DHCS Stakeholder News – April 14, 2023
项目更新
更新：长期护理福利标准化和会员向管理式护理的过渡
DHCS published All Plan Letter (APL) 23-004 and updated the frequently asked questions (FAQ) for the skilled nursing facilities (SNF) long-term care carve-in based on stakeholder feedback. The APL includes updates on transportation to recurring appointments, provider communication on billing protocols, and exclusive services not subject to the directed payment policy. It also includes a new long-term services and supports liaison requirement. The FAQ and additional resources are available on the DHCS LTC Carve-In webpage.
SNF 在联系其管理式医疗计划 (MCP) 时遇到困难，应发送电子邮件至 MCQMD@dhcs.ca.gov寻求帮助。
加州全州自动化福利系统 (CalSAWS) 第三波移民
On April 24, Orange, Santa Barbara, and Ventura counties will join the CalSAWS consortium. This migration is part of the state’s plan to move all 58 counties, by December 31, 2023, to CalSAWS from the current split between two eligibility and enrollment systems: California Work Opportunity and Responsibility to Kids Information Network (CalWIN) and CalSAWS.
During the migration, the CalWIN system will be unavailable for the migrating counties from 5 p.m. on April 20 until they are active in CalSAWS on April 24 at 7:30 a.m. CalSAWS will be unavailable starting on April 21 at 3:30 p.m., and will be back online on April 24 at 7:30 a.m. The statewide application portal (BenefitsCal) will be available to applicants and members in these counties on April 24. There should be no disruption to the other ten CalWIN counties during this time.
Local county social services offices will be available on April 21 to address emergency services only. CalWIN counties will also have access to a CalWIN environment to allow county staff to see current case information and issue emergency benefits, as needed. Additionally, the CalWIN web portal will redirect applicants and members to county websites and Covered California to apply for benefits.
即将开放：提供准入和转型健康 (PATH) 司法相关第三轮资金申请
5 月 1 日，DHCS 将开放 PATH 涉案司法人员倡议第三轮申请。第三轮资助将支持惩教机构、县级行为健康机构和其他涉及司法的利益相关方落实人员、能力和/或 IT 系统，这些都是合作规划和实施释放前服务流程所必需的。欲了解更多信息，请访问司法参与能力建设计划网站。
医疗补助计划
On April 21, Reinstatement Phase III, Lift 2 of the Medi-Cal Rx Reinstatement plan will be implemented, lifting the Transition Policy for 17 Standard Therapeutic Classes (STCs) for members age 22 and older. Additional information is available on the Medi-Cal Rx Reinstatement Spotlight. This is the second in a series of lifts to retire or phase out the grandfathering of historical prior authorizations (PAs) and claims. More information is available in the Medi-Cal Rx 30-Day Countdown – Phase III, Lift 2 communication.
加入我们的团队
DHCS is hiring! DHCS has immediate openings for Information Officer I/II positions who will help DHCS keep the public informed about policy changes, program activities and departmental objectives.
DHCS 还在为财务、人力资源、法律、审计、卫生政策和信息技术团队招聘人才。 欲了解更多信息，请访问CalCareers 网站。
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.
即将举行的利益相关方会议和网络研讨会
加州推进和创新 Medi-Cal (CalAIM)：管理长期服务和支持 (MLTSS) 工作组会议
4 月 19 日上午 10:30 至中午 12 点，DHCS 将在线举办 CalAIM MLTSS 和双学位整合工作组会议（需要提前注册）。议程主题将包括：持续覆盖要求的取消和 2024 年 Medicare Medi-Cal 计划扩展县的最新进展；利益相关者和健康计划对 2024 年州医疗补助机构合同模板的反馈概述；以及双重资格特殊需求计划的姑息治疗政策指导概述。
以前的工作组会议的背景材料、记录和视频记录以及有关该工作组的其他信息均发布在CalAIM MLTSS 和 Duals Integration 工作组网页上。 如有问题或意见，请发送电子邮件至 DHCS： info@calduals.org 。
人口健康管理 (PHM) 咨询小组会议
4 月 26 日中午 12:30 至下午 2 点，DHCS 将举办下一次 PHM 咨询小组会议（需要提前注册）。会议将就加州医疗保健服务部 (DHCS) 提出的对 Medi-Cal MCP 必须完成的人口需求评估 (PNA) 的变更提供反馈。DHCS 设想通过修改 PNA 来促进与当地卫生部门和其他社区利益相关者的更紧密合作，加强社区参与，并更深入地了解成员的健康、社会需求以及他们所居住社区的偏好。鼓励利益相关者在网络研讨会之前将问题提交至CalAIM@dhcs.ca.gov 。
PATH 司法相关第三轮信息发布会
5 月 2 日下午 3 点至 4 点，DHCS 将举办一场信息网络研讨会（需要提前注册），为有兴趣的实体提供申请支持，以便他们在 7 月 30 日 PATH 司法介入计划第三轮资助的申请截止日期前做好准备。会议邀请及更多详情将在司法涉案人员能力建设项目网站上公布。如有任何疑问，请联系justice-involved@ca-path.com 。
如果你错过了
California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD)
3 月 16 日，DHCS 启动了为期 30 天的公众和部落公众评议期，以征求对拟议的 CalRHAD Medicaid 第 1115 节示范项目的反馈意见；评议截止日期为 4 月 17 日。DHCS 正在寻求联邦医疗保险和医疗补助服务中心的批准，以便向生殖健康服务提供者提供竞争性拨款，以增强性健康和生殖健康服务的能力和可及性，促进加州生殖健康服务提供者安全网的可持续性，并使参加 Medi-Cal 计划的个人和其他目前面临此类服务获取障碍的个人受益。
Additional information about the CalRHAD application and how to submit public comments are available on the CalRHAD webpage.