Tsev CalAIM: Hloov Medi-Cal Txoj Kev Saib Xyuas Kev Yug Me Nyuam ntawm DHCS​​ 

DHCS Txoj Kev Kho Yug Me Nyuam​​ 

Txhim Kho Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv Rau Niam Txiv hauv California​​ 

Cov Ntsiab Lus​​ 

Txheej Txheem Cej Luam: Kawm txog daim ntawv qhia kev npaj tswv yim uas tsim los daws cov kev xav tau ntawm lub cev, tus cwj pwm, thiab kev noj qab haus huv ntawm cov tswv cuab Medi-Cal cev xeeb tub thiab tom qab yug me nyuam. Kawm Paub Ntxiv Txog Daim Ntawv Qhia Txog Kev Npaj Txhij.
Daim Ntawv Qhia Txog Kev Saib Xyuas Thaum Yug Me Nyuam: Sau luv luv txog cov ntsiab lus thiab cov kauj ruam ua haujlwm los ntawm Daim Ntawv Qhia Txog Kev Saib Xyuas Thaum Yug Me Nyuam. Nyeem Daim Ntawv Qhia.
Kev Hloov Kho Tshiab Ib Xyoos: Qhia txog kev nce qib thiab kev ua tiav ntawm cov cai uas tau piav qhia hauv Daim Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yug. Nyeem ntxiv txog kev hloov tshiab txoj cai.
Kev Loj Hlob & Kev Koom Tes: Tshawb nrhiav seb Txoj Kev Saib Xyuas Menyuam Yug tau tsim los ntawm kev koom tes ntawm cov tswv cuab thiab cov khub ntawm Medi-Cal li cas. Tshawb Nrhiav Kev Loj Hlob & Kev Koom Tes.
Cov Kev Dais Teeb Meem Txoj Cai Kev Saib Xyuas Thaum Yug Me Nyuam thiab Cov Kev Npaj Txhij rau Kev Tshawb Fawb Ntxiv: Nkag siab txog cov kauj ruam uas DHCS tab tom ua tam sim no los txhim kho kev saib xyuas thaum yug me nyuam Medi-Cal nrog rau cov kev npaj txhij uas DHCS yuav tshawb nrhiav yav tom ntej. Saib Cov Kev Dais Teeb Meem Txoj Cai thiab Cov Kev Ua Haujlwm Zoo.
Saib Tom Ntej: Kawm txog cov kauj ruam tom ntej los txhawb kev noj qab haus huv ntawm niam thiab kev yug menyuam sib luag hauv California. Saib Dab Tsi Tom Ntej.
Cov Khoom Siv: Nkag mus rau cov ntawv xov xwm, cov ntaub ntawv tseem ceeb, cov nplooj ntawv web cuam tshuam, thiab cov lus nthuav qhia ntsig txog Txoj Kev Saib Xyuas Kev Yug Me Nyuam. Tshawb Nrhiav Cov Khoom Siv.​​ 

Txheej txheem cej luam​​ 

Ib yam li lwm lub tebchaws, California tab tom ntsib teeb meem kev noj qab haus huv ntawm leej niam. Txhua tsib hnub, ib tug neeg California poob lawv txoj sia vim muaj teeb meem ntsig txog kev cev xeeb tub. Txawm hais tias tus nqi tuag ntsig txog kev cev xeeb tub hauv lub xeev qis dua li tus nqi hauv tebchaws, nws tau nce siab hauv xyoo tas los no, thiab feem ntau ntawm cov kev tuag no tuaj yeem tiv thaiv tau. Tus nqi mob hnyav ntawm cov niam uas yug menyuam hauv California kuj tau nce siab thiab siab dua li tus nqi hauv tebchaws. Qhov teeb meem no cuam tshuam tsis sib npaug rau cov neeg Dub, Asmeskas Isdias/Alaska Native, thiab Pacific Islander.​​ 

Nrog Medi-Cal npog 40 feem pua ntawm kev yug me nyuam thoob plaws lub xeev, DHCS yog qhov tshwj xeeb los txhawb kev txhim kho tseem ceeb hauv kev noj qab haus huv niam thiab kev yug me nyuam. DHCS tau pib tsim ib txoj cai tswjfwm thiab kev saib xyuas tus qauv qhia txoj hauv kev hu ua Birthing Care Pathway hauv 2023 txhawm rau txhawm rau txhawm rau taug kev ntawm txhua tus cev xeeb tub thiab tom qab yug menyuam Medi-Cal los ntawm kev xeeb tub mus txog 12 lub hlis tom qab yug menyuam. Txoj Kev Kho Hniav yug me nyuam yog tsim los ua ib txoj hauv kev rau cov koom haum hauv lub xeev, cov phiaj xwm saib xyuas kev tswj hwm (MCP), cov nroog, cov chaw muab kev pabcuam, cov chaw pabcuam kev noj qab haus huv, kev pabcuam pub dawb, thiab lwm tus neeg koom tes tseem ceeb pabcuam rau cov tswvcuab cev xeeb tub thiab tomqab yug menyuam Medi-Cal. Lub hom phiaj ntawm Txoj Kev Kho Hniav yug me nyuam, uas tau txais kev txhawb nqa los ntawm California Health Care Foundation (CHCF) thiab David & Lucile Packard Foundation, yog txhawm rau txo cov niam txiv kev mob thiab kev tuag thiab hais txog kev ntxub ntxaug thiab haiv neeg uas tsis sib haum xeeb cuam tshuam rau cov neeg Dub, Neeg Asmeskas Khab / Alaska Native, thiab Pacific Islander cov tib neeg.​​ 

Daim Ntawv Qhia Txog Kev Saib Xyuas Thaum Yug Me Nyuam​​ 

Thaum Lub Ob Hlis Ntuj xyoo 2025, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yug Me Nyuam, uas:​​ 

  • Sau luv luv txog qhov xwm txheej tam sim no ntawm kev noj qab haus huv ntawm niam hauv Medi-Cal thiab piav qhia txog DHCS lub zeem muag rau Txoj Kev Saib Xyuas Kev Yug Me Nyuam.​​ 
  • Qhia cov kev tshawb pom los ntawm Birthing Care Pathway Medi-Cal cov tswv cuab koom nrog.​​ 
  • Muab ib qho kev piav qhia ntawm tus khub kev koom tes ua rau hnub no.​​ 
  • Sib tham txog cov cai DHCS tab tom ua rau Txoj Kev Kho Mob Yug Me Nyuam thiab qhia txog kev nce qib mus txog hnub no.​​ 
  • Txheeb xyuas cov sijhawm zoo rau kev tshawb nrhiav ntxiv rau Txoj Kev Kho Mob Yug Me Nyuam.​​ 

Daim ntawv tshaj tawm suav nrog ntau txoj cai daws teeb meem uas hais txog lub cev, kev coj tus cwj pwm, thiab kev noj qab haus huv cuam tshuam txog kev noj qab haus huv ntawm cov tswvcuab cev xeeb tub thiab tom qab yug menyuam los ntawm kev txhim kho kev nkag mus rau cov kws kho mob; ntxiv dag zog rau kev kho mob thiab kev saib xyuas kev sib koom ua ke thoob plaws hauv kev saib xyuas txuas ntxiv; muab kev saib xyuas tag nrho rau tib neeg; thiab hloov kho tshiab li cas Medi-Cal them rau kev saib xyuas me nyuam.​​ 

Yog xav paub ntau ntxiv txog Txoj Kev Kho Mob Yug Me Nyuam, suav nrog cov ncauj lus kom ntxaws txoj cai daws teeb meem thiab cov hauv kev zoo rau kev tshawb nrhiav ntxiv, thov nyeem tag nrho Daim Ntawv Qhia Txog Kev Kho Mob Yug Me Nyuam.​​ 

Nyeem Daim Ntawv Qhia Txog Kev Kho Mob Yug Me Nyuam​​ 

Kev Hloov Kho Ib Xyoos​​ 

Ib xyoos tom qab tso tawm Daim Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yug uas qhia txog 42 txoj cai, tag nrho muaj 28 txoj cai tau ua tiav, thaum 14 tseem tab tom ua. Los ntawm kev ua tiav cov kev daws teeb meem txoj cai uas tau teev tseg, DHCS txhawb nqa lub peev xwm los daws cov kev xav tau ntawm lub cev, tus cwj pwm, thiab kev noj qab haus huv ntawm cov poj niam cev xeeb tub thiab tom qab yug me nyuam. DHCS tau ua tiav qhov kev pom zoo rau Txoj Kev Hloov Kho Txoj Kev Npaj Hauv Xeev (SPAs), tau tshaj tawm Txhua Tsab Ntawv Hauv Lub Nroog thiab Cov Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv, thiab tau tshaj tawm cov lus qhia rau MCPs los ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg (PHM) thiab Cov Lus Qhia Txog Kev Tswj Xyuas Kev Noj Qab Haus Huv Ntxiv (ECM). Peb kuj tau hloov kho cov vev xaib, tuav cov webinars, thiab tso tawm cov ntaub ntawv txhawb nqa rau cov tswv cuab thiab cov neeg muab kev pabcuam los txhim kho kev nkag mus rau kev saib xyuas thiab kev tswj hwm ntawm cov neeg muab kev pabcuam. DHCS kuj tau koom tes nrog cov koom haum koom tes hauv xeev, xws li California Department of Public Health (CDPH), California Department of Social Services (CDSS), Office of the Surgeon General (OSG), thiab California Maternal Quality Care Collaborative (CMQCC) los tsim cov phiaj xwm tseem ceeb hauv xeev, cov lus qhia ua ke uas yuav tso tawm sai sai no rau kev mus xyuas tsev rau cov poj niam cev xeeb tub thiab cov poj niam tom qab yug me nyuam, thiab Kev Kawm Ua Ke rau kev siv txoj cai MCP.​​   

Nyeem ntxiv txog txhua qhov ntawm 42 txoj cai hloov tshiab.​​  

Kev loj hlob thiab kev koom tes​​ 

Txhawm rau tsim Txoj Kev Kho Mob Yug Me Nyuam, DHCS:​​ 

  • Assessed California’s existing maternal health policies and initiatives, national best practices, and evidence-based programs.​​ 
  • Tau txais Medi-Cal cov tswvcuab cev xeeb tub thiab tom qab yug me nyuam los qhia lawv cov kev paub dhau los thiab cov lus pom zoo.​​ 
  • Kev xam phaj ntau tshaj ob kaum ob lub xeev cov thawj coj, cov chaw zov me nyuam, cov koom haum hauv zej zog (CBO) cov thawj coj, Medi-Cal MCP cov neeg sawv cev, thiab cov neeg tawm tswv yim txog kev muaj vaj huam sib luag.​​ 
  • Tshaj tawm peb pawg neeg ua haujlwm tsom mus rau kev kho mob, kev tsav tsheb hauv zej zog kev noj qab haus huv, thiab lub sijhawm tom qab yug menyuam.​​ 
  • Caw cov tswv yim ntxiv ntawm Txoj Kev Kho Mob Yug Me Nyuam los ntawm cov chaw kho mob thiab cov chaw kho mob tsis yog chaw kho mob thiab cov koom haum sawv cev, cov chaw muab kev pabcuam kev sib raug zoo, MCPs, Cov kws kho mob pab pawg neeg, cov neeg sawv cev kev noj qab haus huv hauv zej zog thiab kev coj tus cwj pwm, thiab cov neeg tawm tswv yim thoob plaws lub xeev.​​ 

Medi-Cal Kev Koom Tes rau Cov Tswv Cuab​​ 

Thaum lub caij nplooj zeeg xyoo 2023, DHCS tau koom nrog 30 tus tswv cuab uas tam sim no cev xeeb tub lossis txog 24 lub hlis tom qab yug me nyuam los qhia lawv cov kev muaj sia nyob thaum yug los hauv Medi-Cal. Medi-Cal cov tswv cuab tau raug xaiv los sawv cev rau ntau yam kev paub dhau los thiab tshwj xeeb los sawv cev rau cov kev ua neej nyob ntawm cov pab pawg ntsib kev tsis sib haum xeeb. Cov tswv cuab tau koom rau hauv ib qho ntawm peb txoj haujlwm - kev xam phaj, sau ntawv xov xwm, lossis pab pawg ua haujlwm nrog lwm tus tswv cuab Medi-Cal - thiab txhua tus tau them nyiaj rau lawv txoj kev koom tes.​​  

Cov kev tshawb pom tseem ceeb los ntawm Birthing Care Pathway cov tswv cuab kev koom tes suav nrog:​​ 

  • Feeling Heard and Respected. Feeling respected and heard by health care providers is critical to a member’s perinatal experience in Medi-Cal. Members often feel that their birth plans and breastfeeding choices are not respected; however, members feel like midwives and doulas listen to their needs and preferences.​​ 
  • Kev ntxub ntxaug hauv Kev Kho Mob. Qee cov tswvcuab tau ntsib kev ntxub ntxaug hauv lawv qhov kev saib xyuas kev noj qab haus huv thaum cev xeeb tub, yug menyuam, thiab lub sijhawm tom qab yug menyuam, tab sis xav tias muaj kev sib raug zoo nrog lawv cov kws kho mob thiab tau txais kev txhawb nqa zoo dua thaum lawv tau txais kev saib xyuas ntawm haiv neeg.​​ 
  • Trust Building Opportunities. Lub sijhawm tseem ceeb rau kev tsim kev ntseeg siab nrog cov tswv cuab feem ntau tsis nco qab, tshwj xeeb tshaj yog nyob rau hauv cov kev qhia txog kev raug mob rau kev kuaj xyuas tus khub sib raug zoo (IPV), kev tawm hauv tsev kho mob zoo tom qab yug me nyuam, kev nkag mus rau cov twj tso kua mis zoo raws sij hawm, thiab kev sib tham txog kev soj ntsuam kev noj qab haus huv thiab kev xa mus rau cov kev pabcuam.​​ 
  • Kev Sib Koom Tes. Cov tswvcuab Medi-Cal feem ntau xav tias nws yog lawv lub luag haujlwm rau lawv tus kheej taug kev thiab sib koom tes ntau yam ntawm lawv qhov kev saib xyuas menyuam yaus - txij li kev sib koom tes ntawm lawv txoj kev saib xyuas thoob plaws cov kws kho mob sib txawv kom ntseeg tau Medi-Cal kev pab them nqi rau lawv tus kheej thiab lawv cov menyuam mos.​​ 
  • Kev Pabcuam Cwj Pwm Kev Noj Qab Haus Huv. Nrhiav cov kws kho mob puas siab puas ntsws uas lees txais Medi-Cal, tab tom noj cov neeg mob tshiab, thiab muaj kev paub dhau los yog qhov nyuaj; Medi-Cal cov tswv cuab xav tau kev txhawb nqa kev puas siab puas ntsws ntau dua.​​ 
  • Medi-Cal Benefits. Medi-Cal members often do not understand what Medi-Cal benefits and public benefits/social services are available to them during pregnancy or the postpartum period (e.g., doula services; Enhanced Care Management; Women, Infants, and Children Program (WIC)/CalFresh; and transportation services).​​ 

Kev Sib Koom Tes​​ 

Key Informant Interviews. Throughout summer and fall 2023, DHCS interviewed more than 25 state leaders, perinatal care providers, advocates, and representatives from CBOs, associations, and health plans. Interviewees represented such associations as the American College of Obstetricians and Gynecologists (ACOG), California Nurse-MidwivesAssociation (CNMA), and California Association of Licensed Midwives (CALM). Providers interviewed included obstetrician-gynecologists (OB/GYNs), family medicine physicians, certified nurse midwives (CNM), licensed midwives (LM), freestanding birth center (FBC) providers, pediatricians, addiction medicine physicians, reproductive psychiatrists, lactation consultants, doulas, and community health workers (CHW). DHCS also interviewed county leaders of Black Infant Health (BIH), WIC, and Maternal, Child, andAdolescent Health (MCAH) programs as well as CBO leaders and advocates focused on LGBTQI+ health; IPV services; and birth justice and supports for Black, American Indian/Alaska Native, and Pacific Islander individuals.​​ 

Pab pawg ua haujlwm. Thaum lub caij ntuj sov 2023, DHCS tau tsim peb pawg neeg ua haujlwm - Pab Pawg Saib Xyuas Kev Kho Mob, Cov Neeg Ua Haujlwm Pabcuam Kev Noj Qab Haus Huv, thiab Pab Pawg Ua Haujlwm Pabcuam tomqab yug menyuam - los qhia txog tus qauv tsim ntawm Txoj Kev Saib Xyuas Kev yug menyuam.​​ 

Pawg Neeg Saib Xyuas Kev Kho Mob tau txheeb xyuas kev saib xyuas kev kho mob uas tsim nyog rau cov tswv cuab Medi-Cal, txawm tias nyob hauv tsev kho mob, chaw yug menyuam, chaw ua haujlwm muab kev pab, lossis hauv zej zog, txij li thaum cev xeeb tub mus txog 12 lub hlis tom qab yug menyuam.
Pawg Neeg Ua Haujlwm Pabcuam Zej Zog ntawm Kev Noj Qab Haus Huv tau txheeb xyuas cov kev pab cuam thiab cov chaw muab kev pabcuam uas daws cov kev xav tau kev noj qab haus huv hauv lub sijhawm ua ntej yug menyuam thiab tom qab yug menyuam.
Pawg Neeg Ua Haujlwm Tom Qab Yug Me Nyuam tau hais txog yam uas cov kws kho mob tuaj yeem ua tau thaum lub sijhawm tom qab yug me nyuam kom ua tiav cov txiaj ntsig zoo rau kev noj qab haus huv thaum yug me nyuam.​​ 

Tag nrho peb pawg neeg ua haujlwm tau ntsib thoob plaws xyoo 2023 thiab 2024 los tham txog cov teeb meem tseem ceeb nrog Medi-Cal kev ua cev xeeb tub, yug me nyuam, thiab tom qab yug me nyuam thiab muab kev tawm tswv yim txog cov kev daws teeb meem. Cov tswv cuab ntawm pawg neeg ua haujlwm uas qhia txog kev cuam tshuam nyiaj txiag rau kev koom tes tau them nyiaj rau txhua lub rooj sib tham uas lawv tuaj koom.​​ 

Kev Koom Tes Ntxiv Ntxiv. DHCS kuj tau sau cov lus tawm tswv yim ntawm Txoj Kev Kho Mob Yug Me Nyuam los ntawm ntau lub rooj sab laj thoob plaws xyoo 2023 thiab 2024, suav nrog:​​  

Txoj Kev Saib Xyuas Kev yug me nyuam txoj cai daws teeb meem thiab lub sijhawm zoo rau kev tshawb nrhiav ntxiv​​ 

Cov Kev Npaj Txhij Rau Kev Tshawb Fawb Ntxiv​​ 

Txoj cai daws teeb meem thiab cov hauv kev zoo rau kev tshawb nrhiav ntxiv uas tau teev tseg hauv Daim Ntawv Qhia Txog Kev Kho Mob Yug Me Nyuam yog tsim los ntawm kev tawm tswv yim los ntawm ntau tus neeg koom tes, suav nrog cov tswv cuab cev xeeb tub thiab tom qab yug me nyuam Medi-Cal uas nws txoj kev ua neej nyob yog qhov tseem ceeb rau kev tsim txoj hauv kev Birthing Care Pathway.​​ 

Txoj cai daws teeb meem. DHCS tab tom siv 42 Txoj Kev Kho Mob Yug Me Nyuam Txoj Cai Txoj Cai daws teeb meem thoob plaws yim qhov chaw tsom, suav nrog:​​  

  • Kev Nkag Mus Rau Tus Kws Kho Mob thiab MCP Kev Saib Xyuas thiab Saib Xyuas: nthuav dav nkag mus rau ntau qhov chaw zov me nyuam, suav nrog cov kws kho mob, tus kws yug menyuam, thiab doulas; Txhim khu kev saib xyuas cov kev pab cuam me nyuam uas xa los ntawm Medi-Cal MCPs; thiab txhim kho kev sib txuas lus rau Medi-Cal cov tswv cuab ntawm cov txiaj ntsig thiab cov chaw muab kev pab.​​ 
  • Kev Noj Qab Haus Huv Tus Cwj Pwm thiab Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv: Kev nkag mus rau kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj ntau ntxiv thiab txhim kho kev kho mob uas raug mob.​​ 
  • Risk Stratification and Assessment: Txheeb xyuas cev xeeb tub thiab tom qab yug me nyuam Medi-Cal cov tswv cuab uas muaj kev pheej hmoo siab thiab txuas lawv mus rau cov kev pab cuam thiab kev txhawb nqa; thiab ntxiv dag zog rau kev sib raug zoo ntawm tus khub kev nruj kev tsiv.​​ 
  • Kev Tswj Xyuas Kev Noj Qab Haus Huv thiab Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv: Muab kev saib xyuas tag nrho cov neeg; hais txog cov kev xav tau ntawm tib neeg, nrog rau vaj tse thiab khoom noj khoom haus; thiab ntxiv dag zog rau kev koom tes nrog cov neeg muab kev pabcuam hauv zej zog uas muaj cov kws tshaj lij perinatal.​​ 
  • Perinatal Care for Justice-Involved Individuals: Ua kom yooj yim rau npe kawm hauv Medi-Cal thiab ua kom muaj kev nkag tau mus rau cov kev pab cuam ua ntej thiab tom qab tso tawm hauv tsev loj cuj lossis raug kaw.​​ 
  • Medi-Cal Maternity Care Payment Redesign: Kev them nyiaj rov qab nce ntxiv rau ntau qhov chaw zov me nyuam thiab txhawb nqa tus nqi them tus me nyuam.​​ 
  • Cov ntaub ntawv thiab kev ua tau zoo: Lub tsev sib koom ua ke rau kev sib faib cov ntaub ntawv; txhawb nqa hla kev sau npe ntawm Medi-Cal cov tswv cuab rau hauv cov kev txhawb nqa kev nyab xeeb tseem ceeb; thiab tsim kev ntsuas kev ua tau zoo tshiab los txhim kho qhov zoo ntawm Medi-Cal kev saib xyuas tus me nyuam.​​ 
  • Kev Koom Tes ntawm Lub Chaw Haujlwm hauv Xeev: Kev sib koom tes thoob plaws ntau yam kev pab cuam hauv California rau kev noj qab haus huv ntawm leej niam - xws li kev mus xyuas tsev thiab Kev Them Nyiaj So Haujlwm rau Tsev Neeg - los txhawb kev paub thiab kev nkag mus rau cov tswv cuab; thiab koom tes nrog California Department of Public Health (CDPH), Office of the California Surgeon General (OSG), thiab California Maternal Quality Care Collaborative (CMQCC) los tsim ib txoj Kev Npaj Tswv Yim Txog Kev Noj Qab Haus Huv ntawm Leej Niam thoob plaws lub xeev, uas Birthing Care Pathway ua lub hauv paus tseem ceeb, los txo cov niam tuag thiab kev mob nkeeg.​​ 

Supporting and strengthening the implementation and sustainability of many of these policy solutions in the Medi-Cal program is their alignment with DHCS’ Medi-Cal Transformation program areas currently being operationalized, such as PopulationHealth Management (PHM), Enhanced Care Management (ECM), Community Supports, and the Justice-Involved Reentry Initiative.​​ 

Strategic Opportunities for Further Exploration. DHCS’ engagement with Medi-Cal members and community partners identified several strategic opportunities for further exploration for the Birthing Care Pathway. These strategic opportunities include increasing access to maternity and behavioral health providers, strengthening MCP oversight and perinatal quality measures, and partnering with state agencies to improve maternal health. These opportunities are subject to additional assessment and planning and are contingent on external factors, such as legislative authority or additional state budget resources.​​ 

Postpartum Pathway Concept Paper​​   

Thaum Lub Xya Hli 2025, DHCS, Pawg Neeg Ua Lag Luam Yuav Khoom ntawm Kev Noj Qab Haus Huv (PBGH), California Maternal Quality Care Collaborative (CMQCC), California Department of Public Health (CDPH), thiab Office of the Surgeon General (OSG) tau koom ua ke tshaj tawm Enhancing Postpartum Care for California's Birthing Population through "The Postpartum Pathway": A Concept Paper.  Vim yog muaj teeb meem kev noj qab haus huv ntawm cov niam hauv California uas loj hlob zuj zus - thiab vim yog paub tias feem ntau ntawm cov niam uas muaj mob thiab tuag feem ntau tshwm sim thaum lub sijhawm tom qab yug menyuam - cov koom haum koom tes no tau sib sau ua ke ntawm xyoo 2022-2024 los xav txog kev sib koom tes zoo dua, tsom mus rau tus neeg mob rau kev saib xyuas tom qab yug menyuam. Thaum lub sijhawm ntawd, DHCS tau sib sau ua ke Pawg Neeg Ua Haujlwm Tom Qab Yug Me Nyuam los tsim kom muaj kev saib xyuas tom qab yug me nyuam hauv tsev kho mob.  Daim Ntawv Tswv Yim no ua kev nco txog kev ua haujlwm sib koom tes ntawm DHCS, PBGH, CMQCC, CDPH, thiab OSG. Nws sau cov ntsiab lus tseem ceeb los ntawm DHCS' Birthing Care Pathway Postpartum Sub-Workgroup, suav nrog cov lus qhia uas siv tau thiab cov qauv kho mob uas tau npaj tseg, uas ua ke lub hom phiaj yog txhim kho kev saib xyuas tom qab yug menyuam rau txhua tus neeg California. Txoj Kev Tom Qab Yug Me Nyuam yog ib qho kev cia siab, thiab nws cov lus pom zoo yuav xav tau kev sim los ntawm cov neeg koom nrog kom txiav txim siab seb puas ua tau thiab kev ruaj khov mus sij hawm ntev. ​​  

Read Postpartum Pathway Concept Paper.​​   

Transforming Maternal Health (TMaH) Model​​ 

In January 2025, the Centers for Medicare & Medicaid Services (CMS) announced California as one of 15 states selected for the federal ten-year Transforming MaternalHealth (TMaH) Model and awarded DHCS $17 million in federal funding to implement it. DHCS will implement TMaH in five Central Valley counties: Fresno, Kern, Kings, Madera, and Tulare. TMaH is a Medicaid and Children’s Health Insurance Program (CHIP) delivery and payment model designed to improve maternal outcomes and reduce health care expenditures through a whole-person approach to pregnancy, childbirth, and postpartum care. The TMaH Model will implement evidence-informed interventions within a value-based payment (VBP) framework, reimbursing providers based on patient health outcomes and quality of care, rather than the volume of services provided. DHCS will work with MCPs, providers, CBOs, and other partners to implement the TMaH Model, which is complementary and synergistic with the Birthing Care Pathway. While TMaH will be implemented in five counties, the Birthing Care Pathway is a statewide transformation effort designed to improve maternity care and outcomes in all 58 counties.​​  

Nyem qhov no kom nkag mus rau cov ntaub ntawv ntxiv txog CA Transforming Maternal Health Model​​ 

Saib tom ntej​​ 

Txoj Kev Birthing Care Pathway yog ib qho kev pib ntau xyoo rau DHCS txhawm rau txhim kho niam txiv kev noj qab haus huv thiab kev yug me nyuam hauv California. DHCS yuav txuas ntxiv ua haujlwm nrog cov chaw saib xyuas menyuam yaus thiab cov chaw muab kev pabcuam kev noj qab haus huv, cov thawj coj hauv xeev thiab hauv zos, MCPs, cov neeg txhawb nqa kev ncaj ncees rau kev yug menyuam, thiab lwm tus neeg koom tes los siv Txoj Kev Saib Xyuas Kev yug me nyuam uas siv cov peev txheej uas twb muaj lawm. DHCS tau cog lus tias yuav txo qis kev tuag ntawm cev xeeb tub thiab kev mob tshwm sim hauv California thiab kaw qhov kev ntxub ntxaug thiab haiv neeg tseem ceeb hauv cov txiaj ntsig kev noj qab haus huv ntawm leej niam los ntawm Txoj Kev Birthing Care thiab lees paub qhov no tsuas yog ua tau nrog kev sib koom tes, kev koom tes, thiab kev txhawb nqa ntawm txhua tus neeg thiab cov koom haum tau cog lus rau kev saib xyuas cev xeeb tub thiab tom qab yug me nyuam Medi-Cal cov tswv cuab.​​ 

Khoom siv​​ 

Xovxwm thiab Media​​ 

Cov ntaub ntawv tseem ceeb​​ 

Daim Ntawv Qhia Txog Txoj
Kev Tom Qab Yug Me Nyuam (Lub Xya Hli 2025) Daim
Ntawv Qhia Txog Txoj Kev Saib Xyuas Thaum Yug Me Nyuam (Lub
Ob Hlis 2025) Daim Ntawv Qhia Txog Txoj Kev Saib Xyuas Thaum Yug Me Nyuam Cov Lus Qhia Tseem
Ceeb(LubOb Hlis2025) Daim NtawvQhia Txog Qhov
Tseeb: Cov Kev Pabcuam RauCov Neeg Cev Xeeb Tub thiab Cov Niam Txiv Tshiab (Lub Ob Hlis 2025) Lus Mev , Lus Suav Ib Txwm , Lus Suav Yooj Yim, Lus Kauslim, Lus Tagalog, Lus Nyab Laj Daim Ntawv Qhia Txog Qhov Tseeb: Cov Kws Kho Mob, Cov Kws Pab Yug Me Nyuam, thiab Cov Kws Pab Yug Me Nyuam: Nrhiav Pab Pawg Saib Xyuas Zoo Rau Koj Txoj Kev Xeeb Tub (Lub Ob Hlis 2025)
Lus Mev , Lus Suav Ib Txwm, LusSuav Yooj Yim, LusKauslim , Lus Tagalog , Lus Nyab Laj​​ 

Kev Sib Koom Tes​​ 

Cov nplooj ntawv txheeb ze​​ 

Kev nthuav qhia​​ 





Kev



Sib Tham Hauv
Is Taws Nem Txog Txoj Kev Saib Xyuas Menyuam Yug Me Nyuam (Lub Peb Hlis Ntuj xyoo 2025) Ntawv Qhia Txog Kev Nthuav Qhia {cph0 Cov Ntaub Ntawv Sau Tseg cph0} Cov Ntaub Ntawv Sau Tseg Cov Ntaub Ntawv Sib Tham Txog Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Menyuam Yaus thiab Cov Hluas (PHM) Cov Ntaub Ntawv Sib Tham: Kev Saib Ua Ntej Txog Daim Ntawv Qhia Txog Kev Saib Ua Ntej Txog Txoj Kev Saib Xyuas Menyuam Yug Me Nyuam (Lub Kaum Hli Ntuj xyoo 2024) Cov Ntaub Ntawv Sau Tseg Cov Ntaub Ntawv Sau Tseg Ntsiab Lus Tseem Ceeb​​ 

CalAIM Webinar: Pib Kev Tswj Xyuas Kev Saib Xyuas Zoo Dua (ECM) rau Cov Neeg Yug Me Nyuam Uas Muaj Kev Sib Luag (Lub Ob Hlis 2024)
Cov Ntawv Qhia Txog Kev Nthuav Qhia
CovNtaub Ntawv Sau
Cov Ntawv Sau Tseg​​ 

Tiv tauj peb​​ 

For more information or any questions about the Birthing Care Pathway, please email BirthingCarePathway@dhcs.ca.gov.​​