ຂ່າວເດັ່ນ​​ 

California Advancing and Innovating Medi-Cal (CalAIM) Dashboard Update​​ 

On August 9, DHCS posted an update to the public-facing CalAIM dashboards that promote transparency and demonstrate the impact, progress, and key opportunity areas of CalAIM. This update includes a new dental initiative dashboard that highlights CalAIM initiatives to improve oral health outcomes. It also refreshes data and enhances features in existing dashboards, including Behavioral Health, Community Supports, Enhanced Care Management, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health, and Bold Goals initiative. The dashboards will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.​​ 

ອັບເດດໂຄງການ​​ 

ການບໍລິການທີ່ຂຶ້ນກັບບ້ານ ແລະຊຸມຊົນ (HCBS) 1915(C) ການຍົກເວັ້ນສໍາລັບຄົນພິການດ້ານການພັດທະນາ ແລະ 1915(I) ການປັບປຸງແຜນການຂອງລັດ – ໄລຍະເວລາສະແດງຄວາມຄິດເຫັນສາທາລະນະ 30 ມື້​​ 

On August 2, the Department of Developmental Services (DDS), in partnership with DHCS, posted a proposed amendment to the HCBS 1915(c) waiver and the HCBS 1915(i) State Plan Amendment (SPA) for a 30-day public comment period, prior to submitting the final versions to the Centers for Medicare & Medicaid Services for approval.​​ 

The HCBS 1915(c) waiver amendment and 1915(i) SPA would implement the next round of rate increases associated with rate reform effective on January 1, 2025. Additionally, the waiver amendment and SPA would add a new service (person-centered future planning) along with a corresponding provider type and payment methodology, increase rates for financial management service providers, and include new provider personal assistance to community living arrangement services with the opportunity for participants to manage their own services.​​  

All comments must be received by September 1, 2024. DDS and DHCS invite all interested parties to review the amendment and comment instructions on the DDS HCBS Programs webpage. If you have any questions, or to comment on the waiver amendment and/or SPA, please email federal.programs@dds.ca.gov.​​  

CalAIM Best Practices Webinar Materials available now​​ 

DHCS hosted a public webinar, “Tools to Better Engage Eligible Members in CalAIM,” in June as part of a series of Providing Access and Transforming Health (PATH) Collaborative Planning and Implementation webinars. The webinars are designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to develop and deliver quality, equitable services to Medi-Cal members.​​  

Organizations may now access and share the webinar recording and other supporting materials by visiting the “Best Practices & Resources” library on the PATH webpage. Please submit your questions to collaborative@ca-path.com.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກຳ​ລັງ​ຊອກ​ຫາ​ບຸກ​ຄົນ​ທີ່​ມີ​ຄວາມ​ຊຳ​ນານ​ສູງ, ມີ​ແຮງ​ຈູງ​ໃຈ​ເປັນ​ພິ​ເສດ​ເພື່ອ​ຮັບ​ໃຊ້​ເປັນ:​​  

• Assistant Deputy Director for Health Care Financing to assist in leading the planning, implementation, coordination, evaluation, and management of DHCS’ health care financing programs and policies. (Final filing date: August 21)​​ 

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

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

ໂຄງການຄຸ້ມຄອງເຄື່ອງຊ່ວຍຟັງສຳລັບເດັກນ້ອຍ (HACCP) Webinar ສໍາລັບຜູ້ໃຫ້ບໍລິການທາງການແພດ ແລະຜູ້ຊ່ຽວຊານດ້ານການໄດ້ຍິນ​​ 

On August 15, from 12 to 1 p.m. PDT, DHCS will host its quarterly HACCP webinar for medical providers and hearing professionals. For more information and to pre-register, please visit DHCS’ HACCP webpage.​​  

Webinar ການ​ຄຸ້ມ​ຄອງ​ສຸ​ຂະ​ພາບ​ປະ​ຊາ​ກອນ: ການ​ສະ​ຫນັບ​ສະ​ຫນູນ​ສະ​ມາ​ຊິກ Medi-Cal ກັບ​ການ​ບໍ​ລິ​ການ​ໄລ​ຍະ​ຍາວ​ແລະ​ການ​ສະ​ຫນັບ​ສະ​ຫນູນ (LTSS) ຄວາມ​ຕ້ອງ​ການ​​ 

ໃນວັນທີ 21 ສິງຫາ, ຕັ້ງແຕ່ເວລາ 12 ໂມງ ຫາ 13 ໂມງ PDT, DHCS ຈະເປັນເຈົ້າພາບຈັດກອງປະຊຸມທາງເວັບກ່ຽວກັບການປັບປຸງການບໍລິການ ແລະ ການສະໜັບສະໜູນສຳລັບສະມາຊິກທີ່ມີຄວາມຕ້ອງການ LTSS ຍ້ອນວ່າພວກເຂົາປະສົບກັບການຫັນປ່ຽນການດູແລ, ເຊັ່ນ: ການຍ້າຍຈາກໂຮງໝໍໄປຫາສະຖານພະຍາບານທີ່ມີທັກສະ ຫຼື ຈາກສະຖານທີ່ໄປຫາບ້ານ (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ). ພາຍໃຕ້ໂຄງການຄຸ້ມຄອງສຸຂະພາບປະຊາກອນ CalAIM, ແຜນການດູແລທີ່ມີການຄຸ້ມຄອງແມ່ນຮັບຜິດຊອບໃນການໃຫ້ບໍລິການດູແລໄລຍະຂ້າມຜ່ານເພື່ອຮັບປະກັນວ່າສະມາຊິກໄດ້ຮັບການສະໜັບສະໜູນຕັ້ງແຕ່ການເລີ່ມຕົ້ນຂອງຂະບວນການວາງແຜນການປ່ອຍຕົວຈົນເຖິງໄລຍະຂ້າມຜ່ານຂອງເຂົາເຈົ້າ, ຈົນກວ່າເຂົາເຈົ້າຈະເຊື່ອມຕໍ່ກັບການບໍລິການ ແລະ ການສະໜັບສະໜູນທີ່ຈຳເປັນທັງໝົດຢ່າງສຳເລັດຜົນ. ເນື່ອງຈາກຄວາມຫຼາກຫຼາຍ ແລະ ຄວາມຊັບຊ້ອນຂອງການບໍລິການທີ່ມີຢູ່ສຳລັບປະຊາກອນ LTSS ໃນທົ່ວ Medi-Cal, ຜູ້ມີສ່ວນຮ່ວມໄດ້ຮ້ອງຂໍຄວາມຊ່ວຍເຫຼືອດ້ານວິຊາການເພື່ອຮັບປະກັນການຫັນປ່ຽນໄປສູ່ລະດັບການດູແລທີ່ມີຂໍ້ຈຳກັດໜ້ອຍທີ່ສຸດທີ່ປະສົບຜົນສຳເລັດ. ໃນຂະນະທີ່ການລົງທະບຽນແມ່ນເປີດໃຫ້ທຸກຄົນທີ່ສົນໃຈ, ການສຳມະນາທາງເວັບນີ້ຈະເປັນປະໂຫຍດໂດຍສະເພາະຕໍ່ແຜນການດູແລທີ່ມີການຄຸ້ມຄອງ ແລະ ພະນັກງານສະຖານທີ່ດູແລສຸຂະພາບທີ່ຮັບຜິດຊອບການຄຸ້ມຄອງການດູແລສຳລັບສະມາຊິກທີ່ມີຄວາມຕ້ອງການ LTSS.​​ 

ການສຳມະນາທາງເວັບນີ້ຈະສຸມໃສ່ວິທີການສະໜັບສະໜູນຊຸມຊົນ, ການຄຸ້ມຄອງການດູແລທີ່ດີຂຶ້ນ, ແລະ ການບໍລິການດູແລໃນໄລຍະປ່ຽນຜ່ານສາມາດສະໜັບສະໜູນສະມາຊິກໄດ້ດີທີ່ສຸດໃນລະຫວ່າງ ແລະ ຫຼັງຈາກໄລຍະເວລາຂອງການປ່ຽນແປງ. ທ່ານ Anwar Zouehid, ຮອງປະທານ LTSS ທີ່ມູນນິທິ Partners in Care, ແລະ ທ່ານ Chris Esguerra, ຫົວໜ້າເຈົ້າໜ້າທີ່ແພດຂອງແຜນສຸຂະພາບຂອງ San Mateo, ຈະເຂົ້າຮ່ວມ DHCS ໃນຖານະເປັນວິທະຍາກອນຮັບເຊີນສຳລັບການສົນທະນາເພື່ອແບ່ງປັນການປະຕິບັດທີ່ມີຄວາມຫວັງສຳລັບການຫັນປ່ຽນທີ່ປະສົບຜົນສຳເລັດສຳລັບສະມາຊິກເຫຼົ່ານີ້. ການສຳມະນາທາງເວັບຈະເນັ້ນໃສ່ຊັບພະຍາກອນໃໝ່ໆ, ລວມທັງ ຈຸດສຸມຂອງ Enhanced Care Management Long-Term Care Population of Focus ແລະຄູ່ມືຊັບພະຍາກອນການຊ່ວຍເຫຼືອດ້ານວິຊາການກ່ຽວກັບການບໍລິການດູແລໄລຍະຂ້າມຜ່ານທີ່ຈະມາເຖິງສຳລັບສະມາຊິກທີ່ມີຄວາມຕ້ອງການ LTSS.​​  

ຊຸດການຮຽນຮູ້ການຮ່ວມມືແບບລິເລີ່ມທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ CalAIM​​ 

ໃນວັນທີ 22 ສິງຫາ, ຕັ້ງແຕ່ເວລາ 10 ໂມງເຊົ້າ ຫາ 12 ໂມງທ່ຽງ ຕາມເວລາ PDT, DHCS ຈະເປີດຕົວຊຸດການຮ່ວມມືການຮຽນຮູ້ແບບເສມືນໃໝ່ ສຳລັບຄູ່ຮ່ວມງານໃນການຈັດຕັ້ງປະຕິບັດໂຄງການທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ ເພື່ອປຶກສາຫາລືກ່ຽວກັບຂໍ້ກຳນົດການຍົກເວັ້ນ CalAIM, ແບ່ງປັນວິທີປະຕິບັດທີ່ດີທີ່ສຸດ ແລະ ບົດຮຽນທີ່ໄດ້ຮຽນຮູ້, ແລະ ຮັບປະກັນວ່າຄູ່ຮ່ວມງານທຸກຄົນຢູ່ໃນເສັ້ນທາງທີ່ຖືກຕ້ອງ. ລິ້ງລົງທະບຽນກອງປະຊຸມຈະຖືກສົ່ງໄປທາງອີເມວຫາຄູ່ຮ່ວມງານຈັດຕັ້ງປະຕິບັດໃນແຕ່ລະແຂວງ. ກອງປະຊຸມຕ່າງໆຈະຖືກບັນທຶກໄວ້ ແລະ ໂພສລົງໃນ ໜ້າເວັບ DHCS Justice-Involved Initiative.​​  

ກອງປະຊຸມດັ່ງກ່າວຈະສຸມໃສ່ຄວາມພ້ອມ ແລະ ຍຸດທະສາດການຈັດຕັ້ງປະຕິບັດຂອງເຂດ ແລະ ຈະປະກອບມີຫົວຂໍ້ຕ່າງໆເຊັ່ນ: ປະຕູກວດສຸຂະພາບທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ, ຮູບແບບການດູແລໄລຍະສັ້ນ, ການບໍລິການທີ່ຄຸ້ມຄອງ, ການຮຽກເກັບເງິນ ແລະ ການຮຽກຮ້ອງ, ການຄຸ້ມຄອງການດູແລທີ່ດີຂຶ້ນ, ການມອບໝາຍທີ່ອົບອຸ່ນ, ການມອບໝາຍອັດຕະໂນມັດ, ແລະ ນະໂຍບາຍຮ້ານຂາຍຢາ. ກອງປະຊຸມດັ່ງກ່າວຈະປະກອບມີການສົນທະນາແບບແຍກສ່ວນທີ່ອຳນວຍຄວາມສະດວກໃຫ້ແກ່ສະຖານທີ່ແກ້ໄຂ, ຄູ່ຮ່ວມງານຂອງເຂດ, ແລະແຜນການດູແລທີ່ຄຸ້ມຄອງໂດຍ Medi-Cal ເພື່ອເຮັດວຽກຮ່ວມກັນໃນຄວາມພະຍາຍາມໃນການຈັດຕັ້ງປະຕິບັດໃນພາກພື້ນ. ໃນອາທິດຫຼັງຈາກແຕ່ລະກອງປະຊຸມ, DHCS ຈະເປັນເຈົ້າພາບໃນຊົ່ວໂມງເຮັດວຽກເພື່ອໃຫ້ເປັນເວທີສົນທະນາແບບເປີດ ແລະ ຕອບຄຳຖາມທີ່ຍັງຄ້າງຄາຈາກອາທິດກ່ອນ.​​  

The primary learning collaborative audience is county adult jails (Sheriff’s Office staff and correctional health care services partners); county youth correctional facilities (probation staff and associated correctional health care services providers); managed care plans; county behavioral health agencies; and the California Department of Corrections and Rehabilitation. DHCS also encourages county partners to invite Enhanced Care Management providers and reentry providers, as well as any other key implementation partners, to the sessions. For more information, email DHCS at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.​​ 

CalAIM ຈັດການ LTSS ແລະກອງປະຊຸມກຸ່ມເຮັດວຽກປະສົມປະສານຄູ່​​ 

On August 29 at 12 p.m. PDT, DHCS will host the virtual CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advanced registration 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.​​  

Agenda topics include updates on Medicare enrollment data for dual eligible members, the Dual Eligible Special Needs Plan (D-SNP) dashboard, D-SNP State Medicaid Agency Contract and Policy Guide, D-SNP Default Enrollment Pilot, Medi-Cal Matching Plan Policy for dual eligible members, and Enhanced Care Management and Community Supports resources, and a presentation on dental care coordination for dual eligible members.​​  

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

ກອງປະຊຸມສຸດຍອດການຫຼຸດຜ່ອນຄວາມເສຍຫາຍຂອງ DHCS​​ 

Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). The DHCS Harm Reduction Summits aim to reduce stigma and educate substance use disorder treatment providers about harm reduction approaches to treatment services. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating harm reduction into substance use disorder treatment settings. The remaining summits will be in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.​​ 

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​ 

ຊຸດຂໍ້ມູນການຂະຫຍາຍຕົວຂອງຜູ້ໃຫຍ່ Medi-Cal​​ 

On August 1, DHCS published age 26-49 adult expansion population datasets for the January 2024, February 2024, March 2024, and April 2024 months of eligibility on the California Health & Human Services Agency Open Data Portal. The datasets include the monthly count of individuals 26-49 years of age, by county, receiving full scope Medi-Cal benefits because of the age 26-49 adult expansion. The counts reflect the total number of eligible individuals enrolled during the month. The datasets also include total counts for ethnicity, written language, and spoken language, by county, reported by members. DHCS will publish ongoing datasets monthly.​​  

ໂອກາດທາງດ້ານທຶນຮອນທີ່ສໍາຄັນທີ່ມີເພື່ອຂະຫຍາຍການບໍລິການສຸຂະພາບທາງດ້ານພຶດຕິກໍາ​​ 

On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award up to $3.3 billion in grants to projects that expand community-based behavioral health facilities and services.​​  

This funding aims to address significant treatment gaps by improving access to behavioral health care. Interested parties can find application instructions on the BHCIP website and submit their applications by December 13, 2024. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.​​