14de abril de 2025
Principales noticias
El DHCS está aprobado para participar en el modelo de acceso a la terapia celular y génica de Medi-Cal
The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.
Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.
Program Actualizaciones
California’s 1115 Waiver Approvals Remain Unaffected
DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.
This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.
DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.
Únete a nuestro equipo
DHCS está buscando personas talentosas y motivadas para servir como:
- Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.
- Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.
DHCS también está contratando para sus equipos de contabilidad, salud conductual y otros. Para obtener más información, visite el sitio web de CalCareers.
Próximas reuniones de partes interesadas y seminarios web
DHCS publica las próximas reuniones públicas en el Calendario de Eventos.
Implementación de Beneficios de Prácticas Tradicionales de Cuidado de la Salud
On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.
DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
Familia Elegida, Parte 2: Anticoncepción y Fertilidad para Personas Transgénero y de Género Diverso
El 5 de mayo, de 10 a 11:30 hs. PDT, DHCS será el anfitrión del seminario web Familia Elegida, Parte 2: Anticoncepción y Fertilidad para Personas Transgénero y de Género Diverso (se requiere inscripción anticipada). Las personas transgénero y de género diverso (TGD, por sus siglas en inglés) representan un subconjunto cada vez mayor de las poblaciones de pacientes, pero muchos continúan reportando una falta de conocimiento de los proveedores cuando se trata de la salud TGD. Esta sesión se basará en la terminología de la salud TGD y los elementos esenciales de la competencia presentados en la Parte 1 de esta serie de seminarios web, revisando las recomendaciones basadas en la evidencia para la anticoncepción, la fertilidad y el asesoramiento para la construcción de la familia. Si no puede asistir al seminario web en vivo, una transcripción y una grabación del seminario web, junto con recursos adicionales, estarán disponibles en el sitio web de Family PACT en una fecha posterior.
Reunión del Comité Asesor de Partes Interesadas (SAC)/Salud Conductual (BH)-SAC
El 21 de mayo, de 9:30 a.m. a 3 p.m. PDT, DHCS organizará la reunión híbrida SAC/BH-SAC ( se requiere inscripción previa para la participación en línea y en persona) en 1700 K Street (sala de conferencias del primer piso 17.1014), Sacramento. SAC proporciona al DHCS valiosos aportes y comentarios sobre los esfuerzos para proporcionar un acceso equitativo a la atención médica de calidad. BH-SAC proporciona al DHCS información sobre iniciativas de salud conductual y fue creado como parte del esfuerzo continuo para integrar la salud conductual con el sistema de atención médica en general. El orden del día y otros materiales de la reunión se publicarán a medida que se acerque la fecha de la reunión. Para obtener más información, envíe un correo electrónico a SACinquiries@dhcs.ca.gov o BehavioralHealthSAC@dhcs.ca.gov.
Por si te lo perdiste
Proposición 35: Ley de Protección del Acceso a la Atención Médica-SAC
Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
Ya está abierta: Solicitud de la Ronda 4 para la Transición, Expansión y Desarrollo de la Capacidad y la Infraestructura (CITED) de Proporcionar Acceso y Transformar la Salud (PATH)
On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.
La fecha límite para solicitar el financiamiento de la Ronda 4 de PATH CITED es a las 11:59 p.m. PDT del 2de mayo de 2025. El documento de orientación y la solicitud están disponibles en la página web de PATH CITED. Por favor, envíe cualquier pregunta a cited@ca-path.com.