April 2, 2024 – Stakeholder News

热门新闻 

Case Study: California’s Medi-Cal Redetermination Journey

Over the last year, DHCS and county and federal partners have collaborated to redetermine the eligibility of Californians who receive health coverage through Medi-Cal. Throughout the process, DHCS adopted newly offered federal flexibilities to help reduce the administrative burden on Medi-Cal members and increase efficiencies in renewal processing. Several income-related waivers became effective for the December 2023 redetermination month. With technical assistance from the White House United States Digital Service (USDS), DHCS successfully automated these waivers, resulting in more members being successfully auto renewed without needing to fill out and return a renewal packet to their county. 

USDS and the California Health & Human Services Agency published an issue brief summarizing the flexibilities California leveraged from the federal government to improve the auto-renewal processes. Additionally, the U.S. Department of Health and Human Services announced additional actions to help people maintain coverage as states continue Medicaid and Children’s Health Insurance Program eligibility renewals. 

流动 Medi-Cal 牙科车之旅

On April 4, DHCS will kick off the second mobile dental van tour in Fresno. DHCS’ Smile, California campaign promotes preventive dental services for children and youth to enhance utilization of essential dental care and improve oral health. In addition to Fresno, the mobile dental van will visit Pixley (April 5), Hollister (April 11), Avenal (April 12), and Huntington Park (May 4). Services performed onsite will include exams, X-rays, cleaning, and fluoride applications. 

Medi-Cal members, medical and dental providers, and community-based organizations can learn more about Medi-Cal’s covered dental services by visiting the Smile, California website, in English at SmileCalifornia.org or in Spanish at SonrieCalifornia.org. The website includes helpful resources, such as informational flyers, videos, fact sheets, and the “Find-A-Dentist” tool to locate a dental provider.

项目更新 

CalAIM 提供访问和转型健康 (PATH) 技术援助 (TA) 市场供应商申请将于 4 月 1 日开放

4 月 1 日，DHCS 将启动加州进步与创新型医疗补助 (CalAIM) PATH TA 市场第 4 轮供应商申请期。 PATH TA 市场是一个一站式网站，实体可以在此获得来自精选和批准的供应商的免费 TA 服务。 供应商服务正在帮助符合条件的增强护理管理 (ECM) 和社区支持提供商建立其数据能力、加强跨部门合作伙伴关系、培训现有和新员工、实施语言响应服务等。 

有兴趣申请成为 TA 供应商的组织可以在 PATH TA 市场网页上提出申请。 申请必须在 4 月 30 日太平洋夏令时间下午 5 点之前提交。 经批准的供应商将获得 PATH 资助的在 TA 市场上提供的 TA 服务的报销。 

专业护理机构 (SNF) 中期付款绩效数据

本周，DHCS 将公布 2023 年 SNF 劳动力和质量激励计划 (WQIP) 的机构级支付数据，该计划旨在激励机构提高护理质量、促进医疗保健结果的公平性并投资于劳动力。数据已发布在SNF WQIP 网页上。有关 WQIP 计划的问题或疑虑，请发送电子邮件至 SNFWQIP@dhcs.ca.gov 。有关 AB 186（2022 年法令第 46 章）授权的其他护理机构融资改革计划的更多信息，请参阅护理机构融资改革（AB 186 ）网页。 

远程医疗：交互式利用率仪表板和报告

本周，DHCS 将发布其面向公众的交互式远程医疗仪表板和配套的两年一度的远程医疗利用率报告的第一阶段，这是旨在监测 Medi-Cal 内远程医疗利用率的总体计划的一部分。仪表盘和报告都将帮助DHCS建立更好、更强大的基础，以便使用数据驱动的方法进一步评估远程医疗政策。DHCS 的目标是持续提供一系列远程医疗指标，并以易于访问和理解的面向公众的格式阐明远程医疗数据。DHCS 预计分两个阶段发布仪表盘和报告。第一阶段将包括与远程医疗利用相关的八组医疗服务数据测量指标。第二阶段将扩展仪表板，使其包含与心理健康、加州药物医疗补助计划组织交付系统和牙科相关的数据集。 

The dashboard is anticipated to be completed with all data sets in summer 2024 and will be updated annually thereafter. To serve as a complement to the dashboard, DHCS created the report, which provides an executive summary of Medi-Cal telehealth utilization, trends, and key takeaways from 2019 to 2022. For more information, please visit the Medi-Cal & Telehealth webpage. Please email your questions to Medi-Cal_telehealth@dhcs.ca.gov. 

健康登记导航项目合作伙伴数据

On March 29, DHCS released Health Enrollment Navigators Project partner-specific data from January 2020 through September 2022 summarizing the following activities: outreach, application assistance, assistance with accessing and using health care services (navigation), troubleshooting, and redetermination assistance. Enrollment and retention are stratified by age groups, immigration status, race/ethnicity, sex, and written and spoken languages. Please see the Navigators Project Partner webpage for more information. Please email your questions to HealthNavigators@dhcs.ca.gov.

加入我们的团队

DHCS 正在招聘通讯、人力资源、审计、卫生政策、信息技术和其他团队的人员。 欲了解更多信息，请访问CalCareers 网站。 

即将举行的利益相关方会议和网络研讨会 

以消费者为中心的利益相关者工作组 (CFSW)

4 月 5 日上午 10 点至 11 点 30 分，DHCS 将召开 CFSW 会议，为利益相关者提供机会，审查各种消费者宣传材料并提出反馈意见。该论坛侧重于资格和注册相关活动，并致力于就 Medi-Cal 的政策和功能进行公开讨论。会议材料，包括会议议程，最迟将于 4 月 3 日发布在CFSW 网页上。如有任何疑问，请发送电子邮件至DHCSCFSW@dhcs.ca.gov 。 

CalAIM PATH TA 市场最终虚拟供应商展会

On April 9 and 25, from 9 to 10:30 a.m., DHCS will host the final virtual CalAIM PATH TA Marketplace Vendor Fairs, where vendors pitch their organization and services to potential TA Recipients and encourage utilization of the TA Marketplace. Approved TA Recipients and organizations currently contracted with or planning to contract with a Medi-Cal managed care plan (MCP) or other eligible entity to provide ECM/Community Supports are encouraged to attend.

4 月 9 日的供应商博览会将展出在领域 2：社区支持和领域 7：劳动力领域提供服务的供应商。领域 2 包括 TA 供应商，他们在设计、实施和改进一项或多项 Medi-Cal 社区支持服务方面拥有专业知识。领域 7 包括 TA 供应商，他们在招聘和留住训练有素、高绩效的员工方面拥有丰富的专业知识，尤其关注一线、临床和/或“有生活经验”的员工。  

The April 25 Vendor Fair features vendors providing services in Domain 5: Promoting Health Equity and Domain 6: Supporting Cross-Sector Partnerships. Domain 5 includes TA vendors with expertise to help TA recipients advance health equity through their implementation of ECM/Community Supports and in their work with Medi-Cal members. Domain 6 includes TA vendors with the expertise to help TA recipients successfully engage in cross-sector partnerships, including partnerships between Medi-Cal MCPs and counties. 

California Children’s Services (CCS) Advisory Group Meeting

4月10日，DHCS将主办CCS咨询小组季度会议。CCS 咨询小组和 DHCS 携手合作，确保参加 CCS 和全人教育模式 (WCM) 项目的儿童能够及时获得适当的优质护理。议程主题包括 WCM 过渡后监测和扩展的最新进展、CCS 合规性、监测和监督工作组、儿童健康和残疾预防计划以及 CCS 重新设计绩效衡量质量小组委员会。

Additional information is available on the CCS Advisory Group webpage. Please email your questions to CCSProgram@dhcs.ca.gov.

如果你错过了

California Offering Free Fentanyl Test Strips Through the Naloxone Distribution Project (NDP)

DHCS announced the expansion of the NDP to include fentanyl test strips (FTS), which can be obtained by eligible organizations throughout the state of California. FTS are used to detect the presence of fentanyl in drug samples prior to ingestion. NDP applicants will have the option to request naloxone, FTS, or both at no cost through the online application. Since the NDP began in 2018, it has distributed more than 3,994,000 kits of Naloxone, which have been used to reverse more than 252,000 overdoses.