Plaub Hlis Ntuj 14, 2025
Xov xwm tshaj plaws
DHCS tau pom zoo los koom nrog Medi-Cal Cell thiab Gene Therapy Access Model
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.
Kev hloov kho tshiab
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.
Koom nrog peb pab neeg
DHCS tab tom nrhiav cov neeg muaj peev xwm thiab txhawb nqa los ua haujlwm xws li:
- 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 tseem ntiav rau nws cov accounting, tus cwj pwm noj qab haus huv, thiab lwm pab pawg. Yog xav paub ntxiv, thov mus saib hauv CalCareers lub vev xaib.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
DHCS tshaj tawm cov rooj sib tham pej xeem yav tom ntej ntawm Daim Ntawv Teev Npe ntawm Cov Txheej Txheem.
Txoj Kev Kho Mob Ncauj Ncauj Qhia Kev Ua Haujlwm Pabcuam
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.
Xaiv Tsev Neeg, Ntu 2: Kev Tiv Thaiv Kev Tiv Thaiv thiab Fertility rau Transgender thiab Poj Niam Txiv Neej Txawv Tebchaws
Lub Tsib Hlis 5, los ntawm 10 txog 11:30 sawv ntxov PDT, DHCS yuav tuav lub Tsev Neeg Xaiv, Ntu 2: Kev Tiv Thaiv thiab Fertility rau Transgender thiab Poj Niam Txiv Neej Txawv Tebchaws webinar (yuav tsum tau sau npe qib siab). Cov neeg hloov pauv poj niam txiv neej thiab poj niam txiv neej sib txawv (TGD) sawv cev rau cov neeg mob coob zuj zus tuaj, tab sis ntau tus tseem ceeb tshaj tawm qhov tsis muaj kev paub txog tus kws kho mob thaum hais txog TGD kev noj qab haus huv. Qhov kev sib tham no yuav tsim los ntawm TGD cov lus hais txog kev noj qab haus huv thiab kev muaj peev xwm tseem ceeb tau nthuav tawm hauv Tshooj 1 ntawm qhov webinar series los ntawm kev tshuaj xyuas cov pov thawj raws li cov lus pom zoo rau kev tiv thaiv kab mob, kev xeeb tub, thiab kev sib tham hauv tsev neeg. Yog tias koj tuaj yeem tsis tuaj yeem tuaj koom lub webinar nyob, daim ntawv teev npe thiab cov ntaub ntawv teev tseg ntawm lub vev xaib, nrog rau cov peev txheej ntxiv, yuav muaj nyob rau ntawm Family PACT lub vev xaib tom qab hnub.
Stakeholder Advisory Committee (SAC) / Behavioral Health (BH)-SAC Lub Rooj Sib Tham
Thaum Lub Tsib Hlis 21, txij 9:30 teev sawv ntxov txog 3 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham hybrid SAC/BH-SAC (kev tso npe ua ntej yuav tsum muaj rau kev koom tes hauv online thiab ntawm tus kheej) ntawm 1700 K Street (thaum lub rooj sib tham chav 17.1014), Sacramento. SAC muab DHCS nrog cov tswv yim tseem ceeb thiab cov lus tawm tswv yim txog kev siv zog los muab kev ncaj ncees rau kev saib xyuas kev noj qab haus huv zoo. BH-SAC muab DHCS nrog cov tswv yim ntawm kev coj tus cwj pwm kev noj qab haus huv thiab tau tsim los ua ib feem ntawm kev siv zog txuas ntxiv mus rau kev coj tus cwj pwm kev noj qab haus huv nrog rau kev saib xyuas kev noj qab haus huv ntau dua. Cov txheej txheem thiab lwm cov ntaub ntawv sib tham yuav raug tshaj tawm thaum hnub lub rooj sib tham mus txog. Yog xav paub ntxiv, thov xa email rau SACinquiries@dhcs.ca.gov lossis BehavioralHealthSAC@dhcs.ca.gov.
Hauv Case Koj Tsis Tau Nws
Txoj Cai 35: Tiv Thaiv Kev Nkag Mus Rau Txoj Cai Kho Mob-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.
Tam sim no Qhib: Muab Kev Nkag Mus Nkag thiab Hloov Kho Kev Noj Qab Haus Huv (PATH) Kev Muaj Peev Xwm thiab Cov Txheej Txheem Hloov Kho, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Daim Ntawv Thov Round 4
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.
Hnub kawg rau kev thov rau PATH CITED Round 4 cov nyiaj pab yog 11:59 teev tsaus ntuj PDT rau lub Tsib Hlis 2, 2025. Cov ntaub ntawv qhia thiab daim ntawv thov muaj nyob rau ntawm PATH CITED lub vev xaib. Thov xa cov lus nug rau cited@ca-path.com.