DHCS Stakeholder News – March 30, 2023
热门新闻
DHCS 获得 CMS 资产豁免灵活性批准
On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.
This waiver flexibility ensures continuity of coverage for seniors and persons with disabilities, and will prevent potential disruptions in their Medi-Cal coverage once redeterminations resume in April 2023. Medi-Cal members will still need to meet all other Medi-Cal eligibility criteria, such as income, to remain eligible for Medi-Cal.
DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19 to provide counties with immediate guidance on operationalizing the waiver flexibility.
项目更新
Medi-Cal 持续保障工具包现已提供 19 种语言版本，并举办“让 Medi-Cal 会员继续享受保障”网络研讨会
This week, DHCS posted the Medi-Cal Continuous Coverage toolkit in 17 Medi-Cal threshold languages (in addition to the previously posted English and Spanish). Each toolkit includes materials that can be customized to help DHCS Coverage Ambassadors and partners assist Medi-Cal members with the redetermination process. The content encourages members to update their contact information to ensure they receive important information about keeping their Medi-Cal coverage. Toolkit assets include flyers, social media posts, messaging, including interactive voice response call scripts, sample emails, and text messages.
On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend.
COVID-19 无保险团体计划工具包启动
DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023. Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS’ strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage.
痴呆症护理意识热线
The Dementia Care Aware Warmline is now live at 1-800-933-1789, from Monday to Friday between 9 a.m. and 5 p.m. The warmline offers education and decision-making consultation for clinicians and primary care teams in California, covering topics related to dementia screening, assessment, diagnosis, management, and care planning.
The warmline also provides support for implementing the Dementia Care Aware cognitive health assessment as a screening approach, outlined here. Consultants are available to answer questions that may arise during any stage of dementia care, how to make systems changes in their practice, and related medical legal considerations. Voicemail messages left after hours will be returned the next business day.
Note: Consultations are not intended as a substitute for professional medical care or advice, nor to replace a health care professionals’ clinical judgment regarding their individual patient care.
Medi-Cal Rx 恢复计划更新
截至 3 月 24 日，Medi-Cal Rx 恢复计划第三阶段第一阶段已成功实施。 对于 22 岁及以上的会员，服务提供商必须提交特定药品类别的新处方和续订处方的事先授权。 更多信息请参阅Medi-Cal Rx 恢复聚焦。 此外，DHCS 还为药房服务提供商和处方人员发布了第三阶段第 2 阶段的 30 天倒计时。
加利福尼亚州微笑 Medi-Cal 牙科服务活动
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.
Additionally, a Smile, California, Smile Alert will continue promoting the Provider Testimonial Video series, reminding members that the deadline for the required Kindergarten Oral Health Assessment is on May 31, and recognizing March as National Nutrition Month. Sign up for our Smile Alerts to stay informed about the Smile, California campaign.
从 4 月 3 日到 6 月 2 日，加州 Smile 将开展 2023 年会员客户服务满意度在线调查。 该调查提供 19 种语言版本，旨在收集会员对 Medi-Cal 客户服务代表的体验反馈。 该调查将在Smile、加州和Medi-Cal Dental网站上发布，并在 4 月份的会员公告、Smile Alert、社交媒体以及SmileCalifornia.org主页横幅上进行推广。
加入我们的团队
DHCS is hiring! DHCS has an immediate opening for Chief of the Selection and Recruitment Branch within the Human Resources Division. This position provides direction in the development and administration of annual department-wide recruitment plans, marketing, and a variety of recruitment activities designed to promote DHCS as an employer of choice.
DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children’s Health Insurance Program.
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 致力于维护和改善所有加利福尼亚人的整体健康和福祉。 DHCS 的使命是为最弱势的居民提供公平的、负担得起的、综合的、高质量的医疗保健，目前正在改变 Medi-Cal 计划，以确保它为加州人提供过上更健康、更快乐的生活所需的医疗服务。
即将举行的利益相关方会议和网络研讨会
California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing
On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California’s reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access. Additional information is available on the CalRHAD webpage.
护理机构融资改革网络研讨会
On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage.
ECM 和社区支持数据指导网络研讨会
On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.
Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023.
如果你错过了
加州额外拨款 8850 万美元帮助改造 Medi-Cal
On March 24, DHCS announced awards totaling $88.5 million to help local organizations build their capacity and infrastructure in support of a more coordinated, person-centered, and equitable Medi-Cal system for all Californians. These funds further the vision of California Advancing and Innovating Medi-Cal (CalAIM), California’s long-term commitment to transform and strengthen Medi-Cal, and will be used to develop and deploy the Medi-Cal Enhanced Care Management benefit and Community Supports services statewide.
PATH 技术援助 (TA) 市场第二轮供应商申请现已开放
On March 28, DHCS opened the Providing Access and Transforming Health (PATH) TA Marketplace Round 2 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access no-cost TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations interested in applying to qualify as a TA Marketplace vendor are strongly encouraged to join an informational webinar (advance registration required) on April 6, from 1 to 2 p.m. to learn more about the application process. The deadline to apply to qualify as a vendor is April 28, 2023.
Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com.
DHCS 发放医院和专业护理机构 COVID-19 员工保留补助金
3 月 28 日、3 月 30 日和 4 月 5 日，DHCS 将发放医院和专业护理机构 COVID-19 工人保留补助金 (WRP)，总额超过 10 亿美元。 DHCS 将向经批准的覆盖实体 (CE)、覆盖服务雇主 (CSE)、医生集团实体 (PGE) 和独立医生发放资金，共涉及超过 832,000 名工作人员。 CE、CSE、PGE 和独立医生将在收到资金之日起 60 天内向获批准的工作人员发放付款。 要求和指导已发布在WRP 网页上，以支持实体的整体分发过程。 如有任何疑问，请发送电子邮件至wrp@dhcs.ca.gov 。
Webinar on Governor Newsom’s Proposal to Modernize California’s Behavioral Health System
On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor’s proposal to modernize California’s behavioral health system. The proposal builds on the Administrations’ previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webpage.