April 2, 2024 – Stakeholder News

熱門新聞 

Case Study: California’s Medi-Cal Redetermination Journey

Over the last year, DHCS and county and federal partners have collaborated to redetermine the eligibility of Californians who receive health coverage through Medi-Cal. Throughout the process, DHCS adopted newly offered federal flexibilities to help reduce the administrative burden on Medi-Cal members and increase efficiencies in renewal processing. Several income-related waivers became effective for the December 2023 redetermination month. With technical assistance from the White House United States Digital Service (USDS), DHCS successfully automated these waivers, resulting in more members being successfully auto renewed without needing to fill out and return a renewal packet to their county. 

USDS and the California Health & Human Services Agency published an issue brief summarizing the flexibilities California leveraged from the federal government to improve the auto-renewal processes. Additionally, the U.S. Department of Health and Human Services announced additional actions to help people maintain coverage as states continue Medicaid and Children’s Health Insurance Program eligibility renewals. 

移動醫療專用牙科車之旅

On April 4, DHCS will kick off the second mobile dental van tour in Fresno. DHCS’ Smile, California campaign promotes preventive dental services for children and youth to enhance utilization of essential dental care and improve oral health. In addition to Fresno, the mobile dental van will visit Pixley (April 5), Hollister (April 11), Avenal (April 12), and Huntington Park (May 4). Services performed onsite will include exams, X-rays, cleaning, and fluoride applications. 

Medi-Cal members, medical and dental providers, and community-based organizations can learn more about Medi-Cal’s covered dental services by visiting the Smile, California website, in English at SmileCalifornia.org or in Spanish at SonrieCalifornia.org. The website includes helpful resources, such as informational flyers, videos, fact sheets, and the “Find-A-Dentist” tool to locate a dental provider.

專案更新 

CalAIM 提供存取和轉型健康（PATH）技術支持（TA）市場供應商應用程序將於 4 月 1 日開放

4 月 1 日，DHCS 將開啟加州進步和創新媒體卡（CalAIM）PATH TA 市場第四輪供應商申請期。 PATH TA 市場是一站式網站，實體可以訪問來自精選和批准的供應商的免費 TA 服務。 供應商服務正在幫助符合條件的增強護理管理（ECM）和社區支持提供商建立他們的數據容量，加強跨部門合作夥伴關係，培訓現有和新員工，實施語言響應的服務等等。 

有興趣申請成為 TA 供應商資格的組織可以在 PATH TA 市場網頁上申請。 申請須於台灣時間四月三十日下午五時前提交。 核准的供應商將針對他們在 TA 市場中提供的 TA 服務獲得由 Path 資助的退款。 

熟練護理設施中期付款表現數據

本週，DHCS 將公佈 2023 年 SNF 勞動力和品質激勵計劃 (WQIP) 的機構級支付數據，該計劃旨在激勵機構提高護理品質、促進醫療保健結果的公平性並投資於勞動力。資料已發佈在SNF WQIP 網頁上。有關 WQIP 計劃的問題或疑慮，請發送電子郵件至 SNFWQIP@dhcs.ca.gov 。有關 AB 186（2022 年法令第 46 章）授權的其他護理機構融資改革計劃的更多信息，請參閱護理機構融資改革（AB 186 ）網頁。 

遠程醫療：互動使用率儀表板和報告

本週，DHCS 將發布其面向公眾的互動式遠距醫療儀表板和配套的兩年一度的遠距醫療利用率報告的第一階段，這是旨在監測 Medi-Cal 內遠距醫療利用率的總體計劃的一部分。儀錶板和報告都將幫助DHCS建立更好、更強大的基礎，以便使用數據驅動的方法進一步評估遠距醫療政策。DHCS 的目標是持續提供一系列遠距醫療指標，並以易於存取和理解的面向公眾的格式闡明遠距醫療數據。DHCS 預計分兩個階段發布儀錶板和報告。第一階段將包括與遠距醫療利用相關的八組醫療服務數據測量指標。第二階段將擴展儀表板，使其包含與心理健康、加州藥物醫療補助計劃組織交付系統和牙科相關的資料集。 

The dashboard is anticipated to be completed with all data sets in summer 2024 and will be updated annually thereafter. To serve as a complement to the dashboard, DHCS created the report, which provides an executive summary of Medi-Cal telehealth utilization, trends, and key takeaways from 2019 to 2022. For more information, please visit the Medi-Cal & Telehealth webpage. Please email your questions to Medi-Cal_telehealth@dhcs.ca.gov. 

健康註冊導覽器專案合作夥伴資料

On March 29, DHCS released Health Enrollment Navigators Project partner-specific data from January 2020 through September 2022 summarizing the following activities: outreach, application assistance, assistance with accessing and using health care services (navigation), troubleshooting, and redetermination assistance. Enrollment and retention are stratified by age groups, immigration status, race/ethnicity, sex, and written and spoken languages. Please see the Navigators Project Partner webpage for more information. Please email your questions to HealthNavigators@dhcs.ca.gov.

加入我們的團隊

DHCS 正在招聘通信，人力資源，審計，健康政策，信息技術和其他團隊。 有關更多信息，請訪問 CalCareers 網站。 

即將舉行的利害關係人會議和網絡 

以消費者為中心的利益相關者工作小組（CFSW）

4 月 5 日上午 10 點至 11 點 30 分，DHCS 將召開 CFSW 會議，為利害關係人提供機會，審查各種消費者宣傳資料並提出回饋。該論壇專注於資格和註冊相關活動，並致力於就 Medi-Cal 的政策和功能進行公開討論。會議資料，包括會議議程，最遲將於 4 月 3 日發佈在CFSW 網頁上。如有任何疑問，請發送電子郵件至DHCSCFSW@dhcs.ca.gov 。 

卡拉伊姆 PATH TA 市場最終虛擬供應商博覽會

On April 9 and 25, from 9 to 10:30 a.m., DHCS will host the final virtual CalAIM PATH TA Marketplace Vendor Fairs, where vendors pitch their organization and services to potential TA Recipients and encourage utilization of the TA Marketplace. Approved TA Recipients and organizations currently contracted with or planning to contract with a Medi-Cal managed care plan (MCP) or other eligible entity to provide ECM/Community Supports are encouraged to attend.

4 月 9 日的供應商博覽會將展出在領域 2：社區支持和領域 7：勞動力領域提供服務的供應商。領域 2 包括 TA 供應商，他們在設計、實施和改進一項或多項 Medi-Cal 社區支援服務方面擁有專業知識。領域 7 包括 TA 供應商，他們在招募和留住訓練有素、高績效的員工方面擁有豐富的專業知識，尤其關註一線、臨床和/或「有生活經驗」的員工。  

The April 25 Vendor Fair features vendors providing services in Domain 5: Promoting Health Equity and Domain 6: Supporting Cross-Sector Partnerships. Domain 5 includes TA vendors with expertise to help TA recipients advance health equity through their implementation of ECM/Community Supports and in their work with Medi-Cal members. Domain 6 includes TA vendors with the expertise to help TA recipients successfully engage in cross-sector partnerships, including partnerships between Medi-Cal MCPs and counties. 

California Children’s Services (CCS) Advisory Group Meeting

4月10日，DHCS將主辦CCS諮詢小組季度會議。CCS 諮詢小組和 DHCS 攜手合作，確保參與 CCS 和全人教育模式 (WCM) 計畫的兒童能夠及時獲得適當的優質照護。議程主題包括 WCM 過渡後監測和擴展的最新進展、CCS 合規性、監測和監督工作小組、兒童健康和殘疾預防計劃以及 CCS 重新設計績效衡量品質小組委員會。

Additional information is available on the CCS Advisory Group webpage. Please email your questions to CCSProgram@dhcs.ca.gov.

如果你錯過了

California Offering Free Fentanyl Test Strips Through the Naloxone Distribution Project (NDP)

DHCS announced the expansion of the NDP to include fentanyl test strips (FTS), which can be obtained by eligible organizations throughout the state of California. FTS are used to detect the presence of fentanyl in drug samples prior to ingestion. NDP applicants will have the option to request naloxone, FTS, or both at no cost through the online application. Since the NDP began in 2018, it has distributed more than 3,994,000 kits of Naloxone, which have been used to reverse more than 252,000 overdoses.