August 12, 2024 – Stakeholder Update
Nangungunang Balita
Update sa Dashboard ng California Advancing and Innovating Medi-Cal (CalAIM).
On August 9, DHCS posted an update to the public-facing CalAIM dashboards that promote transparency and demonstrate the impact, progress, and key opportunity areas of CalAIM. This update includes a new dental initiative dashboard that highlights CalAIM initiatives to improve oral health outcomes. It also refreshes data and enhances features in existing dashboards, including Behavioral Health, Community Supports, Enhanced Care Management, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health, and Bold Goals initiative. The dashboards will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.
Mga Update sa Programa
Home and Community-Based Services (HCBS) 1915(C) Waiver para sa Developmentally Disabled at 1915(I) State Plan Amendments – 30-Day Public Comment Period
On August 2, the Department of Developmental Services (DDS), in partnership with DHCS, posted a proposed amendment to the HCBS 1915(c) waiver and the HCBS 1915(i) State Plan Amendment (SPA) for a 30-day public comment period, prior to submitting the final versions to the Centers for Medicare & Medicaid Services for approval.
The HCBS 1915(c) waiver amendment and 1915(i) SPA would implement the next round of rate increases associated with rate reform effective on January 1, 2025. Additionally, the waiver amendment and SPA would add a new service (person-centered future planning) along with a corresponding provider type and payment methodology, increase rates for financial management service providers, and include new provider personal assistance to community living arrangement services with the opportunity for participants to manage their own services.
All comments must be received by September 1, 2024. DDS and DHCS invite all interested parties to review the amendment and comment instructions on the DDS HCBS Programs webpage. If you have any questions, or to comment on the waiver amendment and/or SPA, please email federal.programs@dds.ca.gov.
Magagamit na Ngayon ang Mga Materyal sa Webinar ng Pinakamahuhusay na Kasanayan ng CalAIM
DHCS hosted a public webinar, “Tools to Better Engage Eligible Members in CalAIM,” in June as part of a series of Providing Access and Transforming Health (PATH) Collaborative Planning and Implementation webinars. The webinars are designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to develop and deliver quality, equitable services to Medi-Cal members.
Organizations may now access and share the webinar recording and other supporting materials by visiting the “Best Practices & Resources” library on the PATH webpage. Please submit your questions to collaborative@ca-path.com.
Sumali sa Aming Koponan
Ang DHCS ay naghahanap ng isang highly-skilled, exceptionally motivated na indibidwal na maglingkod bilang:
- Assistant Deputy Director for Health Care Financing to assist in leading the planning, implementation, coordination, evaluation, and management of DHCS’ health care financing programs and policies. (Final filing date: August 21)
DHCS is also hiring for its human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.
Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar
Hearing Aid Coverage for Children Programa (HACCP) Webinar para sa mga Medical Provider at Hearing Professionals
On August 15, from 12 to 1 p.m. PDT, DHCS will host its quarterly HACCP webinar for medical providers and hearing professionals. For more information and to pre-register, please visit DHCS’ HACCP webpage.
Webinar sa Pamamahala ng Kalusugan ng Populasyon: Pagsuporta sa Mga Miyembro ng Medi-Cal na may Long-Term Services and Supports (LTSS) na Pangangailangan
Sa Agosto 21, mula 12 hanggang 1 pm PDT, magho-host ang DHCS ng isang webinar tungkol sa pagpapabuti ng mga serbisyo at suporta para sa mga miyembrong may mga pangangailangan sa LTSS habang nararanasan nila ang mga transisyon ng pangangalaga, tulad ng paglipat mula sa ospital patungo sa isang skilled nursing facility o mula sa isang pasilidad patungo sa isang tahanan (kinakailangan ang maagang pagpaparehistro). Sa ilalim ng programang Pamamahala ng Kalusugan ng Populasyon ng CalAIM, ang mga planong pinamamahalaang pangangalaga ay responsable sa paghahatid ng mga serbisyo sa transisyonal na pangangalaga upang matiyak na ang mga miyembro ay sinusuportahan mula sa simula ng proseso ng pagpaplano ng paglabas hanggang sa kanilang transisyon, hanggang sa matagumpay silang maikonekta sa lahat ng kinakailangang serbisyo at suporta. Dahil sa iba't ibang uri at kasalimuotan ng mga serbisyong magagamit para sa populasyon ng LTSS sa Medi-Cal, humiling ang mga stakeholder ng teknikal na tulong upang matiyak ang matagumpay na mga paglipat patungo sa pinakasimpleng antas ng pangangalaga. Bagama't bukas ang pagpaparehistro para sa lahat ng interesado, ang webinar na ito ay magiging kapaki-pakinabang lalo na sa mga managed care plan at mga kawani ng health care facility na responsable sa pamamahala ng pangangalaga para sa mga miyembrong may mga pangangailangan sa LTSS.
Ang webinar na ito ay tututok sa kung paano pinakamahusay na masusuportahan ng mga Suporta sa Komunidad, Pamamahala ng Pinahusay na Pangangalaga, at mga serbisyo sa transisyonal na pangangalaga ang mga miyembro habang at pagkatapos ng mga panahon ng transisyon. Sina Anwar Zouehid, Pangalawang Pangulo ng LTSS sa Partners in Care Foundation, at Chris Esguerra, Punong Medikal na Opisyal ng Health Plan ng San Mateo, ay sasama sa DHCS bilang mga panauhing tagapagsalita para sa isang fireside chat upang ibahagi ang mga magagandang kasanayan para sa matagumpay na mga transisyon para sa mga miyembrong ito. Itatampok sa webinar ang mga bagong mapagkukunan, kabilang ang Enhanced Care Management Long-Term Care Population of Focus Spotlight at ang paparating na gabay sa teknikal na tulong para sa mga serbisyong pang-transitional care para sa mga miyembrong may mga pangangailangan sa LTSS.
CalAIM Justice-Involved Initiative Learning Collaborative Series
Sa Agosto 22, mula 10:00 ng umaga hanggang 12:00 ng tanghali PDT, maglulunsad ang DHCS ng isang bagong serye ng virtual learning collaborative para sa mga kasosyo sa pagpapatupad ng inisyatibo na kasangkot sa hustisya upang talakayin ang mga kinakailangan sa CalAIM waiver, ibahagi ang mga pinakamahusay na kasanayan at mga natutunang aral, at tiyaking nasa tamang landas ang lahat ng kasosyo. Ang link sa pagpaparehistro ng pulong ay ipapadala sa pamamagitan ng email sa mga implementation partner sa bawat county. Ang mga sesyon ay irerekord at ipo-post sa webpage ng DHCS Justice-Involved Initiative.
Ang mga sesyon ay tututok sa kahandaan ng county at mga estratehiya sa pagpapatupad at isasama ang mga paksang tulad ng screening portal na may kinalaman sa hustisya, short-term care model, mga sakop na serbisyo, pagsingil at pag-claim, Pinahusay na Pamamahala ng Pangangalaga, mga warm hand-off, mga auto-assignment, at patakaran sa parmasya. Kabilang sa sesyon ang mga pinadadaliang talakayan para sa mga pasilidad ng pagwawasto, mga kasosyo sa county, at mga plano sa pangangalagang pinamamahalaan ng Medi-Cal upang magtulungan sa mga pagsisikap sa pagpapatupad ng rehiyon. Sa linggo kasunod ng bawat sesyon, ang DHCS ay magho-host ng oras ng opisina upang magbigay ng bukas na forum at sagutin ang anumang natitirang mga tanong mula sa nakaraang linggo.
The primary learning collaborative audience is county adult jails (Sheriff’s Office staff and correctional health care services partners); county youth correctional facilities (probation staff and associated correctional health care services providers); managed care plans; county behavioral health agencies; and the California Department of Corrections and Rehabilitation. DHCS also encourages county partners to invite Enhanced Care Management providers and reentry providers, as well as any other key implementation partners, to the sessions. For more information, email DHCS at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.
CalAIM Managed LTSS and Duals Integration Workgroup Meeting
On August 29 at 12 p.m. PDT, DHCS will host the virtual CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advanced 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 include updates on Medicare enrollment data for dual eligible members, the Dual Eligible Special Needs Plan (D-SNP) dashboard, D-SNP State Medicaid Agency Contract and Policy Guide, D-SNP Default Enrollment Pilot, Medi-Cal Matching Plan Policy for dual eligible members, and Enhanced Care Management and Community Supports resources, and a presentation on dental care coordination for dual eligible members.
Ang mga materyales sa background, transcript, at video recording ng mga nakaraang pagpupulong ng workgroup, kasama ang karagdagang impormasyon tungkol sa workgroup, ay naka-post sa webpage ng CalAIM MLTSS at Duals Integration Workgroup. Para sa mga tanong o komento, mangyaring mag-email sa info@calduals.org.
DHCS Harm Reduction Summits
Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). The DHCS Harm Reduction Summits aim to reduce stigma and educate substance use disorder treatment providers about harm reduction approaches to treatment services. 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 best practices for incorporating harm reduction into substance use disorder treatment settings. The remaining summits will be in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.
Kung sakaling Nalampasan Mo Ito
Mga Dataset ng Pagpapalawak ng Pang-adulto ng Medi-Cal
On August 1, DHCS published age 26-49 adult expansion population datasets for the January 2024, February 2024, March 2024, and April 2024 months of eligibility on the California Health & Human Services Agency Open Data Portal. The datasets include the monthly count of individuals 26-49 years of age, by county, receiving full scope Medi-Cal benefits because of the age 26-49 adult expansion. The counts reflect the total number of eligible individuals enrolled during the month. The datasets also include total counts for ethnicity, written language, and spoken language, by county, reported by members. DHCS will publish ongoing datasets monthly.
Magagamit ang Kritikal na Pagkakataon sa Pagpopondo upang Palawakin ang Mga Serbisyong Pangkalusugan sa Pag-uugali
On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award up to $3.3 billion in grants to projects that expand community-based behavioral health facilities and services.
This funding aims to address significant treatment gaps by improving access to behavioral health care. Interested parties can find application instructions on the BHCIP website and submit their applications by December 13, 2024. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.