ຂ່າວເດັ່ນ​​ 

ການຄຸ້ມຄອງການດູແລແບບປັບປຸງ (ECM) ສໍາລັບເດັກນ້ອຍ ແລະໄວໜຸ່ມຂອງກຸ່ມຈຸດສຸມ (POF).​​ 

On November 3, DHCS published the ECM for Children and Youth POF Spotlight, which is designed to help contracted and prospective ECM providers serving children and youth develop and enhance their ECM models. It is also intended to support provider organizations that are considering if ECM for children and youth is right for them. The new resource outlines key ECM policies for the children and youth POFs, including areas where plans can leverage presumptive authorization; member scenarios that illustrate how to deliver ECM for the children and youth POFs, with examples of how Community Supports can be integrated to best serve children, youth, and caregivers; and guidance on how prospective providers can get started, with a collection of the key resources and funding opportunities.

DHCS is committed to providing technical assistance and support to California’s growing network of ECM providers. This is the first in a series of ECM spotlights that DHCS plans to release over the coming months to support stakeholders seeking more details on how providers tailor ECM to meet the needs of different POFs. For more information, visit the ECM and Community Supports webpage.​​ 

ອັບເດດໂຄງການ​​ 

Medi-Cal ແລະການປັບປຸງການດູແລອຸປະຖໍາ​​ 

DHCS developed a resource to provide updates on foster care youth in Medi-Cal. The resource covers changes to managed care for the child welfare population in 2024, Enhanced Care Management and Community Supports transition policies, the 2024 Medi-Cal managed care plan (MCP) contract and memorandum of understanding requirements, and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment child and youth components.​​ 

ການອັບເດດບໍລິການ Doula ທີ່ມີຢູ່ອອນໄລນ໌​​ 

ໃນວັນທີ 3 ພະຈິກ, DHCS ໄດ້ອັບເດດ ບໍລິການ Doula ເປັນໜ້າເວັບຂອງ Medi-Cal Benefit. ຫນ້າເວັບທີ່ປັບປຸງໃຫມ່ປະກອບມີຊັບພະຍາກອນທີ່ເປັນປະໂຫຍດສໍາລັບສະມາຊິກ Medi-Cal ແລະຜູ້ໃຫ້ບໍລິການ doula, ລວມທັງຄໍາແນະນໍາປະຈໍາການອອກໃຫມ່ສໍາລັບການບໍລິການ doula ຈາກ DHCS ຜູ້ອໍານວຍການທາງການແພດທ່ານດຣ Karen Mark. ຄໍາແນະນໍາທີ່ຢືນຢູ່ປະຕິບັດຕາມຂໍ້ກໍານົດຂອງລັດຖະບານກາງສໍາລັບຄໍາແນະນໍາສໍາລັບການບໍລິການ doula ເປັນການບໍລິການປ້ອງກັນ.

ການປັບປຸງຫນ້າເວັບຍັງລວມເອົາຄໍາຖາມໃຫມ່ທີ່ມັກຖາມເລື້ອຍໆສໍາລັບສະມາຊິກ doulas ແລະ Medi-Cal, ຈໍານວນທັງຫມົດຂອງຄໍາຮ້ອງສະຫມັກຂອງຜູ້ໃຫ້ບໍລິການ doula ທີ່ໄດ້ຮັບການອະນຸມັດແລະຜູ້ໃຫ້ບໍລິການສ່ວນບຸກຄົນທີ່ລົງທະບຽນ, ແລະຂໍ້ມູນກ່ຽວກັບຫຼັກຖານທີ່ສະຫນັບສະຫນູນຜົນປະໂຫຍດຂອງການບໍລິການ doula ສໍາລັບການເກີດລູກແລະຜົນໄດ້ຮັບຂອງແມ່. ກະລຸນາສົ່ງອີເມວຄໍາຖາມໃດໆກ່ຽວກັບການບໍລິການ doula ໄປ DoulaBenefit@dhcs.ca.gov.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກໍາລັງຈ້າງ! DHCS ມີໂອກາດສໍາລັບ:​​ 

• Chief of the Financial Management Division within Fiscal (final filing date (FFD) is November 15). This executive role develops policies and procedures to ensure fiscal integrity, transparency, and accountability of approximately $150 billion in annual state and federal funding for DHCS.​​ 

• Behavioral Health Policy Medical Consultant II within Behavioral Health (FFD is November 27). This position provides clinical expertise and strategic advice to DHCS Behavioral Health leadership on the development and implementation of policy and initiatives designed to strengthen behavioral health care access, quality, and service delivery.​​ 

• Senior Assistant Chief Counsel for Fiscal and Financing within the Office of Legal Services (FFD is November 28). This position is responsible for complex legal counsel and litigation strategy formulation regarding DHCS fiscal, financial management, and health care policy.​​ 

• ຜູ້ຊ່ວຍຫົວໜ້າທີ່ປຶກສາອາວຸໂສ ສຳລັບລະບົບການຈັດສົ່ງການດູແລສຸຂະພາບພາຍໃນຫ້ອງການບໍລິການທາງດ້ານກົດໝາຍ (FFD ແມ່ນວັນທີ 30 ພະຈິກ). ຕໍາແໜ່ງນີ້ແມ່ນຮັບຜິດຊອບສໍາລັບທີ່ປຶກສາທາງດ້ານກົດໝາຍທີ່ສັບສົນ ແລະການສ້າງຍຸດທະສາດການດໍາເນີນຄະດີກ່ຽວກັບລັກສະນະຕ່າງໆຂອງລະບົບການໃຫ້ການດູແລສຸຂະພາບ.​​ 

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

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

ຮັກສາຊຸມຊົນຂອງເຈົ້າໃຫ້ປົກຄຸມ: ໂຮງຮຽນ ແລະຄອບຄົວ Webinar​​ 

ໃນວັນທີ 16 ເດືອນພະຈິກ, ເວລາ 2 ຫາ 3 ໂມງແລງ, DHCS ຈະຈັດ ການ webinar ກ່ຽວກັບ Keep Your Community Covered: Schools and Families (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ). webinar ຈະສະໜອງຂໍ້ມູນສຳຄັນໃຫ້ຄູ່ຮ່ວມງານຂອງໂຮງຮຽນເພື່ອຊ່ວຍນັກຮຽນ ແລະຄອບຄົວຂອງເຂົາເຈົ້າດ້ວຍການຕໍ່ອາຍຸການຄຸ້ມຄອງ Medi-Cal. webinar ຍັງຈະເນັ້ນໃຫ້ເຫັນເຖິງແຫຼ່ງການເຜີຍແຜ່ທີ່ມີຢູ່ ແລະການປະຕິບັດທີ່ດີທີ່ສຸດສໍາລັບການມີສ່ວນຮ່ວມໃນຄອບຄົວທີ່ມີເດັກນ້ອຍໃນໄວຮຽນ.​​ 

ຄວາມຕ້ອງການ ແລະຂັ້ນຕອນການລົງທະບຽນ Medi-Cal ສໍາລັບ CBOs ແລະ LHJs Webinar​​ 

ໃນວັນທີ 17 ເດືອນພະຈິກ, ເວລາ 10 ຫາ 11:30 ໂມງເຊົ້າ, DHCS ຈະຈັດ ກອງປະຊຸມຜູ້ມີສ່ວນຮ່ວມສາທາລະນະຜ່ານ webinar (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ) ເພື່ອປຶກສາຫາລືກ່ຽວກັບຂ່າວກ່ຽວກັບຜູ້ໃຫ້ບໍລິການດ້ານລະບຽບການກ່ຽວກັບຄວາມຕ້ອງການການລົງທະບຽນ ແລະ ຂັ້ນຕອນການລົງທະບຽນ Medi-Cal ສໍາລັບອົງການຈັດຕັ້ງຊຸມຊົນ (CBO) ແລະ ອໍານາດການປົກຄອງທ້ອງຖິ່ນ (LHJ) ຜູ້ໃຫ້ບໍລິການ / ຜູ້ໃຫ້ບໍລິການດ້ານສຸຂະພາບຂອງຊຸມຊົນ. ມີຜົນບັງຄັບໃຊ້ໃນເດືອນມັງກອນ 9, 2024, ຜູ້ໃຫ້ບໍລິການ CBO ແລະ LHJ ທີ່ຮ້ອງຂໍການລົງທະບຽນໃນໂຄງການຄ່າບໍລິການ Medi-Cal ສາມາດສົ່ງໃບຄໍາຮ້ອງຂອງເຂົາເຈົ້າຜ່ານຄໍາຮ້ອງສະຫມັກຂອງຜູ້ໃຫ້ບໍລິການ ແລະ Validation for Enrollment (PAVE) ປະຕູລົງທະບຽນອອນໄລນ໌.​​ 

ຄໍາຄິດເຫັນທີ່ເປັນລາຍລັກອັກສອນ, ຄໍາຖາມ, ຫຼືຄໍາແນະນໍາອາດຈະຖືກສົ່ງໃນລະຫວ່າງການໄຕ່ສວນໃນການສົນທະນາ webinar. ສໍາລັບຜູ້ທີ່ບໍ່ສາມາດເຂົ້າຮ່ວມໄດ້, ການຂຽນຄໍາຄິດຄໍາເຫັນຕ້ອງສົ່ງພາຍໃນເວລາ 5 ໂມງແລງຂອງວັນທີ 17 ພະຈິກເພື່ອພິຈາລະນາການພິມເຜີຍແຜ່. ໃນ​ເວ​ລາ​ທີ່​ສົ່ງ​ຄໍາ​ຄິດ​ເຫັນ​ເປັນ​ລາຍ​ລັກ​ອັກ​ສອນ​, ກະ​ລຸ​ນາ​ຮັບ​ປະ​ກັນ​ວ່າ​ຜູ້​ໃຫ້​ຄໍາ​ເຫັນ​ແລະ​ອົງ​ການ​ຈັດ​ຕັ້ງ / ສະ​ມາ​ຄົມ​ທີ່​ເປັນ​ຕົວ​ແທນ​ແມ່ນ​ທັງ​ສອງ​ໄດ້​ລະ​ບຸ​ໄວ້​ໃນ​ຄໍາ​ເຫັນ​. ຄຳເຫັນທີ່ເປັນລາຍລັກອັກສອນຄວນຖືກສົ່ງໄປທີ່ DHCSPEDStakeholder@dhcs.ca.gov. ໂດຍອີງໃສ່ຄວາມຄິດເຫັນຂອງປະຊາຊົນທີ່ໄດ້ຮັບ, DHCS ຈະເຜີຍແຜ່ຂ່າວສຸດທ້າຍຢູ່ໃນເວັບໄຊທ໌ Medi-Cal ແລະ DHCS .​​ 

CalAIM Intermediate Care Facility for Developmentally Disabled (ICF/DD) Carve-In Billing and Payment Webinar​​ 

On November 17 at 1 p.m., DHCS will host the fourth in a series of educational webinars on the California Advancing and Innovating Medi-Cal (CalAIM) ICF/DD carve-in (advance registration required). These webinars outline changes to the ICF/DD carve-in policy requirements. Starting on January 1, 2024, all Medi-Cal MCPs will be required to cover and coordinate institutional long-term care for members residing in an ICF/DD. The webinar series will feature several topics, including ICF/DD carve-in 101, directed payment policy and payment requirements, the per diem rate, accommodation code changes, and best practices for billing and payment. ICF/DD home, Regional Center, and Medi-Cal managed care representatives are encouraged to attend. All webinars are open to the public.​​ 

If there are specific questions you would like addressed during the webinar, please submit them in advance using this registration form or by emailing them to LTCtransition@dhcs.ca.gov. Webinar materials, including recordings, and additional details about upcoming webinars are posted on the CalAIM ICF/DD Long-Term Care Carve-In webpage.​​ 

Webinar ການປະຕິຮູບດ້ານການເງິນຂອງສະຖາບັນພະຍາບານ​​ 

On November 17, from 3 p.m. to 4 p.m., DHCS will hold a virtual stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program, Accountability Sanctions Program, and Workforce & Quality Incentive Program (WQIP) authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). This meeting will also provide an opportunity for stakeholder input. Additional information is posted on DHCS’ Nursing Facility Financing Reform (AB 186) webpage.​​ 

ໂຄງການຄຸ້ມຄອງເຄື່ອງຊ່ວຍຟັງສຳລັບເດັກນ້ອຍ (HACCP) Webinar ສໍາລັບຄອບຄົວ ແລະຄູ່ຮ່ວມງານຊຸມຊົນ​​ 

On November 28, from 11 a.m. to 12 p.m., DHCS will host a HACCP webinar (advance registration required) to share guidance with families and communities about applying for hearing aid coverage and helping children to maximize their HACCP benefits once enrolled. DHCS welcomes newly interested families, as well as families currently participating in HACCP, and community partners supporting families and children to join this webinar for program updates, tips, and a question-and-answer session. For more information, please visit www.dhcs.ca.gov/haccp.​​ 

HACCP Webinar ສໍາລັບຜູ້ໃຫ້ບໍລິການທາງການແພດແລະຜູ້ຊ່ຽວຊານດ້ານການໄດ້ຍິນ​​ 

On December 19, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will address program requirements for families to apply for coverage and the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.​​ 

Webinar ການລົບລ້າງຊັບສິນ Medi-Cal​​ 

ໃນວັນທີ 29 ພະຈິກ, ເວລາ 1:30 ຫາ 2:30 ໂມງ, DHCS ຈະຈັດກອງປະຊຸມ webinar ກ່ຽວກັບ ການລົບລ້າງຊັບສິນສໍາລັບໂຄງການ Medi-Cal ທີ່ບໍ່ມີການດັດແກ້ (MAGI), ເຊິ່ງມີຜົນບັງຄັບໃຊ້ໃນເດືອນມັງກອນ 1, 2024. ເມື່ອປະຕິບັດ, ການລິເລີ່ມນີ້ຈະລົບລ້າງການທົດສອບຊັບສິນສໍາລັບທຸກໂຄງການທີ່ບໍ່ແມ່ນ MAGI, ລວມທັງການດູແລໄລຍະຍາວແລະໂຄງການເງິນຝາກປະຢັດ Medicare. webinar ຈະໃຫ້ຂໍ້ມູນພື້ນຖານກ່ຽວກັບການກໍາຈັດຊັບສິນ, ການວາງແຜນການປະຕິບັດ, ການປ່ຽນແປງຂັ້ນຕອນ, ແລະອຸປະກອນການເຜີຍແຜ່. ຂໍ້​ມູນ​ເພີ່ມ​ເຕີມ​ແມ່ນ​ມີ​ຢູ່​ໃນ ການ​ປ່ຽນ​ແປງ​ຂອບ​ເຂດ​ຈໍາ​ກັດ​ຊັບ​ສິນ​ສໍາ​ລັບ​ຫນ້າ​ເວັບ​ທີ່​ບໍ່​ແມ່ນ MAGI Medi-Cal .​​ 

CalAIM ການຄຸ້ມຄອງການບໍລິການແລະການສະຫນັບສະຫນູນໄລຍະຍາວ (MLTSS) ແລະກອງປະຊຸມ Virtual Workgroup ປະສົມປະສານສອງເທົ່າ​​ 

On November 30 at 10 a.m., DHCS will virtually host the CalAIM MLTSS and Duals Integration Workgroup meeting (advance 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 will include reminders about the 2024 Medi-Cal transitions and noticing timelines, updates on Medi-Medi Plan outreach and the 2024 Dual Eligible Special Needs Plan Policy Guide development, July 2023 duals enrollment data, a spotlight presentation on the CalAIM recuperative care Community Support, and a presentation on the continuous coverage unwinding.​​ 

Background materials, transcripts, and video recordings of previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.​​ 

Medi-Cal Webinar ການຂະຫຍາຍຕົວສໍາລັບຜູ້ໃຫຍ່​​ 

On December 4, from 11 a.m. to 12 p.m., DHCS will host a webinar on the adult expansion of Medi-Cal (advance registration required) for CBOs, MCPs, providers, and other interested stakeholders, including those representing consumers, immigration, health care, legal aid, and immigrant adults. DHCS is implementing this expansion pursuant to Senate Bill 184 (Chapter 47, Statutes of 2022) on January 1, 2024. When implemented, the expansion will provide individuals 26-49 years of age with full scope Medi-Cal benefits, regardless of citizenship or immigration status, if they meet all other Medi-Cal eligibility criteria.​​ 

The webinar, which will be live interpreted in Spanish, will provide background information about the expansion, implementation planning, noticing, outreach, and more. Individuals may also submit questions or request to register for the webinar by sending an email to AdultExpansion@dhcs.ca.gov.​​ 

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​ 

ພາກທີ 1115 ການສາທິດ: BH-CONNECT ແລະ CalAIM ການດັດແກ້ຄ່າເຊົ່າໄລຍະຂ້າມຜ່ານ​​ 

On October 20, DHCS submitted to Centers for Medicare & Medicaid Services (CMS) the new Section 1115 demonstration request, entitled the California Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration, and the proposed amendment to the CalAIM Section 1115 demonstration related to transitional rent services. Additionally, the federal public comment period will be open for BH-CONNECT and CalAIM transitional rent services from October 27 through November 26, 2023.​​ 

ການປ່ຽນ Medi-Cal MCP ເດືອນມັງກອນ 2024​​ 

As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members who transition to a new MCP are receiving notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.​​