DHCS expresses gratitude to our plans, providers, stakeholders, and other partners for their commitment and partnership during the COVID-19 PHE. We worked together and adapted quickly to the pandemic’s challenges and difficulties to care for millions of Californians. Our joint efforts enabled us to navigate the PHE with resilience and perseverance, and we are grateful for your ongoing engagement. ​​  

The health care industry, particularly hospitals, behavioral health facilities, and skilled nursing facilities, faced the brunt of the PHE’s impact. The surge in COVID-19 cases placed immense strain on those facilities, stretching resources to their limits and challenging our workforce as never before seen with overwhelming patient volumes, shortages of critical supplies and equipment, and the need for additional staff. Despite these challenges, our collective efforts enabled us to continue providing vital services. Some examples include, making permanent telehealth policies implemented during the PHE, including payment parity, flexibilities for FQHC partners and expanding telehealth to all delivery systems, stabilizing and retaining California’s health care workforce by providing retention payments to workers in qualifying facilities and clinics, and launching a Coverage Ambassadors program and Renewal Campaign to ensure that Medi-Cal members know how best to retain their health coverage, we have demonstrated our commitment to serving Californians.  ​​  

Rebuilding and strengthening our health care system requires a continued collaborative effort. We must focus on implementing strategies to bolster our system and workforce. We’ve learned a lot from this pandemic, and how we can better protect the health and well-being of all Californians, now and in the future.  ​​  

As a reminder, the end of the federal COVID-19 PHE has implications for Medicaid and the Children’s Health Insurance Program (CHIP). DHCS acted to make permanent several flexibilities implemented over the course of the PHE. Below is a summary of end dates for key federal Medicaid provisions, with additional details on how DHCS unwound the PHE in the Medi-Cal program. ​​  

ການສະໜອງ Medicaid ແລະ CHIP COVID-19 ພາຍໃຕ້ກົດໝາຍວ່າດ້ວຍແຜນການກູ້ໄພອາເມລິກາ (ARPA): ​​  

• ການຄຸ້ມຄອງທີ່ບໍ່ມີຄ່າໃຊ້ຈ່າຍສໍາລັບວັກຊີນ COVID-19, ການທົດສອບ, ແລະການປິ່ນປົວສໍາລັບສະມາຊິກ Medi-Cal: Medicaid ແມ່ນຈໍາເປັນເພື່ອກວມເອົາວັກຊີນ COVID-19, ການທົດສອບ, ແລະການປິ່ນປົວໂດຍບໍ່ມີການແບ່ງປັນຄ່າໃຊ້ຈ່າຍສໍາລັບສະມາຊິກຜ່ານໄລຍະສຸດທ້າຍຂອງໄລຍະເວລາການຄຸ້ມຄອງ ARPA ໃນເດືອນກັນຍາ 30, 2024.  DHCS ກໍາລັງເລືອກໃຫ້ຂະຫຍາຍການຄຸ້ມຄອງຢ່າງຖາວອນສໍາລັບວັກຊີນ, ການທົດສອບ ແລະການປິ່ນປົວ COVID-19 ເກີນກວ່າໄລຍະເວລາການຄຸ້ມຄອງ ARPA.   ​​  
• Optional COVID-19 Group for Uninsured Individuals: California has taken advantage of the “optional COVID-19 group,” also referred to as the COVID-19 Uninsured Group, that provided uninsured individuals with coverage for COVID-19 vaccines, testing, and treatment. This coverage expires on May 31 and DHCS began sending notices to individuals enrolled in the COVID-19 Uninsured Group about the program’s sunset along with a Single Streamlined Application to apply for Medi-Cal or Covered California coverage in late April 2023.  ​​  
• ການປັບປຸງການຈັບຄູ່ຂອງລັດຖະບານກາງສຳລັບວັກຊີນ ແລະ ການບໍລິຫານວັກຊີນ COVID-19: ລັດຕ່າງໆໄດ້ຮັບທຶນທີ່ກົງກັນຂອງລັດຖະບານກາງ 100 ເປີເຊັນສຳລັບການຄຸ້ມຄອງວັກຊີນ ແລະ ການບໍລິຫານວັກຊີນ, ຕາມທີ່ ARPA ປະກາດໃຊ້. ກອງທຶນທີ່ກົງກັນເຫຼົ່ານີ້ຍັງສິ້ນສຸດໃນເດືອນກັນຍາ 30, 2024. ດັ່ງທີ່ອະທິບາຍໄວ້ຂ້າງເທິງ, Medi-Cal ຈະສືບຕໍ່ໃຫ້ກວມເອົາວັກຊີນ COVID-19.   ​​   

ຄວາມຍືດຫຍຸ່ນທາງກົດໝາຍທີ່ເຮັດໄດ້ໂດຍ PHE:  ​​  

ການຍົກເວັ້ນພາກທີ 1135 ຈະໝົດອາຍຸໃນວັນທີ 11 ພຶດສະພາ ແລະໂຄງການ Medicaid ບໍ່ສາມາດຂະຫຍາຍຄວາມຍືດຫຍຸ່ນເຫຼົ່ານັ້ນເກີນກວ່າການສິ້ນສຸດຂອງ PHE. ນອກຈາກນັ້ນ, DHCS ໄດ້ຖືກເລືອກໃຫ້ ຢຸດເຊົາການລົງທະບຽນຜູ້ໃຫ້ບໍລິການ Medi-Cal ສຸກເສີນ ກ່ອນການສິ້ນສຸດຂອງ PHE, ມີຜົນບັງຄັບໃຊ້ໃນວັນທີ 29 ມີນາ, 2023. ​​  

ການແກ້ໄຂແຜນການແກ້ໄຂໄພພິບັດຂອງລັດ Medicaid (SPAs) ຍັງຈະໝົດອາຍຸໃນວັນທີ 11 ພຶດສະພາ, ຍົກເວັ້ນບັນດາໂຄງການທີ່ DHCS ເຮັດຖາວອນ. ສຳລັບລາຍລະອຽດກ່ຽວກັບນະໂຍບາຍສະເພາະທີ່ສ້າງຂຶ້ນແບບຖາວອນຜ່ານຂະບວນການ SPA ແບບດັ້ງເດີມ, ກະລຸນາເບິ່ງພາກທີ I ຂອງ Medi-Cal COVID-19 PHE ແລະແຜນການຄຸ້ມຄອງແບບບໍ່ຢຸດຢັ້ງການດຳເນີນງານຢ່າງຕໍ່ເນື່ອງ.  ນອກຈາກນັ້ນ, ບໍ່ດົນມານີ້, DHCS ໄດ້ປັບປຸງຈົດ ໝາຍສະບັບແຜນ 20-004 ທັງໝົດ ເຊິ່ງໃຫ້ຄຳແນະນຳແກ່ແຜນການດູແລທີ່ຄຸ້ມຄອງໂດຍ Medi-Cal ໃນການຍົກເລີກການປ່ຽນແປງຊົ່ວຄາວທີ່ສະໜອງໃຫ້ພາຍໃຕ້ PHE.​​    

ມາດຕາ 1915(c) ເອກະສານຊ້ອນທ້າຍ K ຫຼື ມາດຕາ 1115 ເອກະສານຄັດຕິດ K ວັນທີການສິ້ນສຸດແມ່ນແຕກຕ່າງກັນໄປຕາມການຍົກເວັ້ນ, ແຕ່ໂດຍທົ່ວໄປແລ້ວຈະບໍ່ເກີນຫົກເດືອນຫຼັງຈາກການສິ້ນສຸດຂອງ PHE. ເຊັ່ນດຽວກັນ, DHCS ມີຈຸດປະສົງເພື່ອເຮັດໃຫ້ຄວາມຍືດຫຍຸ່ນຂອງ 1915(c) ແລະ 1115 ຖາວອນ.  ສໍາລັບລາຍລະອຽດກ່ຽວກັບນະໂຍບາຍເຫຼົ່ານີ້, ກະລຸນາເບິ່ງພາກທີ I ຂອງ Medi-Cal COVID-19 PHE ແລະແຜນການດໍາເນີນງານການປົດປ່ອຍການຄຸ້ມຄອງຢ່າງຕໍ່ເນື່ອງ. ​​  

ກ້າວໄປຂ້າງໜ້າ  ​​  

COVID-19 may no longer be classified as a public health emergency, however, COVID-19 will continue to be an ongoing health issue and California’s SMARTER Plan is specifically designed to effectively manage this ongoing reality. SMARTER, which stands for Shots, Masks, Awareness, Readiness, Testing, Education and Rx, is the next phase of the state’s COVID-19 response. It retains California’s operational preparedness and will continue to guide our work in supporting communities throughout the state. With the knowledge gained over the past few years, we understand the steps that we must take to prepare for future COVID-19 surges or variants, which includes reducing the burden on health care systems. The SMARTER Plan acknowledges and builds upon California’s previous successes and is designed to be adaptable. Additionally, this website hosted by the California Health & Human Services Agency, provides resources for Californians about various services and programs that are impacted by the end of the COVID-19 PHE, including flexibilities and other policy changes.​​   

ກ້າວໄປຂ້າງໜ້າ, ເຮັດວຽກຮ່ວມກັນ ພວກເຮົາສາມາດແກ້ໄຂສິ່ງທ້າທາຍທີ່ COVID-19 ເກີດຂຶ້ນໄດ້ຢ່າງໝັ້ນໃຈ ໃນຂະນະທີ່ຮັກສາສຸຂະພາບຊາວຄາລິຟໍເນຍ.​​