Tsev Cov Chaw Muab Kev Pabcuam & Cov Neeg Koom Tes California Txoj Cai 56 Txoj Cai 56 Kev Them Nyiaj Raws Li Tus Nqi​​ 

Proposition 56 Qhov Kev Pab Them Nqi Raws li Tus Nqi​​ 

Rov qab mus rau Directed Payments​​ 

Txheej txheem cej luam​​  | Cov ntaub ntawv tam sim no​​    

Txheej txheem cej luam​​ 

The Department of Health Care Services (DHCS) is releasing, as described below, the Value-Based Payment (VBP) Program measures. Additional details about the measure specifications will follow. The final measure set is subject to federal approvals.  For Fiscal Year (FY) 19-20 the Governor’s Budget proposes a VBP through Medi-Cal managed care health plans (MCPs) that will provide incentive payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. At May Revision, a total of $544.2M ($250M Proposition 56 funds) in 2019-20 is proposed for this program, of which $140M ($70M in Proposition 56 funds) is specifically for Behavioral Health Integration. The program will be implemented for at least three years in the managed care delivery system, subject to funding approved in the final 2019 Budget. The implementation date will be July 1, 2019 for all measures including behavioral health integration measures; and January 1, 2020 for the Behavioral Health Integration Project Plan component.​​ 

Thaum txiav txim siab txog cov kev ntsuas no, DHCS tau txiav txim siab ntau yam xws li: cov neeg koom nrog thiab cov lus tawm tswv yim, txawm tias qhov ntsuas tau ua raws li lwm yam kev siv zog ntawm Lub Tsev Haujlwm; tus naj npawb ntawm cov neeg tau txais txiaj ntsig cuam tshuam; thiab seb qhov ntsuas puas tuaj yeem khiav tswj hwm, ntawm lwm tus.​​ 

Txhawm rau hais thiab txiav txim siab txog kev noj qab haus huv tsis sib xws, DHCS yuav them nyiaj ntau ntxiv rau cov xwm txheej cuam tshuam rau cov neeg tau txais txiaj ntsig tau kuaj pom tias muaj kev tsis sib haum xeeb lossis mob hlwb loj, lossis cov neeg tsis muaj tsev nyob.​​ 

Thov saib cov ntawv txuas mus rau cov ntaub ntawv txhawb nqa rau qhov program hauv qab no. Qhov kev zov me nyuam tau tso cai los ntawm CMS thiab California Lub Xeev Cov Cai Lij Choj los ua haujlwm txij lub Xya Hli 1, 2019, mus txog rau Lub Rau Hli 30, 2022. Qhov kev zov me nyuam nthuav tawm lub sijhawm ntsuas hauv qab no: Lub Xya Hli 1, 2019, txog Lub Kaum Ob Hlis 31, 2020, Xyoo Xyoo (CY) 2021 (Lub Ib Hlis 1, 2021 txog Lub Kaum Ob Hlis 31, 2021) thiab CY2022 (Lub Ib Hlis 1, Kaum 2022 Hlis 2021).​​  

Qhov Kev Pom Zoo 56 – VBP Cov Kev Them Qhia Kev Them Nyiaj tau xaus rau lub Rau Hli 30, 2022, thiab tsuas yog Txoj Haujlwm 56 Txoj Cai Them Nyiaj uas tau tas lawm. Nco tseg: Tsuas yog cov kev pabcuam tshwj xeeb khi rau Proposition 56 - VBP yuav tsis tsim nyog rau Kev Them Nyiaj Qhia rau cov hnub ua haujlwm tom qab Lub Rau Hli 30, 2022.​​ 

Rau ib qho lus nug txog kev saib xyuas txog qhov kev zov me nyuam, thov hu rau DHCS Prop56DP pab neeg ntawm Prop56DP@dhcs.ca.gov.​​ 

State Fiscal Year (SFY) 2019-2022 (July 1, 2019 – June 30, 2022)​​ 

CY 2022 (January 1, 2022 – December 31, 2022)​​ 

Cov peev txheej​​