Gap Analysis thiab Multi-Year Roadmap ntawm Medi-Cal Cov Kev Pabcuam Hauv Tsev thiab Zej Zog thiab Tswj Kev Pabcuam Ntev thiab Kev Pabcuam
To support California’s transition to a statewide, fully integrated long-term services and supports (LTSS) system, the Department of Health Care Services (DHCS) commissioned a gap analysis and multi-year roadmap of Medi-Cal home and community-based services (HCBS) and managed LTSS programs. The project objectives are to:
- Txo qhov tsis ncaj ncees hauv kev nkag mus thiab kev pabcuam;
- Ua raws li cov neeg siv khoom xav tau
- Txhim khu kev sib koom ua ke thiab kev sib koom ua ke;
- Txhim kho kev saib xyuas zoo; thiab
- Ua kom yooj yim nkag mus rau cov kev pabcuam.
Txhawm rau ua kom tau raws li cov hom phiaj no zoo dua, DHCS tab tom thov kev tawm tswv yim los ntawm cov neeg siv khoom, tsev neeg, cov kws kho mob, cov phiaj xwm kev noj qab haus huv, thiab lwm cov neeg muaj feem cuam tshuam. Txoj haujlwm no tau txais kev txhawb nqa los ntawm Lub Chaw Pabcuam Medicare & Medicaid (CMS) los ntawm kev pab nyiaj ntxiv los ntawm Money Follows the Person (MFP) Ua qauv qhia. DHCS tau tshaj tawm Daim Ntawv Thov Cov Ntaub Ntawv (RFI) thaum Lub Peb Hlis 2022 txhawm rau txheeb xyuas cov kws pab tswv yim muaj peev xwm los ua qhov kev txheeb xyuas qhov sib txawv thiab daim ntawv qhia ntau xyoo. Mathematica thiab Center for Health Care Strategies raug xaiv los ua tus kws pab tswv yim los ntawm kev sib tw sib tw.
Gap Analysis Report
Thaum Lub Ob Hlis 14, 2025, DHCS tau tshaj tawm tsab ntawv ceeb toom kev txheeb xyuas qhov sib txawv ntawm California's Medi-Cal HCBS thiab tswj hwm cov kev pab cuam LTSS. Qhov kev txheeb xyuas qhov sib txawv nrhiav kev qhia txog cov hauv kev los txo qhov tsis sib xws hauv kev nkag mus thiab cov kev pabcuam, ua tau raws li cov tswvcuab xav tau, nce kev koom ua ke thiab kev sib koom tes, txhim kho kev saib xyuas zoo, thiab ua kom yooj yim rau kev nkag mus rau cov kev pabcuam.
Cov txiaj ntsig tseem ceeb ntawm daim ntawv qhia muaj xws li:
- California cov pej xeem muaj kev laus zuj zus sai, tshwj xeeb hauv cov cheeb tsam uas tam sim no nkag mus rau HCBS twb txwv.
- Nyob rau hauv cov cheeb tsam nyob deb nroog, kev siv LTSS lub koom haum yog siab dua nyob rau hauv ntau lub nroog. Cov pejxeem ntawm cov neeg siv LTSS yav tom ntej yuav tsum suav nrog ntau tus neeg Mev, cov neeg muaj hnub nyoog 85 thiab laus dua, thiab poj niam.
- Txhawm rau ua kom tau raws li cov kev xav tau ntawm cov neeg coob coob ntawm Medi-Cal cov tswv cuab uas xav tau HCBS, tus lej ntawm HCBS cov kws kho mob koom nrog Medi-Cal yuav tsum nce ntxiv.
- Cov cheeb tsam tshaj tawm tshaj plaws ntawm cov neeg ua haujlwm xav tau yog rau cov kws kho mob ncaj qha.
Rub tawm daim ntawv tshaj tawm zaum kawg thiab tshaj tawm cov ntawv txuas ntxiv.
Stakeholder Engagement
Txhawm rau txhawb pob tshab thiab muab cov hauv kev rau kev tawm tswv yim ntawm txhua qhov project theem, DHCS thiab nws cov kws pab tswv yim yuav koom nrog ntau tus neeg muaj feem cuam tshuam hauv kev txheeb xyuas qhov sib txawv thiab kev txhim kho ntawm ntau lub xyoo txoj kev. Kev sib koom tes yuav suav nrog kev sib tham rau pej xeem, kev sib tham, thiab lub vev xaib thiab email hloov tshiab. Cov dej num kev koom tes no yuav ua rau cov neeg muaj feem cuam tshuam los muab cov tswv yim ntawm kev tsim qhov project lossis tawm tswv yim txog qhov kev tshawb pom lossis cov lus pom zoo.
Cov rooj sib tham rau pej xeem
DHCS, in partnership with the California Department of Aging (CDA), hosted twice-yearly informational webinars on the HCBS gap analysis and multiyear roadmap project. In the meetings, DHCS updated stakeholders on its Medi-Cal Gap Analysis and CDA provided updates on its parallel Non-Medi-Cal Gap Analysis, which expands on DHCS’ HCBS Gap Analysis to include an accompanying program inventory, and an analysis of utilization and demand for non-Medi-Cal HCBS programs and services.
Previous Webinars
Peb Hlis 13, 2025
Lub Xya Hli 31, 2024
Lub Ib Hlis 24, 2024
Lub Xya Hli 14, 2023
Lub Ib Hlis 20, 2023
Lub Ob Hlis 17, 2021
- Txheej txheem
- CMS-MFP Ntxiv Nyiaj Txiag PowerPoint
- Glossary of Commonly Use Acronyms
- For Stakeholder Review – Content for the Money Follows the Person (MFP) Supplemental Funding Proposal
- For Stakeholder Review – Attachment A: Additional Content Detail
Kaum Ob Hlis Ntuj 4 , 2020
- Txheej txheem
- CMS-MFP Kev Tshaj Tawm Txog Nyiaj Txiag Ntxiv
- Cov lus nug sib tham
- Glossary of Commonly Use Acronyms
Cov ntaub ntawv tseem ceeb
Daim Ntawv Thov Kev Pom Zoo Los Ntawm CMS1
Daim Ntawv Thov Nyiaj Pab Ntxiv Rau MFP - Nplooj Ntawv Npog
Daim Ntawv Thov Nyiaj Pab Ntxiv Rau MFP - Zaj Dab Neeg Txog Qhov Project
Txoj haujlwm no tau txais kev txhawb nqa los ntawm Lub Chaw rau Medicare & Medicaid Cov Kev Pabcuam ntawm Tebchaws Meskas Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg (HHS) uas yog ib feem ntawm kev pabcuam nyiaj txiag tag nrho $ 5M nrog 100 feem pua nyiaj los ntawm CMS/HHS. Cov ntsiab lus yog cov neeg sau ntawv thiab tsis tas yuav sawv cev rau cov kev pom zoo ntawm, lossis kev pom zoo, los ntawm CMS/HHS, lossis Tsoomfwv Meskas.
Related Ua Haujlwm: California LTSS Data Dashboard
LTSS Cov Ntaub Ntawv Dashboard, ib qho kev pib ntawm Lub Tsev thiab Lub Zej Zog Kev Pabcuam Kev Siv Nyiaj Txiag, taug qab cov pej xeem, kev siv, zoo, thiab cov ntaub ntawv nqi ntsig txog LTSS hauv California. Lub dashboard no txuas cov kev saib xyuas mus sij hawm ntev hauv lub xeev thiab HCBS cov ntaub ntawv nrog lub hom phiaj ntawm kev ua kom pom tseeb kom muaj peev xwm ua tau rau cov neeg tswj hwm, cov neeg tsim cai, thiab cov pej xeem kom raug ceeb toom thaum lub xeev txuas ntxiv nthuav, txhim kho thiab txhim kho LTSS zoo hauv txhua lub tsev, zej zog, thiab koom ua ke.
Saib LTSS Data Dashboard
Cov lus nug
Cov lus nug nquag nug no (hloov kho thaum lub Tsib Hlis 2024) muab cov lus teb rau cov lus nug tau txais los ntawm cov neeg muaj feem cuam tshuam txog DHCS thiab CDA HCBS Gap Analysis thiab Daim Ntawv Qhia Ntau Xyoo.
Txhawm rau xa cov lus nug txog HCBS qhov kev txheeb xyuas qhov sib txawv thiab daim ntawv qhia ntau xyoo, xa email rau: HCBSGapAnalysis@dhcs.ca.gov, lossis xa ntawv mus rau qhov chaw nyob hauv qab no:
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
Integrated Systems of Care Division
PO Box 997437, MS 4502
Sacramento, CA 95899-7437
Attn: HCBS Section
Rov qab mus rau nplooj ntawv tsaws MFP-CCT.