DHCS Stakeholder News Update – April 15, 2022
尊敬的各位利益相关方:
卫生保健服务部 (DHCS) 正在提供有关 DHCS 计划重要进展的最新消息,以及与 COVID-19 公共卫生紧急情况 (PHE) 相关的指导。
老年人扩展网页更新
To support the implementation of the Medi-Cal Older Adult Expansion, effective May 1, 2022, DHCS recently created an Older Adult Expansion webpage that includes the following information:
- 老年人扩展路线图的 PowerPoint 演示文稿。
- 常见问题解答。
- 向符合条件的受益人邮寄有关扩大其福利的第一份通知。
DHCS also created a companion webpage that is translated to Spanish. Individuals can access the Spanish version of the webpage by clicking on the En Español link at the top of the Older Adult Expansion webpage. The page can also be translated to numerous languages by either selecting the globe with the word “translate” in the top right corner of the webpage, or by scrolling to the bottom of the webpage and selecting the appropriate threshold language.
这些页面上发布的信息和资源将持续更新。
FQHC、RHC 和部落 FQHC 对 COVID-19 疫苗接种的索赔
联邦合格医疗中心 (FQHC)、农村医疗中心 (RHC) 和部落 FQHC 提供商可在仅接种疫苗的接触中获取 COVID-19 疫苗接种的报销,有效期追溯至 11 月2 、 2020 。 仅接种疫苗的就诊是指当 COVID-19 疫苗的接种不符合合格门诊标准时的就诊。 对于 FQHC/RHC 提供商,它们不能按照预付费系统 (PPS) 费率报销,对于部落 FQHC 提供商,它们也不能按照替代付费方法 (APM) 费率报销。 FQHC、RHC 和部落 FQHC 提供商可为在仅接种疫苗的治疗中接种的每种 COVID-19 疫苗获得最高 67 美元的报销。
对于在符合条件的门诊期间接种的 COVID-19 疫苗,FQHC、RHC 和部落 FQHC 提供商有权按照其各自的 PPS/APM 费率获得报销。 需要提醒提供者的是,每次接种 COVID-19 疫苗要么属于合格的门诊就诊,要么属于仅接种疫苗的就诊,但不能同时属于两者。
Additional information is posted on the Medi-Cal Providers website.
加州推进和创新 Medi-Cal (CalAIM) 数据共享授权指南
DHCS recently released final CalAIM Data Sharing Authorization Guidance. This document provides guidance that supports data sharing between CalAIM participants. The guidance clarifies requirements and allowances in the Budget Trailer Bill, Welfare and Institutions Code, and Penal Code. It also provides data sharing use cases to assist stakeholders in understanding circumstances in which personal information may be disclosed under CalAIM.
CalAIM 人口健康管理 (PHM) 咨询小组 – 四月会议
On April 26, DHCS will host the second meeting of the PHM Advisory Group from 10:30 a.m. to 12 p.m. PDT. DHCS established the PHM Advisory Group to provide input to support the design and implementation of the PHM Program and Service. Members, which include representatives from health plans, providers, counties, state departments, consumer organizations, and other groups, will participate in Advisory Group meetings and provide real-time feedback and recommendations. The meetings are open to the public, and meeting information and materials will be available on the DHCS website.
鼓励利益相关者在网络研讨会之前向 CalAIM@dhcs.ca.gov 提交问题。 需提前注册。
为 CalAIM 司法介入计划提供获取和转型健康 (PATH) 资金
On April 15, DHCS released a draft guidance memo for Round 1 of the Providing Access and Transforming Health (PATH) Justice-Involved Capacity Building Program. This draft guidance provides additional information regarding the eligibility criteria, application process, and funding methodology.
PATH is a $1.44 billion program approved under CalAIM. It provides transitional funding to invest in providers, counties, community-based organizations, and other partners to support the state’s efforts to maintain, build, and scale the capacity necessary to support and implement key initiatives under CalAIM.
加利福尼亚州获得支出权,以支持实施全州范围的司法相关举措。 PATH 司法相关能力建设计划的资金将用于支持协作规划以及实施预发布 Medi-Cal 申请和暂停流程所需的信息技术 (IT) 系统修改。 该计划将分两轮向惩教机构、惩教机构和县社会服务部门提供 1.51 亿美元的资金:
第 1 轮:规划拨款资助机会将向惩教机构(或代表惩教机构申请的县级机构)提供拨款(从 50,000 美元到 400,000 美元不等),以支持与县社会服务部门和其他招生实施伙伴的协作规划,以确定实施释放前招生和停职流程所必需的流程、协议和 IT 修改。
第二轮:实施补助金资助机会将提供基于申请的补助金(范围待定),以支持惩教机构和县社会服务部门实施第一轮规划阶段确定的流程、协议和 IT 系统修改。 虽然实体不需要参加第一轮即可申请第二轮资金,但第一轮规划补助金提供了支持制定第二轮资金综合申请的机会。
DHCS 打算在 5 月初发布第一轮最终申请模板。 符合条件的实体将能够从申请模板发布之日起至 7 月 31 日申请第一轮资助。 DHCS 打算最早于 6 月 1 日发放第一轮资金。
For questions or comments, please email CalAIMJusticePreReleaseApps@dhcs.ca.gov. For additional information, please visit the DHCS website.
美国卫生与公众服务部 (HHS) 续签 PHE
On April 12, HHS renewed the COVID-19 PHE for a full 90-day extension, effective April 16 through July 15. The formal PHE declaration was posted on the HHS website.
已发布的 COVID-19 信息
- 更新: Medi-Cal COVID-19 疫苗接种率
- COVID-19 对 Medi-Cal 使用率的影响
- IN 21-046E:关于 COVID-19 公共卫生紧急事件灵活性的行为健康计划最新指南
Medi-Cal 和 COVID-19 常见问题