DHCS Stakeholder News – November 4, 2022
トップニュース
DHCS COVID-19公衆衛生上の緊急事態(PHE)運用巻き戻し計画が更新されました
10月27日、DHCSは Medi-Cal COVID-19 PHE運用巻き戻し計画を更新しました。 更新されたプランは、10月18日にメディケア&メディケイドサービスセンター(CMS)によって承認された2つの新しい柔軟性を反映しており、メンバーの連絡先情報を更新する際のMedi-Calメンバー、マネージドケアプラン(MCP)、および地元の郡事務所の管理負担をさらに軽減します。 これらの柔軟性は、COVID-19 PHEの終了から14か月後も有効であり、COVID-19 PHEの巻き戻し期間中に郡がMedi-Calの再決定を処理する際に非常に重要で役立ちます。 承認された追加の柔軟性は次のとおりです。
- National Change of Address (NCOA) データベースおよびUnited States Postal Service (USPS) In-State Forwarding Address と提携して、メンバーの連絡先情報を更新します。 DHCSは、個人からの追加の確認なしに、NCOAデータベースおよびUSPS州内転送アドレスから更新された州内登録者の連絡先情報を受け入れることを一時的に許可します。 この権限の下で、カリフォルニア州は、NCOAデータベースまたはUSPSが転送先アドレスで返送したメールによって確認および受信された更新された州内の連絡先情報を信頼できるものとして扱い、最初に州に登録されているメンバーアドレスに通知を送信することなく、メンバーレコードを新しい連絡先情報で更新します。
- Program of All-Inclusive Care for the Elderies(PACE)組織と提携して、受益者の連絡先情報を更新します。 カリフォルニア州は、PACE組織からの更新された州内登録者の連絡先情報の受け入れを、個人からの追加の確認なしに一時的に許可します。 この権限の下で、州は、州のメディケイド機関と契約しているPACE組織によって確認され、PACE組織から受け取った更新された州内の連絡先情報を信頼できるものとして扱い、最初に州に登録されている受益者の住所に通知を送信せずに、新しい連絡先情報で受益者レコードを更新します。
Medi-Calの資産制限の変更に関するCMSアウトリーチ
On November 9, CMS will send an outreach email to all California Medicare beneficiaries with email addresses on file, up to one million individuals, to share information about Medicare Savings Programs (MSPs) and the impact the change in asset limits California implemented this year has on MSP program eligibility.
This email will inform Medicare beneficiaries that they can obtain financial assistance through MSPs for their Medicare Part B premiums, copayments, and deductibles, and includes information about the July 1, 2022, asset limits change for MSPs which could allow for more individuals to be eligible for MSPs. The email also includes information on Medi-Cal eligibility, income limits for both programs, and pathways to apply for MSPs and Medi-Cal.
MSPs are for individuals with limited income and resources to help pay some or all of their Medicare Part A and B Premiums, deductibles, copayments, and coinsurance. Individuals enrolled in MSPs may also get extra help that pays for Medicare prescription drug costs. Income limits for MSPs are similar to Medi-Cal, and eligibility for MSPs is determined concurrently with Medi-Cal eligibility by county eligibility offices. Currently, approximately 814,000 individuals in California are receiving MSPs.
プログラムの最新情報
クリニックの労働力安定化保持支払い(CWSRP)
DHCS today issued general process guidance to help qualified clinics prepare for the upcoming CWSRP registration and application submission.
Beginning on November 15, 2022, qualified clinics are required to register with DHCS in order to participate in CWSRP. Once registered and approved, qualified clinics will be provided a link to apply for retention payments on behalf of eligible employees starting on December 29. DHCS encourages early submissions so all applications can be validated prior to the final due date. DHCS anticipates issuing payments to qualified clinics in late February 2023, and clinics receiving funding must issue payments to qualified employees within 60 days of receipt of funds.
CWSRP の登録および申請提出プロセス に関する新しい情報を確認するには、 CWSRPのWebページにアクセスしてください。 CWSRP の利害関係者の発表 にサインアップして、新しい開発情報を入手してください。
子どもの健康プログラムと取り組みに関するプレゼンテーションスライド
On November 4, DHCS released a comprehensive set of presentation slides to help describe the numerous programs and initiatives that will improve Medi-Cal for California’s children and families. These slides cover significant Medi-Cal efforts including the California Advancing and Innovating Medi-Cal (CalAIM) initiative, improvements to Medi-Cal eligibility policy, new physical and behavioral health policies and benefits, and the Children and Youth Behavioral Health Initiative. This resource will provide stakeholders with greater insight into Medi-Cal’s strategy to support children and youth, and other aligned efforts.
CalAIMセクション1115デモンストレーションおよびセクション1915(b)免除
On November 4, DHCS submitted requests to CMS to amend the CalAIM Section 1115 demonstration and Section 1915(b) waiver. DHCS is seeking approvals to implement county-based plan model changes in the Medi-Cal managed care program. Through the Section 1915(b) waiver amendment, DHCS also plans to add or update language on policies or programs included in the approved waiver, including to reflect proposed direct contracts with the Kaiser Foundation Health Plan to enroll certain Medi-Cal beneficiaries in select counties.
DHCS hosted 30-day public comment and Tribal public comment periods to solicit feedback on the proposed amendments. Additional information about the CalAIM Section 1115 demonstration application and the Section 1915(b) overview is available on the CalAIM 1115 Demonstration & 1915(b) Waiver webpage.
ユロク族地域ウェルネスセンターを支援するための資金
11月1日、DHCSは、地域ウェルネスセンターの設立を支援するために、ユロク族に1,500万ドルを寄付しました。 上院法案154号(2022年制定法第43章)には、薬物、アルコール、メンタルヘルスサービスの部族特有センターとなるリージョナル・ウェルネス・センターの設立を支援するための1回限りの一般資金が含まれていました。これは、アメリカインディアンが物質使用障害サービス、住宅治療、移行住宅、アフターケアなど、文化的に適切な行動医療サービスにアクセスできるようにすることで、健康格差をなくすというDHCSの包括的な品質戦略の目標をサポートしています。
私たちのチームに参加しませんか
DHCS is hiring! On December 20 and 21, DHCS is hosting a virtual hiring event to recruit Associate Governmental Program Analysts and Staff Services Analysts. Candidates must complete an exam and submit applications by November 14 to be considered. For more information, please email Recruit@dhcs.ca.gov, or visit DHCS’ Facebook page.
For other opportunities to join our fiscal, human resources, legal, auditing, health policy, and information technology teams, along with other professions, visit the CalCareers website.
DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with access to affordable, integrated, high-quality, and equitable health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.
今後のステークホルダーミーティングとウェビナー
CalAIM Enhanced Care Management(ECM)とCommunity Supports Data Sharingウェビナー
On November 10, from 1:30 to 3 p.m., DHCS will virtually host an all-comers webinar on how CalAIM organizations are sharing data for ECM and Community Supports (advance registration required). Participants may submit questions to CalAIMECMILOS@dhcs.ca.gov by November 7, and attendees will be able to ask questions during the webinar. An additional “Office Hours” event will be held on December 1, from 2 to 3 p.m., for attendees to ask additional questions which were not covered during the webinar. For information about upcoming webinars and links to previous sessions, please see DHCS’ Technical Assistance Events.
Behavioral Health Stakeholder Advisory Committee(BH-SAC)特別ウェビナーで、メディケイドセクション1115コンセプトペーパーに関するフィードバックを募集します
On November 15, from 11:30 a.m. to 12:30 p.m., DHCS will virtually host a special public stakeholder meeting (join webinar at scheduled time) to solicit stakeholder feedback for an upcoming concept paper on DHCS’ intent to apply for a new Medicaid Section 1115 demonstration. This demonstration will expand access to and strengthen the continuum of community-based mental health services for Medi-Cal members living with serious emotional disturbance or mental illness. It will also amplify California’s ongoing behavioral health initiatives, and be informed by findings from DHCS’ 2022 Assessing the Continuum of Care for Behavioral Health Services in California. Meeting materials for the November 15 meeting will be posted to the BH-SAC webpage as they become available. Questions about the BH-SAC may be directed to BehavioralHealthSAC@dhcs.ca.gov.
子供向け補聴器補償プログラム（HACCP）家族向けウェビナー
On November 15, DHCS will hold two sessions for the next quarterly HACCP Webinar for Families: 10 to 10:50 a.m. and 6 to 6:50 p.m. The purpose of this webinar is to provide information about HACCP’s eligibility criteria, enrollment process, and covered benefits to interested families, as well as those with children already enrolled in HACCP. Additional program information is available on DHCS’ HACCP webpage. Webinar details are available on HACCP’s Resources for Families webpage.
ドゥーラのMedi-Cal登録要件と手続きについて話し合うための公聴会
On November 17, from 1 to 3 p.m., DHCS will virtually host a public stakeholder meeting (advance registration required) to discuss the regulatory provider bulletin entitled, “Medi-Cal Enrollment Requirements and Procedures for Doulas.” The bulletin was created to implement the reporting requirements and procedures of doula providers to enroll in the Medi-Cal fee-for-service program. Stakeholders may submit questions and suggestions during the hearing; written comments will be accepted on the day of the hearing until 5 pm. Based on the public comments received, DHCS will publish the final bulletin on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.
CalAIMオフィスアワー:ECMとコミュニティサポートを新たに導入する郡向けのQ&A
On November 17, from 2 to 3 p.m., DHCS will virtually host an “Office Hours” discussion (advance registration required) for counties newly implementing ECM and Community Supports. Participants may submit questions by November 14 to CalAIMECMILOS@dhcs.ca.gov, and attendees may ask questions during the session.
カリフォルニア州スマイル Medi-Cal Dental Servicesのキャンペーン
11 月 17 日と 21 日、カリフォルニア州スマイルは、 Medi-Cal 会員向けに 2 つの Facebook Live プレゼンテーション (1 つは英語、もう 1 つはスペイン語) を開催します。イギリス人 プレゼンテーションは11月17日午後5時30分に開催され、スペイン語のプレゼンテーションは11月21日午後5時30分に開催されます。 Smile, California のメンバーのアウトリーチ担当者が、「 Smile, Your Medi-Cal Benefits Include Dental!」のプレゼンテーションを実施し、次のことを行います。
- Medi-Calデンタルプログラムについて話し合います。
- すべての年齢のメンバーが利用できる対象となる歯科サービスについて視聴者に知らせます。
- Medi-Cal歯科の利点に関する質問に答えます。
介護施設の資金調達改革ウェビナー
11月18日午後2時から3時まで、DHCSは、 議会法案186 (第46章、2022年制定法)で承認された労働力および品質インセンティブプログラム(WQIP)について話し合うための仮想利害関係者会議を主催します。 この会議では、10月25日の仮想利害関係者会議で以前に提示されたWQIPプログラム設計の議論を継続し、提案された変更を提示し、利害関係者のフィードバックのためのさらなる機会を提供します。 11月18日のウェビナーへの参加方法に関する情報は、会議日が近づくと、 Nursing Facility Financing Reform AB 186のWebページ に掲載されます。
CalAIM早期および定期的なスクリーニング、診断、および治療サービス(EPSDT)登録者向け材料ウェビナー
On November 18, from 11 a.m. to 12 p.m., DHCS will host a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials (advance registration required). The federal and state requirement for children’s services, known as EPSDT, gives children and youth under age 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT covered services.
Proposed materials include: two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the EPSDT name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped. The draft materials will be posted on the DHCS CalAIM News & Updates webpage before webinar. All interested members, providers, plans, counties, health systems, advocates, and other stakeholders are invited to attend.
認知症ケアアウェアウェビナーシリーズ–第4回ウェビナー
On November 18, from 12 to 1 p.m., Dementia Care Aware will virtually host The Cognitive Health Assessment via Video or Phone (advance registration required) webinar. Jennifer Schlesinger, Vice President of Healthcare Services & Community Education at Alzheimer’s Los Angeles, and Elena Tsoy, PhD, Clinical Neuropsychologist and Assistant Professor at UCSF, will speak about ways to conduct cognitive health assessments via phone or video. Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Additional information is available on the Dementia Care Aware Initiative website. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit).