CMS) los siv cov kev hloov pauv qauv phiaj xwm hauv nroog hauv Medi-Cal Managed Care (MCMC) program. Los ntawm kev hloov kho txoj cai zam ntawm Tshooj 1915(b), DHCS kuj tseem npaj yuav ntxiv lossis hloov kho cov lus ntawm cov cai lossis cov kev pab cuam hauv CalAIM 1915(b) kev zam uas tau pom zoo, suav nrog kev cuam tshuam cov ntawv cog lus ncaj qha nrog Kaiser Foundation Health Plan uas muaj rau kev sau npe ntawm qee tus neeg tau txais txiaj ntsig Medi-Cal hauv cov nroog xaiv. DHCS tau tuav 30 hnub rau pej xeem tawm tswv yim thiab lub sijhawm tawm tswv yim rau pej xeem ntawm Pawg Neeg kom thov cov lus taw qhia txog cov kev hloov kho uas tau thov. Cov lus tawm tswv yim rau pej xeem tau txais los ntawm Asmeskas xa ntawv thiab email, nrog rau thaum lub rooj sib hais rau pej xeem dav dav thiab kev sib tham hauv online rau pej xeem ntawm Tribal. DHCS tau xa cov ntaub ntawv hauv qab no mus rau CMS:
- Daim ntawv npog rau CMS
- CalAIM Tshooj 1115 ua qauv qhia MCP tus qauv hloov pauv thov
- CalAIM Tshooj 1915(b) kev zam MCP qauv kev thov hloov kho (kab liab) thiab (huv)
Nce thiab tshem tawm cov cuab yeej cuab tam txwv
Thaum Lub Rau Hli 29, 2022, California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau txais kev pom zoo los ntawm Lub Tsev Haujlwm rau Medicare thiab Medicaid Services (CMS) los hloov kho CalAIM Tshooj 1115 ua qauv qhia kom nce cov cuab tam txwv thiab tom qab ntawd tshem tawm cov khoom pov thawj rau qee cov pej xeem. Nrog rau kev hloov kho qhov kev ua qauv qhia, CMS kuj tau tshaj tawm cov kev kho rau CalAIM ua qauv qhia Cov Lus Qhia Tshwj Xeeb thiab Cov Cai (STCs).
- Daim Ntawv Thov Hloov Kho DHCS (Lub Plaub Hlis 6, 2022)
- Tsab Ntawv Qhia Txog Kev Ua Tiav (Plaub Hlis 13, 2022)
- CMS Daim Ntawv Pom Zoo (Lub Rau Hli 29, 2022)
- Cov Lus Cog Tseg Tshwj Xeeb (Lub Rau Hli 29, 2022)
COVID-19 Teb
Tshuaj Medi-Cal Organized Delivery Systems thiab Kev Hloov Kho Cov Kev Pab Rau Cov Neeg Laus hauv zej zog
Thaum Lub Kaum Hli Ntuj hnub tim 9, 2020, Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo cov kev cai los hloov kho California's Medi-Cal 2020 Seem 1115(a) Kev Qhia Txog Kev Kho Mob los daws qhov teeb meem kev noj qab haus huv pej xeem COVID-19. Cov kev cai uas tau pom zoo suav nrog kev hloov kho rau Drug Medi-Cal Organized Delivery Systems (DMC-ODS), thiab kev hloov kho rau Community-Based Adult Services (CBAS).
- Tsab Ntawv Pom Zoo ntawm CMS (Lub Kaum Hli 9, 2020)
Tshuaj Medi-Cal Organized Delivery Systems, Public Hospital Redesign thiab Incentives in Medi-Cal, and Global Payment Program Modifications
Thaum Lub Xya Hli 27, 2020, Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo cov kev cai los hloov kho California's Medi-Cal 2020 Seem 1115(a) Kev Qhia Txog Kev Kho Mob los daws qhov teeb meem kev noj qab haus huv pej xeem COVID-19. Cov kev cai uas tau pom zoo suav nrog kev hloov kho rau Drug Medi-Cal Organized Delivery Systems (DMC-ODS) program, thiab kev hloov kho rau cov cim qhia kev ua tau zoo rau Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program thiab Global Payment Program (GPP).
- CMS Daim Ntawv Pom Zoo (Lub Xya Hli 27, 2020)
Kev hloov kho Medi-Cal 2020
Txoj Haujlwm Them Nyiaj Thoob Ntiaj Teb thiab Txoj Haujlwm Pabcuam Kev Saib Xyuas Txhua Yam Rau Cov Neeg Laus Hloov Kho
Txoj kev hloov kho no tso cai rau DHCS ua haujlwm ntxiv rau rau lub hlis GPP program xyoo (PY) rau lub sijhawm pabcuam ntawm Lub Xya Hli 1, 2020, txog Lub Kaum Ob Hlis 31, 2020 (PY 6A). Txoj kev hloov kho no kuj tso cai rau cov neeg tau txais txiaj ntsig Medicaid hauv Orange County thaum lawv xaiv tsa kom raug rho tawm ntawm CalOptima, lub koom haum kev noj qab haus huv uas lub nroog teeb tsa (COHS), kom raug sau npe rau hauv Program of All-Inclusive Care for the Elderly (PACE), yog tias tsim nyog.
- DHCS Daim Ntawv Txais Txais (Cuaj Hlis 25, 2020)
- CMS Daim Ntawv Pom Zoo (Lub Yim Hli 3, 2020)
- Cov Cai thiab Cov Cai Tshwj Xeeb (Lub Yim Hli 3, 2020)
- Tsab ntawv ua tiav (Lub Peb Hlis 28, 2020)
- Tsab Ntawv Thov Kev Hloov Kho DHCSA (Lub Ob Hlis 28, 2020)
- Daim Ntawv Ceeb Toom rau pej xeem (Tshaj tawm Lub Ob Hlis 14, 2020)
- No-Tribal-Notice-Consultation Justification
Kev Pab Cuam Tsev Kho Mob - Kev Hloov Kho Kev Ywj Pheej ntawm Kev Xaiv
Txoj kev hloov kho no muab kev ywj pheej xaiv los muab cov kev pabcuam HHP los ntawm Medi-Cal managed care delivery system rau cov tswv cuab uas tau sau npe rau hauv managed care. Cov tswv cuab uas them nqi rau kev pabcuam (FFS) uas ua tau raws li cov qauv tsim nyog ntawm HHP tuaj yeem xaiv sau npe rau hauv Medi-Cal Managed Care Plan (MCP) kom tau txais cov kev pabcuam HHP nrog rau lwm cov kev pabcuam ntawm lub xeev uas muab los ntawm MCPs. Cov kev pabcuam HHP yuav tsis muab los ntawm lub kaw lus xa khoom FFS.
- DHCS Daim Ntawv Txais Txais (Lub Ib Hlis 3, 2018)
- CMS Daim Ntawv Pom Zoo (Lub Kaum Ob Hlis 19, 2017)
- Cov ntsiab lus tshwj xeeb thiab cov xwm txheej (Lub Kaum Ob Hlis 19, 2017)
- Lub Cai Tso Cai (Lub Kaum Ob Hlis 19, 2017)
- Lub Chaw Tswj Xyuas Kev Siv Nyiaj (Lub Kaum Ob Hlis 19, 2017)
- CMS Daim Ntawv Ua tiav (Lub Kaum Ib Hlis 23, 2016)
- DHCS Tsab Ntawv Thov Hloov Kho (Lub Kaum Ib Hlis 10, 2016)
- Daim Ntawv Ceeb Toom Rau Pej Xeem (Xaus Lawm)
- DHCS Daim Ntawv Ceeb Toom Pab Pawg (Cuaj Hlis 20, 2016)
Kev Hloov Kho Cov Hluas Kev Kho Mob Yav Dhau Los
Txoj kev hloov kho no tso cai rau DHCS muab kev pab them nqi rau cov tub ntxhais hluas uas tau saib xyuas menyuam yaus hnub nyoog qis dua 26 xyoo, uas tau nyob hauv kev saib xyuas menyuam yaus raws li lub luag haujlwm ntawm lwm lub xeev lossis pawg neeg los ntawm txhua lub xeev thaum lawv "laus lawm" ntawm kev saib xyuas menyuam yaus thaum muaj hnub nyoog 18 xyoo thiab tau sau npe rau hauv Medicaid thaum lub sijhawm ntawd.
- DHCS Daim Ntawv Txais Txais (Cuaj Hlis 8, 2017)
- CMS Daim Ntawv Pom Zoo (Lub Yim Hli 18, 2017)
- Cov Cai thiab Cov Cai Tshwj Xeeb (Lub Yim Hli 18, 2017)
- Waiver Authority (Lub Yim Hli 18, 2017)
- Kev siv nyiaj txiag (Lub Yim Hli 18, 2017)
- CMS Daim Ntawv Ua tiav (Lub Rau Hli 1, 2017)
- DHCS Daim Ntawv Thov Hloov Kho (Tsib Hlis 19, 2017)
- No-Tribal-Notice-Consultation Justification
Kev Kho Mob Rau Txhua Tus Neeg - Kev Hloov Kho Kev Txawj ntawm Lub Nroog
Txoj kev hloov kho tshiab no tso cai rau DHCS txais cov ntawv thov los ntawm thiab xaiv ib lub nroog los ua tus thawj coj hauv kev ua haujlwm ntawm WPC pilot program hauv California.
- CMS Daim Ntawv Pom Zoo (Lub Rau Hli 1, 2017)
- Cov ntsiab lus tshwj xeeb thiab cov xwm txheej (Lub Rau Hli 1, 2017)
- Waiver Authority (Lub Rau Hli 1, 2017)
- Cov Neeg Siv Nyiaj Txiag (Lub Rau Hli 1, 2017)
- DHCS Daim Ntawv Thov Hloov Kho (Lub Peb Hlis 7, 2017)
Kev Pib Hloov Kho Hniav - Kev Hloov Kho Hauv Cheeb Tsam 1
Qhov kev hloov kho no hloov kho cov txheej txheem siv los ntawm DHCS los txiav txim siab cov kev ntsuas hauv paus uas yuav raug siv los ntawm cov chaw ua haujlwm kho hniav tshiab thiab tam sim no rau lub hom phiaj ntawm kev tau txais nyiaj txhawb nqa. Tsis tas li ntawd, qhov kev hloov kho no tso cai rau DHCS los them cov nyiaj txhawb siab ib nrab rau cov chaw muab kev pabcuam chaw ua haujlwm uas ib feem ua tau raws li kev nce xyoo hauv cov kev pabcuam tiv thaiv uas tau muab rau menyuam yaus tshaj li qhov kev txiav txim siab ua ntej.
- DHCS Daim Ntawv Txais Txais (Lub Ib Hlis 6, 2017)
- CMS Daim Ntawv Pom Zoo (Lub Kaum Ob Hlis 8, 2016)
- Cov ntsiab lus tshwj xeeb thiab cov xwm txheej (Lub Kaum Ob Hlis 8, 2016)
- Waiver Authority (Lub Kaum Ob Hlis 8, 2016)
- Cov Neeg Siv Nyiaj Txiag (Lub Kaum Ob Hlis 8, 2016)
- CMS Daim Ntawv Ua tiav (Lub Yim Hli 29, 2016)
- DHCS Daim Ntawv Thov Hloov Kho (Lub Yim Hli 15, 2016)
- DHCS Daim Ntawv Ceeb Toom Pab Pawg (Lub Xya Hli 14, 2016)
Kev Saib Xyuas Tus Neeg Tag Nrho - Kev Hloov Kho ntawm Pawg Neeg
Qhov kev hloov kho no tso cai rau Tsoom Fwv Teb Chaws lees paub Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Pab Pawg Pab Pawg Saib Xyuas Kev Noj Qab Haus Huv los ua lub luag haujlwm tseem ceeb hauv kev tsim, kev thov, thiab kev ua haujlwm ntawm WPC pilot program. Qhov sib ntxiv ntawm cov koom haum no txhawb nqa lub hom phiaj thiab lub hom phiaj ntawm WPC program hauv California.
- DHCS Daim Ntawv Txais Txais (Lub Ib Hlis 6, 2017)
- CMS Daim Ntawv Pom Zoo (Lub Kaum Ob Hlis 8, 2016)
- Cov ntsiab lus tshwj xeeb thiab cov xwm txheej (Lub Kaum Ob Hlis 8, 2016)
- Waiver Authority (Lub Kaum Ob Hlis 8, 2016)
- Cov Neeg Siv Nyiaj Txiag (Lub Kaum Ob Hlis 8, 2016)
- CMS Daim Ntawv Ua tiav (Lub Rau Hli 23, 2016)
- DHCS Daim Ntawv Thov Hloov Kho (Lub Rau Hli 15, 2016)
Tshem tawm Cov Kev Hloov Kho
Medi-Cal Kev Hloov Pauv Hloov Hloov Txoj Haujlwm Kev Nkag Mus Nkag
Qhov kev hloov kho tshiab no yuav tso cai rau DHCS ntxiv cov pej xeem Medi-Cal Access Program (MCAP) rau hauv Medi-Cal Managed Care (MMC) lub tshuab xa khoom. MCAP txoj kev hloov mus rau MMC txoj kev xa khoom yuav ua raws li cov txiaj ntsig ntawm Medi-Cal kev pab them nqi cev xeeb tub tag nrho, uas suav nrog cov kev pab kho hniav.
- DHCS tsab ntawv rho tawm rau kev thov hloov kho (Tsib Hlis 24, 2017)
- CMS Daim Ntawv Ua tiav (Lub Peb Hlis 2, 2017)
- DHCS Daim Ntawv Thov Hloov Kho (Lub Ob Hlis 16 , 2017 )
- Kev Ceeb Toom
- Daim Ntawv Ceeb Toom Tsis Muaj Kev Sib Tham Kev Sib Tham Kev Ncaj Ncees