ຂ່າວເດັ່ນ​​ 

ຫຼ້າສຸດການຄຸ້ມຄອງການດູແລທີ່ປັບປຸງໃຫ້ດີຂຶ້ນ ແລະການຊ່ວຍເຫຼືອຊຸມຊົນມີລາຍງານປະຈໍາໄຕມາດ​​ 

On October 10, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report, covering data from January 2022 through March 2025. These services help Medi-Cal members stay healthier and avoid more costly health care services, such as emergency department visits and hospital stays. Key highlights from Q1 2025 include:​​ 

• ການລົງທະບຽນ ECM ເພີ່ມຂຶ້ນ 61 ເປີເຊັນເມື່ອທຽບກັບ Q1 2024, ມີສະມາຊິກ 177,527 ຄົນ.​​ 
• ການລົງທະບຽນ ECM ລະຫວ່າງເດັກນ້ອຍ ແລະໄວໜຸ່ມເພີ່ມຂຶ້ນຫຼາຍກວ່າສອງເທົ່າ.​​ 
• ການຊ່ວຍເຫຼືອຊຸມຊົນບັນລຸຫຼາຍກວ່າ 429,000 ສະມາຊິກ, ມີຫຼາຍກວ່າ 1.1 ລ້ານບໍລິການສົ່ງ.​​ 
• ເກືອບ 94 ເປີເຊັນຂອງສະມາຊິກ Medi-Cal ມີການເຂົ້າເຖິງຢ່າງໜ້ອຍ 10 ການຊ່ວຍເຫຼືອຊຸມຊົນ.​​ 
• ການ​ບໍ​ລິ​ການ​ທີ່​ຖືກ​ນໍາ​ໃຊ້​ຫຼາຍ​ທີ່​ສຸດ​ລວມ​ມີ​ອາ​ຫານ​ທີ່​ເຫມາະ​ສົມ​ທາງ​ການ​ແພດ​ແລະ​ການ​ສະ​ຫນັບ​ສະ​ຫນູນ​ທີ່​ຢູ່​ອາ​ໃສ​.​​ 

ນອກຈາກນັ້ນ, ເພື່ອສະຫນັບສະຫນູນການຂະຫຍາຍຕົວຂອງ ECM ແລະການສະຫນັບສະຫນູນຊຸມຊົນ, DHCS ໄດ້ມອບລາງວັນຫຼາຍກວ່າ 1.43 ຕື້ໂດລາຜ່ານທາງຂອງຕົນ.​​  ການສະຫນອງການເຂົ້າເຖິງແລະການຫັນປ່ຽນສຸຂະພາບ​​  ການລິເລີ່ມ (PATH), ລວມທັງການຫັນປ່ຽນຄວາມອາດສາມາດແລະໂຄງສ້າງພື້ນຖານ, ການຂະຫຍາຍຕົວ, ແລະການພັດທະນາ (CITED), ການວາງແຜນການຮ່ວມມືແລະການຈັດຕັ້ງປະຕິບັດ (CPI), ແລະຕະຫຼາດການຊ່ວຍເຫຼືອດ້ານວິຊາການ. ວຽກງານນີ້ຊ່ວຍໃຫ້ຊາວຄາລິຟໍເນຍມີສຸຂະພາບແຂງແຮງ, ຊີວິດທີ່ໝັ້ນຄົງກວ່າ.​​ 

ແຜນ Medi-Medi ທີ່ມີຢູ່ໃນລະຫວ່າງການລົງທະບຽນເປີດ Medicare​​ 

ໃນລະຫວ່າງການລົງທະບຽນເປີດ Medicare, ວັນທີ 15 ຕຸລາຫາວັນທີ 7 ທັນວາ, ຊາວຄາລິຟໍເນຍທີ່ມີສິດສາມາດລົງທະບຽນໄດ້.​​  ແຜນ Medi-Medi​​ , a type of Medicare Advantage plan that combines Medicare and Medi-Cal benefits into one coordinated plan. In 2026, these plans will be available in 41 counties, up from 12 counties in 2025. Medi-Medi Plans currently serve approximately 330,000 members. Starting in 2026, nine new Medi-Medi Plans will launch, and three existing Medi-Medi Plans will expand, to serve 461,000 potential members in 29 additional counties. Medi-Medi Plans simplify care with one member identification card, one care team, and integrated services across medical, behavioral health, and long-term services and supports. They also include wraparound Medi-Cal services and specialized care coordination. Joining a Medi-Medi Plan is voluntary. To join one, members can call Medicare at 1-800-MEDICARE or call Medi-Cal’s Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). If already enrolled in a Medi-Cal health plan, members may call the plan directly and ask about their Medi-Medi Plan option. For more information, visit the​​  ໜ້າເວັບຂອງ DHCS Medi-Medi Plan​​ .​​ 

ອັບເດດໂຄງການ​​ 

ສະເໜີໃຫ້ດັດແກ້ Medi-Cal Home ແລະ Community-Based Services (HCBS) 1915(c) ການຍົກເວັ້ນສຳລັບຄົນຄາລິຟໍເນຍທີ່ມີຄວາມພິການດ້ານການພັດທະນາ​​ 

DHCS ກໍາລັງຊອກຫາຂໍ້ມູນຈາກສະມາຊິກ, ຜູ້ໃຫ້ບໍລິການ, ແລະຜູ້ມີສ່ວນກ່ຽວຂ້ອງອື່ນໆທີ່ສົນໃຈກ່ຽວກັບການສະເໜີດັດແກ້ Medi-Cal HCBS 1915(c) ການຍົກເວັ້ນສໍາລັບຄົນຄາລິຟໍເນຍທີ່ມີຄວາມພິການດ້ານການພັດທະນາ (​​ ການຍົກເວັ້ນ HCBS-DD​​ ). Under the Lanterman Act administered by the Department of Developmental Services (DDS), people with developmental disabilities are eligible to receive services and supports that meet their individual needs and choices. DDS, under DHCS oversight, ensures that the HCBS-DD waiver is implemented by Regional Centers in accordance with Medicaid law and the State’s approved waiver application. Regional centers coordinate, provide, arrange, and/or purchase the services and supports available under the HCBS-DD waiver.​​ 

DHCS ວາງແຜນທີ່ຈະສົ່ງການແກ້ໄຂການຍົກເວັ້ນທີ່ສະເໜີໃຫ້ສູນບໍລິການ Medicare & Medicaid (CMS) ພາຍໃນວັນທີ 28 ພະຈິກ, ສໍາລັບວັນທີທີ່ສະເໜີໃຫ້ມີຜົນບັງຄັບໃຊ້ແມ່ນວັນທີ 1 ເດືອນມີນາ, 2026. ສໍາເນົາຂອງການແກ້ໄຂທີ່ສະເຫນີສາມາດໄດ້ຮັບ, ແລະຄໍາເຫັນອາດຈະຖືກສົ່ງ, ໂດຍການສົ່ງອີເມວ​​  Federal.Programs@dds.ca.gov​​ . Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.​​ 

ສູນ​ກາງ​ສົ່ງ​ຊາວ​ໜຸ່ມ allcove ໃໝ່​ເປີດ​ຢູ່ San Juan Capistrano​​ 

On October 9, DHCS announced the opening of a new allcove youth drop-in center in San Juan Capistrano, funded through the Children and Youth Behavioral Health Initiative (CYBHI) and in partnership with the Behavioral Health Services Oversight and Accountability Commission. The centers are designed with and for youth, expanding access to evidence-based, youth-driven behavioral health services for people aged 12-25 in Orange County. The center offers mental health support, physical health, peer services, substance use support, and education and employment resources in one welcoming, stigma-free space. This investment is a part of CYBHI’s broader effort to transform California’s behavioral health system by reducing barriers to care, supporting community connections, and building a youth-centered, coordinated system of support across California. For more information about site details and access, please visit allcove San Juan Capistrano.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກຳລັງຊອກຫາບຸກຄົນທີ່ມີພອນສະຫວັນ ແລະ ມີແຮງຈູງໃຈເພື່ອຮັບໃຊ້ເປັນ:​​ 

• ຫົວຫນ້າ, ລະບົບປະສົມປະສານຂອງພະແນກການດູແລ. ຫົວຫນ້ານໍາພາການຈັດສົ່ງ, ການປະຕິບັດຕາມ, ແລະກິດຈະກໍາການຕິດຕາມສໍາລັບລະບົບການດູແລສຸຂະພາບຂອງລັດສໍາລັບປະຊາກອນທີ່ມີຄວາມສ່ຽງທີ່ມີສິດໄດ້ຮັບ Medi-Cal ແລະໂຄງການແລະການບໍລິການດ້ານສຸຂະພາບຂອງລັດອື່ນໆ. ໃບສະໝັກຕ້ອງສົ່ງພາຍໃນວັນທີ 14 ຕຸລາ.
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• Chief, CA-MMIS Operations Division. The Chief leads the administration, oversight, and monitoring of DHCS’ Fiscal Intermediary (FI) Business Operations and FI-Maintenance and Operations (M&O) contracts for the Medi-Cal program. In this role, the Chief also provides oversight of the FI-M&O vendor and related systems used to assist with the processing of approximately $21 billion annually in Medi-Cal claim payments. Applications must be submitted by October 16.​​ 

DHCS is also hiring for its Audits and Investigations, Fiscal, Strategic Planning and Workforce Development, and other teams. For more information, please visit the CalCareers website.​​ 

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

DHCS ປະກາດການປະຊຸມສາທາລະນະທີ່ຈະມາເຖິງໃນ ປະຕິທິນ DHCS ຂອງເຫດການ. DHCS ໃຫ້ບໍລິການຊ່ວຍເຫຼືອຟຣີ, ລວມທັງການຕີຄວາມພາສາ, ການຂຽນຄຳບັນຍາຍແບບສົດໆ, ແລະການຈັດຮູບແບບສະຫຼັບຂອງອຸປະກອນການປະຊຸມ. ເພື່ອຮ້ອງຂໍການບໍລິການ, ກະລຸນາສົ່ງອີເມວຫາ DHCS ໃນທີ່ຢູ່ອີເມວຕິດຕໍ່ທີ່ເຫມາະສົມຢ່າງຫນ້ອຍສິບມື້ເຮັດວຽກກ່ອນກອງປະຊຸມ.​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

On October 15, from 1 to 3 p.m. PDT, DHCS will hold the quarterly California Children’s Services Advisory Group meeting. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities and Medi-Cal Rx pharmacy benefits. Additional information and meeting details are available on the CCS Advisory Group webpage. Please email CCSProgram@dhcs.ca.gov if you have any questions.​​ 

ອຸປະກອນໃສ່ໃນທໍ່ພາຍໃນ (ຮ່ວງ) ທີ່ສົມບູນແບບ ແລະການຝຶກອົບຮົມການຈັດວາງການຝັງເຂັມ​​  

On October 15-17, DHCS’ Office of Family Planning will host the Comprehensive IUD and Contraceptive Implant Placement Training series. Participants may choose between IUD and Implant Placement training on October 15-16, from 7:15 a.m. to 5 p.m. (advance registration required), with both days covering the same content. This training is designed for both new and experienced providers who want to build or refine their skills in IUD placement and removal. The agenda covers patient counseling and consent, method selection, instrument use, and step-by-step instruction for all U.S. Food and Drug Administration-approved IUDs. Participants will receive hands-on practice with pelvic models and computer simulators under the guidance of family planning experts. Advanced topics include managing side effects, pain control, troubleshooting difficult placements, and creating clinic flow for same-day IUD services.​​ 

Alternatively, participants may select the Implant-Only Placement on October 17, from 10 a.m. to 1:45 p.m. (advance registration required). Participants will receive hands-on training for NEXPLANON® placement and removal procedures as well as implant localization techniques. For more IUD resources, visit IUD & Implant Resources.​​ 

ຂະບວນການວາງແຜນຊຸມຊົນການຫັນປ່ຽນສຸຂະພາບພຶດຕິກຳ: Webinar​​ 

On October 16, from 2 to 3 p.m. PDT, DHCS will host a public informational webinar on engaging in the Behavioral Health Services Act Community Planning Process. This process represents the local stakeholder and partner engagement requirement for each county’s Integrated Plan under the Behavioral Health Services Act. During the session, participants will learn how to become involved in the Community Planning Process, how DHCS evaluates meaningful stakeholder engagement in the Integrated Plan, and about resources available to help foster engagement efforts. Individuals must register to participate virtually. Visit the Behavioral Health Transformation webpage for more information and resources.​​ 

ຄະ​ນະ​ກໍາ​ມະ​ການ​ທີ່​ປຶກ​ສາ​ຄຸນ​ນະ​ພາບ​ແລະ​ຄວາມ​ສະ​ເຫມີ​ພາບ​ການ​ປ່ຽນ​ແປງ​ສຸ​ຂະ​ພາບ​ພຶດ​ຕິ​ກໍາ​: Webinar​​ 

On October 21, from 11 a.m. to 1 p.m. PDT, DHCS will host the eighth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members will collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Attendees can provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send any questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.​​ 

Webinar ຂອງສູນການຮຽນຮູ້ ACES Aware​​ 

ໃນວັນທີ 23 ຕຸລາ, ຕັ້ງແຕ່ເວລາ 12 ໂມງ ຫາ 13 ໂມງ PDT, ໂຄງການ ACEs Aware ຂອງ DHCS ຈະຈັດ ກອງປະຊຸມທາງເວັບ, ຜູ້ໃຫ້ບໍລິການຂອງລັດ California: ສະໜັບສະໜູນສຸຂະພາບພຶດຕິກຳຂອງຊາວໜຸ່ມດ້ວຍເຄື່ອງມືດິຈິຕອນຟຣີເຫຼົ່ານີ້ (ຕ້ອງລົງທະບຽນລ່ວງໜ້າ). ໃນຖານະເປັນສ່ວນໜຶ່ງຂອງຊຸດການຈັດຕັ້ງປະຕິບັດດ້ວຍຄວາມຕັ້ງໃຈ, ສູນການຮຽນຮູ້ ACES Aware ຈະນຳສະເໜີແພລດຟອມການບໍລິການດ້ານສຸຂະພາບພຶດຕິກຳແບບເສມືນທີ່ພັດທະນາຜ່ານ CYBHI, ເຊິ່ງລວມມີ Mirror, Soluna, ແລະ BrightLife Kids. ການນຳສະເໜີຈະປະກອບມີຄວາມເຂົ້າໃຈກ່ຽວກັບວິທີການປະສົມປະສານເວທີເຫຼົ່ານີ້ເຂົ້າໃນເສັ້ນທາງການດູແລ, ເສີມຂະຫຍາຍການພົວພັນກັບປະຊາກອນໄວໜຸ່ມ, ແລະຂະຫຍາຍການເຂົ້າເຖິງການບໍລິການສຸຂະພາບທາງດ້ານພຶດຕິກຳໃນທົ່ວຊຸມຊົນທີ່ຫຼາກຫຼາຍ.​​ 

ການເສີມສ້າງສາຍພົວພັນກັບເດັກນ້ອຍ ແລະໄວໜຸ່ມ ການປະຕິບັດທີ່ດີທີ່ສຸດ: Webinar​​ 

On October 24, from 10 to 11 a.m. PDT, DHCS will host a public webinar, Strengthening Connections with Children and Youth Providers (advance registration required). The webinar is part of a series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increase providers’ successful participation in California Advancing and Innovating Medi-Cal (CalAIM), and improve collaboration with Medi-Cal health plans, state and local government agencies, and others to build and deliver quality benefits and services to Medi-Cal members. The webinar will demonstrate how First 5 programs across California are working with ECM and Community Supports services and providers and explain how schools and school districts help connect children and families with local organizations, youth programs, and health plans. All webinar recordings and best practices resources will be made available at ca-path.com/collaborative under the “Best Practices and Resources” section. For questions, please email collaborative@ca-path.com.​​ 

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

On October 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.​​ 

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​ 

Smile, California: Mobile Dental Van Event (Inyo County)​​ 

On October 16-18, from 8 a.m. to 5 p.m. PDT, mobile dental van events will be held in Inyo County to provide free dental services. The van will be located at 1360 N Main Street in Bishop. Smile, California will support the events with a custom flyer, social media posts, and a Smile Alert to notify members and partners of the event. Visitors are encouraged to call 1-888-585-3368 to pre-register and complete the consent forms before the event.​​ 

ວິທີການຊໍາລະຄ່າເຊົ່າໄລຍະຂ້າມຜ່ານ​​ 

ໃນວັນທີ 3 ຕຸລາ, DHCS ໄດ້ອອກ ວິທີການຈ່າຍຄ່າເຊົ່າຊົ່ວຄາວສະບັບ ສຸດທ້າຍ. ເອກະສານສະບັບນີ້ລວມມີຈຳນວນເງິນສູງສຸດທີ່ສາມາດຄືນເງິນໄດ້ (“ເພດານທີ່ສາມາດຄືນເງິນໄດ້”) ແລະ ຄ່າທຳນຽມການບໍລິຫານທີ່ກ່ຽວຂ້ອງກັບຄ່າເຊົ່າຊົ່ວຄາວ—ການບໍລິການສະໜັບສະໜູນຊຸມຊົນໃໝ່ລ່າສຸດທີ່ຖືກອອກແບບມາເພື່ອໃຫ້ການຊ່ວຍເຫຼືອດ້ານການເຊົ່າສູງເຖິງຫົກເດືອນສຳລັບສະມາຊິກ Medi-Cal ຜູ້ທີ່ກຳລັງປະສົບ ຫຼື ມີຄວາມສ່ຽງຕໍ່ການບໍ່ມີທີ່ຢູ່ອາໄສ ແລະ ຕອບສະໜອງເງື່ອນໄຂການມີສິດໄດ້ຮັບເພີ່ມເຕີມ. ດັ່ງທີ່ໄດ້ລະບຸໄວ້ໃນ ຄູ່ມືນະໂຍບາຍການສະໜັບສະໜູນຊຸມຊົນ ເຫຼັ້ມທີ 2, ແຜນການດູແລທີ່ຄຸ້ມຄອງໂດຍ Medi-Cal ຕ້ອງຄອບຄຸມຄ່າເຊົ່າຊົ່ວຄາວສຳລັບປະຊາກອນທີ່ມີສຸຂະພາບທາງດ້ານພຶດຕິກຳ ເປັນການບໍລິການສະໜັບສະໜູນຊຸມຊົນບັງຄັບຄັ້ງທຳອິດທີ່ເລີ່ມຕົ້ນໃນວັນ 1 ມັງກອນ, 2026. ເພື່ອໃຫ້ຂໍ້ມູນເພີ່ມເຕີມກ່ຽວກັບວິທີການຈ່າຍຄ່າເຊົ່າໃນໄລຍະການຫັນປ່ຽນ, DHCS ຈະເປັນເຈົ້າພາບຈັດ ກອງປະຊຸມທາງເວັບ ໃນວັນທີ 31 ຕຸລາ, ຕັ້ງແຕ່ເວລາ 10 ໂມງເຊົ້າ ຫາ 11 ໂມງເຊົ້າ. DHCS ຍັງຊຸກຍູ້ໃຫ້ຄູ່ຮ່ວມງານ ແລະ ຜູ້ມີສ່ວນຮ່ວມເຂົ້າເບິ່ງ ໜ້າເວັບ ECM ແລະ ການສະໜັບສະໜູນຊຸມຊົນ ສຳລັບຂໍ້ມູນເພີ່ມເຕີມ ແລະ ໜ້າເວັບ DHCS Housing for Health ໃໝ່ ສຳລັບການອັບເດດກ່ຽວກັບໂຄງການຕ່າງໆທີ່ສຸມໃສ່ທີ່ຢູ່ອາໄສທີ່ນຳພາໂດຍ DHCS.
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