ບ້ານ ຜູ້ໃຫ້ບໍລິການ ແລະ ຄູ່ຮ່ວມງານ ສະຖານທີ່ດູແລລະດັບປານກາງ CalAIM ສຳລັບການດູແລໄລຍະຍາວຂອງຜູ້ພິການທາງດ້ານການພັດທະນາ​​ 

CalAIM Intermediate Care Facility for Developmentally Disabled Career Long-term Care Carve-In Workgroup Meeting Archive​​ 

ກັບຄືນໄປຫາສະຖານທີ່ເບິ່ງແຍງລະດັບປານກາງ CalAIM ສໍາລັບການພັດທະນາຄົນພິການໃນໄລຍະຍາວ Carve-In​​ 

ICF/DD Carve-In Workgroup​​ 

Welfare and Institutions Code (WIC) Section 14184.201 required the Department of Health Care Services (DHCS) and the Department of Developmental Services (DDS) to convene a workgroup to address the transition of Intermediate Care Facility for Developmentally Disabled (ICF/DD) services from the Fee-for-Service (FFS) Medi-Cal delivery system to the Medi-Cal managed care delivery system. DHCS and DDS convened the ICF/DD Workgroup from March 2022 through February 2024 to provide an opportunity for stakeholders to collaborate and provide advisory feedback on DHCS’ policy and operational efforts in carving in ICF/DD services into Medi-Cal managed care.​​  

ຜູ້ເຂົ້າຮ່ວມໃນກຸ່ມລວມມີຜູ້ຕາງຫນ້າຈາກສູນພາກພື້ນ, ແຜນການດູແລຄຸ້ມຄອງ (MCPs), ICF/DD Homes ແລະສະມາຄົມທີ່ກ່ຽວຂ້ອງ, ກຸ່ມຜູ້ບໍລິໂພກ, ແລະສະຫະພັນພະນັກງານບໍລິການສາກົນ (SEIU). ICF/DD Workgroup ໄດ້ສຸມໃສ່ບັນຫາສະເພາະຂອງສະມາຊິກ Medi-Cal ທີ່ມີຄວາມພິການທາງດ້ານການພັດທະນາ, ເຮືອນ, ແລະຜູ້ໃຫ້ບໍລິການທີ່ໃຫ້ບໍລິການບຸກຄົນເຫຼົ່ານີ້.​​ 

Carve-In ຫຼັກການແນະນໍາ​​ 

The transition of ICF/DD services from FFS Medi-Cal to Medi-Cal managed care was designed to be seamless for members. This meant no disruption in access to care or services, that MCPs conducted timely review and authorization of services, as well as supported the member’s care planning. In addition, the existing infrastructure (e.g., Regional Centers, ICF/DD Home model) for individuals with developmental disabilities remains the same, including Lanterman Act protections and the roles and responsibilities of Regional Centers.​​  

DHCS ໄດ້ແບ່ງປັນສະບັບຮ່າງ ແລະໄດ້ຮັບຂໍ້ມູນຈາກກຸ່ມວຽກກ່ຽວກັບການຈັດສົ່ງຕໍ່ໄປນີ້:​​ 

  • ການແຈ້ງເຕືອນຜູ້ໃຫ້ບໍລິການ​​ 
  • ການແຈ້ງເຕືອນສະມາຊິກ Medi-Cal​​ 
  • ICF/DD Promising Practices/ເອກະສານຄຳຖາມທີ່ຖາມເລື້ອຍໆ​​ 
  • ຈົດໝາຍແຜນການທັງໝົດທີ່ເຮັດໜ້າທີ່ເປັນເງື່ອນໄຂໃຫ້ແກ່ MCPs​​ 
  • ມາດຕະຖານສັນຍາຜູ້ໃຫ້ບໍລິການ​​ 

ກອງປະຊຸມຂອງກຸ່ມ​​ 

2022​​ 

2023​​ 

2024​​