ຂ່າວເດັ່ນ​​ 

DHCS ສະເຫຼີມສະຫຼອງການຕັດໂບສຳລັບສູນປິ່ນປົວສຸຂະພາບພຶດຕິກຳ​​ 

On April 25 and 26, DHCS celebrated the addition of two new facilities that will provide lifesaving treatment for Californians with mental health and substance use disorders (SUD). Paving the Way Foundation in Los Angeles County and Center Point Drug Abuse Alternatives Center in Sonoma County are expanding behavioral health treatment and recovery options in their local communities. These are among the first of many community treatment sites supported by the Behavioral Health Continuum Infrastructure Program and are under construction now in 49 counties. Even more sites will be funded and built, thanks to recently approved Proposition 1 bonds.​​ 

ອັບເດດໂຄງການ​​ 

ຂໍ້ກໍານົດການວິນິດໄສລະຫັດ 1 ໃໝ່ສຳລັບການຮຽກຮ້ອງ Medi-Cal Rx​​ 

Effective April 30, Code 1 Diagnosis Requirement – Reject Code 80 claim utilization management (UM) edits will be implemented for members 22 years of age and older. Medi-Cal Rx will use diagnosis code(s) from the member’s Medi-Cal medical record to meet the Code 1 diagnosis restriction. Code 1 drugs are subject to prescription documentation requirements, and prescribers and pharmacy providers must document the treatment diagnosis and keep that information readily available for auditing purposes. Code 1 diagnosis requirements can be met in one of four ways: provide a diagnosis with the prescription, communicate the diagnosis verbally to the pharmacy provider, submit a prior authorization request with the diagnosis, or use an acceptable diagnosis code that is on file in the Medi-Cal data system. Members 21 years of age and younger are not impacted.​​  

Smile, California Mobile Dental Van Tour ສືບຕໍ່​​ 

On May 4, the Smile, California mobile dental van tour will stop in Huntington Park. During the event, individuals will have access to various dental services, such as exams, X-rays, cleaning, and fluoride applications. More information about Medi-Cal-covered dental services is available on the Smile, California website.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກໍາລັງຈ້າງສໍາລັບການສື່ສານ, ຊັບພະຍາກອນມະນຸດ, ການກວດສອບ, ນະໂຍບາຍສຸຂະພາບ, ເຕັກໂນໂລຊີຂໍ້ມູນຂ່າວສານ, ແລະທີມງານອື່ນໆ. ສໍາລັບຂໍ້ມູນເພີ່ມເຕີມ, ກະລຸນາເຂົ້າໄປທີ່ ເວັບໄຊທ໌ CalCareers.​​ 

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

Medi-Cal Children’s Health Advisory Panel (MCHAP)​​ 

On May 1, from 10 a.m. to 2 p.m., DHCS will hold the MCHAP hybrid meeting (advance registration required). MCHAP advises DHCS on policy and operational issues that affect children in Medi-Cal. The panel consists of a 15-member advisory body whose members include recognized stakeholders and experts in their fields, medical professionals, advocates, and parent members. If you are interested in receiving information about MCHAP meetings or have general inquiries, please email MCHAP@dhcs.ca.gov.​​  

ກຸ່ມວຽກຜູ້ມີສ່ວນກ່ຽວຂ້ອງທີ່ສຸມໃສ່ຜູ້ບໍລິໂພກ (CFSW)​​ 

On May 3, from 10 to 11:30 a.m., DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility- and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage no later than May 1. Please email your questions to DHCSCFSW@dhcs.ca.gov.​​  

ກອງປະຊຸມຜູ້ມີສ່ວນຮ່ວມຂອງ Medi-Cal Dental Los Angeles​​ 

ໃນວັນທີ 14 ເດືອນພຶດສະພາ, ເວລາ 1 ຫາ 3 ໂມງແລງ, DHCS ຈະເປັນເຈົ້າພາບກອງປະຊຸມຜູ້ມີສ່ວນຮ່ວມຂອງ Medi-Cal Dental Los Angeles. DHCS ຈະແບ່ງປັນການອັບເດດ ແລະຂໍ້ມູນກ່ຽວກັບກິດຈະກໍາໃໝ່ ແລະທີ່ຈະມາເຖິງ. ກອງປະຊຸມຍັງໄດ້ໃຫ້ພາກສ່ວນກ່ຽວຂ້ອງຂອງທັນຕະກໍາເປັນເວທີແລກປ່ຽນຄວາມຄິດເຫັນກັບທີມງານທັນຕະກໍາ Medi-Cal ທີ່ສາມາດຊ່ວຍປັບປຸງການສະຫນອງການບໍລິການດູແລສຸຂະພາບຊ່ອງປາກ. ຂໍ້ມູນການປະຊຸມຈະຖືກເຜີຍແຜ່ຢູ່ໃນ ໜ້າເວັບ DHCS Medi-Cal Dental Los Angeles Stakeholder Meetings. ເອກະສານເພີ່ມເຕີມຈະຖືກປະກາດຢູ່ໃນຫນ້າເວັບກ່ອນກອງປະຊຸມຫຼືທັນທີທີ່ພວກມັນມີໃຫ້. ກະລຸນາສົ່ງອີເມວຄຳຖາມຂອງທ່ານໄປທີ່ dental@dhcs.ca.gov.​​  

ຄະນະກໍາມະການທີ່ປຶກສາຜູ້ມີສ່ວນກ່ຽວຂ້ອງ (SAC)/ສຸຂະພາບພຶດຕິກໍາ (BH)-SAC ກອງປະຊຸມ​​ 

On May 29, from 9:30 a.m. to 3 p.m., DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts, as well as helps DHCS further its efforts to provide high-quality, equitable care.​​  

BH-SAC is a broad-based body that disseminates information and receives coordinated input regarding DHCS behavioral health activities. It was created as part of the ongoing DHCS effort to integrate behavioral health with the rest of the health care system and incorporates existing groups that have advised DHCS on behavioral health topics.​​  

CalAIM ຄຸ້ມຄອງການບໍລິການ ແລະການຊ່ວຍເຫຼືອໄລຍະຍາວ (MLTSS) ແລະກອງປະຊຸມກຸ່ມເຮັດວຽກແບບປະສົມປະສານຄູ່.​​ 

On May 30 at 10 a.m., DHCS will host the CalAIM MLTSS and Duals Integration Workgroup virtual meeting (advance registration is required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.​​  

ຫົວຂໍ້ໃນວາລະປະກອບມີການອັບເດດກ່ຽວກັບແຜນຄວາມຕ້ອງການພິເສດທີ່ມີເງື່ອນໄຂສອງເທົ່າ (D-SNP) ສັນຍາອົງການ Medicaid ຂອງລັດ (SMAC) ແລະຄູ່ມືນະໂຍບາຍ, ຂໍ້ມູນການລົງທະບຽນ Medicare ສໍາລັບສະມາຊິກທີ່ມີສິດສອງຄົນ, ການທົດລອງການລົງທະບຽນເລີ່ມຕົ້ນ, ແລະ 2025 ສູນສໍາລັບການບໍລິການ Medicare & Medicaid (CMS) ການຄຸ້ມຄອງການລົງທະບຽນ Medicare ເຊັ່ນດຽວກັນ Rudance ແລະການຄຸ້ມຄອງການເງິນ. ແລະການສະໜັບສະໜູນຊຸມຊົນສຳລັບສະມາຊິກທີ່ມີສິດສອງເທົ່າ.​​  

ເອກະສານປະຫວັດຄວາມເປັນມາ, ຂໍ້ຄວາມຖອດຈາກສຽງ, ແລະການບັນທຶກວິດີໂອຂອງກອງປະຊຸມກຸ່ມວຽກທີ່ຜ່ານມາ, ພ້ອມກັບຂໍ້ມູນເພີ່ມເຕີມກ່ຽວກັບກຸ່ມວຽກ, ໄດ້ຖືກປະກາດໄວ້ໃນ ໜ້າເວັບຂອງ CalAIM MLTSS ແລະ Duals Integration Workgroup. ສໍາລັບຄໍາຖາມຫຼືຄໍາຄິດຄໍາເຫັນ, ກະລຸນາສົ່ງອີເມວຫາ info@calduals.org.​​