آوریل 14 ، 2025
اخبار برتر
DHCS برای شرکت در مدل دسترسی به سلول درمانی و ژن درمانی Medi-Cal تایید شده است
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.
به روز رسانی برنامه
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.
به تیم ما بپیوندید
DHCS به دنبال افراد با استعداد و با انگیزه برای خدمت در موارد زیر است:
- 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 همچنین برای تیم های حسابداری، سلامت رفتاری و سایر تیم های خود استخدام می کند. برای اطلاعات بیشتر، لطفاً به وب سایت CalCareers مراجعه کنید.
جلسات و وبینارهای ذینفعان آینده
DHCS جلسات عمومی آینده را در تقویم رویدادها پست می کند.
اجرای مزایای مراقبت های بهداشتی سنتی
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.
خانواده منتخب، قسمت 2: پیشگیری از بارداری و باروری برای افراد ترنسجندر و دارای تنوع جنسیتی
5 اردیبهشت از ساعت 10 الی 11:30 صبح PDT، DHCS میزبان وبینار خانواده انتخاب شده، قسمت 2: پیشگیری از بارداری و باروری برای افراد ترنسجندر و افراد متنوع جنسیتی خواهد بود (ثبت نام پیشرفته لازم است). تراجنسیتیها و افراد دارای تنوع جنسیتی (TGD) زیرمجموعهای رو به رشد از جمعیت بیماران را نشان میدهند، اما بسیاری همچنان کمبود دانش ارائهدهنده را در مورد سلامت TGD گزارش میکنند. این جلسه با بررسی توصیههای مبتنی بر شواهد برای پیشگیری از بارداری، باروری و مشاوره خانوادهسازی بر اساس اصطلاحات بهداشتی TGD و الزامات شایستگی ارائه شده در بخش 1 این مجموعه وبینار است. اگر نمی توانید در وبینار زنده شرکت کنید، متن و فایل ضبط شده وبینار به همراه منابع اضافی، در تاریخ بعدی در وب سایت Family PACT در دسترس خواهد بود.
جلسه کمیته مشورتی ذینفعان (SAC)/سلامت رفتاری (BH) - SAC
در 21 مه، از ساعت 9:30 صبح تا 3 بعد از ظهر به وقت محلی، DHCS میزبان جلسه هیبریدی SAC/BH-SAC (ثبت نام قبلی برای شرکت آنلاین و حضوری) در خیابان 1700 K (طبقه اول اتاق کنفرانس 17.1014)، ساکرامنتو خواهد بود. SAC ورودی و بازخورد ارزشمندی را در مورد تلاش ها برای ارائه دسترسی عادلانه به مراقبت های بهداشتی با کیفیت ارائه می دهد. BH-SAC ورودی DHCS را در مورد ابتکارات بهداشت رفتاری ارائه می دهد و به عنوان بخشی از تلاش مداوم برای ادغام سلامت رفتاری با سیستم مراقبت های بهداشتی بزرگتر ایجاد شده است. دستور جلسه و سایر مطالب جلسه با نزدیک شدن به تاریخ جلسه درج خواهد شد. برای اطلاعات بیشتر، لطفاً به SACinquiries@dhcs.ca.gov یا BehavioralHealthSAC@dhcs.ca.gov ایمیل بزنید.
در صورتی که شما آن را از دست داده است
پیشنهاد 35: حفاظت از دسترسی به مراقبت های بهداشتی قانون-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.
اکنون باز است: برنامه دور 4 انتقال، توسعه و توسعه زیرساخت و ظرفیت دسترسی و تبدیل سلامت (PATH) (CITED)
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.
آخرین مهلت درخواست برای بودجه PATH CITED راند 4 ساعت 11:59 بعد از ظهر به وقت PDT در ماه می 2 ، 2025 است. سند راهنما و برنامه کاربردی در صفحه وب PATH CITED موجود است. لطفاً هرگونه سؤالی را به cited@ca-path.com ارسال کنید.