DHCS Stakeholder News – April 24, 2023
ຂ່າວເດັ່ນ
ຂໍ້ມູນກ່ຽວກັບຄວາມສ່ຽງການຫລອກລວງຕໍ່ສະມາຊິກ Medi-Cal
DHCS ແມ່ນຮູ້ເຖິງຜູ້ຫຼອກລວງ ແລະນັກສະແດງທີ່ບໍ່ດີ ທົ່ວປະເທດ ທີ່ຕິດຕໍ່ກັບສະມາຊິກ Medicaid ທີ່ຮ້ອງຂໍຄ່າທໍານຽມເພື່ອຊ່ວຍເຂົາເຈົ້າສະໝັກ ຫຼືຕໍ່ອາຍຸການຄຸ້ມຄອງ Medicaid ຂອງເຂົາເຈົ້າ. ສະມາຊິກ Medi-Cal ໃນລັດຄາລິຟໍເນຍກໍຖືກເປົ້າໝາຍເຊັ່ນກັນ.
ສະມາຊິກ Medi-Cal ຄວນຮູ້ວ່າ Medi-Cal ບໍ່ເຄີຍຮຽກຮ້ອງໃຫ້ມີການຈ່າຍເງິນໃນລະຫວ່າງການສະໝັກ ຫຼືຂະບວນການຕໍ່ອາຍຸ.
DHCS ຮຽກຮ້ອງໃຫ້ພາກສ່ວນກ່ຽວຂ້ອງໃຊ້ ຊຸດເຄື່ອງມືຂອງພວກເຮົາ ໃນຄວາມພະຍາຍາມເຜີຍແຜ່ທັງໝົດ. ນອກຈາກນັ້ນ, ມັນເປັນສິ່ງສໍາຄັນທີ່ຈະສຶກສາອົບຮົມສະມາຊິກ Medi-Cal ກ່ຽວກັບວິທີທີ່ເຂົາເຈົ້າສາມາດຄາດຫວັງວ່າຈະໄດ້ຮັບການຕິດຕໍ່ຜ່ານແຫຼ່ງທີ່ຖືກຕ້ອງຕາມກົດຫມາຍຢ່າງເປັນທາງການ. ຖ້າມີຄຳຖາມ, ສະມາຊິກ Medi-Cal ສາມາດເຮັດວຽກກັບຄູ່ຮ່ວມຊຸມຊົນທ້ອງຖິ່ນຂອງເຂົາເຈົ້າ ຫຼືຕິດຕໍ່ ຫ້ອງການ Medi-Cal ຄາວຕີ້ ຂອງເຂົາເຈົ້າ.
ອັບເດດໂຄງການ
California’s Federal Unwinding Baseline Report
DHCS submitted California’s “Unwinding Baseline Report” to the Centers for Medicare & Medicaid Services (CMS) as part of the continuous coverage unwinding federal requirements. The report includes California’s estimate of total pending applications received between March 1, 2020, and March 31, 2023; total members enrolled as of March 31, 2023; and total Medi-Cal fair hearings pending more than 90 days as of March 31, 2023. The report also includes a description of California’s renewal timeline and policy during the unwinding period. The report will be posted monthly to the DHCS website under “DHCS Continuous Coverage Unwinding Data.”
ການປັບປຸງ Medi-Cal Rx
The Medi-Cal Rx Find A Pharmacy tool has been updated with new features to help members easily locate enrolled Medi-Cal pharmacies. These enhancements include a larger search radius to benefit rural communities, better messaging if a pharmacy is not located in a search result, and improved filtering of results for “Mail Order”, “IV Infusion”, and “Indian Health Services” to more easily identify pharmacies and mail order opportunities.
ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ
DHCS is hiring! DHCS has an immediate opening for Chief, Data Management and Analytics Division. This executive role presents a unique opportunity for a mission-driven, exceptionally motivated individual to further the Department’s priority to be a data-literate, data-driven decision-making organization.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, information technology, and communications teams. For more information, please visit the CalCareers website.
ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ
ກອງປະຊຸມກຸ່ມທີ່ປຶກສາດ້ານການຄຸ້ມຄອງສຸຂະພາບປະຊາກອນ (PHM).
On April 26, from 12:30 to 2 p.m., DHCS will host the next PHM Advisory Group meeting (advance registration required). The meeting will provide feedback on DHCS’ proposed changes to the population needs assessment (PNA) that Medi-Cal Managed Care Plans (are required to complete. HCS envisions the modified PNA to promoting greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health, social needs, and preferences from the communities in which they live. Stakeholders are encouraged to submit additional questions before the webinar to CalAIM@dhcs.ca.gov.
ກອງປະຊຸມໂຄງການ Navigators ການລົງທະບຽນສຸຂະພາບ
ໃນວັນທີ 1 ພຶດສະພາ, ເວລາ 1 ຫາ 2:30 ໂມງ, DHCS ເກືອບຈະຈັດກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງຮ່ວມກັບຄູ່ຮ່ວມງານ, ຜູ້ສະໜັບສະໜູນ, ແລະບຸກຄົນທີ່ສົນໃຈອື່ນໆເພື່ອສະໜອງການອັບເດດ ແລະ ຕອບຄຳຖາມກ່ຽວກັບໂຄງການ Navigators, ເຊິ່ງສະໜອງທຶນໃຫ້ແກ່ເຂດປົກຄອງ ແລະ CBOs ເພື່ອຮັບໃຊ້ປະຊາຊົນທີ່ຫາໄດ້ຍາກ Medi-alig elig elig. ຂໍ້ມູນກ່ຽວກັບກອງປະຊຸມນີ້, ຂໍ້ມູນທົ່ວໄປອື່ນໆ ແລະການປັບປຸງຈະມີຢູ່ໃນໜ້າເວັບ Health Enrollment Navigators Project Stakeholder & Advocate Communication. ພາກສ່ວນທີ່ສົນໃຈສາມາດຮ້ອງຂໍເພີ່ມເຂົ້າໃນແຈ້ງການປະຊຸມໂດຍການສົ່ງອີເມວຫາ HealthNavigators@dhcs.ca.gov.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
ໃນວັນທີ 4 ເດືອນພຶດສະພາ, ຈາກ 10 ໂມງເຊົ້າຫາ 2 ໂມງແລງ, DHCS ຈະເປັນເຈົ້າພາບ ກອງປະຊຸມ MCHAP hybrid ຕໍ່ໄປ (ຕ້ອງລົງທະບຽນລ່ວງຫນ້າ) ທີ່ The California Endowment (1414 K Street, Sacramento). ເອກະສານການປະຊຸມຈະຖືກປະກາດໄວ້ໃນ ໜ້າເວັບ MCHAP ໃກ້ກັບມື້ປະຊຸມ.
ໃນກໍລະນີທີ່ທ່ານພາດມັນ
ລັດຄາລິຟໍເນຍໃຫ້ລາງວັນ 2.5 ລ້ານໂດລາ ເພື່ອສ້າງຄວາມເຂັ້ມແຂງໃຫ້ໂຄງການນໍາທາງສຸຂະພາບພຶດຕິກຳ
On April 17, DHCS awarded more than $2.5 million to 103 hospitals with emergency departments, with each receiving $25,000 to implement strategies to sustain the CalBridge Behavioral Health Navigator Program (CalBridge) and maintain behavioral health navigators working with individuals. To date, 385 California hospitals have received funding under the CalBridge program.
DHCS also released funding opportunities for two opioid and stimulant use disorder community-based prevention programs: the Opioid Use and Stimulant Use Education and Outreach in 2S/LGBTQ+ Communities (RFA available here) and the Opioid and Stimulant Use Disorder Prevention and Education in Communities of Color (RFA here). Both projects are part of DHCS’ broader efforts to address SUD, collectively known as the California MAT Expansion Project, to increase access to MAT, reduce unmet treatment needs, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities.