トップニュース​​  

DHCSがCMSの資産免除の柔軟性の承認を取得​​  

On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.​​   

This waiver flexibility ensures continuity of coverage for seniors and persons with disabilities, and will prevent potential disruptions in their Medi-Cal coverage once redeterminations resume in April 2023. Medi-Cal members will still need to meet all other Medi-Cal eligibility criteria, such as income, to remain eligible for Medi-Cal.​​  

DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19  to provide counties with immediate guidance on operationalizing the waiver flexibility.​​  

プログラムの最新情報​​   

Medi-Cal Continuous Coverage Toolkitは19の言語で利用可能で、Medi-Calメンバーをカバーできるウェビナー​​    

This week, DHCS posted the Medi-Cal Continuous Coverage toolkit in 17 Medi-Cal threshold languages (in addition to the previously posted English and Spanish). Each toolkit includes materials that can be customized to help DHCS Coverage Ambassadors and partners assist Medi-Cal members with the redetermination process. The content encourages members to update their contact information to ensure they receive important information about keeping their Medi-Cal coverage. Toolkit assets include flyers, social media posts, messaging, including interactive voice response call scripts, sample emails, and text messages.​​  

On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend.​​  

COVID-19無保険グループプログラムツールキットの開始​​  

DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023.  Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS’ strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage.​​  

認知症ケアアウェアウォームライン​​   

The Dementia Care Aware Warmline is now live at 1-800-933-1789, from Monday to Friday between 9 a.m. and 5 p.m. The warmline offers education and decision-making consultation for clinicians and primary care teams in California, covering topics related to dementia screening, assessment, diagnosis, management, and care planning. ​​   

The warmline also provides support for implementing the Dementia Care Aware cognitive health assessment as a screening approach, outlined here. Consultants are available to answer questions that may arise during any stage of dementia care, how to make systems changes in their practice, and related medical legal considerations. Voicemail messages left after hours will be returned the next business day.​​   

Note: Consultations are not intended as a substitute for professional medical care or advice, nor to replace a health care professionals’ clinical judgment regarding their individual patient care.  ​​  

Medi-Cal Rxの復職プランの更新​​  

3月24日現在、フェーズIIIのリフト1は、Medi-Cal Rxの回復計画の無事に実施されています。 プロバイダーは、22歳以上のメンバーを対象に、特定の医薬品クラスの新規処方および更新処方箋の事前承認を提出する必要があります。 追加情報は、Medi-Cal Rx Reinstatement Spotlight内にあります。 さらに、DHCSは、 フェーズIII、リフト2の薬局提供者と処方者向けの30日間のカウントダウンをリリースしました。​​  

カリフォルニア州スマイル​​  Medi-Cal Dental Servicesのキャンペーン​​   
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.​​   

Additionally, a Smile, California, Smile Alert will continue promoting the Provider Testimonial Video series, reminding members that the deadline for the required Kindergarten Oral Health Assessment is on May 31, and recognizing March as National Nutrition Month. Sign up for our Smile Alerts to stay informed about the Smile, California campaign.​​  

4月3日から6月2日まで、カリフォルニア州スマイルは、2023年メンバーカスタマーサービス満足度調査のオンライン調査を推進します。 この調査は19の言語で利用でき、Medi-Calカスタマーサービス担当者との経験についてメンバーからフィードバックを収集することを目的としています。 この調査は 、Smile、California 、 Medi-Cal Dental のWebサイトに公開され、4月のメンバーブレティン、スマイルアラート、ソーシャルメディア、 および SmileCalifornia.org のホームページバナーで宣伝されます。
​​ 

私たちのチームに参加しませんか​​    

DHCS is hiring! DHCS has an immediate opening for Chief of the Selection and Recruitment Branch within the Human Resources Division. This position provides direction in the development and administration of annual department-wide recruitment plans, marketing, and a variety of recruitment activities designed to promote DHCS as an employer of choice.​​   

DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children’s Health Insurance Program.​​  

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.  ​​  

DHCSは、すべてのカリフォルニア州民の全体的な健康と福祉を維持し、改善することに専念しています。 DHCSの使命は、最も脆弱な居住者に手頃な価格で統合された高品質の医療への公平なアクセスを提供することであり、現在、Medi-Calプログラムを変革して、カリフォルニア州民がより健康で幸せな生活を送るために必要なケアを確実に提供できるようにしています。​​  

今後のステークホルダーミーティングとウェビナー​​   

California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing​​  

On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California’s reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access. Additional information is available on the CalRHAD webpage.​​    

介護施設の資金調達改革ウェビナー​​  

On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage.​​  

ECMとコミュニティがデータガイダンスウェビナーをサポート​​   

On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.​​   

Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023.​​  

見逃した場合に備えて​​  

カリフォルニア州は、Medi-Calの変革を支援するために8,850万ドルを追加で授与します​​  

On March 24, DHCS announced awards totaling $88.5 million to help local organizations build their capacity and infrastructure in support of a more coordinated, person-centered, and equitable Medi-Cal system for all Californians. These funds further the vision of California Advancing and Innovating Medi-Cal (CalAIM), California’s long-term commitment to transform and strengthen Medi-Cal, and will be used to develop and deploy the Medi-Cal Enhanced Care Management benefit and Community Supports services statewide.​​  

PATH Technical Assistance (TA) Marketplace Round 2 ベンダーアプリケーション開始​​  

On March 28, DHCS opened the Providing Access and Transforming Health (PATH) TA Marketplace Round 2 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access no-cost TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations interested in applying to qualify as a TA Marketplace vendor are strongly encouraged to join an informational webinar (advance registration required) on April 6, from 1 to 2 p.m. to learn more about the application process. The deadline to apply to qualify as a vendor is April 28, 2023.​​  

Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com.​​  

DHCSが病院および熟練した看護施設のCOVID-19労働者維持手当をリリース​​   

DHCSは3月28日、3月30日、4月5日に、病院および熟練看護施設のCOVID-19労働者維持金(WRP)を総額10億ドル以上発行します。 DHCSは、承認された対象事業体(CE)、対象サービス雇用者(CSE)、医師グループ事業体(PGE)、および合計832,000人以上の労働者を代表する独立医師に資金を分配します。 CE、CSE、PGE、および独立医師は、資金の受領から承認された労働者への支払いを免除するまでに60日間の猶予があります。 要件とガイダンスは、全体的な配布プロセスでエンティティをサポートするために WRP Web ページ に掲載されています。 ご不明な点がございましたら 、wrp@dhcs.ca.gov までメールでお問い合わせください。​​  

Webinar on Governor Newsom’s Proposal to Modernize California’s Behavioral Health System​​  

On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor’s proposal to modernize California’s behavioral health system. The proposal builds on the Administrations’ previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webpage.​​