CalAIM គំនិតផ្តួចផ្តើមសុខភាពអាកប្បកិរិយា សំណួរដែលគេសួរញឹកញាប់
ខាងក្រោមនេះគឺជាបញ្ជីសំណួរដែលសួរញឹកញាប់ ដែលត្រូវបានប្រមូលពីជំនួយបច្ចេកទេស និងសិក្ខាសាលាព័ត៌មាន និងការបញ្ជូនទៅកាន់អ៊ីមែល BHCalAIM@dhcs.ca.gov ។ DHCS នឹងធ្វើបច្ចុប្បន្នភាពបញ្ជីនេះរៀងរាល់ត្រីមាស។
អនុស្សរណៈនៃការយោគយល់គ្នា (MOU)
តើដំណើរការដាក់ស្នើសម្រាប់របាយការណ៍ប្រចាំត្រីមាសទៅ DHCS សម្រាប់ MCPs, MHPs និង DMC-ODS គឺជាអ្វី?
Managed Care Plans (MCPs) must demonstrate a good faith effort to meet the Memorandum of Understanding (MOU) requirements of All Plan Letter (APL) 23-029. MCPs that are unable to execute the required MOUs by the required execution date must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The other Parties are not required to submit or sign the MCP’s quarterly reports, as the quarterly reports are specific to the MCPs compliance with the MOU requirements. DHCS has released an MOU Quarterly Reporting Template and instructions for submitting the required quarterly reports with the finalized template.
MHPs and DMC-ODS counties must demonstrate a good faith effort to meet the MOU requirements of Behavioral Health Information Notices (BHINs) and 23-057, respectively. MHPs and DMC-ODS counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.23-056 and 23-057, respectively. Mental Health Plans (MHPs) and Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.
Are MHPs and DMC-ODS county network/contracted providers required to be signatories to their delivery system’s respective MOU?
No. The required signatories (in addition to the Mental Health Plan (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) County and the Managed Care Plans (MCPs)) are MCP Subcontractors or Downstream Subcontractors that are Knox-Keene licensed health care plans and have entered into agreements with MCPs to delegate all or part of their responsibilities relating to sending/receiving referrals and care coordination for members served by both parties of the Memorandum of Understanding (MOU). In addition, the MHP’s behavioral health director (or position above) or a designated member of the county’s Board of Supervisors must sign the MOU. This does not include network/contracted MHP and DMC-ODS providers.
តើ MCPs, MHPs, និង DMC-ODS counties ត្រូវការដាក់ស្នើកំណែបន្ទាត់ក្រហមនៃការអាប់ដេតទាំងអស់ទៅកាន់គំរូ រួមទាំងការប្រើប្រាស់បទប្បញ្ញត្តិជាជម្រើសដែរឬទេ?
សម្រាប់ផែនការថែទាំដែលត្រូវបានគ្រប់គ្រង (MCPs) ផែនការសុខភាពផ្លូវចិត្ត (MHPs) និងប្រព័ន្ធចែកចាយឱសថ Medi-Cal-Organized Delivery counties (DMC-ODS) កំណែបន្ទាត់ក្រហម និងការយល់ព្រមជាមុនសម្រាប់ការផ្តល់ជម្រើស និងការបន្ថែមនឹងមិនត្រូវបានទាមទារមុនពេលប្រតិបត្តិនោះទេ។ ទោះជាយ៉ាងណាក៏ដោយ សន្លឹកគម្របសម្រាប់ស្រុក MCPs, MHPs និង DMC-ODS ដែលបង្ហាញយ៉ាងច្បាស់នូវការផ្តល់បន្ថែម ឬជម្រើសនឹងត្រូវបានទាមទារ។ DHCS កំពុងបង្កើតសន្លឹកគម្របសម្រាប់ប្រើប្រាស់ដោយស្រុក MCPs, MHPs និង DMC-ODS ។ សន្លឹកគម្របនេះនឹងរួមបញ្ចូលការផ្តល់ជូនជាជម្រើសទាំងអស់ដែលបានជ្រើសរើស និងសមត្ថភាពសម្រាប់ស្រុក MCPs, MHPs និង DMC-ODS ក្នុងការកត់សម្គាល់បទប្បញ្ញត្តិបន្ថែមណាមួយ។ DHCS នឹងបញ្ជូនបន្តតម្រូវការទាំងនេះតាមរយៈជំនួយបច្ចេកទេស និងការធ្វើបច្ចុប្បន្នភាពអនុស្សរណៈនៃការយោគយល់គ្នា (MOU) សំណួរដែលសួរញឹកញាប់។
តើ MHP និង DMC-ODS MOU Templates រួមបញ្ចូលក្នុង BHINs 23-056 និង 23-057 ដូចគ្នាបេះបិទទៅនឹង MHP និង DMC-ODS MOU Templates ដែលរួមបញ្ចូលក្នុង APL 23-029 និង MHP និង DMC-ODS MOU Templates នៅលើគេហទំព័រ MCP?
បាទ/ចាស ផែនការសុខភាពផ្លូវចិត្ត (MHP) និងប្រព័ន្ធចែកចាយឱសថ Medi-Cal-រៀបចំ (DMC-ODS) អនុស្សរណៈនៃការយោគយល់ (MOU) គំរូដែលបានយោងនៅក្នុងសេចក្តីជូនដំណឹងអំពីសុខភាពផ្លូវចិត្ត (BHINs) លិខិតផែនការទាំងអស់ (APL) និងគេហទំព័រគឺដូចគ្នាបេះបិទ។