DHCS Stakeholder Update – March 10, 2023
热门新闻
更正:针对无保险和保险不足的个人的可选 COVID-19 组
为了纠正上周更新的报告,即保险将于 5 月 11 日到期,DHCS 澄清说保险将于 5 月 31 日到期。 加州利用了“可选的 COVID-19 群体”的优势,通过 COVID-19 无保险群体 (UIG) 计划,为没有保险和保险不足的个人免费提供 COVID-19 疫苗、检测和治疗的 Medi-Cal 保险。
此保险将于联邦 COVID-19 公共卫生紧急事件 (PHE) 结束的月份最后一天(即 5 月31 、 2023 )到期。 为了让该计划中的个人为联邦 COVID-19 PHE 的结束做好准备,DHCS 将从 3 月 20 、 2023开始向他们发送以他们首选语言编写的日落通知,以及“健康保险申请表”和“语言服务 (GEN 1365)”的副本。
项目更新
加州续约优先次序及分配计划报告
On March 10, 2023, DHCS will publish California’s submission of the federal “State Report on Plans for Prioritizing and Distributing Renewals Following the End of the Medicaid Continuous Enrollment Provisions” that was submitted to the Centers for Medicare & Medicaid Services (CMS) as part of the continuous coverage unwinding federal requirements. This report includes California’s estimate of monthly renewals distribution statewide by individual-level caseload across the 12-month unwinding period. The report also includes a summary of the state’s plans for initiating renewals through the unwinding period. This report will be posted to the DHCS Medi-Cal Enrollment data page under “DHCS Continuous Coverage Unwinding Data.”
远程医疗政策:执行摘要
On March 10, DHCS published a telehealth policy executive summary. This document is intended for individuals seeking a high-level overview of Medi-Cal’s telehealth policies.
DHCS updated its Medi-Cal telehealth policies in response to Senate Bill No. 184 (Chapter 47), and Assembly Bill 32 (Chapter 515). Policy revisions extend most telehealth policies after the COVID-19 PHE ends, including audio-only services and payment parity. These revisions are reflected in DHCS’ Telehealth Policy Paper, and the DHCS Telehealth Provider Manual. For questions, please email the DHCS telehealth inbox at Medi-Cal_Telehealth@dhcs.ca.gov.
加州生殖健康获取第 1115 条示范
3 月 16 日,DHCS 将启动为期 30 天的公众和部落公众意见征集期,以征求对拟议的名为 "加州生殖健康获取示范"(CalRHAD)的医疗补助第 1115 款示范项目的反馈意见。DHCS 正在寻求加州医疗服务管理委员会(CMS)批准向生殖健康服务提供者提供竞争性补助金,以提高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发展,并使加州医疗保险(Medi-Cal)参保者和目前在获得此类服务方面面临障碍的其他个人受益。
Additional information about the CalRHAD application will be available on the CalRHAD webpage on March 16, following the launch of the public comment periods, which will run from March 16 through April 17.
DHCS 将举办两次公开听证会,征求利益相关者的意见。会议将具有在线视频流和电话会议功能,以确保全州的可访问性。
The first hearing will be held on March 29, from 10 to 11 a.m. PT. The webinar ID is 934 7718 5979 and the passcode is 032923. Call-in: (312) 626-6799 or (888) 788-0099 (Toll Free).
The second hearing will be held on April 3, from 9 to 10 a.m. PT. The webinar ID is 935 9888 3169 and the passcode is 040323. Call-in: (312) 626-6799 or (888) 788-0099 (Toll Free).
Indian Health Program (IHP) Awards and Request for Application (RFA)
3 月 15 日,DHCS 的部落事务办公室 (OTA) 预计将向 17 位印度健康计划 (IHP) RFA 的成功申请者发放补助金,该计划将提供近 900 万美元的资金来支持印度健康计划中的初级保健招募和保留。 OTA 还将发布第二轮 RFA,总额近 300 万美元。 第二轮申请者最多可以申请 150,000 美元来支持初级保健招聘和保留工作。 第二轮之后的任何剩余资金将结转至未来财政年度。
These funds were made available in the fiscal year 2022-23 budget, which restored IHP grants. For questions, please email TribalAffairs@dhcs.ca.gov.
加入我们的团队
DHCS is hiring! DHCS has an immediate opening for a Chief of the Benefits Division. This position is responsible for planning, organizing, and directing policy formulation for benefits covered by the Medi-Cal 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获得负担得起的、综合的、高质量的医疗保健的机会,并正在改变 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
加州儿童服务中心 (CCS) 监测和监督工作组会议
On March 13, from 12 to 4 p.m., DHCS will virtually host the CCS Monitoring and Oversight Workgroup meeting (advance registration required) to develop and implement the CCS Compliance, Monitoring, and Oversight Program, a component of the California Advancing and Innovating Medi-Cal (CalAIM) initiative. Agenda topics for discussion at this meeting will include the Grievance Training, Performance Measures, Survey, and Enforcement and Corrective Action Numbered Letters; Memorandum of Understanding development; compliance activities; and the DHCS accountability proposal. Additional information is available on the CCS Compliance, Monitoring, and Oversight Program webpage.
如果你错过了
DHCS 向各县和地方团体拨款 6000 万美元,帮助难以获得医疗服务的个人加入 Medi-Cal
On March 3, DHCS awarded $59.8 million to 23 county agencies and 12 community-based organizations, covering 44 total counties, to serve as Medi-Cal Health Enrollment Navigators through June 30, 2025. The additional funding is intended to allow partners to focus on helping members retain their Medi-Cal coverage throughout the 14-month Medi-Cal eligibility redetermination period. Medi-Cal Health Enrollment Navigators are also expected to support targeted outreach and enrollment assistance for new Medi-Cal program eligibility and benefit expansions to undocumented individuals and people who may require additional assistance, such as those with limited English proficiency and persons with disabilities.