Tahanan Silid-balitaan – Tanggapan ng Komunikasyon Balita sa mga Stakeholder ng DHCS – Pebrero 3, 2023​​ 

DHCS Stakeholder News – February 3, 2023​​ 

Nangungunang Balita​​ 

Na-update na Mga Petsa ng Go-Live para sa Mga Pangunahing Inisyatibo ng Programa ng DHCS​​ 

From California Advancing and Innovating Medi-Cal (CalAIM) to transforming the state’s behavioral health programs, DHCS’ initiatives preserve and improve the overall health and well-being of all Californians. The links below reflect our major program initiatives and anticipated go-live dates, pending readiness and federal approvals. This information was last updated on July 1, 2022, and will be updated as necessary.​​ 

CalAIM: Iminumungkahi ng DHCS ang Pag-antala ng Carve-In ng Dalawang Serbisyo sa Medi-Cal Managed Care​​ 

Noong Pebrero 1, ang Kagawaran ng Pananalapi (DOF) ay nag-post ng trailer bill language mula sa DHCS na nagmumungkahi na ipagpaliban ang pagpapatupad ng carve-in ng intermediate care facility para sa developmentally disabled (ICF/DD), at mga serbisyo sa pasilidad ng pang-adulto at pediatric subacute care mula Hulyo 1, 2023, hanggang Enero 1, 2024. Simula Enero 1, 2024, ang mga miyembro na tumatanggap ng ICF / DD o mga serbisyo sa pasilidad ng subacute care ay kailangang magpatala sa isang Medi-Cal managed care plan (MCP), at ang DHCS ay mangangailangan ng mga MCP na sakupin ang mga serbisyong ito.

Ang DHCS ay patuloy na aktibong nakikipag-ugnayan sa mga stakeholder upang ipaalam ang pagpapatakbo ng mga patakarang ito, kabilang ang pagbuo ng isang All Plan Letter at kaugnay na patnubay upang matagumpay na lumipat sa mga serbisyo ng pasilidad ng ICF / DD at subacute care sa ilalim ng Medi-Cal na pinamamahalaang pangangalaga sa Enero 1, 2024. Ang karagdagang mga detalye at pag-update ay magagamit sa webpage ng paglipat ng CalAIM LTC Carve-In.

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Mga Update sa Programa​​ 

Ulat ng Bagong Bata at Kabataan Behavioral Health Initiative (CYBHI).​​ 

A new report commissioned by the California Health & Human Services Agency’s CYBHI was recently released, highlighting what children, youth, families, and community members want in a reimagined behavioral health ecosystem.

The report is a result of meetings with more than 600 individuals facilitated by 26 partner organizations. It provides 12 calls to action and a vision for transforming systems, reimagining services, and shifting thinking. For more information, please visit the CYBHI website.
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Hearing Aid Coverage for Children Program (HACCP) New Provider Manual Section​​ 

Nagdagdag ang HACCP ng bagong seksyon ng manual ng provider, na pinamagatang Hearing Aid Coverage for Children Program, upang matulungan ang mga provider na mas maunawaan ang pagiging kwalipikado, mga pinahihintulutang serbisyo, at pamantayan para sa pangangailangang medikal at Mga Kahilingan sa Awtorisasyon sa Paggamot (Mga TAR). Pinapalawak ng HACCP ang state-only coverage ng mga partikular na benepisyong nauugnay sa hearing aid ng Medi-Cal sa mga bata at kabataang edad 0 hanggang 20 na hindi karapat-dapat para sa Medi-Cal at nakakatugon sa iba pang pamantayan sa pagiging kwalipikado. Ang karagdagang impormasyon ng programa ay makukuha sa HACCP webpage.​​ 

Magagamit ang Online na Aplikasyon sa Mga Karagdagang Wika​​ 

Families using HACCP’s Online Application Portal to apply for hearing aid coverage may now complete their application in Chinese or Korean, in addition to English and Spanish. Additional threshold language translations are coming soon. Families requiring language assistance, or other support to complete their application, may call HACCP at (833) 956-2878 (Multilingual, TTY/TTD, Video Relay Service) or email HACCP@maximus.com. Additional program information is available on the HACCP webpage.
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Smile, California Campaign para sa Medi-Cal Dental Services​​ 

Oh February 1, the National Children’s Dental Health Month (NCDHM) promotion launched. For NCDHM 2023, Smile, California is focusing on the importance of preventive dental care by inspiring Medi-Cal members to love their teeth and visit the dentist regularly during the month of February, with resources available on SmileCalifornia.org and SonrieCalifornia.org.

A Smile, California Smile Alert for the NCDHM promotion will be sent the week of February 6 to partners, providers, and stakeholders who are subscribed to receive the monthly e-newsletter. Sign up for Smile Alerts to stay informed about the Smile, California campaign, new resources, and updates.

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Pagbibigay ng Mga Update sa Access at Transforming Health (PATH).​​ 

Bukas na ang Marketplace ng PATH Technical Assistance (TA).​​ 

Inilunsad ng DHCS ang PATH TA Marketplace, isang one-stop-shop na website kung saan ang mga provider, mga organisasyong nakabatay sa komunidad, Medi-Cal Tribal at Designees ng Indian Health Programs, mga county, at iba pang mga karapat-dapat na organisasyon na sumusulong upang magbigay ng mga benepisyo ng Enhanced Care Management (ECM) at Community Supports (CS) Medi-Cal na mga mapagkukunan mula sa mga curated at aprubadong vendor. Ang mga mapagkukunang ito ay tutulong sa mga kasosyo na isulong ang aming ibinahaging pananaw sa CalAIM, isang pangmatagalang pangako na magpabago at mapabuti ang Medi-Cal.​​ 

Iniimbitahan ng DHCS ang mga kwalipikadong tatanggap ng TA na mag-browse sa TA Marketplace ngayon at alamin kung paano mapapalakas ng mga serbisyong ito ang kanilang kapasidad na ipatupad ang ECM at CS. Ang mga serbisyo ng TA Marketplace ay magiging available simula sa Pebrero 27, 2023, matuto nang higit pa sa PATH website.​​ 

Pinalawak ang Pagpopondo para sa CalAIM Infrastructure Initiative​​ 

Noong Enero 31, nag-anunsyo ang DHCS ng mga parangal para sa unang round ng PATH Capacity and Infrastructure Transition, Expansion, and Development (CITED) na pagpopondo upang suportahan ang mga serbisyo ng ECM at CS. Tinaasan ng DHCS ang orihinal na halaga ng pagpopondo para sa Round 1 dahil sa mataas na interes at kalidad ng mga aplikasyon. Iginawad ang Round 1A ngayong linggo, na may isang anunsyo na ang karagdagang pondo, Round 1B, ay igagawad sa Marso 2023. Parehong pipiliin ang Round 1A at Round 1B awardees mula sa Round 1 applicant pool.

Para sa higit pang impormasyon tungkol sa PATH at sa CITED application, pakibisita ang PATH CITED website. Para sa anumang iba pang tanong, mangyaring mag-email sa cited@ca-path.com.​​ 

PATH Justice-Involved (JI) Round 2 Application Muling Magbubukas​​ 

On January 30, DHCS reopened the PATH JI Round 2 application window, which closes on March 31. Round 2 funding supports correctional agencies, institutions, and other JI stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes. Visit ca-path.com/justice-involved for more information about the upcoming virtual sessions and to learn more about JI Round 2.

Please contact CalAIMJusticePreReleaseApps@dhcs.ca.gov with any questions.

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Sumali sa Aming Koponan​​ 

DHCS is hiring! DHCS has an immediate opening for a new Chief Operating Officer for Programs. This senior executive position provides leadership and oversight for all aspects of three key areas of the Department’s operations: Enterprise Data and Information Management, Enterprise Technology Services, and Program Operations.

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

DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with equitable access to affordable, integrated, high-quality health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.

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Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar​​ 

Whole Person Care (WPC) Evaluation at Public Webinar​​ 

On February 8, from 12 to 1 p.m., UCLA will release the final evaluation of the WPC pilot project and host a webinar (advanced registration required) to present selected findings from the final WPC evaluation report. The evaluation findings describe a major and expansive effort in California to address the needs of the most vulnerable Medi-Cal members who were high utilizers of services. The presentation will outline changes, as well as challenges faced by the 25 participating pilots. Additionally, Susan Philip, Deputy Director of DHCS’ Health Care Delivery Systems, will discuss the relevance of the findings for CalAIM, and share next steps in caring for high-need, high-cost Medi-Cal members.

In 2016, California launched the WPC pilot project to integrate medical, behavioral health, and social services for a vulnerable group of Medi-Cal members identified as high users of multiple systems and who continue to have poor health outcomes. The UCLA Center for Health Policy Research’s Health Economics and Evaluation Research Program was chosen to conduct the statewide evaluation of the WPC pilot project, which ended in 2021.
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CalAIM Population Health Management (PHM) Advisory Group​​ 

On February 8, from 1:30 to 3 p.m. DHCS will virtually host the next PHM Advisory Group meeting (advanced registration required). This meeting will focus on facilitating PHM Advisory Group members’ feedback on DHCS’ draft monitoring approach for managed care plans’ implementation of the PHM Program. Stakeholders are encouraged to submit additional questions in advance of the webinar to CalAIM@dhcs.ca.gov. Meeting information and materials will be available on the CalAIM PHM webpage.
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Mga Pagpupulong ng Stakeholder ng Provider Enrollment Provider Bulletin​​ 

On February 9, DHCS will hold two public stakeholder meetings via webinar to discuss regulatory provider bulletins. “Requirements and Procedures for the Medi-Cal Enrollment of Providers Offering Services Remotely or Indirectly from their Business Address” will be held from 10 to 11:30 a.m. “Discontinuation of COVID-19 Emergency Fee-for-Service Medi-Cal Enrollment” will be held from 1:30 to 3 p.m. Stakeholders will have the opportunity to submit questions and suggestions during the hearing; written comments will be accepted on the day of the hearings until 5 p.m. Based on the public comments received, DHCS will publish the final bulletins on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.
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PATH JI Initiative Round 2 Funding Informational Webinar at Virtual Office Hours​​ 

Sa Pebrero 9, mula 1 hanggang 2:30 ng hapon, magsasagawa ang DHCS ng webinar ng impormasyon (kinakailangan ang advanced na pagpaparehistro) upang magbigay ng suporta sa aplikasyon para sa mga interesadong entity bago ang deadline ng aplikasyon sa Marso 31 para sa pagpopondo ng PATH JI na round 2. Ang mga virtual office hours (kinakailangan ang advanced na pagpaparehistro) ay iho-host din sa Pebrero 16, mula 12 hanggang 1 pm, upang magbigay ng karagdagang suporta sa aplikasyon. Ang mga karagdagang detalye ay makukuha sa website ng Justice-Involved Capacity Building Program. Para sa mga tanong, mangyaring mag-email sa justice-involved@ca-path.com.
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CYBHI Fee Schedule Workgroup Session 3​​  

Sa Pebrero 15, mula 3 hanggang 4:30 ng hapon, ang DHCS, sa pakikipagtulungan ng Department of Managed Health Care (DMHC), ay halos magho-host ng ikatlong pampublikong CYBHI Fee Schedule workgroup meeting (kinakailangan ang advance na pagpaparehistro) upang ipaalam ang pagbuo ng iskedyul ng bayarin sa buong estado para sa mga serbisyo sa kalusugan ng pag-uugali na nakabatay sa paaralan sa ilalim ng CYBHI. Aasikasuhin ng DHCS at DMHC ang mga miyembro ng workgroup sa iba't ibang paksa ng patakaran at pagpapatakbo upang ipaalam ang pagbuo at pagpipino ng disenyo ng programa.
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Stakeholder Advisory Committee (SAC) at Behavioral Health Stakeholder Advisory Committee (BH-SAC) Meeting​​ 

Sa Pebrero 16, mula 9:30 am hanggang 3:30 pm, iho-host ng DHCS ang susunod na SAC at BH-SAC hybrid meeting (kinakailangan ang advance na pagpaparehistro). Ito ay magbubukas bilang magkasanib na pagpupulong, na may mga paksang ibinahagi ng SAC at BH-SAC. Isang BH-SAC-only meeting ang gaganapin pagkatapos ng joint meeting; walang SAC-only meeting. Ang mga dadalo ay maaaring dumalo nang personal sa The California Endowment, na matatagpuan sa 1414 K Street sa downtown Sacramento, o halos. Para sa karagdagang impormasyon, mangyaring bisitahin ang SAC at BH-SAC webpage.

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Nai-publish na Impormasyon sa COVID-19​​