اخبار برتر​​ 

پنج طرح برای خدمت به اعضای مراقبت مدیریت شده Medi-Cal تحت توافق​​ 

On December 30, DHCS and five commercial health plans – Blue Cross of California Partnership Plan (“Anthem”), Blue Shield of California Promise Health Plan, CHG Foundation d.b.a. Community Health Group Partnership Plan, Health Net Community Solutions, Inc. and Molina Healthcare of California – announced an agreement to deliver Medi-Cal services to Medi-Cal managed care members in 21 counties across the state starting in January 2024. RFP #20-10029 for the Medi-Cal MCPs was cancelled. 

The state’s top priority is to ensure that Medi-Cal members have access to managed care plans that provide high-quality and timely care and are focused on delivering on the State’s transformations that are designed to move the health system to become person-centered, equity-focused, and data-driven. To bring certainty for members, providers and plans, the state used its authority to work directly with the plans to re-chart our partnership and move with confidence and speed toward the implementation of the changes we want to see. As part of this agreement, Medi-Cal managed care plans will be held to new standards of care and greater accountability, helping ensure Medi-Cal members have the care and support they need to live healthier, more fulfilling lives.​​   

برنامه های ارائه دهنده Doula اکنون پذیرفته شده است​​ 

Effective January 1, 2023, DHCS added doula services throughout pregnancy, childbirth, and postpartum period as a Medi-Cal benefit. Updates to the Provider Application and Validation for Enrollment (PAVE) portal have been completed, and doulas may now access PAVE and submit their Medi-Cal enrollment application.

DHCS has created a self-paced video demonstration, Introduction to PAVE for Doula Providers, specifically for doula providers who are accessing PAVE for the first time. On January 10 at 10 a.m., DHCS will also host a virtual live session (advance registration required) to demonstrate how to use the PAVE portal. In addition, DHCS created a webpage, Medi-Cal: Doulas – Training as Medi-Cal Providers, that hosts different trainings for doulas regarding Medi-Cal. Additional trainings will be added as they become available.​​ 

برنامه ها و ابتکارات جدیدی که در سال 2023 راه اندازی می شوند​​ 

طرح‌های Medi-Cal زیر در ژانویه 1 ، 2023 راه‌اندازی شدند و برنامه Medi-Cal را به‌منظور جامع‌تر، هماهنگ‌تر، و شخص محورتر شدن بیشتر پیش بردند - و در نهایت منجر به بهبود نتایج سلامت برای اعضای Medi-Cal شد.​​  

• CalAIM Population Health Management (PHM) Program: Medi-Cal managed care plans (MCPs) began implementing the PHM Program, a cornerstone of CalAIM. The PHM Program establishes a cohesive, statewide approach that ensures all Medi-Cal members have access to a comprehensive program that leads to longer and healthier lives, improved health outcomes, and health equity. The updated PHM Policy Guide and new Frequently Asked Questions (FAQs) are available on the DHCS CalAIM PHM webpage.​​ 

• Enhanced Care Management (ECM) Expanded to Long-Term Care Populations of Focus:  MCPs launched the next phase of the ECM implementation, specifically for the long-term care population: adults living in the community and at risk for LTC institutionalization and adult nursing facility residents transitioning to the community. ECM is a Medi-Cal benefit that addresses the clinical and non-clinical needs of high-need, high-cost individuals through the coordination of services and comprehensive care management. ECM is part of the broader PHM Program through which MCPs will offer care management interventions at different levels of intensity based on member need, with ECM as the highest intensity level. For more information, please visit the ECM and Community Supports webpage. The updated ECM Policy Guide, ECM Implementation Timeline & Updated Populations of Focus, and ECM Model of Care Template Addendum II are now available on the DHCS CalAIM ECM and Community Supports webpage.​​ 

• Cal MediConnect (CMC) transition to Medicare Medi-Cal (Medi-Medi) Plans: Medi-Medi plans were launched in seven counties, and CMC members were automatically transitioned to Medi-Medi Plans in those counties. Medi-Medi Plans provide comprehensive care to individuals dually eligible for Medicare and Medi-Cal. DHCS also transitioned the Medi-Cal pharmacy benefit for these members to Medi-Cal Rx. Medi-Medi Plans will coordinate benefits and services across both Medicare and Medi-Cal including Part D drug coverage. Medi-Cal Rx will resume the role as the Medi-Cal pharmacy benefits administrator for non-Medicare prescription drug coverage. Post-implementation review monitoring will continue for several weeks.​​ 

• Long-Term Care Carve-in to Medi-Cal Managed Care: Under CalAIM, Medi-Cal MCPs will cover and coordinate institutional Long-Term Care in all counties in 2023 in a phased approach by facility type. This will provide a LTC resident with access to coordinated and integrated care within Medi-Cal managed care and make coverage consistent across California. All MCPs are now responsible for the full LTC benefit at skilled nursing facilities, including both freestanding and hospital-based SNFs. The January 2023 transition does not apply to Intermediate Care Facilities for Developmentally Disabled or Subacute Facilities.​​    
• Justice-Involved Pre-Release Medi-Cal Application Process: All counties are now required to implement a Pre-Release Medi-Cal Application Process as codified in Assembly Bill 133 (Chapter 143, Statutes of 2021) to ensure all eligible inmates and youth who are released from county correctional facilities (county jails) and county youth correctional facilities have Medi-Cal coverage upon release. Additional information can be found in All County Welfare Directors Letter (ACWDL) 22-27.
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• ثبت نام مراقبت مدیریت شده Medi-Cal در سراسر ایالت برای واجدین شرایط دوگانه و سایر جمعیت ها: اکثر اعضای دارای شرایط دوگانه که قبلاً در مراقبت مدیریت شده Medi-Cal ثبت نام نکرده اند، اکنون در برنامه های Medi-Cal ثبت نام می کنند. برنامه های Medi-Cal خدمات جامع و هماهنگی را برای اعضای واجد شرایط دوگانه ارائه می دهد. ارائه دهندگان Medicare که به بیماران دوگانه خدمات می دهند، برای ادامه دریافت بازپرداخت به طور معمول، نیازی به ثبت نام در طرح Medi-Cal ندارند. قبل از ژانویه 2023، بیش از 70 درصد از اعضای دارای شرایط دوگانه قبلاً در Medi-Cal MCP ثبت نام کرده بودند.  
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• CalAIM Incentive Payment Program (IPP): The IPP Program Year 2 began on January 1. From January 2022 to December 2024, the IPP provides incentive payments, totaling $1 billion, to MCPs in order to complement and expand CalAIM. The goal of IPP is to drive change at the MCP and provider level by building appropriate and sustainable capacity; investing in necessary delivery system infrastructure; bridging current silos across physical and behavioral health care service delivery; reducing health disparities and promoting health equity; achieving improvements in quality performance; and incentivizing MCP take-up of Community Supports. For more information, please visit the ECM and Community Supports webpage.​​ 
• CalAIM ارائه دسترسی و تغییر سلامت (PATH): در ژانویه، DHCS سازمان هایی را که از طریق دور اولیه (دور 1) ابتکار CalAIM PATH: CITED بودجه دریافت کرده اند را اعلام خواهد کرد. ابتکار PATH CITED بودجه ای را برای امکان گذار، گسترش و توسعه ظرفیت و زیرساخت ECM و Community Supports فراهم می کند. سازمان‌های مبتنی بر جامعه، بیمارستان‌های عمومی، آژانس‌های شهرستانی، قبیله‌ها و سایر ارائه‌دهندگان جامعه واجد شرایط درخواست در دوره دوم درخواست کمک‌های CITED در ماه فوریه هستند. در ژانویه، DHCS همچنین بازار کمک فنی (TA) را برای متقاضیان راه اندازی خواهد کرد که به نهادهای شرکت کننده در CalAIM امکان دریافت پشتیبانی و کمک را ارائه می دهد. برای اطلاعات بیشتر در مورد بازار TA، لطفاً از وب سایت PATH دیدن کنید.​​ 

چندین برنامه اصلی دیگر که به صورت آنلاین در ژانویه 1 ، 2023 عرضه می شوند، عبارتند از:​​ 

• Doula Services as a Medi-Cal Benefit: After working with stakeholders for more than a year to develop the benefit, DHCS will begin covering doula services in both the fee-for-service and managed care delivery systems. Doula services are aimed at preventing perinatal complications and improving health outcomes for birthing parents and infants. Services include personal support to women and families throughout a woman’s pregnancy, childbirth, and postpartum experience. This includes emotional and physical support provided during pregnancy, labor, birth, and the postpartum period. Doulas will now be able to submit their Medi-Cal enrollment application through the PAVE portal, a portal designed to simplify and accelerate the Medi-Cal enrollment process. DHCS submitted State Plan Amendment 22-0002 to the Centers for Medicare & Medicaid Services (CMS) on November 7, 2022, to add doula services as a covered Medi-Cal benefit.​​  

• Dyadic Services as a Medi-Cal Benefit: Dyadic services – such as Behavioral Health Well-Child Visits, specific assessment, screening, counseling, and brief intervention services – are a set of services provided specifically to a “dyad”: a child along with their parent or caregiver. Services provided to the parent or caregiver include depression screening, behavioral health assessment and interventions, screening for social drivers of health, and alcohol and drug screening, assessment, brief interventions and referral to treatment, among other services.
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• Medi-Cal Mental Health Services Screening and Transition Tools: After working with stakeholders for more than a year, DHCS finalized the standardized, statewide Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services. Under CalAIM, DHCS streamlined the mental health screening process and improving patient care by creating standardized, statewide tools to guide referrals of adult and youth members to the appropriate Medi-Cal mental health delivery system and ensure that members requiring transition between delivery systems receive timely and coordinated care. The tools are available on DHCS’ Screening and Transition of Care Tools for Medi-Cal Mental Health Services webpage.​​ 

سایر نسخه های قابل توجه و تحولات آینده عبارتند از:​​ 

• Updated Telehealth Policy: DHCS is making permanent many telehealth flexibilities from the COVID-19 public health emergency (PHE), including payment parity and broad coverage for clinically appropriate telehealth services. The updated policy will be published on January 16 in the Medi-Cal Provider Manual for telehealth, which will contain guidance on consent, establishing new patients via telehealth, billing guidance for services provided via audio-only, and brief virtual communications and check-ins.​​   

تمام انعطاف‌پذیری‌های فعلی که در طول PHE صادر شده‌اند، تا زمانی که PHE در حال اجرا است، باقی خواهند ماند و اکثر انعطاف‌پذیری‌های موجود در طول PHE پس از انقضای PHE ادامه خواهند یافت. در طول PHE، ارائه دهندگان خدمات باید برای راهنمایی در ارائه خدمات خود، به دفترچه راهنمای ارائه دهندگان خدمات درمانی از راه دور Medi-Cal و هرگونه راهنمایی اضافی PHE مراجعه کنند. پس از پایان PHE، ارائه دهندگان خدمات درمانی فقط باید به دفترچه راهنمای ارائه دهندگان خدمات درمانی از راه دور Medi-Cal مراجعه کنند.​​  

• Hearing Aid Coverage for Children Program (HACCP) Eligibility Expansion: Beginning January 1, DHCS welcomes newly eligible young adults ages 18 to 20 who meet other program criteria and need coverage for their hearing aid(s) and related services to apply for HACCP enrollment. Also, effective January 1, applicants under age 21 who meet program eligibility requirements may apply to enroll in HACCP even if they have partial other health coverage for hearing aids subject to a coverage limit of $1,500 or less per year. Additional program information is available on the HACCP webpage. Families can apply to enroll for coverage through HACCP’s Online Application Portal.
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• به روز رسانی قانون کمک، بازیابی و توانمندسازی جامعه (CARE): DHCS با آژانس خدمات بهداشتی و انسانی کالیفرنیا و شورای قضایی کالیفرنیا برای ارائه ارتباطات منسجم و توسعه آموزش برای ذینفعان قانون CARE کار می کند. قانون CARE مسیر جدیدی را برای ارائه خدمات سلامت روان و اختلالات مصرف مواد به آسیب‌دیدگان کالیفرنیایی که اغلب از بی خانمانی یا حبس بدون درمان رنج می‌برند، ایجاد می‌کند. DHCS آموزش اولیه و کمک های فنی را به آژانس های بهداشت رفتاری شهرستان برای حمایت از اجرای قانون CARE در بهار 2023 راه اندازی خواهد کرد. هفت شهرستان این برنامه را از اکتبر 1 ، 2023 و بقیه شهرستان ها حداکثر تا دسامبر 1 ، 2024 اجرا خواهند کرد.
   
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• Mobile Crisis Services Benefit: On December 19, DHCS released BHIN 22-064  providing guidance for implementation of the Mobile Crisis Services Benefit on January 1. Mobile crisis services are a community-based intervention designed to provide de-escalation and relief to individuals experiencing a behavioral health crisis wherever they are, reducing unnecessary law enforcement involvement and emergency department utilization. Mobile crisis services are provided year-round by a multidisciplinary team of trained behavioral health professionals in the least restrictive setting. Mobile crisis services include screening, assessment, stabilization, de-escalation, follow-up, and coordination with health care services and other supports.​​ 

• Recovery Incentives Program – California’s Contingency Management (CM) Benefit: In the first quarter of 2023, DHCS will pilot Medi-Cal coverage of CM in select Drug Medi-Cal Organized Delivery System (DMC-ODS) counties through the Recovery Incentives Program. As part of CalAIM, California became the first state in the nation to receive federal approval to cover CM services for substance use disorders (SUD). CM is an evidence-based, cost-effective treatment for SUD. DHCS intends to use the pilot as a basis for informing the design and implementation of a statewide CM benefit through the DMC-ODS program, pending budgetary and statutory authority.​​ 

به روز رسانی برنامه​​ 

گزارش ارزیابی نهایی برنامه آزمایشی مراقبت از کل فرد (WPC).​​ 

On December 23, DHCS submitted the WPC pilot program final evaluation report to CMS. The WPC pilot program was a demonstration program under California’s Medi-Cal 2020 waiver that concluded on December 31, 2021. The program aimed to achieve better care, better health, and lower costs for Medi-Cal members in California while promoting the coordination of health, behavioral health, and social services in a patient-centered manner.​​ 

The final evaluation report, developed by the UCLA Center for Health Policy Research, found that the pilot programs were successful in developing diverse and appropriate infrastructure, sharing data across sectors, and implementing new data systems. Further, the pilots were successful in delivering care coordination services, resulting in improved overall member health, reduced emergency department visits, and lowered inpatient utilization. The interventions achieved through the program lowered member costs by $99 per enrollee per year. The delivery infrastructure and partnerships developed during WPC enabled the successful transition to CalAIM’s ECM and Community Supports. The final evaluation report will be posted on the Medi-Cal 2020 Evaluations webpage later in January.​​ 

برنامه Youth Opioid Response California 3 (YOR 3).​​ 

DHCS released a RFA to strengthen capacity and access to prevention, treatment, and recovery services, as well as access points to Medication-Assisted Treatment (MAT), for youth (ages 12-24) and their families. This opportunity is designed to foster the coordination and strengthening of existing multi-system networks and encourage the development of new partnerships between agencies reaching youth. Implementation grantees may receive up to $750,000 and capacity building grantees may receive up to $50,000. For more information and to apply by the January 19 deadline, please visit the YOR CA website or email YORCalifornia@ahpnet.com.​​ 

جوایز MAT و California Hub and Spoke (CA H&SS).​​ 

On January 9, DHCS will award $52 million to 105 entities providing MAT services to implement the CA H&SS from January 1, 2023, to June 30, 2024. Each entity will receive between $100,000 – $1,848,000 annually to fund prevention, assessment, diagnosis, treatment, and recovery from opioid and substance use disorders. This funding opportunity will be used to further the development and implementation of regional “Hubs” (Regional Centers of Excellence in MAT) and “Spokes” (any federally approved DATA-2000 waivered prescribers who prescribe or dispense buprenorphine) to collectively enhance the opioid and substance use continuum of care. The project is funded by the State Opioid Response (SOR) III grant, awarded by the Substance Abuse and Mental Health Services Administration (SAMHSA), and is administered by Advocates for Human Potential, Inc. (AHP). For more information, please visit the MAT website.​​ 

تمدید برنامه های جایگزین خانگی و مبتنی بر جامعه (HCBA) و برنامه چشم پوشی Medi-Cal (MCWP)​​ 

On December 20, DHCS submitted formal responses to the CMS Request for Additional Information to reauthorize the HCBA and MCWP waivers. The current HCBA and MCWP waiver terms were set to end on December 31, 2021. On December 13, CMS approved a fifth temporary extension to allow the HCBA and MCWP waivers to continue to operate until March 26, 2023. CMS is expected to approve the HCBA and MCWP renewals in January 2023. Due to the delay in the review and approval process, CMS and the state agreed to delay the implementation date of the new HCBA and MCWP waivers to January 1, 2023, which extends the new waiver terms to the end of 2027.

The HCBA renewal includes several significant updates, including, but not limited to:​​ 

• افزایش ظرفیت کلی انصراف​​ 
• حداقل الزامات تجدید نظر شده برای صلاحیت مدیر پرونده مددکار اجتماعی​​ 
• نقش دایره حمایت را در معافیت تعریف کرد​​ 
• Added Assistive Technology as a waiver service, to maintain the participant’s health and safety​​ 
• محدودیت سنی برای خدمات استراحت و توانبخشی حذف شد​​ 
• شامل مراقبت های بهداشتی روزانه اطفال به عنوان یک نوع ارائه دهنده برای خدمات استراحت مبتنی بر تسهیلات​​ 
• اضافه شدن خدمات پیراپزشکی به عنوان خدمات طرح دولتی توسعه یافته​​ 

The MCWP renewal includes a limited number of significant updates, including:​​ 

• نام معافیت اصلاح شده​​ 
• حداقل الزامات تجدید نظر شده برای صلاحیت مدیر پرونده مددکار اجتماعی​​ 
• جدول زمانی اصلاح شده برای ارزیابی مجدد​​ 
• افزایش محدودیت هزینه​​ 
• نسبت کارکنان به مشتری به روز شده است​​ 

بررسی غربالگری و ارجاعات خشونت شریک صمیمی (IPV) برای پزشکان مراقبت های اولیه Medicaid​​ 

There is an upcoming invitation-only survey for Medicaid primary care clinicians who treated adult (18 years of age or older) Medicaid members in 2021. The Office of Evaluation and Inspections, a component of the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS), is conducting a study on challenges faced by primary care clinicians related to intimate IPV screening and referrals beginning January 9 on a rolling basis. The survey will focus on clinicians’ IPV screening (which is a recommended screening by the U.S. Preventive Services Task Force, referral practices, the challenges they encounter related to these services, and potential measures that might improve the screening for IPV. The survey is voluntary, and clinicians’ responses will be anonymous. Responses will be aggregated and will be used to help make recommendations to address the screening of patients experiencing IPV.​​ 

پزشکان می توانند اطلاعات بیشتر در مورد این مطالعه فدرال و سوالات متداول را در وب سایت HHS-OIG بیابند. برای سؤالات، به IPVsurvey@oig.hhs.gov ایمیل بزنید.​​ 

به تیم ما بپیوندید​​ 

DHCS is hiring Californians to join our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.​​ 

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 the Department is currently transforming the Medi-Cal program to make sure it provides the quality-focused and person-centered care Californians need to live healthier, happier lives.​​ 

جلسات و وبینارهای ذینفعان آینده​​ 

وبینارهای طرح سلامت رفتاری کودکان و نوجوانان (CYBHI).​​ 

On January 13 and 20, from 2 to 3 p.m., DHCS will virtually host webinars (advance registration required) on behalf of the CYBHI Evidence-Based and Community-Defined Evidence Practices grants program. These webinars will focus on the Round One: Parent and Caregiver Programs and Practices RFA. DHCS’ intent is to provide technical assistance by sharing responses to frequently asked questions received based on themes. During the webinars, DHCS will not address any live questions. Please email questions related to the round one to CYBHI@dhcs.ca.gov. DHCS will post the FAQs to the CYBHI webpage by January 9.​​ 

غربالگری CalAIM و انتقال ابزارهای مراقبت​​ 

در 19 ژانویه، از ساعت 3 تا 4 بعد از ظهر، DHCS یک وبینار در مورد غربالگری بزرگسالان و جوانان و انتقال ابزارهای مراقبتی (الزام به ثبت نام قبلی) برای ابتکار خدمات بهداشت روانی Medi-Cal برگزار خواهد کرد. این ابتکار بر اجرای غربالگری و انتقال ابزارهای مراقبتی در سراسر ایالت برای بزرگسالان و افراد زیر 21 سال برای استفاده توسط MCPs Medi-Cal و برنامه های سلامت روان شهرستان (MHPs) متمرکز شده است. این وبینار شامل یک مرور کلی از هدف ابتکار، مروری بر راهنمای نهایی و ابزارها و پاسخ به سوالات متداول خواهد بود. در پایان وبینار زمان برای جلسه پرسش و پاسخ در نظر گرفته می شود. برای اطلاعات بیشتر، لطفاً از صفحه وب غربالگری و انتقال ابزار مراقبت دیدن کنید.​​ 

وبینار ارائه دهنده HACCP​​ 

On January 24, from 12 to 12:50 p.m., DHCS will host a webinar session (advance registration required) to assist providers with information to help pediatric patients and their families to maximize the HACCP benefits. The training session will address the program requirements for families to apply for coverage and the claims submission process for audiologists, otolaryngologists, other physicians, and their office staff.​​ 

در صورتی که شما آن را از دست داده است​​ 

قانون اعتبارات تلفیقی 2023 و تعیین مجدد Medi-Cal​​  

On December 29, President Biden signed into law the Consolidated Appropriations Act of 2023 (the omnibus spending bill), which has broad implications for the Medi-Cal program and in particular the resumption of Medi-Cal redeterminations. Previously, the resumption of Medi-Cal redeterminations was tied to the termination of the COVID-19 public health emergency (PHE). With the passage of this bill, the continuous coverage requirements that paused all Medi-Cal redeterminations since March 2020 would be decoupled from the PHE termination date as of April 1, 2023, setting the stage for the resumption of Medi-Cal redeterminations.

CMS will provide updated guidance to states this month on the Medicaid program.  DHCS will update the Medi-Cal COVID-19 PHE Operational Unwinding Plan and additional plan, county and provider guidance once CMS releases updated guidance.  

DHCS will work closely with all Coverage Ambassadors to share newly developed outreach materials to Medi-Cal members across California. Individuals can join the DHCS Coverage Ambassador mailing list to receive the latest information and updated toolkits as they become available. For questions, please email Ambassadors@dhcs.ca.gov.​​ 

ECM و جامعه از داده‌های پیاده‌سازی اولیه پشتیبانی می‌کنند​​ 

در 22 دسامبر، DHCS داده های اجرای اولیه را برای ECM و Community Supports منتشر کرد، دو برنامه اصلی CalAIM که در سال 2022 راه اندازی شدند. ECM و Community Supports برای حمایت از اعضای نیازمند Medi-Cal و رسیدگی به عوامل اجتماعی که بر سلامت آنها تأثیر می گذارد، مانند مسکن و تغذیه، طراحی شده اند. داده‌ها دسترسی اولیه ECM و حمایت‌های اجتماعی را در ژانویه تا ژوئن نشان می‌دهد و رشد ثبت‌نام اعضا در هر دو برنامه، به‌ویژه در میان جمعیت‌هایی که از لحاظ تاریخی ضعیف هستند را برجسته می‌کند.​​ 

اطلاعات صورتحساب ارائه دهنده مدیکر برای بیماران واجد شرایط دوگانه​​ 

DHCS published an updated fact sheet for Medicare providers to explain the provider billing process for dual eligible members enrolled in Medi-Cal managed care. This fact sheet describes the existing crossover billing process, which does not change under CalAIM. Medicare providers serving dual eligible patients do not need to enroll in a Medi-Cal managed care plan (MCP) to continue receiving reimbursement. More than 70 percent of dual eligible members statewide are already enrolled in Medi-Cal MCPs. Medicare benefits and providers do not change upon enrollment in a Medi-Cal MCP.​​  

For patients in Original (FFS) Medicare, the Medicare Administrative Contractor processes the primary claim for Medicare payment, and then forwards the claim to the Medi-Cal MCP (or DHCS) for secondary Medi-Cal payment. For patients in Medicare Advantage (MA), the Medicare provider bills the MA plan for primary payment. The secondary payment process may depend upon whether the patient’s Medi-Cal MCP is the same or different than the MA plan. For more information, please visit the Statewide Medi-Cal Managed Care Enrollment for Dual Eligible Members webpage.​​ 

اطلاعات COVID-19 منتشر شد​​ 

• SPA 22-0070: مزایای مرخصی استعلاجی اضطراری COVID-19​​  
• SPA 22-0050 جهت شرکت کنندگان را برای خدمات توانبخشی گسترش می دهد​​