टॉप न्यूज़​​  

DHCS ने नवीनतम उन्नत देखभाल प्रबंधन और सामुदायिक सहायता त्रैमासिक रिपोर्ट जारी की​​ 

On March 27, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report summarizing utilization data from July 2024 through September 2024. Key highlights from the report include:​​ 

• लगातार वृद्धि: जनवरी 2022 में ECM लॉन्च होने के बाद से, 279,824 अद्वितीय मेडी-काल सदस्यों ने ECM लाभों में सफलतापूर्वक नामांकन किया है। अकेले 2024 की तीसरी तिमाही में, 143,188 अद्वितीय सदस्यों ने ECM लाभ प्राप्त किया, जो 2024 की दूसरी तिमाही से 13 प्रतिशत की वृद्धि है।​​ 
• युवाओं की भागीदारी: Q3 2024 में, 21 वर्ष से कम आयु के 28,342 बच्चों और युवाओं ने ECM लाभ प्राप्त किए, जो Q2 2024 से 13 प्रतिशत की वृद्धि को दर्शाता है।​​ 
• सामुदायिक समर्थन उपयोग: लगभग 296,500 अद्वितीय मेडी-काल सदस्यों ने सामुदायिक सहायता का उपयोग किया है, जिसमें कुल 754,000 से अधिक सेवाएं वितरित की गई हैं। अकेले 2024 की तीसरी तिमाही में, 136,031 अद्वितीय सदस्यों को सामुदायिक सहायता मिली, जो 2024 की दूसरी तिमाही से 7.5 प्रतिशत की वृद्धि है।​​ 
• सेवा पहुंच में वृद्धि: Q3 2024 तक, लगभग 90 प्रतिशत मेडी-काल सदस्यों के पास 14 सामुदायिक सहायता सेवाओं में से कम से कम 10 तक पहुंच थी। 41 प्रतिशत से अधिक सदस्यों के पास सेवाओं के पूर्ण सूट तक पहुंच है।​​ 
• उपयोग की जाने वाली प्रमुख सेवाएं: सामुदायिक सहायता का उपयोग करने वाले 61 प्रतिशत से अधिक सदस्यों ने चिकित्सकीय रूप से अनुकूलित भोजन/चिकित्सकीय रूप से सहायक खाद्य पदार्थों का उपयोग किया, और लगभग 32 प्रतिशत ने हाउसिंग ट्रायो (हाउसिंग ट्रांज़िशन नेविगेशन सर्विसेज, हाउसिंग टेनेंसी एंड सस्टेनिंग सर्विसेज, और हाउसिंग डिपॉजिट) से एक या एक से अधिक सेवाओं का उपयोग किया।​​ 

यह नवीनतम ECM और सामुदायिक समर्थन कार्यान्वयन रिपोर्ट तिमाही-दर-तिमाही उपयोग में निरंतर वृद्धि दर्शाती है क्योंकि फ़ोकस की अतिरिक्त आबादी ECM के लिए योग्य हो गई है और राज्य भर के काउंटियों में अतिरिक्त सामुदायिक सहायता सेवाएँ प्रदान की जाती हैं। DHCS को उम्मीद है कि आने वाले महीनों और वर्षों में ECM और सामुदायिक सहायता में अधिक नामांकन वृद्धि देखने को मिलेगी। 2025 में, DHCS विस्तारित ECM और सामुदायिक सहायता कार्यक्रम निगरानी प्रयासों, मजबूत हितधारक सहभागिता और नीति डिजाइन परिशोधन के माध्यम से इस वृद्धि को समर्थन और बनाए रखना जारी रखेगा।​​ 

प्रोग्राम अपडेट​​ 

सामुदायिक स्वास्थ्य कार्यकर्ता​​ 

Effective April 1, DHCS updated Medi-Cal’s existing Community Health Worker (CHW) policy to allow supervising Medi-Cal providers to bill for covered CHW services provided by CHWs using two new Healthcare Common Procedure Coding System (HCPCS) codes recently added by the Centers for Medicare & Medicaid Services (CMS). DHCS is updating this policy to allow CHWs to better address the economic and social conditions that influence Medi-Cal members and community health, such as food, housing, and transportation insecurities and access to essential utilities. DHCS’ updated CHW policy aims to more effectively support and promote improved health outcomes for Medi-Cal members by addressing needs affected by social drivers of health. DHCS also issued a State Plan Amendment Public Notice to set the rates for these two codes to 100 percent of the Medicare rate, pursuant to Welfare & Institutions Code Section 14105.25.​​ 

Additionally, on April 1, DHCS issued a statewide standing recommendation that all Medi-Cal members who meet defined eligibility criteria for receiving CHW services would benefit from CHW services. This standing recommendation, issued to improve access and reduce barriers to Medi-Cal members receiving and Medi-Cal providers rendering CHW services, is signed by Dr. Karen Mark, DHCS’ Medical Director for Policy and Evaluation. Consistent with existing policy, this standing recommendation authorizes CHWs to provide covered Medi-Cal CHW services, including health education, health navigation, screening and assessment, and individual support and advocacy.​​ 

हमारी टीम में शामिल हों​​ 

DHCS निम्नलिखित के रूप में काम करने के लिए एक प्रतिभाशाली और प्रेरित व्यक्ति की तलाश कर रहा है:​​ 

• 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.​​ 

डीएचसीएस अपने अनुबंधों, ऑडिट, प्रबंधित देखभाल, जनसंख्या स्वास्थ्य प्रबंधन और अन्य टीमों के लिए भी काम पर रख रहा है। और अधिक जानकारी के लिए कृपया CalCareers वेबसाइट पर जाएं।​​ 

आगामी हितधारक बैठकें और वेबिनार​​ 

DHCS posts upcoming public meetings on the Calendar of Events.​​  

स्ट्रांग स्टार्ट & बियॉन्ड पार्टनर वेबिनार​​ 

On April 2, from 12 to 12:45 p.m. PDT, California Surgeon General Dr. Diana E. Ramos will host the next Strong Start & Beyond partner webinar on prevention to improve lifelong health. Strong Start & Beyond is a bold movement to reduce California’s maternal mortality rate by 50 percent by December 2026. By leveraging the state’s investments and partnerships, we can foster awareness, encourage active participation in health, and build access to resources for mothers, pregnant people, and their families. Joining Dr. Ramos are Dr. Erica Pan, California Department of Public Health Director and State Public Health Officer; Dr. Bernadette Lim, Founder and Executive Director of the Freedom Community Clinic; and Dr. Atul Nakhasi, Transformational Physician Executive. Please contact the Office of the California Surgeon General if you have any questions.​​ 

उपभोक्ता केंद्रित हितधारक कार्यसमूह (CFSW)​​ 

On April 4, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted by April 2 on the DHCS Consumer-Focused Stakeholder Workgroup webpage.​​  

California Children’s Services (CCS) Advisory Group Meeting​​  

On April 9, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting (advance registration required). DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities, including the 2025 WCM expansion; county compliance, monitoring and oversight; and Medi-Cal Rx pediatric integration. Additional information and meeting details are available on the CCS Advisory Group webpage.​​   

डौला इम्प्लीमेंटेशन स्टेकहोल्डर वर्कग्रुप​​ 

On April 11, from 10 a.m. to 12 p.m. PDT, DHCS will host the next Doula Implementation Stakeholder Workgroup meeting, as required by Senate Bill 65 (Statutes of 2021, Chapter 449), to examine the implementation of the Medi-Cal doula benefit, in accordance with section 14132.24 of the Welfare and Institutions Code. The meeting will be held at 1501 Capitol Avenue, Sacramento, CA, and is open to the public. The link for this meeting will be available on the DHCS Doula Implementation Stakeholder Workgroup webpage. The workgroup will discuss ways to minimize barriers to doula services and continue discussions regarding the workgroup’s report to the Legislature, which must be posted on DHCS’ website by July 1, 2025.​​ 

प्रोटेक्ट एक्सेस टू हेल्थ केयर एक्ट (PAHCA) -स्टेकहोल्डर एडवाइजरी कमेटी (SAC)​​  

On April 14, from 11:30 a.m. to 3:30 p.m. PDT, DHCS will host the PAHCA-SAC meeting (advance registration for online participation required) at 1700 K Street (first-floor conference room 17.1014), Sacramento. The committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). For general inquiries or to receive more information about meetings, please email DHCSPAHCA@dhcs.ca.gov.​​ 

पारंपरिक स्वास्थ्य देखभाल पद्धतियां लाभ कार्यान्वयन​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribes and Indian Health Program Representatives meeting (advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Med-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.​​ 

अगर आप चूक गए तो​​ 

डीएचसीएस ने ओपिओइड यूज डिसऑर्डर ट्रीटमेंट अवार्ड्स की घोषणा की​​ 

On March 25, DHCS awarded $800,000 to two Local Emergency Medical Service Agencies to foster low-barrier access to clinically proven opioid use disorder (OUD) treatment for patients in an emergency medical services (EMS) setting who are at risk of overdose and often do not have access to services in other settings. The grants—awarded through the Emergency Medical Services Buprenorphine Use Pilot Program (EMSBUP) to the Stanislaus County EMS Agency and Ventura County EMS Agency—will enable these two agencies to address substance use disorder as a treatable emergency condition, utilizing paramedics to identify and treat patients who would benefit from medications for addiction treatment (MAT). MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in treating OUDs and helping some people sustain recovery.​​ 

नाउ ओपन: प्रोवाइडिंग एक्सेस एंड ट्रांसफॉर्मिंग हेल्थ (PATH) कैपेसिटी एंड इंफ्रास्ट्रक्चर ट्रांजिशन, एक्सपेंशन एंड डेवलपमेंट (CITED) राउंड 4 एप्लीकेशन​​ 

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.​​ 

The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PDT on May 2, 2025. The guidance document and application are available on the PATH CITED webpage. Please send any questions to cited@ca-path.com.​​