ຂ່າວເດັ່ນ​​ 

ການຕອບສະ ໜອງ ຂອງ DHCS ຕໍ່ກັບໄຟປ່າທາງໃຕ້ຂອງຄາລິຟໍເນຍ​​ 

On January 7 and 8, multiple fires erupted in the Los Angeles County area. DHCS is actively engaged in addressing the impacts of the fires. DHCS is working alongside local and federal partners to support health care facilities, ensure continuity of care, and prioritize the safety of affected residents. Specifically, DHCS is coordinating with facilities to manage evacuations and maintain care for residents and is supporting health care providers as they navigate road closures and other disruptions.​​ 

DHCS’ Emergency and Disaster Assistance Questions & Answers webpage provides guidance and contact information for Medi-Cal members and providers during emergencies. It includes information related to accessing medical care, filling prescriptions, securing transportation, and obtaining support for individuals with specific needs, including people in assisted living facilities and individuals receiving Home and Community-Based Alternatives services.​​ 

ຫ້ອງການບໍລິການສຸກເສີນຂອງຜູ້ວ່າການລັດ California ແລະ ກົມຟື້ນຟູສຸຂະພາບໄດ້ພັດທະນາ ຄູ່ມື/ຊຸດເຄື່ອງມືກຽມພ້ອມຮັບມືສຸກເສີນສຳລັບບຸກຄົນພິການ ທີ່ມີໃຫ້ໃນຫຼາຍພາສາ ເຊິ່ງປະກອບມີຂໍ້ມູນ ແລະ ຄຳແນະນຳໃນການກຽມພ້ອມຮັບມືສຸກເສີນສຳລັບບຸກຄົນທີ່ມີຄວາມພິການສະເພາະ. ຕິດຕາມ Cal Fire ແລະເຈົ້າໜ້າທີ່ສຸກເສີນໃນທ້ອງຖິ່ນຂອງທ່ານສຳລັບການອັບເດດແບບສົດໆກ່ຽວກັບໄຟໄໝ້ປ່າ, ແລະລົງທະບຽນເພື່ອຮັບການແຈ້ງເຕືອນໃນທ້ອງຖິ່ນໄດ້ທີ່ calalerts.org. ກະລຸນາເບິ່ງແຫຼ່ງຂໍ້ມູນເພີ່ມເຕີມຂ້າງລຸ່ມນີ້ສຳລັບຂໍ້ມູນເພີ່ມເຕີມ:​​ 

• CA.gov/LAfires – ໃຫ້ຊັບພະຍາກອນສຳລັບຊາວຄາລິຟໍເນຍທີ່ໄດ້ຮັບຜົນກະທົບຈາກໄຟໄໝ້ປ່າໃນລອສແອງເຈລິສ.​​ 
• Listos California – ສະເໜີໜ້າລົງທະບຽນການແຈ້ງເຕືອນສຸກເສີນເພື່ອຊ່ວຍເຊື່ອມຕໍ່ຊາວຄາລິຟໍເນຍກັບລະບົບການແຈ້ງເຕືອນໃນທ້ອງຖິ່ນຂອງເຂົາເຈົ້າໂດຍອີງໃສ່ລະຫັດໄປສະນີ ຫຼື ສະຖານທີ່ທີ່ສະໜອງໃຫ້.​​ 
• Ready.Gov – Provides guidance for individuals and families to prepare for, respond to, and recover from wildfire events. The resource includes tips for staying safe during wildfires and returning home once an area is declared safe.​​ 
• ການບໍລິຫານການບໍລິການດ້ານສານເສບຕິດ ແລະ ສຸຂະພາບຈິດ ຊັບພະຍາກອນໄຟໄໝ້ປ່າ - ສະໜັບສະໜູນຜູ້ລອດຊີວິດ, ສະມາຊິກໃນຄອບຄົວ, ຜູ້ຕອບສະໜອງ ແລະ ພະນັກງານຟື້ນຟູທີ່ໄດ້ຮັບຜົນກະທົບຈາກໄຟໄໝ້ປ່າ ແລະ ໄພພິບັດອື່ນໆ. ຂໍ້ມູນປະກອບມີອາການຂອງຄວາມທຸກທໍລະມານທາງດ້ານອາລົມ, ປະຊາກອນທີ່ອາດມີຄວາມສ່ຽງສູງຕໍ່ຄວາມທຸກທໍລະມານຫຼັງຈາກໄຟໄໝ້ປ່າ, ແລະລິ້ງໄປຫາຊັບພະຍາກອນສຳລັບຂໍ້ມູນເພີ່ມເຕີມ ແລະ ການສະໜັບສະໜູນ.​​ 
• ສູນຄວບຄຸມ ແລະ ປ້ອງກັນພະຍາດ - ໃຫ້ຂໍ້ມູນກ່ຽວກັບໄພອັນຕະລາຍຕ່າງໆ, ລວມທັງໄຟໄໝ້ປ່າ, ແລະ ສະເໜີລິ້ງໄປຫາຂໍ້ມູນກ່ຽວກັບການຮັກສາຄວາມປອດໄພຫຼັງຈາກໄຟໄໝ້ປ່າ ແລະ ການຮຽນຮູ້ ແລະ ການຮັບມືກັບໄພອັນຕະລາຍທີ່ກ່ຽວຂ້ອງກັບໄຟໄໝ້ປ່າ ແລະ ໄພພິບັດອື່ນໆ.​​ 
• American Red Cross – Suggests ways for people who have experienced a residential fire to take care of themselves and their loved ones and to help people who may need assistance. The site lists four steps to take right after a fire and includes links to more information about returning home safely after a fire and recovering emotionally and financially.
  ​​ 

DHCS ຍັງຄົງໃຫ້ຄຳໝັ້ນສັນຍາໃນການຊ່ວຍເຫຼືອຊຸມຊົນໃນຊ່ວງເວລາທີ່ທ້າທາຍນີ້ ແລະ ຂອບໃຈຜູ້ຕອບໂຕ້ສຸກເສີນ ແລະ ພະນັກງານຮັກສາສຸຂະພາບໃນພື້ນທີ່. ຮັກສາຄວາມປອດໄພ, ເບິ່ງການອັບເດດຢ່າງເປັນທາງການສໍາລັບຂໍ້ມູນຫຼ້າສຸດ, ແລະປະຕິບັດຕາມຄໍາສັ່ງອົບພະຍົບທີ່ອອກໂດຍເຈົ້າຫນ້າທີ່ທ້ອງຖິ່ນ.​​ 

ສະເໜີງົບປະມານ DHCS 2025-26​​ 

The proposed 2025-26 Governor’s Budget for DHCS allocates $193.4 billion in total funds, including $42.8 billion from the General Fund, and supports 4,821.5 positions. This budget reflects the Administration’s continued investment in transforming Medi-Cal into a coordinated, person-centered, and equitable health system for Californians.​​ 

The budget prioritizes modernizing the health care delivery system, with a focus on improving accountability and transparency and strengthening community-based care. These strategic investments support DHCS’ purpose to provide equitable access to quality health care, leading to a healthy California for all.​​ 

ອັບເດດໂຄງການ​​ 

ການປັບປຸງແຜນການຂອງລັດ (SPA) ໄດ້ຮັບການອະນຸມັດສໍາລັບການບໍລິການ Dyadic​​ 

On January 6, the federal Centers for Medicare & Medicaid Services (CMS) approved SPA #23-0010, which authorizes DHCS to utilize an Alternative Payment Methodology (APM) to pay Federally Qualified Health Centers (FQHC), Rural Health Clinics (RHC), and Tribal Health Programs, which includes Tribal FQHCs and Indian Health Services-Memorandum of Understanding 638 Clinics, at the Medi-Cal fee-for-service (FFS) rate for dyadic services in certain circumstances. FQHCs and RHCs will receive a separate payment for dyadic services in addition to their standard Prospective Payment Services/All-Inclusive Rate billing payments in certain circumstances.​​ 

Dyadic care refers to serving both the parent/caregiver and child together as a dyad and is a form of treatment that targets family well-being to support healthy child development and mental health. Dyadic care fosters team-based approaches to meeting family needs, including addressing mental health and social support concerns, and it broadens and improves the delivery of pediatric preventive care. Offering parents and caregivers mental health services when they bring their babies and children to the doctor is an opportunity to expand access, which can improve outcomes. DHCS will release additional policy guidance in a future Medi-Cal Provider Manual update.​​ 

ການ​ປ່ຽນ​ໄປ​ຫາ​ປະ​ຕູ​ຄອບ​ຄົວ PACT ໃຫມ່​​ 

From January 13 through February 2, DHCS’ Family Planning, Access, Care and Treatment (PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs (HAP) Client Eligibility System to a new Family PACT portal. The HAP Client Eligibility System will be disabled on February 3, after which all Family PACT client enrollment, changes, and deactivations will be completed exclusively through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal. To support Family PACT providers during this transition, Family PACT providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before its launch.​​ 

ການປັບປ່ຽນນະໂຍບາຍສຳລັບ Medi-Cal Rx Pediatric Integration (PI)​​ 

DHCS is making an important policy adjustment related to Medi-Cal Rx’s initiative for the reinstatement of prior authorization (PA) requirements and utilization management (UM) claim edits for Medi-Cal members 21 years of age and younger, including members of the California Children’s Services (CCS) program. This initiative, commonly referred to as PI, will be implemented on January 31. To directly address and help mitigate stakeholder concerns about the volume of PA requests and potential barriers to timely access that may occur because of PI implementation, as well as recognize the advanced credentialing of CCS Panel Provider Authority, DHCS is adjusting its PI policy approach for continuing therapies/prescriptions PI as follows:​​ 

• ສໍາລັບໄລຍະເວລາບໍ່ຫນ້ອຍກວ່າ 60 ມື້, ຖ້າການຮຽກຮ້ອງຈະປະຕິເສດດ້ວຍ Reject Code 75 (PA ຕ້ອງການ), ແຕ່ສະມາຊິກ Medi-Cal ມີປະຫວັດການຮຽກຮ້ອງທີ່ຜ່ານມາ, ການຮຽກຮ້ອງຈະຈ່າຍໂດຍບໍ່ຈໍາເປັນຕ້ອງມີ PA ເພີ່ມເຕີມ. DHCS ຕັ້ງໃຈວິທີການນີ້ເພື່ອໃຫ້ຜູ້ໃຫ້ບໍລິການ ແລະຜູ້ສັ່ງໃຫ້ເວລາເພີ່ມເຕີມເພື່ອປັບຂະບວນການພາຍໃນຂອງເຂົາເຈົ້າ ແລະແຜນການທີ່ດີກວ່າສໍາລັບຄວາມຕ້ອງການ PI ແລະສົ່ງ PAs ທີ່ມີການເຄື່ອນໄຫວ.​​ 

DHCS will release additional, more detailed information through the Medi-Cal Rx website and will update various existing resource documents on a flow basis. DHCS remains committed to ensuring Medi-Cal members, providers, and other partners are supported so pharmacy benefits can be accessed in a safe, timely, and equitable manner. DHCS will continue to support and engage stakeholders on PI.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກຳລັງຊອກຫາບຸກຄົນທີ່ມີພອນສະຫວັນ ແລະ ມີແຮງຈູງໃຈເພື່ອຮັບໃຊ້ເປັນ:​​ 

• Chief of the Pharmacy Benefits Division. The Chief is responsible for overseeing the development and implementation of policy, services, and coverage criteria for outpatient pharmacy services for the state’s Medi-Cal program. This includes providing policy direction for Medi-Cal Rx as well as invoicing and collecting federal and state supplemental drug rebates. The Chief of PBD also leads the development of nutrition, vision care, and medical supply benefits and oversees the administration of the Medi-Cal Pharmacy and Vision Benefit programs. Applications must be submitted by February 7.​​ 

DHCS is also hiring for its accounting, program accountability, behavioral health, managed care quality and monitoring, eligibility, and other teams. For more information, please visit the CalCareers website.​​ 

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

Webinar ຄະນະກໍາມະການທີ່ປຶກສາດ້ານຄຸນນະພາບການຫັນປ່ຽນດ້ານສຸຂະພາບ ແລະຄວາມສະເໝີພາບ​​ 

On January 15, from 9 to 11 a.m. PST, DHCS will host the third Behavioral Health Transformation Quality and Equity Advisory Committee webinar. Once registered, you will receive a confirmation email with the webinar link and additional details. DHCS is pleased to continue its collaborative efforts to measure and evaluate the quality and efficacy of behavioral health services and programs. These public webinars provide an opportunity for participants to offer input for DHCS consideration. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the webinars and additional resources. Please send questions related to Behavioral Health Transformation and/or the webinars to BHTinfo@dhcs.ca.gov.​​ 

ການສຳມະນາຜ່ານເວັບ Smile, California : ການສົ່ງເສີມຜົນປະໂຫຍດດ້ານທັນຕະກຳ Medi-Cal ສຳລັບເດືອນສຸຂະພາບທັນຕະກຳເດັກແຫ່ງຊາດ​​ 

On January 22, from 11 a.m. to 12 p.m. PST, Smile, California will host a webinar to kick off National Children’s Dental Health Month (NCDHM) in February. The webinar will feature a preview of the new Healthy Smile Land materials, strategies for promoting Medi-Cal dental services during NCDHM, and resources for accessing and distributing outreach materials. Attendees will also be able to connect with Smile, California representatives to ask about Medi-Cal dental benefits.​​ 

ກອງປະຊຸມສຸດຍອດການຫຼຸດຜ່ອນຄວາມເສຍຫາຍຂອງ DHCS​​ 

DHCS collaborates with communities across the state to promote harm reduction and low-barrier, patient-centered care within California’s substance use disorder treatment system. 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 incorporating the tenets of harm reduction into substance use disorder treatment. Summits will be held in Fresno County (January 23), San Diego County (February 11), and Los Angeles County (February 27). Register on the event website.​​ 

Coverage Ambassador Series: Reentry Initiative ທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ ແລະ ການອັບເດດຂໍ້ລິເລີ່ມດ້ານສຸຂະພາບພຶດຕິກຳຂອງເດັກ ແລະ ໄວໜຸ່ມ​​ 

ໃນວັນທີ 30 ມັງກອນ, ຕັ້ງແຕ່ເວລາ 11:45 ໂມງ ຫາ 11:45 ໂມງ PST, DHCS ຈະເປັນເຈົ້າພາບຈັດກອງປະຊຸມທາງເວັບສຳລັບທູດການຄຸ້ມຄອງຂອງ DHCS (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ). ການສຳມະນາທາງເວັບຈະໃຫ້ຂໍ້ມູນອັບເດດກ່ຽວກັບໂຄງການລິເລີ່ມການກັບຄືນສູ່ສະພາບປົກກະຕິທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ ແລະ ໂຄງການລິເລີ່ມສຸຂະພາບພຶດຕິກຳເດັກ ແລະ ໄວໜຸ່ມ (CYBHI). ມັນຈະຖ່າຍທອດຂໍ້ມູນກ່ຽວກັບບຸກຄົນທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທຳ ຜູ້ທີ່ປະຈຸບັນ ຫຼື ເຄີຍໃຊ້ເວລາຢູ່ໃນຄຸກ, ສະຖານທີ່ແກ້ໄຂຊາວໜຸ່ມ ຫຼື ຄຸກ ແລະ ຜູ້ທີ່ມີຄວາມສ່ຽງສູງຕໍ່ຜົນໄດ້ຮັບດ້ານສຸຂະພາບທີ່ບໍ່ດີ, ການບາດເຈັບ ແລະ ການເສຍຊີວິດຫຼາຍກວ່າປະຊາຊົນທົ່ວໄປ. ມັນຈະສຸມໃສ່ບາດກ້າວທີ່ສຳຄັນທີ່ລັດຄາລິຟໍເນຍກຳລັງປະຕິບັດເພື່ອປັບປຸງຜົນໄດ້ຮັບດ້ານສຸຂະພາບທີ່ບໍ່ດີສຳລັບບຸກຄົນໃນຂະນະທີ່ພວກເຂົາກະກຽມທີ່ຈະກັບຄືນສູ່ຊຸມຊົນຂອງພວກເຂົາໂດຍການເຮັດວຽກເພື່ອຮັບປະກັນວ່າພວກເຂົາມີຄວາມຕໍ່ເນື່ອງຂອງການຄຸ້ມຄອງເມື່ອພວກເຂົາຖືກປ່ອຍຕົວ. ນອກຈາກນັ້ນ, ທູດການຄຸ້ມຄອງຈະໄດ້ຮຽນຮູ້ວິທີການຂະຫຍາຍການບໍລິການແບບຫໍ່ຫຸ້ມເດັກໃນໄວເດັກຜ່ານ CYBHI, ເຊິ່ງຈະໃຫ້ບໍລິການດ້ານສຸຂະພາບຈິດແກ່ເດັກນ້ອຍ, ຊາວໜຸ່ມ ແລະ ຄອບຄົວ. ຊອກຮູ້ເພີ່ມເຕີມ ກ່ຽວກັບທູດການຄຸ້ມຄອງຂອງ DHCS, ຫຼື ລົງທະບຽນ ເພື່ອກາຍເປັນທູດການຄຸ້ມຄອງ.​​ 

ອຸປະກອນໃສ່ຮ່ວງ (IUD) ແລະ ການຝຶກອົບຮົມການໃສ່ຝັງເຂັມຄຸມກຳເນີດ​​ 

On February 19, from 7:30 a.m. to 5:30 p.m. PST, DHCS’ Office of Family Planning will host an in-person Comprehensive IUD and Contraceptive Implant Insertion Training. The training, which is currently full, includes information about patient method selection, counseling and consent, techniques for using instruments during IUD placement, and instruction on the insertion of each type of IUD currently available in the United States. Additional topics to be covered include management of side effects, tips for managing difficult placements, pain management principles for office procedures, and prevention and management of complications. Please see IUD & Implant Resources for more information.​​ 

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​ 

CMS ເລືອກ DHCS ສໍາລັບຮູບແບບການຫັນປ່ຽນນະວັດຕະກໍາສຸຂະພາບແມ່​​ 

ໃນວັນທີ 6 ມັງກອນ, CMS ໄດ້ອະນຸມັດ ການເຂົ້າຮ່ວມຂອງລັດ California ໃນຮູບແບບການຫັນປ່ຽນສຸຂະພາບແມ່ (TMaH) ຂອງສູນ Medicare ແລະ Medicaid Innovation, ເຊິ່ງເປັນຮູບແບບການຈັດສົ່ງ ແລະ ການຈ່າຍເງິນຂອງໂຄງການປະກັນສຸຂະພາບເດັກ ແລະ Medicaid ເປັນເວລາສິບປີ (CHIP) ທີ່ຖືກອອກແບບມາເພື່ອທົດສອບວ່າການຈັດຕັ້ງປະຕິບັດການແຊກແຊງທີ່ມີຫຼັກຖານຢັ້ງຢືນຢ່າງມີປະສິດທິພາບ, ເຊິ່ງໄດ້ຮັບການສະໜັບສະໜູນຈາກຮູບແບບການຈ່າຍເງິນທີ່ອີງໃສ່ມູນຄ່າ (VBP), ສາມາດປັບປຸງຜົນໄດ້ຮັບຂອງແມ່ ແລະ ຫຼຸດຜ່ອນລາຍຈ່າຍຂອງໂຄງການສຳລັບ Medicaid ແລະ CHIP ຫຼືບໍ່.​​ 

DHCS ຈະຈັດຕັ້ງປະຕິບັດຮູບແບບ TMaH ໃນຫ້າເຂດປົກຄອງຄື: Fresno, Kern, Kings, Madera, ແລະ Tulare. ຮູບແບບ TMaH ແມ່ນສ່ວນໜຶ່ງຂອງຄຳໝັ້ນສັນຍາທີ່ກວ້າງຂວາງຂອງລັດ California ໃນການແກ້ໄຂຄວາມແຕກຕ່າງທາງດ້ານເຊື້ອຊາດ ແລະ ຊົນເຜົ່າໃນສຸຂະພາບຂອງແມ່ ແລະ ຮັບປະກັນວ່າແມ່ຍິງຖືພາທຸກຄົນ, ໂດຍສະເພາະຜູ້ທີ່ຢູ່ໃນຊຸມຊົນທີ່ມີລາຍໄດ້ຕໍ່າ, ໄດ້ຮັບການສະໜັບສະໜູນທີ່ເຂົາເຈົ້າຕ້ອງການເພື່ອແກ້ໄຂບັນຫາການຖືພາ ແລະ ການເກີດລູກຢ່າງປອດໄພ.​​ 

ຕອນນີ້ເປີດແລ້ວ: ສະໜອງການເຂົ້າເຖິງ ແລະຫັນປ່ຽນສຸຂະພາບ (PATH) ຄວາມອາດສາມາດ ແລະໂຄງສ້າງພື້ນຖານການຫັນປ່ຽນ, ການຂະຫຍາຍຕົວ ແລະການພັດທະນາ (CITED) ຮອບທີ 4 ຄໍາຮ້ອງສະຫມັກ​​ 

On January 6, DHCS opened the PATH CITED Round 4 application window. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. Nearly $158 million is available for Round 4. The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PST on March 7, 2025. The guidance document and application can be found by visiting the PATH CITED webpage. Please submit questions to cited@ca-path.com.​​ 

PATH Technical Assistance (TA) Marketplace Round 5 ຄໍາຮ້ອງສະຫມັກຂອງຜູ້ຂາຍ​​ 

On January 1, DHCS opened the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but it will focus on services for the following provider types: rural providers, Tribal and Indian health care providers, maternal and child-serving providers, and transitional rent providers.​​ 

DHCS ຈະບໍ່ຍອມຮັບການຍື່ນສະເຫນີສໍາລັບໂຄງການໃຫມ່ນອກຊັ້ນວາງຫຼືການປ່ຽນແປງໂຄງການທີ່ບໍ່ມີຢູ່ຊັ້ນວາງທີ່ມີຢູ່ໃນລະຫວ່າງໄລຍະເວລາການຈັດຊື້ຮອບທີ 5. ແທນທີ່ຈະ, ຄໍາຮ້ອງສະຫມັກຮອບ 5 ຈະຮຽກຮ້ອງຊັບພະຍາກອນຕາມຄວາມຕ້ອງການຈາກຜູ້ຂາຍ TA ທີ່ມີຢູ່. ກະລຸນາເຂົ້າໄປທີ່ ໜ້າເວັບຂອງຜູ້ຂາຍຕະຫຼາດ TA ເພື່ອເຂົ້າເຖິງເອກະສານແນະນຳ ແລະເພື່ອສະໝັກ. ກະລຸນາສົ່ງຄຳຖາມມາທີ່ ta-marketplace@ca-path.com.
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