DHCS Stakeholder News – July 28, 2023
热门新闻
即将推出：增强护理管理 (ECM)/社区支持第一年报告
On August 1, DHCS will release a new report that highlights the number of Californians accessing and utilizing the wide array of services and benefits provided by Medi-Cal’s new ECM and Community Supports, the foundational components of California Advancing and Innovating Medi-Cal (CalAIM). DHCS launched ECM and Community Supports in January 2022.
该报告概述了 ECM 的影响，它为临床和非临床需求最高的会员提供可访问且协调更好的健康相关服务以及社区支持服务。 该报告将发布在ECM 和社区支持网页上。
Additionally, DHCS recently introduced policy refinements and reinforcement for ECM and Community Supports to standardize processes and reduce administrative burden for providers and members, with the goal of expanding the reach of ECM and Community Supports in 2023 and beyond. DHCS also published a presentation, “Enhanced Care Management/Community Supports: A Policy “Cheat Sheet”, summarizing key ECM and Community Supports policies, including the difference between state-standardized and MCP-defined policies, targeting providers.
项目更新
即将推出：加州行为健康社区公平护理和治疗组织网络 (BH-CONNECT) 公众意见征询期和听证会
8 月 1 日，DHCS 将征求有关第 1115 节 BH-CONNECT 演示申请的意见。 拟议的 BH-CONNECT 示范申请的完整草案和初步公众利益通知将发布在BH-CONNECT 网页上。 两次公开听证会将于 8 月 11 日和 24 日举行；更多详细信息将于 8 月 1 日公布。
加入我们的团队
DHCS 目前有两个行政职位空缺：
- 项目诚信与合规助理总法律顾问：该职位负责与审计和调查、隐私、合规和管理有关的复杂法律顾问和诉讼策略制定。
- Chief, Medi-Cal Eligibility Division: This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid (Medi-Cal in California) and the Children’s Health Insurance Program. Candidates who previously applied for this position do not need to re-apply.
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
消费者焦点利益相关方工作组 (CFSW) 会议
8 月 4 日上午 10 点至 11 点 30 分，DHCS 将主办下一次虚拟 CFSW 会议。 会议材料及参加会议的方式将于 8 月 2 日中午之前发布在CFSW 网页上。
儿童和青少年行为健康倡议 (CYBHI) 网络研讨会
On August 7, from 2 to 3:30 p.m., DHCS will virtually host a CYBHI webinar (advance registration required) to keep stakeholders apprised of DHCS’ progress in implementing various CYBHI work streams. Key attendees include youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, commercial health plans, education, and other cross-sector partners.
Medi-Cal 续保数据网络研讨会
On August 7, from 3 to 4 p.m., DHCS will virtually host a webinar on the new DHCS unwinding data dashboard (advance registration required) to discuss data for June 2023 Medi-Cal renewals, the first month of California’s redeterminations since the end of the federal continuous coverage requirement on March 31. These data will include initial disenrollments from Medi-Cal eligibility renewals that occurred on July 1. Annual renewals will continue monthly, with the last eligibility renewal under the continuous coverage requirement occurring in May 2024, followed by a return to the normal annual renewal process.
ECM 和社区支持网络研讨会
DHCS 将为所有利益相关者举办两场虚拟网络研讨会（需要提前注册），概述 ECM 和社区支持实施的进展情况，并讨论重要的政策改进和加强领域。 网络研讨会将涵盖一系列主题，包括资格、转诊和授权、提供商网络、付款、市场意识和数据交换。 2022 年 ECM 和社区支持实施报告的主要见解也将公布：
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第一年后的企业内容管理：实施进展和政策修订，8 月 14 日下午 2 时至 3 时。
- 第一年后的社区支持：实施进展和政策修订，8 月 18 日上午 9:30 至 10:30。
欲了解更多信息，请访问ECM 和社区支持网页。 如有任何问题，请发送电子邮件至 CalAIMECMILOS@dhcs.ca.gov 。
面向医疗服务提供者和听力专业人士的儿童助听器覆盖计划 (HACCP) 网络研讨会
9 月 14 日中午 12 点至下午 1 点，DHCS 将举办HACCP 网络研讨会（需要提前注册） ，与供应商分享信息，帮助儿科患者及其家人最大限度地享受 HACCP 带来的好处。 培训课程将讨论家庭申请保险的计划要求以及听力学家、耳鼻喉科医生、医生及其办公室工作人员的索赔提交流程。
如果你错过了
即将结束：家庭和社区服务 (HCBS) 豁免远程医疗修正案的公众意见征询期
DHCS posted the HCBS waiver telehealth amendment on June 30, initiating a 30-day public comment period with a deadline to submit comments by July 30. DHCS requested and received federal approval to implement temporary operational flexibilities under different emergency authorities due to the COVID-19 public health emergency (PHE). Flexibilities to four of California’s 1915(c) HCBS waivers were authorized through temporary amendments that allowed states to extend emergency flexibilities for up to six months after the end of the COVID-19 PHE to November 11, 2023. One of the flexibilities approved during the COVID-19 PHE was the ability to provide waiver services via telehealth. To align with DHCS policy and to expand access to select waiver services, when appropriate, DHCS is submitting waiver amendments to make telehealth a permanent option for the following 1915(c) HCBS waivers:
- 家庭和社区替代豁免
- 辅助生活豁免
- 多用途老年服务计划豁免
- Medi-Cal 豁免计划
DHCS 邀请所有感兴趣的各方查看HCBS 豁免网页上的修订和评论说明。 如有任何问题，请发送电子邮件至 HCBAlternatives@dhcs.ca.gov 。
即将截止：提供医疗服务及转型健康 (PATH) 司法相关计划第三轮申请
7 月 31 日， PATH 司法相关计划第 3 轮申请窗口将于晚上 11:59 关闭，第 3 轮资金将用于支持惩教机构、县行为健康机构和其他司法相关利益相关者实施协作规划和实施所需的人员、能力和/或 IT 系统，以实现释放前服务流程。 欲了解更多信息和申请，请访问司法参与计划网站。
7 月 31 日上午 11:30 至中午 12:30，DHCS 将举办虚拟办公时间会议（需提前注册），为潜在申请人提供申请支持。
如有任何疑问，请联系justice-involved@ca-path.com 。
介绍 Medi-Cal 通讯群组
加入 DHCS，向数百万加利福尼亚人宣传 Medi-Cal 的转型及其至关重要性。我们邀请您的组织加入 Medi-Cal 通讯群组，这是一群新的敬业的通讯者。 我们将共同努力向加州各地的会员、供应商和社区宣传 Medi-Cal 的价值。
要加入我们并了解有关 Medi-Cal 通信队列的更多信息，请发送电子邮件至 DHCSGetInvolved@dhcs.ca.gov 。 我们期待与您合作。