DHCS Stakeholder News – April 24, 2023
热门新闻
有关 Medi-Cal 会员诈骗风险的信息
DHCS 了解到全国各地的骗子和不良行为者会联系 Medicaid 成员，要求他们支付费用以帮助他们申请或续签 Medicaid 保险。 加州的 Medi-Cal 会员也成为攻击目标。
Medi-Cal 会员应该知道，Medi-Cal 在申请或续订过程中从来不要求付款。
DHCS 敦促利益相关方在所有外联工作中使用我们的工具包。此外，教育 Medi-Cal 会员如何通过官方合法来源联系他们也很重要。如果有任何疑问，加州医疗保险成员可与当地社区合作伙伴合作，或联系其所在县的加州医疗保险办公室。
项目更新
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 更新
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.
加入我们的团队
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.
即将举行的利益相关方会议和网络研讨会
人口健康管理 (PHM) 咨询小组会议
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.
健康登记导航项目会议
5 月 1 日下午 1:00 至 2:30，DHCS 将以虚拟方式与各县和社区组织 (CBO) 合作伙伴、倡导者及其他感兴趣的个人联合举办利益相关者会议，提供有关导航员项目的最新信息并回答相关问题。有关此次会议的信息、其他一般信息和更新信息将发布在健康注册导航员项目利益相关者& 倡导者交流网页上。感兴趣的各方也可发送电子邮件至HealthNavigators@dhcs.ca.gov，要求将其添加到会议通知中。
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
5 月 4 日上午 10 点至下午 2 点，DHCS 将在加州基金会（萨克拉门托 K 街 1414 号）举办下一次MCHAP 混合会议（需要提前注册） 。 会议材料将在会议日期临近时发布在MCHAP 网页上。
如果你错过了
加州拨款 250 万美元加强行为健康导航计划
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.