DHCS Stakeholder News – April 24, 2023
Nangungunang Balita
Impormasyon tungkol sa Mga Panganib sa Scam sa Mga Miyembro ng Medi-Cal
Alam ng DHCS ang mga scammer at masamang aktor sa buong bansa na nakikipag-ugnayan sa mga miyembro ng Medicaid na humihiling ng bayad upang matulungan silang mag-apply o i-renew ang kanilang coverage sa Medicaid. Ang mga miyembro ng Medi-Cal sa California ay tinatarget din.
Dapat malaman ng mga miyembro ng Medi-Cal na ang Medi-Cal ay hindi kailanman nangangailangan ng pagbabayad sa panahon ng aplikasyon o proseso ng pag-renew.
Hinihimok ng DHCS ang mga stakeholder na gamitin ang aming mga toolkit sa lahat ng mga pagsisikap sa pag-abot. Bilang karagdagan, mahalagang turuan ang mga miyembro ng Medi-Cal tungkol sa kung paano sila maaaring asahan na makontak sa pamamagitan ng opisyal na lehitimong mga mapagkukunan. Kung may mga katanungan, ang mga miyembro ng Medi-Cal ay maaaring makipagtulungan sa kanilang mga lokal na kasosyo sa komunidad o makipag-ugnay sa kanilang tanggapan ng Medi-Cal ng county.
Mga Update sa Programa
California’s Federal Unwinding Baseline Report
DHCS submitted California’s “Unwinding Baseline Report” to the Centers for Medicare & Medicaid Services (CMS) as part of the continuous coverage unwinding federal requirements. The report includes California’s estimate of total pending applications received between March 1, 2020, and March 31, 2023; total members enrolled as of March 31, 2023; and total Medi-Cal fair hearings pending more than 90 days as of March 31, 2023. The report also includes a description of California’s renewal timeline and policy during the unwinding period. The report will be posted monthly to the DHCS website under “DHCS Continuous Coverage Unwinding Data.”
Medi-Cal Rx Update
The Medi-Cal Rx Find A Pharmacy tool has been updated with new features to help members easily locate enrolled Medi-Cal pharmacies. These enhancements include a larger search radius to benefit rural communities, better messaging if a pharmacy is not located in a search result, and improved filtering of results for “Mail Order”, “IV Infusion”, and “Indian Health Services” to more easily identify pharmacies and mail order opportunities.
Sumali sa Aming Koponan
DHCS is hiring! DHCS has an immediate opening for Chief, Data Management and Analytics Division. This executive role presents a unique opportunity for a mission-driven, exceptionally motivated individual to further the Department’s priority to be a data-literate, data-driven decision-making organization.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, information technology, and communications teams. For more information, please visit the CalCareers website.
Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar
Pagpupulong ng Advisory Group ng Population Health Management (PHM).
On April 26, from 12:30 to 2 p.m., DHCS will host the next PHM Advisory Group meeting (advance registration required). The meeting will provide feedback on DHCS’ proposed changes to the population needs assessment (PNA) that Medi-Cal Managed Care Plans (are required to complete. HCS envisions the modified PNA to promoting greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health, social needs, and preferences from the communities in which they live. Stakeholders are encouraged to submit additional questions before the webinar to CalAIM@dhcs.ca.gov.
Health Enrollment Navigators Project Meeting
Sa Mayo 1, mula 1 hanggang 2:30 p.m., ang DHCS ay virtual na magho-host ng isang pinagsamang pagpupulong ng stakeholder kasama ang mga kasosyo sa county at community-based organization (CBO), tagapagtaguyod, at iba pang mga interesadong indibidwal upang magbigay ng mga update at sagutin ang mga katanungan tungkol sa Navigators Project, na nagbibigay ng pondo sa mga county at CBO upang maglingkod sa mga mahirap maabot na potensyal na karapat-dapat na populasyon ng Medi-Cal. Ang impormasyon tungkol sa pagpupulong na ito, iba pang pangkalahatang impormasyon, at mga update ay magagamit sa Health Enrollment Navigators Project Stakeholder & Advocate Communication webpage. Ang mga interesadong partido ay maaari ring humiling na idagdag sa abiso ng pagpupulong sa pamamagitan ng pag-email sa HealthNavigators@dhcs.ca.gov.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
Sa Mayo 4, mula 10 am hanggang 2 pm, ang DHCS ay magho-host ng susunod na MCHAP hybrid meeting (kinakailangan ang advance na pagpaparehistro) sa The California Endowment (1414 K Street, Sacramento). Ang mga materyales sa pagpupulong ay ipo-post sa MCHAP webpage na mas malapit sa petsa ng pagpupulong.
Kung sakaling Nalampasan Mo Ito
California Awards $2.5 Million para Palakasin ang Behavioral Health Navigator Program
On April 17, DHCS awarded more than $2.5 million to 103 hospitals with emergency departments, with each receiving $25,000 to implement strategies to sustain the CalBridge Behavioral Health Navigator Program (CalBridge) and maintain behavioral health navigators working with individuals. To date, 385 California hospitals have received funding under the CalBridge program.
DHCS also released funding opportunities for two opioid and stimulant use disorder community-based prevention programs: the Opioid Use and Stimulant Use Education and Outreach in 2S/LGBTQ+ Communities (RFA available here) and the Opioid and Stimulant Use Disorder Prevention and Education in Communities of Color (RFA here). Both projects are part of DHCS’ broader efforts to address SUD, collectively known as the California MAT Expansion Project, to increase access to MAT, reduce unmet treatment needs, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities.