DHCS Stakeholder News – March 30, 2023
熱門新聞
DHCS 獲得 CMS 批准資產豁免彈性
On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.
This waiver flexibility ensures continuity of coverage for seniors and persons with disabilities, and will prevent potential disruptions in their Medi-Cal coverage once redeterminations resume in April 2023. Medi-Cal members will still need to meet all other Medi-Cal eligibility criteria, such as income, to remain eligible for Medi-Cal.
DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19 to provide counties with immediate guidance on operationalizing the waiver flexibility.
專案更新
Medi-Cal 連續報導工具包提供 19 種語言版本，並保持 Medi-Cal 會員涵蓋網絡研討會
This week, DHCS posted the Medi-Cal Continuous Coverage toolkit in 17 Medi-Cal threshold languages (in addition to the previously posted English and Spanish). Each toolkit includes materials that can be customized to help DHCS Coverage Ambassadors and partners assist Medi-Cal members with the redetermination process. The content encourages members to update their contact information to ensure they receive important information about keeping their Medi-Cal coverage. Toolkit assets include flyers, social media posts, messaging, including interactive voice response call scripts, sample emails, and text messages.
On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend.
2019 冠狀病毒無保險集團計劃工具包啟動
DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023. Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS’ strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage.
認知障礙症護理保暖線
The Dementia Care Aware Warmline is now live at 1-800-933-1789, from Monday to Friday between 9 a.m. and 5 p.m. The warmline offers education and decision-making consultation for clinicians and primary care teams in California, covering topics related to dementia screening, assessment, diagnosis, management, and care planning.
The warmline also provides support for implementing the Dementia Care Aware cognitive health assessment as a screening approach, outlined here. Consultants are available to answer questions that may arise during any stage of dementia care, how to make systems changes in their practice, and related medical legal considerations. Voicemail messages left after hours will be returned the next business day.
Note: Consultations are not intended as a substitute for professional medical care or advice, nor to replace a health care professionals’ clinical judgment regarding their individual patient care.
Medi-Cal Rx 恢復計劃更新
截至 3 月 24 日，Medi-Cal Rx 恢復計劃第三期第一階段已成功實施。 提供者必須提交特定藥物類別中的新處方和續期處方給 22 歲及以上的會員提交預先授權。 更多信息可在 Medi-Cal Rx 恢復焦點中獲得。 此外，DHCS 還針對第三階段第二階段的藥房提供者和處方人員發布了 30 天的倒數計時。
斯米爾，加利福尼亞 中醫牙科服務活動
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.
Additionally, a Smile, California, Smile Alert will continue promoting the Provider Testimonial Video series, reminding members that the deadline for the required Kindergarten Oral Health Assessment is on May 31, and recognizing March as National Nutrition Month. Sign up for our Smile Alerts to stay informed about the Smile, California campaign.
4 月 3 日至 6 月 2 日，加利福尼亞州 Smile 將推廣在線 2023 年會員客戶服務滿意度調查。 該調查提供 19 種語言，旨在收集會員有關他們與 Medi-Cal 客戶服務代表的經驗的反饋意見。 調查將發佈到加利福尼亞 州 Smile 和 Medi-Cal 牙 科網站，並在 4 月會員公告中，在微笑警報中，在社交媒體上，以及通過 SmileCalifornia.org 的主頁橫幅中宣傳。
加入我們的團隊
DHCS is hiring! DHCS has an immediate opening for Chief of the Selection and Recruitment Branch within the Human Resources Division. This position provides direction in the development and administration of annual department-wide recruitment plans, marketing, and a variety of recruitment activities designed to promote DHCS as an employer of choice.
DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children’s Health Insurance Program.
DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.
DHCS 致力於保護和改善所有加利福尼亞州人的整體健康和福祉。 DHCS 的使命是為最脆弱的居民提供公平的機會獲得經濟實惠、綜合、高質量的醫療保健服務，並目前正在改變 Medi-Cal 計劃，以確保它提供加利福尼亞人生活更健康、更快樂的生活所需的護理。
即將舉行的利害關係人會議和網絡
California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing
On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California’s reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access. Additional information is available on the CalRHAD webpage.
護理設施融資改革網絡研討會
On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage.
ECM 和社區支持數據指導網絡研討會
On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.
Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023.
如果你錯過了
加州額外頒發 88.5 萬美元來幫助轉型醫療服務
On March 24, DHCS announced awards totaling $88.5 million to help local organizations build their capacity and infrastructure in support of a more coordinated, person-centered, and equitable Medi-Cal system for all Californians. These funds further the vision of California Advancing and Innovating Medi-Cal (CalAIM), California’s long-term commitment to transform and strengthen Medi-Cal, and will be used to develop and deploy the Medi-Cal Enhanced Care Management benefit and Community Supports services statewide.
PATH 技術支援 (TA) 市場第二輪供應商申請現已開放
On March 28, DHCS opened the Providing Access and Transforming Health (PATH) TA Marketplace Round 2 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access no-cost TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations interested in applying to qualify as a TA Marketplace vendor are strongly encouraged to join an informational webinar (advance registration required) on April 6, from 1 to 2 p.m. to learn more about the application process. The deadline to apply to qualify as a vendor is April 28, 2023.
Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com.
DHCS 釋出醫院和技術護理設施 COVID-19 員工留住補助金
3 月 28 日、3 月 30 日和 4 月 5 日，DHCS 將發出醫院和技術護理設施 COVID-19 勞工留住補助金（WRP），總額超過 10 億美元。 DHCS 將分配資金給獲批准的保障實體（CE），涵蓋服務雇主（CSE），醫生組實體（PGE）和獨立醫生，總共代表 832,000 名員工。 CE、CSE、PGE 和獨立醫生將在收到資金後有 60 天的時間，才能向批准的工作人員發放付款。 要求和指引發佈在 WRP 網頁上，以支持實體在整體發佈過程中。 如有任何疑問，請電子郵件發送至 wrp@dhcs.ca.gov。
Webinar on Governor Newsom’s Proposal to Modernize California’s Behavioral Health System
On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor’s proposal to modernize California’s behavioral health system. The proposal builds on the Administrations’ previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webpage.