DHCS Stakeholder Update – March 3, 2023
Top News
End of the Public Health Emergency (PHE): Key Medicaid and Children’s Health Insurance Program (CHIP) Dates
The announcement that the federal COVID-19 PHE will end on May 11, 2023, has implications for Medicaid and CHIP programs. Additionally, DHCS is acting to make permanent several flexibilities implemented over the course of the PHE. Below is a summary of end dates for key federal Medicaid provisions, with additional details on how DHCS is unwinding the PHE in the Medi-Cal program.
關於美國救援計劃法（ARPA）下的醫療補助和 CHIP COVID-19 條文：
Optional COVID-19 Group for Uninsured Individuals: California has taken advantage of the “optional COVID-19 group” that provides uninsured individuals with Medi-Cal coverage for COVID-19 vaccines, testing, and treatment. This coverage expires on the last day of the PHE (May 11). In order to prepare individuals in this group for the end of the PHE, DHCS will send member notices on April 24, 2023.
No-Cost Coverage for COVID-19 Vaccines, Testing, and Treatment to Members: Medicaid is required to cover COVID-19 vaccines, testing, and treatment with no cost-sharing for members through the last day of the first calendar quarter that begins one year after the last day of the COVID-19 PHE. DHCS is electing to permanently extend coverage for COVID-19 vaccines, testing, and treatment at no cost beyond the ARPA coverage period.
Enhanced Federal Match for COVID-19 Vaccines and Vaccine Administration: States receive 100 percent federal matching funds for coverage of vaccines and vaccine administration, as enacted by ARPA. These matching funds also end on the last day of the first calendar quarter that begins one year after the last day of the COVID-19 PHE (September 30, 2024). As described above, Medi-Cal will continue to cover COVID-19 vaccine and vaccine administration.
關於 PHE 實施的法定靈活性：
Section 1135 waivers expire at the end of the PHE (May 11). Medicaid programs are unable to extend flexibilities authorized under 1135 waivers. Additionally, DHCS is electing to discontinue emergency Medi-Cal provider enrollment flexibilities, effective March 29, 2023, as recently announced.
Medicaid Disaster Relief State Plan Amendments (SPAs) typically expire at the end of the PHE (May 11), but DHCS is making permanent many policies authorized under Disaster Relief SPAs. For details on the specific policies that are being made permanent through the traditional SPA process, please see Part I of the Medi-Cal COVID-19 PHE and Continuous Coverage Operational Unwinding Plan.
第 1915(c) 節附錄 K 或第 1115 節附件 K 的終止日期因豁免情況而異，但通常不會晚於 PHE 結束後的六個月。同樣，DHCS 打算將 1915(c) 和 1115 條款中的一些彈性措施永久納入 Medi-Cal 政策，使其在公共衛生緊急狀態結束後繼續有效。有關這些政策的詳細信息，請參閱Medi-Cal COVID-19 PHE 和持續承保營運終止計劃的第一部分。
專案更新
現正開放：提供訪問和轉型健康（PATH）技術幫助（TA）市場應用程序
2月27日，DHCS開放了PATH TA市場計畫資格申請。已提交受益人登記表並被批准為 TA 受益人的 Medi-Cal 服務提供者現在可以透過 Marketplace 購買和申請免費的 TA 服務。TA 服務由首批選定的 47 家獨特的供應商提供。他們將協助醫療服務提供者、社區組織 (CBO)、Medi-Cal 部落和印第安人健康計劃的指定人員、縣以及其他符合條件的 TA 受益人建立和提供成功的增強型護理管理和社區支持。要了解更多信息，請訪問ca-path.com/ta-marketplace 。
PATH Capacity and Infrastructure Transition, Expansion, and Development (CITED) Round 2 Application Now Open
On February 28, DHCS opened the PATH CITED Round 2 application window. The PATH CITED initiative provides funding to on-the-ground partners, such as CBOs, public hospitals, county agencies, Tribes, and others to help them successfully participate in the Medi-Cal delivery system. New companies are encouraged to become Medi-Cal providers to deliver Enhanced Care Management and Community Supports. Entities interested in applying for Round 2 are encouraged to join the upcoming informational webinar on March 3, from 10 to 11 a.m., to learn more about CITED funds and the application process. The deadline to apply for CITED Round 2 funding is May 31, 2023.
Please visit ca-path.com/cited to apply and for more information. For questions, please email cited@ca-path.com.
兒童助聽器保障計劃（HACCP）行動計劃和通信工具包
On March 1, DHCS released the HACCP Action Plan, which provides an overview of DHCS’ comprehensive strategy on HACCP improvements in 2023 with actionable tactics to improve provider participation and increase program enrollment.
此外，DHCS 於 2 月 28 日發布了HACCP 溝通工具包和專案資料儀表板，以支援這些目標。該工具包包括符合 HACCP 資格的家庭和醫療服務提供者的社交媒體資訊和可列印的宣傳資料，以及 DHCS 的HACCP 專案資料網頁。更多項目資訊請造訪DHCS的HACCP網頁。
Monkeypox (Mpox) Vaccine Administration
醫療保險中心 & 醫療補助服務（CMS）最近批准了 SPA 22-0062，以僅接種疫苗接觸的服務費（FFS）費率退還聯邦合格健康中心（FQHC），農村健康診所（RHCs），印度健康服務協議備忘錄（IHS-MOA）和部落 FQHC 診所提供者。 它回溯到 17 月 2022，並延長到 Mpox 州公共衛生緊急情況結束（1 月 31，2023）結束。
在符合資格的門診就診期間，由符合資格的醫療服務提供者接種的麻疹疫苗，有權按其各自的預付製或全包費率獲得報銷。提醒醫療服務提供者，每次接種麻疹疫苗要麼屬於合格的門診就診，要麼只屬於疫苗接種就診，兩者不可兼得。符合資格的醫療服務提供者可以開始為參加 Medi-Cal 管理式醫療計劃的成員提交僅接種麻痘疫苗的索賠申請。自 3 月10 、 2023起，醫療服務提供者可以按照 12 月13 、 2022發表的文章「按醫療保險費率報銷麻疹疫苗」中的說明，為 FFS 會員提交索賠。醫療服務提供者將獲得 120 天的寬限期，可以提交僅針對麻痘疫苗接種的就診記錄。
加州醫療補助健康保健計劃 Rx
二月 24, 2023, 第二階段的 Medi-Cal Rx 恢復計劃的第二階段成功實施。 提供者必須提交 46 種額外的藥物類別，包括醫療用品，以及 22 歲以上的會員提交新開始藥物的預先授權。
同時也發布了一份為期 30 天的倒數警報，標題為「第三階段提升 1：22 歲及以上受益人過渡政策的終止」 ，以宣布 Medi-Cal Rx 恢復計劃的下一階段。提醒大家，Medi-Cal Rx 將於 3 月24 、 2023開始對 22 歲及以上會員實施一系列過渡政策調整。
加入我們的團隊
DHCS is 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
護理設施融資改革網絡研討會
On March 10, from 1:30 to 2:30 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Workforce Standards Program and present an update on the Workforce and Quality Incentive Program. Additional information is posted on the Nursing Facility Financing Reform (AB 186) webpage.
如果你錯過了
California Awards $4.6 Million to Emergency Departments (EDs) to Train Behavioral Health Navigators
On March 1, DHCS awarded more than $4.6 million to 39 hospitals with EDs, each receiving $120,000 to train behavioral health navigators to help expand access to substance use disorder and mental health services. The awards are part of DHCS’ CalBridge Behavioral Health Navigator Program. CalBridge is funded by the American Rescue Plan Act of 2021 under key initiatives for Medi-Cal’s Home and Community-Based Services, and aims to train and expand the ED workforce to address the urgent need for behavioral health patient care. These awards are part of a larger effort by CalHHS to strengthen California’s health and human services workforce.