DHCS Stakeholder News – July 28, 2023
熱門新聞
即將推出：加強護理管理（ECM）/社區支持一年度報告
On August 1, DHCS will release a new report that highlights the number of Californians accessing and utilizing the wide array of services and benefits provided by Medi-Cal’s new ECM and Community Supports, the foundational components of California Advancing and Innovating Medi-Cal (CalAIM). DHCS launched ECM and Community Supports in January 2022.
該報告概述了 ECM 的影響，該服務為具有最高臨床和非臨床需求的會員提供可訪問且更好地協調的健康相關服務，以及社區支持服務。 該報告將發佈在 ECM 和社區支持網頁上。
Additionally, DHCS recently introduced policy refinements and reinforcement for ECM and Community Supports to standardize processes and reduce administrative burden for providers and members, with the goal of expanding the reach of ECM and Community Supports in 2023 and beyond. DHCS also published a presentation, “Enhanced Care Management/Community Supports: A Policy “Cheat Sheet”, summarizing key ECM and Community Supports policies, including the difference between state-standardized and MCP-defined policies, targeting providers.
專案更新
即將推出：加利福尼亞行為健康基於社區的公平護理和治療有組織網絡（BH-CONNECT）公眾評論期和聽證會
8 月 1 日，DHCS 將要求有關第 1115 條 BH-CONNECT 示範應用程序的意見。 擬議的 BH-CONNECT 示範申請的完整草稿及公眾利益的初步通知將刊登於 B H-CONNECT 網頁。 八月十一日及二十四日舉行兩次公開聽證會；其他詳情將於八月一日公佈。
加入我們的團隊
DHCS 立即開設兩個執行職位：
- 助理首席顧問，計劃誠信和合規：此職位負責制定與審計和調查、隱私、合規和行政相關的複雜法律顧問和訴訟策略。
- Chief, Medi-Cal Eligibility Division: This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid (Medi-Cal in California) and the Children’s Health Insurance Program. Candidates who previously applied for this position do not need to re-apply.
DHCS 還招聘我們的財政、人力資源、法律、審計、健康政策和信息技術團隊。 有關更多信息，請訪問 CalCareers 網站。
DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with equitable access to affordable, integrated, high-quality health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.
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）會議
8 月 4 日，從上午 10 點到 11 點 30 分，DHCS 將主持下一個虛擬 CFSW 會議。 會議材料以及如何加入會議將不遲於 8 月 2 日中午發布在 CFSW 網頁上。
兒童和青少年行為健康倡議（CYBHI）網絡研討會
On August 7, from 2 to 3:30 p.m., DHCS will virtually host a CYBHI webinar (advance registration required) to keep stakeholders apprised of DHCS’ progress in implementing various CYBHI work streams. Key attendees include youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, commercial health plans, education, and other cross-sector partners.
Medi-Cal 續訂數據網路研討會
On August 7, from 3 to 4 p.m., DHCS will virtually host a webinar on the new DHCS unwinding data dashboard (advance registration required) to discuss data for June 2023 Medi-Cal renewals, the first month of California’s redeterminations since the end of the federal continuous coverage requirement on March 31. These data will include initial disenrollments from Medi-Cal eligibility renewals that occurred on July 1. Annual renewals will continue monthly, with the last eligibility renewal under the continuous coverage requirement occurring in May 2024, followed by a return to the normal annual renewal process.
ECM 和社區支持網絡研討會
DHCS 將舉辦兩個虛擬網絡研討會（需要提前註冊），讓所有利害關係人提供對 ECM 和社區支持的實施進度概述，並討論重要的政策改進和加強領域。 網絡研討會將涵蓋一系列主題，包括資格，推薦和授權，提供商網絡，付款，市場意識和數據交換。 ECM 和社區支持日曆年（CY）2022 實施報告中的主要見解也將公布：
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ECM 第一年後：執行進度與政策修訂，8 月 14 日下午 2 點至 3 點。
- 8 月 18 日上午 9:30 至 10:30，「第一年後的社區支援：執行進度與政策修訂」。
如需詳細資訊，請造訪 ECM 和社群支援網頁。 如有任何疑問，請發送電子郵件 CalAIMECMILOS@dhcs.ca.gov。
兒童助聽器覆蓋專案 (HACCP) 醫療服務提供者和聽力專業人員的網路研討會
9 月 14 日，下午 12 時至 1 時，DHCS 將舉辦 HACCP 網絡研討會（需要提前註冊），以與提供者分享信息，以幫助兒童患者和其家人最大限度地提高 HACCP 福利。 培訓會議將解決家庭申請保險的計劃要求，以及聽力學家，耳鼻喉科醫生，醫生和其辦公室工作人員的索償提交流程。
如果你錯過了
即將截止日期：家居和社區服務（HCBS）遠程醫療豁免修訂的公眾意見期
DHCS posted the HCBS waiver telehealth amendment on June 30, initiating a 30-day public comment period with a deadline to submit comments by July 30. DHCS requested and received federal approval to implement temporary operational flexibilities under different emergency authorities due to the COVID-19 public health emergency (PHE). Flexibilities to four of California’s 1915(c) HCBS waivers were authorized through temporary amendments that allowed states to extend emergency flexibilities for up to six months after the end of the COVID-19 PHE to November 11, 2023. One of the flexibilities approved during the COVID-19 PHE was the ability to provide waiver services via telehealth. To align with DHCS policy and to expand access to select waiver services, when appropriate, DHCS is submitting waiver amendments to make telehealth a permanent option for the following 1915(c) HCBS waivers:
- 以家居及社區為基礎的替代方案豁免
- 輔助生活豁免
- 多用途高級服務計劃豁免
- 加州醫療補助健康保健計劃豁免專案
衞生防護中心邀請所有有關人士查閱《HCBS 豁免》網頁上的修訂及意見說明。 如有任何疑問，請發送電子郵件 HCBAlternatives@dhcs.ca.gov。
即將結束：提供訪問和轉型健康（PATH）與正義相關計劃第三輪申請
7 月 31 日，PAT H 正義參與計劃第三輪申請窗口於晚上 11:59 關閉，第三輪資助支持懲教機構、縣行為健康機構和其他與司法相關的利益相關者，當他們實施合作計劃和實施以實施釋放前服務流程所需的人員，能力和/或 IT 系統。 有關更多信息和申請，請訪問與司法相關計劃網站。
7 月 31 日上午 11:30 至中午 12:30，DHCS 將舉辦虛擬辦公時間（需提前註冊），為有意申請的人士提供申請支援。
如有任何疑問，請聯繫 justice-involved@ca-path.com。
介紹醫療通訊群組
加入 DHCS，向數百萬加州人傳播有關 Medi-Cal 轉型和 Medi-Cal 的重要性的消息。我們邀請您的組織加入 Medi-Cal 通訊群組，這是一個專門的傳播者組成的新組織。 我們將共同努力向加利福尼亞州的成員，提供商和社區推廣 Medi-Cal 的價值。
若要加入我們並了解有關醫療通訊群組的更多信息，請發送電子郵件 DHCSGetInvolved@dhcs.ca.gov。 我們期待與您合作。