May 27, 2024 – Stakeholder Update
Mga Update sa Programa
Inihayag kamakailan ng Center for Health Care Strategies na ang California ay isa sa limang estado na lalahok sa State Nursing Home Innovation & Transparency Learning Collaborative nito, kasama ang Kentucky, Michigan, Oregon, at Virginia. Susuportahan ng isang taon na inisyatiba ang mga kalahok na koponan sa pagpapatupad ng mga makabagong estratehiya na magpapahusay sa transparency at pananagutan ng nursing home. Ang mga koponan ng estado ay makakatanggap ng isa-sa-isang teknikal na tulong at lalahok sa mga pagkakataon sa pag-aaral ng peer-to-peer. Sa pagtatapos ng learning collaborative, ang mga kalahok na koponan ng estado ay magkakaroon ng ebidensya, kadalubhasaan, at kaalaman sa pinakamahusay na kasanayan upang bumuo ng mga hakbangin na sumusuporta sa makabuluhang mga pagpapabuti sa pangangalaga sa nursing home para sa kanilang mga residente.
Sumali sa Aming Koponan
Ang DHCS ay naghahanap ng mga taong may mataas na kasanayan, bukod-tanging motibasyon upang maglingkod bilang:
- Chief ng Medi-Cal Enterprise Systems Modernization upang pamunuan ang lahat ng pamamahala sa teknolohiya ng impormasyon (IT) at mga aktibidad na nauugnay sa patakaran para sa Dibisyon, kabilang ang paggamit ng maliksi na mga pamamaraan/balangkas upang matiyak na ang mga proyekto at pagtatalaga ay nakakatugon sa mga pangangailangan ng customer sa pamamagitan ng paghahatid ng mga produktong IT. (Petsa ng Pangwakas na Pag-file: Hunyo 4)
- Chief of Information Technology Strategy Services upang manguna sa pagbuo, pagpapatupad, at pamamahala ng diskarte, patakaran, at pagpaplano na nauugnay sa IT sa arkitektura ng sistema ng enterprise, pamamahala, portfolio ng proyekto at pamamahala sa paghahatid, at mga aktibidad sa pangangasiwa. (Petsa ng Pangwakas na Pag-file: Hunyo 4)
Ang DHCS ay kumukuha din ng mga komunikasyon, human resources, pag-audit, patakaran sa kalusugan, teknolohiya ng impormasyon, at iba pang mga koponan. Para sa karagdagang impormasyon, mangyaring bisitahin ang website ng CalCareers.
Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
On May 29 at 10 a.m. and June 6 at 1 p.m. PDT, DHCS will host CPE and newborn gateway portal overview trainings. Registration for these trainings is available through the Medi-Cal Learning Portal, where recorded trainings will be available.
Effective July 1, DHCS will launch provider online portals to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full scope coverage to eligible applicants through an online portal. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. All providers seeking to participate must complete training available through the Medi‑Cal Learning Portal to become familiar with the updated portals and reporting requirements.
The newborn gateway portal is for reporting the birth of a baby with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours after birth or 24 hours after discharge, whichever is sooner. All qualified presumptive eligibility providers are required to use this portal to report infants born to Medi-Cal or Medi-Cal Access Program members in their facilities, including hospitals, birthing centers, and other birthing settings.
Stakeholder Advisory Committee (SAC)/Behavioral Health (BH)-SAC Meeting
On May 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation.
Nagbibigay ang SAC sa DHCS ng mahalagang input sa patuloy na pagsusumikap sa pagpapatupad ng California Advancing and Innovating Medi-Cal (CalAIM) at tinutulungan ang DHCS na isulong ang mga pagsisikap nito na magbigay ng mataas na kalidad, pantay na pangangalaga. Ang BH-SAC ay nagbibigay sa DHCS ng input tungkol sa mga aktibidad sa kalusugan ng pag-uugali. Nilikha ito bilang bahagi ng patuloy na pagsisikap ng DHCS na isama ang kalusugan ng pag-uugali sa mas malawak na sistema ng pangangalagang pangkalusugan at isinasama ang mga kasalukuyang grupo na nagpayo sa DHCS sa mga paksa ng kalusugan ng pag-uugali.
CalAIM Managed Long-Term Services and Supports (MLTSS) at Duals Integration Workgroup Meeting
Sa Mayo 30 sa 10 a.m. Ang PDT, DHCS ay magho-host ng virtual na pagpupulong ng CalAIM MLTSS at Duals Integration Workgroup (kinakailangan ang paunang pagpaparehistro). Ang workgroup ay nagsisilbing sentro ng pakikipagtulungan ng stakeholder para sa CalAIM MLTSS at pinagsamang pangangalaga para sa dalawahang karapat-dapat na mga miyembro at pinapayagan ang mga stakeholder na magbigay ng feedback at magbahagi ng impormasyon tungkol sa patakaran, operasyon, at diskarte para sa paparating na mga pagbabago sa Medi-Cal at Medicare.
Agenda topics include updates on the Dual Eligible Special Needs Plan (D-SNP) State Medicaid Agency Contract and Policy Guide, Medicare enrollment data for dual eligible members, the Default Enrollment Pilot, and the 2025 Centers for Medicare & Medicaid Services Medicare Advantage and Part D Final Rule, as well as a presentation on Enhanced Care Management (ECM) and Community Supports 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.
Behavioral Health Transformation (BHT) Public Listening Session
On May 30, from 1 to 2 p.m. PDT, DHCS will host a BHT public listening session on the County Integrated Plan for Behavioral Health Services and Outcomes. This session is open to the public.
In March, California voters passed Proposition 1, which includes the Behavioral Health Services Act (BHSA) and Behavioral Health Infrastructure Bond Act. The BHSA calls for new County Integrated Plans for Behavioral Health Services and Outcomes that require counties to demonstrate coordinated behavioral health planning using all services and sources of behavioral health funding to provide increased transparency, stakeholder engagement, and outcomes for all local services. During the public listening session, attendees can provide direct input on the guidance DHCS is developing for the County Integrated Plan for Behavioral Health Services and Outcomes.
Visit the BHT webpage for more information about the monthly public listening sessions and additional resources. Please send questions related to BHT and/or the public listening sessions to BHTinfo@dhcs.ca.gov. Additionally, please sign up on our website to receive monthly BHT updates.
Further, on June 3, from 2 to 3:30 p.m. PDT, the California Health & Human Services Agency will host a BHT all-comer webinar (advance registration required) for the public to learn more about BHT.
California Children’s Services (CCS) Redesign Performance Measure Quality Workgroup Meeting
On May 30, from 11 a.m. to 1 p.m. PDT, DHCS will virtually host the CCS Redesign Performance Measure Quality Workgroup meeting in accordance with Assembly Bill 118 (Chapter 42, Statutes of 2023). DHCS and the workgroup are partnering to develop utilization and quality measures, which will be reported annually, that relate to CCS specialty care for both Whole Child Model and Classic CCS counties. Additional information and meeting details are available on the CCS Redesign Performance Measure Quality Subcommittee webpage.
CalAIM para sa mga Indibidwal at Pamilya na Nakakaranas ng Homelessness Webinar
On May 31, from 1:30 to 3 p.m. PDT, DHCS will host an informational webinar (advance registration required) on the available ECM benefit and Community Supports services for individuals and families experiencing homelessness. DHCS will provide an overview of the impact of ECM and Community Supports on meeting members’ clinical and non-clinical needs. The webinar will also feature a panel discussion with providers and Medi-Cal managed care plans (MCP) that offer ECM and key housing-related Community Supports. DHCS will share guidance with MCPs, counties, and other providers on referring individuals to ECM and Community Supports, engaging members experiencing homelessness in ECM and Community Supports, and coordinating care across ECM and Community Supports providers.
The webinar is open to all, but will be of special interest to MCPs, providers, and organizations working with individuals and families experiencing homelessness, including counties and community-based organizations. Participants may submit questions by May 28 to CalAIMECMILOS@dhcs.ca.gov. Attendees will be able to ask questions during the webinar.
Webinar ng Pagtatasa na Nangangailangan ng Populasyon ng CalAIM
On June 3, from 2:30 to 3:30 p.m. PDT, DHCS will host an all-comer webinar to provide an overview of policy guidance for the Population Needs Assessment (PNA). To support the success of the Population Health Management (PHM) Program and broader Medi-Cal transformation efforts, DHCS has redesigned Medi-Cal MCP requirements for developing a PNA, which has historically been the primary mechanism for MCPs to identify the priority health and social needs of their members, including any health disparities. DHCS requires MCPs to meaningfully participate in local health jurisdictions’ (LHJs) Community Health Assessments (CHA)/Community Health Improvement Plans (CHIP) rather than complete a separate PNA focused solely on their own members’ data. This meeting will provide an overview of the January 2024 PHM policy guidance for MCPs to participate in LHJ CHA/CHIP processes and a preview of the 2024 DHCS PHM Strategy Template.