February 6, 2024 – Stakeholder News
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 Waiver Amendment CA.0336.R05.05 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 continues to prepare administratively for the full implementation of rate reform, subject to the final 2024-25 budget agreement.
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
The California Department of Aging (CDA) is recruiting members for the Aging and Disability Resource Connection (ADRC) Advisory Committee. Additional information about the advisory committee, its responsibilities, and member expectations is included in this announcement and membership application. Please send your questions and applications to ADRC@aging.ca.gov by March 8 if you are interested in joining this advisory committee beginning in July 2024.
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)
On January 31, DHCS released a Request for Information (RFI) to solicit input from interested parties to establish one or more COEs that will offer training and technical assistance to Medi-Cal specialty behavioral health providers and county behavioral health plans. This opportunity is to support fidelity implementation of evidence-based practices (EBPs), including Assertive Community Treatment (ACT), Forensic Assertive Community Treatment (FACT), Coordinated Specialty Care for First Episode Psychosis (CSC for FEP), Individual Placement and Support (IPS) model of Supported Employment, Clubhouse Services, and additional EBPs for children and youth. Please review RFI #23-070 for more information about the specific functions of COEs and the included EBPs. The deadline for questions is February 14, and the deadline for responses to the RFI is March 1. Please submit your questions about this RFI to 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
On February 12, from 10:30 a.m. to 12 p.m., DHCS will host the PHM Advisory Group meeting. The meeting will focus on the Transitional Care Services (TCS) policy, including a summary of the TCS policy update that went into effect on January 1, 2024, for all members. PHM Advisory Group members will have the opportunity to comment on DHCS’ priorities for TCS implementation in 2024, including connecting members to primary care, ensuring smooth transitions for those transitioning into or out of skilled nursing and long-term care facilities, and transitional care services for birthing individuals. Also, members will discuss how to leverage TCS to improve referring eligible individuals to Enhanced Care Management, Community Supports, and other services post-discharge. Additionally, DHCS welcomes recommendations from members on improving timely, thorough, and accurate transfer of data/information between discharging facilities, MCPs, and post-discharge providers.
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 is requesting to amend the CalAIM Section 1115 demonstration to include expenditure authority under Section 1115(a)(2) to receive federal matching funds to provide continuous coverage for children through the end of the month in which their 5th birthday falls, regardless of when they first enroll in Medi-Cal or the Children’s Health Insurance Program and any changes in circumstances that would otherwise cause a loss of eligibility. Implementation of this policy is contingent upon a state determination of available General Fund resources in 2024-2025 and subsequent fiscal years and CMS approval. Additional information is available on the DHCS CalAIM 1115 Demonstration and 1915(b) Waiver webpage.