热门新闻

Medi-Cal 管理式医疗计划 (MCP) 对印第安医疗保健提供者和美国印第安成员的责任

On February 8, DHCS published All Plan Letter (APL) 24-002, which summarizes and clarifies existing federal and state protections and alternative health coverage options for American Indian members enrolled in Medi-Cal MCPs. It consolidates various MCP requirements regarding protections for Indian health care providers, including requirements related to contracting and reimbursing claims in an appropriate and expeditious manner. Additionally, the APL provides guidance regarding MCP tribal liaison requirements and expectations in relation to their roles and responsibilities.

项目更新

儿童助听器覆盖计划 (HACCP) 更新

On February 5, DHCS released an addendum to the HACCP Action Plan, which is available on the Hearing Aid Coverage for Children webpage. The addendum details how DHCS is being responsive to and addressing the specific items outlined in the Governor’s veto message for Senate Bill 635 and provides the most current updates related to DHCS’ work on the HACCP.

On February 13, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will outline program requirements for families to apply for coverage. It will also outline the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.

家庭和社区服务 (HCBS) 1915(i) 州计划和 1915(c) 针对发育障碍人士的豁免修正案

2 月 6 日，发展服务部 (DDS) 与 DHCS 合作，公布了对 HCBS 1915(i) 州计划和 HCBS 1915(c) 豁免的拟议修订，为期 30 天的公众意见征询期，然后才将最终版本提交给医疗保险和医疗补助服务中心 (CMS) 批准：  

• 1915(i) State Plan Amendment (SPA 24-0005) would add group homes for children with special health care needs as a new provider of community living arrangement services and add participant-directed as a service delivery method for self-directed support services. 
• 1915(i) SPA (SPA 24-0006) would implement the next round of rate reform adjustments, effective July 1, 2024, as currently required in Welfare and Institutions Code section 4519.10. The 2024-25 Governor’s Budget proposes to return full implementation of rate reform, including this next round of adjustments, to the original date of July 1, 2025, from the accelerated date of July 1, 2024. DDS is continuing to prepare administratively for the full implementation of rate reform, subject to the final 2024-25 budget agreement.
• HCBS 豁免修正案 CA.0336.R05.04 将添加远程医疗作为指定服务的提供方式，添加特殊医疗保健需求儿童的集体住宅作为社区生活安排服务的新提供者，并添加参与者指导作为自我指导支持服务的服务提供方式。 
• HCBS豁免修正案CA.0336.R05.05将实施下一轮费率改革调整，自7月1 、 2024起生效，这是目前《福利和机构法》第4519.10节所要求的。2024-25 年州长预算提议将费率改革的全面实施（包括下一轮调整）恢复到原定的 7 月1 、 2025日，而不是提前至 7 月1 、 2024日。DDS 继续进行行政准备，以全面实施费率改革，但最终仍需达成 2024-25 年预算协议。

The proposed amendments will be posted to DDS’s website, along with an email address for submitting written feedback. All comments must be received by March 7. DDS invites all interested parties to review the amendments and comment instructions on the DDS HCBS Programs webpage. Please email your questions to Federal.Programs@dds.ca.gov.

ADRC 顾问委员会招聘

加州老龄事务部 (CDA) 正在招募老龄和残疾资源联络处 (ADRC) 咨询委员会成员。有关顾问委员会、其职责和成员期望的更多信息，请参阅本公告和会员申请。如果您有兴趣加入该咨询委员会（自 2024 年 7 月起），请在 3 月 8 日前将您的问题和申请发送至ADRC@aging.ca.gov 。

PATH 容量和基础设施转型、扩展和发展 (CITED) 第三轮申请

申请 "提供就医途径，改变健康状况"（PATH）CITED 第三轮资助的截止日期是 2 月 15 日。PATH CITED 计划提供资金，用于建设实地合作伙伴的能力和基础设施，包括社区组织、公立医院、县级机构、部落等，以成功参与 Medi-Cal。办公时间为 2 月 12 日中午至下午 12:30（请在 PATH CITED 网站上注册），以便为潜在申请人提供帮助。

RFI：加州行为健康社区公平护理和治疗组织网络 (BH-CONNECT) 倡议卓越中心 (COE)

1 月 31 日，DHCS 发布了一份信息征询书 (RFI) ，征求相关各方的意见，以建立一个或多个卓越中心 (COE)，为 Medi-Cal 专业行为健康提供者和县行为健康计划提供培训和技术援助。此次机会旨在支持忠实地实施循证实践 (EBP)，包括积极社区治疗 (ACT)、法医积极社区治疗 (FACT)、首发精神病协调专科护理 (CSC for FEP)、支持就业的个人安置和支持 (IPS) 模式、俱乐部服务以及其他针对儿童和青少年的循证实践 (EBP)。请查阅RFI #23-070 ，了解有关 COE 的具体功能和所包含的 EBP 的更多信息。提问截止日期为 2 月 14 日，回复 RFI 的截止日期为 3 月 1 日。请将您关于此 RFI 的问题提交至PCDRFI3@dhcs.ca.gov 。

加入我们的团队

以下考试已开放：

• 除其他职责外，印度健康协调员将担任印度健康领域的主要专业顾问，为 DHCS 提供印度健康计划的规划、开发、实施、协调、运营和评估服务。 （最终提交日期为 2 月 16 日）

Also, DHCS is hiring for our communications, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.

即将举行的利益相关方会议和网络研讨会

加州推进和创新 Medi-Cal (CalAIM) 人口健康管理 (PHM) 咨询小组会议

2月12日上午10:30至中午12:00，DHCS将举办PHM咨询小组会议。会议将重点讨论过渡护理服务 (TCS) 政策，包括总结于 1 月1 、 2024对所有成员生效的 TCS 政策更新。PHM 咨询小组的成员将有机会对 DHCS 在 2024 年实施 TCS 的优先事项发表意见，包括将成员与初级保健联系起来，确保那些进入或离开专业护理和长期护理机构的人顺利过渡，以及为分娩人员提供过渡护理服务。此外，成员们还将讨论如何利用 TCS 来改善出院后将符合条件的个人转介到强化护理管理、社区支持和其他服务的流程。此外，DHCS 欢迎成员就如何改进出院机构、医疗护理计划 (MCP) 和出院后服务提供者之间及时、彻底、准确地传输数据/信息提出建议。

Furthermore, the meeting will focus on the MCP Community Reinvestment Policy, including an overview of the quality achievement Community Reinvestment requirements, funding allocation methodology, guiding principles, use categories, and permissible Community Reinvestment activities. DHCS is in the process of finalizing a draft Community Reinvestment All Plan Letter (APL), scheduled for public comment in Quarter 2 2024. PHM Advisory Group members will have the opportunity to provide feedback on the Community Reinvestment program in advance of the APL release.

The meetings are open to the public, and meeting information and materials will be available on the CalAIM Population Health Management Initiative webpage. Stakeholders are encouraged to submit questions in advance of the webinar to PHMSection@dhcs.ca.gov. 

CalAIM 亚急性护理机构加入虚拟办公时间

On February 14, from 2:30 to 3:30 p.m., DHCS will host an office hours session as part of an educational webinar series on the CalAIM subacute care facility long-term care (LTC) carve-in. The office hours provide a dedicated forum for DHCS to engage with subacute care facilities, Medi-Cal MCP representatives, and other stakeholders to address questions related to the subacute care facility carve-in policy requirements and implementation of the transition to managed care that took effect on January 1, 2024. 

Participants are encouraged to submit questions in advance when registering for the office hours session or by emailing them to LTCtransition@dhcs.ca.gov. Additional details about past webinars are available on the CalAIM Subacute Care Facility LTC Carve-In transition webpage.  

PATH 技术援助 (TA) 市场虚拟供应商博览会

On February 29, from 9 to 10:30 a.m., DHCS will host the first PATH TA Marketplace virtual Vendor Fair. TA Vendor Fairs are an opportunity for vendors to pitch their organization and services to potential TA recipients and encourage utilization of the TA Marketplace. TA recipients and organizations interested in learning more about the TA Marketplace, including how to apply to receive free services, are invited to attend. This is the first in a series of upcoming Vendor Fairs and will focus on presentations from vendors providing services in Domain 3 of the PATH TA Marketplace: “Engaging in CalAIM through Medi-Cal Managed Care”.

如果你错过了

CalAIM 儿童持续保险公众意见

The 30-day public comment period for the CalAIM Section 1115 Continuous Coverage for Children amendment application is from January 12 through February 12. To ensure consideration prior to submission to CMS, comments must be received no later than 11:59 PM PST on February 12. DHCS welcomes all public comments.

DHCS 请求修改 CalAIM 第 1115 节示范项目，以纳入第 1115(a)(2) 节规定的支出授权，从而获得联邦配套资金，为儿童提供持续的医疗保障，直至他们年满 5 周岁当月的月底，无论他们何时首次加入 Medi-Cal 或儿童健康保险计划，以及任何可能导致他们失去资格的情况变化。该政策的实施取决于州政府对 2024-2025 财年及以后各财政年度可用一般基金资源的确定以及 CMS 的批准。更多信息请访问DHCS CalAIM 1115 示范和 1915(b) 豁免网页。