DHCS Stakeholder News – March 30, 2023
인기 뉴스
DHCS, 자산 면제 유연성에 대한 CMS 승인 획득
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.
프로그램 업데이트
19개 언어로 제공되는 메디칼 지속 보장 툴킷 및 메디칼 가입자 보장 유지 웨비나 웨비나
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.
코로나19 무보험자 그룹 프로그램 툴킷 출시
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.
치매 케어 인식 웜라인
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 복권 플랜 업데이트
3월 24일부터 Medi-Cal Rx 복권 계획의 3단계 1단계가 성공적으로 시행되었습니다. 의료 서비스 제공자는 22세 이상 회원의 특정 약품군에 대한 처방전을 신규 및 갱신할 때 사전 승인을 제출해야 합니다. 추가 정보는 Medi-Cal Rx 복직 스포트라이트에서 확인할 수 있습니다. 또한 DHCS는 약국 제공자 및 처방자를 위한 3단계 리프트 2의 30일 카운트다운을 발표했습니다.
스마일, 캘리포니아 메디칼 치과 서비스 캠페인
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.
4월 3일부터 6월 2일까지 스마일게이트는 2023년 회원 고객 서비스 만족도 온라인 설문조사를 진행합니다. 이 설문조사는 19개 언어로 제공되며 메디칼 고객 서비스 담당자와의 경험에 대한 회원들의 피드백을 수집하기 위한 것입니다. 설문조사는 Smile, California 및 Medi-Cal Dental 웹사이트에 게시되며 4월 회원 게시판, Smile 알림, 소셜 미디어 및 SmileCalifornia.org의 홈페이지 배너를 통해 홍보될 예정입니다.
팀에 합류하세요
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.
DHCS는 모든 캘리포니아 주민의 전반적인 건강과 웰빙을 보존하고 개선하기 위해 최선을 다하고 있습니다. DHCS의 사명은 가장 취약한 주민들에게 저렴하고 통합된 양질의 의료 서비스를 공평하게 제공하는 것이며, 현재 캘리포니아 주민들이 더 건강하고 행복한 삶을 사는 데 필요한 의료 서비스를 제공하기 위해 Medi-Cal 프로그램을 혁신하고 있습니다.
예정된 이해관계자 회의 및 웨비나
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.
요양 시설 재정 개혁 웨비나
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 및 커뮤니티 지원 데이터 가이드 웨비나
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.
놓친 경우를 대비하여
캘리포니아, 메디칼 혁신을 위해 8,850만 달러 추가 지원금 지급
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 기술 지원(TA) 마켓플레이스 2라운드 벤더 신청이 시작되었습니다.
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, 병원 및 전문 요양 시설 COVID-19 근로자 고용 유지 지원금 지급 발표
3월 28일, 3월 30일, 4월 5일에 DHCS는 총 10억 달러 이상의 병원 및 전문 요양 시설 COVID-19 근로자 고용유지 지원금(WRP)을 지급합니다. DHCS는 총 832,000명 이상의 근로자를 대표하는 승인된 보험 적용 기관(CE), 보험 적용 서비스 고용주(CSE), 의사 그룹 기관(PGE) 및 독립 의사에게 자금을 분배할 예정입니다. CE, CSE, PGE 및 독립 의사는 자금을 수령한 날로부터 60일 이내에 승인된 근로자에게 지급금을 지급해야 합니다. 전반적인 배포 프로세스에서 기업을 지원하기 위한 요구 사항 및 지침은 WRP 웹 페이지에 게시되어 있습니다. 질문이 있으시면 wrp@dhcs.ca.gov 으로 이메일을 보내주세요.
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.