La estrategia de CalAIM Medi-Cal para apoyar la salud y las oportunidades para los niños y las familias
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The Department of Health Care Services (DHCS) is responsible for the health care of more than 50 percent of California’s children and is committed to improving their health, supporting their families, and reducing barriers and disparities in care. To achieve these aims, DHCS launched Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families in March 2022, which integrates existing and new child and family health initiatives and strengthens DHCS’ accountability and oversight of children’s services. DHCS was guided by the following principles and considerations when shaping this strategy:
- Abordar las disparidades en salud y promover la equidad en salud;
- Implementing a whole-child, preventive approach to care informed by families’ needs and preferences;
- Providing family and community-based care that considers the health of a child’s parents, caregivers, and siblings in the context of the communities in which they live;
- Promover la atención integrada en todos los sistemas de prestación de servicios y subespecialidades;
- Mejorar la rendición de cuentas y la supervisión en la prestación de servicios; y
- Mirar más allá de Medi-Cal para fomentar las asociaciones del DHCS.
Áreas de acción
La estrategia incluye ocho áreas de acción con iniciativas clave que ilustran dónde el DHCS está fortaleciendo su enfoque en los niños y las familias inscritos en Medi-Cal. Estas áreas de acción incluyen:
- Nueva estructura de liderazgo y enfoque de compromiso
- Stronger coverage base for California’s children
- Atención primaria y preventiva pediátrica más sólida
- Acceso simplificado a las vacunas pediátricas
- Nuevo Plan de salud responsable de la calidad de los resultados
- Enfoque centrado en la familia
- Inversiones en salud conductual para niños y adolescentes
- Próximos pasos en el modelo de acogida
Documentos clave
- Kit de herramientas de divulgación y educación de Medi-Cal para niños y adolescentes (febrero de 2023)
- Folleto para niños
- Folleto para Adolescentes / Adultos Jóvenes
- Su carta de derechos de Medi-Cal
- Capacitación para proveedores
- Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)
Seminarios web informativos
Kit de herramientas de divulgación y educación de Medi-Cal para niños y adolescentes Seminario web de All Comer ( 1de marzo de 2023)
On Wednesday, March 1st from 11:00am- 12:00pm PT, DHCS hosted a webinar focused on the recently published Medi-Cal for Kids & Teens Outreach & Education Toolkit. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth from birth to age 21 access to preventive and medically necessary treatment services. DHCS developed the Toolkit to promote understanding of and access to EPSDT-covered services, which are available to the 5.7 million children, teens, and young adults enrolled in Medi-Cal. Included in the Medi-Cal for Kids & Teen Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen / young adult version), a member-facing letter explaining Medi-Cal rights for children, teens, and young adults, and a standardized training for Medi-Cal managed care providers. The All Comer webinar provided interested stakeholders the opportunity to learn more about the Toolkit, including how it was developed; how consumers, providers, and stakeholders can access the materials; and how the Toolkit will help advance Medi-Cal’s Strategy to Support Health & Opportunity for Children & Families.
Los materiales finales se publican a continuación.
Seminario web de todos los participantes de CalAIM EPSDT Facing Materials ( 18de noviembre de 2022)
On Friday, November 18th from 11:00 AM – 12:00 PM PT, DHCS hosted a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth under 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT-covered services, the comprehensive healthcare services available to the 5.6 million children and youth enrolled in Medi-Cal. Included in the EPSDT Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the “EPSDT” name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped, including who to contact and how to file grievances and appeals. The All Comer webinar provided interested stakeholders the opportunity to share public feedback and comment on the enrollee-facing materials.
Los borradores de los materiales se publican a continuación.
- Diapositivas
- Transcripción
- Draft EPSDT Enrollee Brochure – Child Version
- Draft EPSDT Enrollee Brochure – Teen Version
- Borrador de la carta de EPSDT Conozca sus derechos de Medi-Cal
Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)
Recursos adicionales
- Página web de DHCS EPSDT
- Estrategia Integral de Calidad de DHCS
- Iniciativa de Gestión de la Salud de la Población (PHM) de CalAIM
- Iniciativa de Salud Conductual para Niños y Jóvenes (CYBHI)
- Iniciativa ACEs Aware
- Plan Maestro para el Cuidado del Aprendizaje Temprano
Preguntas y comentarios
Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.