ບ້ານ ຂ່າວຜູ້ມີສ່ວນຮ່ວມຂອງ DHCS – ພຶດສະພາ 12, 2023​​ 

DHCS Stakeholder News – May 12, 2023​​ 

ຂ່າວເດັ່ນ​​  

Governor’s May Revision​​  

Governor Gavin Newsom proposed a $156 billion May Revision for DHCS programs and services for fiscal year 2023-24. It proposes to support vital services that reinforce the state’s commitment to preserve and improve the overall health and well-being of all Californians while operating within a responsible budgetary structure. Highlights include:​​  

Managed Care Organization (MCO) Tax and Medi-Cal Provider Rate increases. The May Revision includes the renewal of the MCO tax, effective April 1, 2023, nine months earlier than planned at Governor’s Budget. This earlier start results in approximately $3.7 billion in additional General Fund for calendar year 2023. Additionally, the May Revision increases MCO revenue (as compared to Governor’s Budget) to achieve an approximately $5 billion annual state benefit.
A portion of this revenue will support an increase in provider rates to at least 87.5 percent of Medicare for specified providers, including Primary Care (inclusive of nurse practitioners and physician assistants), Maternity Care (inclusive of OB/GYN and doulas), and non-specialty mental health services beginning January 1, 2024.
Additionally, in collaboration with key stakeholders in the Medi-Cal delivery system and with a focus on enhancing equitable access to care, DHCS will assess which ongoing, long-term rate augmentations will deliver the greatest benefit to improving Medi-Cal systems across California. The focus will be to look at additional augmentations to primary care, maternal care, and behavioral health as well as specialty care, outpatient, and acute care systems with attention on how to increase the commitment of providers to serve Medi-Cal members, support providers in disproportionately impacted areas, and build robust teams and programs with a strong workforce, to ensure care is provided in the right settings, at the right time, and at the highest quality. Following this process, DHCS will return with a proposed set of investments and augmentations that will be put forward to the Legislature in the 2024-25 Governor’s Budget, with an intended effective date of January 1, 2025. 
Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT). Formerly known as California Behavioral Health Community-Based Continuum (CalBH-CBC), the proposal continues to include the 1115 demonstration waiver to address the gaps in the behavioral health continuum of care for Medi-Cal members living with serious mental illness (SMI) and serious emotional disturbance (SED). The May Revision adds a new Workforce Initiative to the waiver, $480 million a year for the five years ($2.4 billion total funding), to strengthen the pipeline of behavioral health professionals, including improving short-term recruitment and retention efforts. 
Behavioral Health Modernization. The May Revision includes initial funding to support the behavioral health modernization proposal.​​  

ເດືອນ​ພຶດ​ສະ​ພາ​ດັດ​ແກ້​ເອ​ກະ​ສານ​ງົບ​ປະ​ມານ​:​​ 

DHCS ປະກາດຊື່ໃໝ່ສຳລັບການຍົກເວັ້ນສຸຂະພາບພຶດຕິກຳ​​  

DHCS is renaming the proposed California Behavioral Health Community-Based Continuum (CalBH-CBC) demonstration waiver to better align with the Department’s mission, vision, and goals. It will now be known as the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) waiver. The name change emphasizes DHCS’ commitment to providing a robust continuum of community-based behavioral health care services and improving equity, quality, and access for all Medi-Cal members living with SMI and SED, particularly populations experiencing disparities in behavioral health access and outcomes. The waiver name is new, but its objectives and approach remain the same.  

The waiver is informed by findings from DHCS’ 2022 report, Assessing the Continuum of Care for Behavioral Health Services in California, and is a historic opportunity to make significant investments in the full continuum of care for behavioral health, with a particular focus on the most vulnerable populations. For more information about this waiver, please visit the DHCS website.​​  

ອັບເດດໂຄງການ​​  

ເອກະສານແນວຄວາມຄິດກ່ຽວກັບການປະເມີນຄວາມຕ້ອງການປະຊາກອນສະບັບປັບປຸງ (PNA)​​  

DHCS released a concept paper that outlines DHCS’ vision of a reimagined PNA that Medi-Cal managed care plans (MCPs) are required to complete. DHCS envisions a modified PNA that promotes greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health and social needs and preferences and the communities in which they live. This approach will help target resources and interventions to support improved health outcomes for Medi-Cal members. DHCS encourages feedback on the concept paper through written comments and by participating in upcoming public forums and advisory groups. DHCS will accept public comment through 5 p.m. on June 2, 2023, to PHMSection@dhcs.ca.gov, with the subject line “Comments on PNA Concept Paper”.​​   

Along with the concept paper, DHCS will soon issue a new All Plan Letter (APL) to replace APL 19-011 and provide near-term MCP guidance on the modified PNA and the new population health management strategy. For more information and regular updates, please visit the CalAIM Population Health Management Initiative webpage.​​  

ໂຄງການ Navigators ການລົງທະບຽນສຸຂະພາບ​​   

ໃນວັນທີ 12 ເດືອນພຶດສະພາ, DHCS ໄດ້ແຈ້ງໃຫ້ຄູ່ຮ່ວມງານທີ່ສະຫມັກຂໍເອົາເງິນທຶນ Navigator ການລົງທະບຽນສຸຂະພາບທີ່ຍັງເຫຼືອທີ່ຍັງບໍ່ໄດ້ຈັດສັນຈໍານວນ 3.6 ລ້ານໂດລາທີ່ເໝາະສົມຜ່ານຮ່າງກົດໝາຍສະພາ 74 (ໝວດທີ 23, ລັດຖະທຳມະນູນປີ 2019) ແລະ ຮ່າງກົດໝາຍຂອງສະພາສູງ 154 (ໝວດທີ 43, ລັດຖະທຳມະນູນປີ 2022). ເງິນທຶນເພີ່ມເຕີມເຫຼົ່ານີ້ຈະຊ່ວຍໃຫ້ຄູ່ຮ່ວມງານສາມາດສ້າງຕັ້ງໃຫມ່, ແລະຂະຫຍາຍກິດຈະກໍາທີ່ມີຢູ່, ແລະກິດຈະກໍາທີ່ກ່ຽວຂ້ອງກັບການຂະຫຍາຍ Medi-Cal ແລະການຕໍ່ອາຍຸ Medi-Cal ໃນໄລຍະການຄຸ້ມຄອງຢ່າງຕໍ່ເນື່ອງ. ອົງການຈັດຕັ້ງຊຸມຊົນທ້ອງຖິ່ນທີ່ມີຄວາມສົນໃຈໃນການຊ່ວຍເຫຼືອໃນຄວາມພະຍາຍາມເຫຼົ່ານີ້ສາມາດອ້າງອີງເຖິງຂໍ້ມູນການຕິດຕໍ່ຄູ່ຮ່ວມງານໂຄງການຢູ່ໃນສ່ວນຄູ່ຮ່ວມງານຂອງໂຄງການຂອງເວັບໄຊທ໌ DHCS.​​  

ການປັບປຸງ Medi-Cal Rx​​  

ວັນ​ທີ 19 ພຶດສະພາ​ນີ້, ໄລຍະ​ທີ 3, ຍົກ 3 ຈະ​ໄດ້​ຮັບ​ການ​ຜັນ​ຂະຫຍາຍ, ຍົກ​ອອກ​ນະ​ໂຍບາຍ​ຫັນປ່ຽນ​ສຳລັບ 22 ໝວດ​ມາດ​ຕະການ​ປິ່ນປົວ. ນີ້​ແມ່ນ​ເທື່ອ​ທີ​ສາມ​ໃນ​ການ​ຍົກ​ເລີກ​ການ​ຍົກ​ເລີກ​ການ​ອະ​ນຸ​ຍາດ​ລ່ວງ​ໜ້າ​ທາງ​ປະ​ຫວັດ​ສາດ ແລະ​ການ​ຮຽກ​ຮ້ອງ​ໂດຍ​ການ​ຟື້ນ​ຟູ​ລະ​ຫັດ​ປະ​ຕິ​ເສດ 75 - ຕ້ອງ​ມີ​ການ​ອະ​ນຸ​ຍາດ​ກ່ອນ.​​  

Smile, California campaign for Medi-Cal Dental Services​​ 

ໃນລະຫວ່າງອາທິດຂອງວັນທີ 22 ພຶດສະພາ, ຈົດໝາຍຂ່າວອີເລັກໂທຣນິກຂອງ Smile Alert ປະຈໍາເດືອນຈະຖືກສົ່ງໄປຫາຜູ້ສະໝັກໃຊ້ທັງໝົດທີ່ໃຫ້ບໍລິການເປັນການເຕືອນສໍາລັບສະມາຊິກຂອງ Medi-Cal ເພື່ອເຮັດການສໍາຫຼວດບໍລິການລູກຄ້າຂອງສະມາຊິກ 2023. ຈົດໝາຍຂ່າວຍັງຈະໃຫ້ຄວາມສົນໃຈກັບ ໜ້າຄຳຖາມທົ່ວໄປ ຢູ່ໃນ SmileCalifornia.org, ບ່ອນທີ່ສະມາຊິກຂອງ Medi-Cal ສາມາດເຂົ້າເຖິງຄຳຖາມທົ່ວໄປກ່ຽວກັບການຄຸ້ມຄອງແຂ້ວຂອງ Medi-Cal.​​    

ບົດລາຍງານໂຄງການປະຈໍາປີຂອງ Family PACT​​   

ໃນວັນທີ 12 ພຶດສະພາ, DHCS ໄດ້ເຜີຍແຜ່ ບົດລາຍງານໂຄງການການວາງແຜນຄອບຄົວ, ການເຂົ້າເຖິງ, ການດູແລ ແລະການປິ່ນປົວ (Family PACT) ປີງົບປະມານ 2019-20 ຢູ່ໃນ ເວັບໄຊທ໌ Family PACT. ລັດຖະບັນຍັດ ຮຽກຮ້ອງໃຫ້ມີການວິເຄາະປະຈໍາປີຂອງການວັດແທກໂຄງການທີ່ສໍາຄັນ. ບົດລາຍງານປະຈໍາປີນີ້ແມ່ນອີງໃສ່ຂໍ້ມູນການລົງທະບຽນແລະການຮຽກຮ້ອງທີ່ອະທິບາຍເຖິງຜູ້ໃຫ້ບໍລິການ Family PACT ແລະປະຊາກອນລູກຄ້າ, ປະເພດຂອງການບໍລິການທີ່ນໍາໃຊ້, ແລະການຈ່າຍເງິນຄືນໂຄງການ. ວັນທີໃຫ້ບໍລິການໃນບົດລາຍງານນີ້ແມ່ນສໍາລັບປີງົບປະມານ 2019-20, ເຊິ່ງໄດ້ເລີ່ມໃນວັນທີ 1 ກໍລະກົດ, 2019, ແລະສິ້ນສຸດໃນເດືອນມິຖຸນາ 30, 2020.​​  

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​    

DHCS is hiring! DHCS has an immediate opening for Deputy Director and Chief Counsel, Office of Legal Services. This executive role offers the right attorney an opportunity to lead DHCS’ legal team in providing comprehensive legal and regulatory services and advice regarding Medi-Cal and behavioral health.​​  

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, communications, and information technology teams. For more information, please visit the CalCareers website.  ​​  

DHCS ແມ່ນອຸທິດຕົນເພື່ອປົກປັກຮັກສາ ແລະປັບປຸງສຸຂະພາບ ແລະສຸຂະພາບໂດຍລວມຂອງຊາວຄາລິຟໍເນຍທັງໝົດ. ພາລະກິດຂອງ DHCS ແມ່ນເພື່ອໃຫ້ຜູ້ຢູ່ອາໄສທີ່ມີຄວາມສ່ຽງທີ່ສຸດເຂົ້າເຖິງຄວາມສະເໝີພາບໃນການເຂົ້າເຖິງການດູແລສຸຂະພາບທີ່ມີລາຄາບໍ່ແພງ, ປະສົມປະສານ, ມີຄຸນນະພາບສູງ, ແລະໃນປັດຈຸບັນກໍາລັງຫັນປ່ຽນໂຄງການ Medi-Cal ເພື່ອໃຫ້ແນ່ໃຈວ່າມັນສະຫນອງການດູແລທີ່ຊາວຄາລິຟໍເນຍຕ້ອງການໃຫ້ມີຊີວິດທີ່ມີສຸຂະພາບດີ, ມີຄວາມສຸກຫຼາຍຂຶ້ນ. ​​  

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​  

Dementia Care Aware – ການປະເມີນສຸຂະພາບມັນສະຫມອງ (CHA) ການຝຶກອົບຮົມສະເໝືອນ​​  

ເລີ່ມແຕ່ວັນທີ 19 ເດືອນພຶດສະພາ , 2023, Dementia Care Aware ກໍາລັງໃຫ້ ການຝຶກອົບຮົມ Zoom ປະຈໍາເດືອນ (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ) ໃນ CHA, ນໍາໂດຍຜູ້ຊ່ຽວຊານດ້ານການແພດຜູ້ອາຍຸສູງຈາກມະຫາວິທະຍາໄລຄາລິຟໍເນຍ, Irvine. CHA ແມ່ນວິທີການກວດຫາໂຣກສະໝອງເສື່ອມທີ່ມີຈຸດປະສົງເພື່ອເຮັດໃນຄົນເຈັບຜູ້ໃຫຍ່ທຸກຄັ້ງທີ່ສະແດງໜ້າຈໍສະຕິປັນຍາ. ຜູ້ໃຫ້ບໍລິການປະຖົມພະຍາບານແລະທີມງານຄວນເຂົ້າຮ່ວມການຝຶກອົບຮົມໃນວັນທີ 19 ເດືອນພຶດສະພາ, ແລະວັນສຸກທໍາອິດແລະທີສາມຂອງແຕ່ລະເດືອນຫຼັງຈາກນັ້ນ, ເພື່ອຮຽນຮູ້ເພີ່ມເຕີມກ່ຽວກັບວິທີການປະເມີນນີ້ສາມາດສ້າງຄວາມເຂັ້ມແຂງໃຫ້ຜູ້ໃຫ້ບໍລິການປະຖົມແລະທີມງານຂອງພວກເຂົາໃນການກວດສອບໂລກສະຫມອງເສື່ອມໃນຄົນເຈັບຂອງພວກເຂົາໄດ້ດີຂຶ້ນ. ການສຶກສາທາງການແພດຢ່າງຕໍ່ເນື່ອງຟຣີແລະຫນ່ວຍການສຶກສາຕໍ່ເນື່ອງແມ່ນມີຢູ່.​​   

ອັບເດດຄວາມຕ້ອງການ ແລະຂັ້ນຕອນການລົງທະບຽນຜູ້ໃຫ້ບໍລິທັນຕະກຳ Medi-Cal​​  

On May 22, from 1:30 to 3 p.m., DHCS will hold a public hearing via webinar (advance registration required) to discuss the regulatory provider bulletin entitled, “Updated Requirements and Procedures for the Enrollment of Medi-Cal Dental Providers.” Stakeholders can submit questions and suggestions during the hearing, and written comments will be accepted on the day of the hearing. Based on the public comments received, DHCS will publish the final bulletins on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.​​   

For those who are unable to attend, written comments to be considered prior to publication may be submitted by 5 p.m. on May 22 to DHCSPEDStakeholder@dhcs.ca.gov. Please ensure the commenter and organization/association represented are identified in the comment.​​  

ກອງ​ປະ​ຊຸມ​ຄະ​ນະ​ກໍາ​ມະ​ທີ່​ປຶກ​ສາ​ຜູ້​ມີ​ສ່ວນ​ຮ່ວມ (SAC) ແລະ​ຄະ​ນະ​ກໍາ​ມະ​ທີ່​ປຶກ​ສາ​ຜູ້​ມີ​ສ່ວນ​ຮ່ວມ​ດ້ານ​ສຸ​ຂະ​ພາບ (BH-SAC)​​   

ໃນວັນທີ 24 ເດືອນພຶດສະພາ, ເວລາ 9:30 ໂມງເຊົ້າຫາ 15:30 ໂມງແລງ, DHCS ຈະເປັນເຈົ້າພາບ ກອງປະຊຸມ SAC ແລະ BH-SAC ປະສົມຄັ້ງທີ 2 ປີ 2023 (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ). ມັນຈະເປີດເປັນກອງປະຊຸມຮ່ວມກັນ, ມີຫົວຂໍ້ແບ່ງປັນໂດຍ SAC ແລະ BH-SAC. ຈະມີກອງປະຊຸມພຽງແຕ່ BH-SAC ຈັດຂຶ້ນຫຼັງຈາກກອງປະຊຸມຮ່ວມກັນ; ບໍ່ມີກອງປະຊຸມ SAC ເທົ່ານັ້ນ. ຜູ້ເຂົ້າຮ່ວມສາມາດເຂົ້າຮ່ວມດ້ວຍຕົນເອງຢູ່ທີ່ The California Endowment, ທີ່ຕັ້ງຢູ່ 1414 K Street ໃນຕົວເມືອງ Sacramento, ຫຼື virtually. ສໍາລັບຂໍ້ມູນເພີ່ມເຕີມ, ກະລຸນາເຂົ້າໄປທີ່ໜ້າເວັບ SAC ແລະ BH-SAC .​​  

ຕາຕະລາງຄ່າບໍລິການ​​  

ໃນວັນທີ 25 ເດືອນພຶດສະພາ, ເວລາ 1 ຫາ 3 ໂມງແລງ, DHCS, ຮ່ວມມືກັບພະແນກການດູແລສຸຂະພາບທີ່ມີການຄຸ້ມຄອງ (DMHC), ຈະເປັນເຈົ້າພາບຈັດ ກອງປະຊຸມວຽກງານສາທາລະນະຄັ້ງທີສີ່ (ຕ້ອງລົງທະບຽນລ່ວງຫນ້າ) ເພື່ອປຶກສາຫາລືກ່ຽວກັບການພັດທະນາຕາຕະລາງຄ່າບໍລິການທັງຫມົດຂອງລັດສໍາລັບການບໍລິການສຸຂະພາບພຶດຕິກໍາໃນໂຮງຮຽນພາຍໃຕ້ການລິເລີ່ມສຸຂະພາບພຶດຕິກໍາຂອງເດັກນ້ອຍແລະໄວຫນຸ່ມ. DHCS ແລະ DMHC ຈະມີສ່ວນຮ່ວມກັບຄູ່ຮ່ວມງານທີ່ເປັນຕົວແທນຂອງການສຶກສາລະດັບ K-12, ສະຖາບັນການສຶກສາຊັ້ນສູງ, Medi-Cal MCPs, ແຜນສຸຂະພາບທາງການຄ້າ, ພະແນກສຸຂະພາບພຶດຕິກຳຂອງຄາວຕີ້, ຜູ້ໃຫ້ບໍລິການດ້ານສຸຂະພາບພຶດຕິກຳ, ສະມາຄົມ, ຜູ້ສະໜັບສະໜູນ, ຊາວໜຸ່ມ, ແລະ ພໍ່ແມ່/ຜູ້ເບິ່ງແຍງດູແລໃນຫຼາຍໆຫົວຂໍ້ນະໂຍບາຍ ແລະ ການປະຕິບັດງານເພື່ອແຈ້ງການພັດທະນາ ແລະ ປັບປຸງການອອກແບບໂຄງການ.​​     

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​  

DHCS Director Michelle Baass’ Message on the End of the COVID-19 Public Health Emergency (PHE)  ​​  

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.  Read the full statement.​​   

ເຄື່ອງມືຊ່ວຍຊີວິດໃໝ່ ແລະຊັບພະຍາກອນສຳລັບການປ້ອງກັນ, ການປິ່ນປົວ, ແລະການຟື້ນຟູການນຳໃຊ້ສານທີ່ບໍ່ເປັນລະບຽບ​​  

On May 11, DHCS launched a partnership with national nonprofit Shatterproof to help combat the substance use crisis, keep Californians safe, and provide recovery resources to those in need. The new resources include Treatment Atlas, a confidential addiction treatment locator, assessment, and standards website platform that connects individuals and their families to appropriate evidence-based, high-quality addiction treatment. Additionally, to empower individuals and change attitudes about substance use disorders, DHCS launched Unshame California, a science-driven and content-based campaign that promotes anti-stigma messaging through stories of Californians impacted by substance use disorders. Both of these resources are available in English and Spanish.​​   

ເຜີຍແຜ່ຂໍ້ມູນ COVID-19​​