As 2024 comes to a close, we want to express our deepest gratitude for your partnership, advocacy, and collaboration. Together, we’ve made remarkable strides in transforming California’s health care system, advancing innovative programs, and ensuring that equitable, quality, and person-centered care reaches Californians who need it most.

Xyoo no tau txhais los ntawm kev ua siab loj, los ntawm cov ntawv sau keeb kwm ntawm Proposition 1, uas yog kev hloov pauv peb lub cev kho mob tus cwj pwm, mus rau kev nthuav dav ntawm Enhanced Care Management (ECM) thiab Community Supports raws li California Advancing and Innovating Medi-Cal (CalAIM). Cov kev pabcuam tshiab no mus dhau qhov kev xav tau kev kho mob, daws cov teeb meem tseem ceeb ntawm kev noj qab haus huv hauv zej zog, xws li vaj tse, kev ruaj ntseg zaub mov, thiab kev thauj mus los, thiab xyuas kom meej tias muaj kev saib xyuas zoo dua rau cov neeg uas peb pabcuam.

Lub hom phiaj tseem ceeb rau DHCS xyoo no yog kev tsim cov txheej txheem kev saib xyuas tshiab uas qhia txog kev ceev faj, kev lav ris, thiab kev tsim kho tshiab. Los ntawm Behavioral Health Continuum Infrastructure Program (BHCIP), peb tab tom daws cov teeb meem uas muaj ntev los lawm hauv cov chaw kho mob kev noj qab haus huv. Qhov tseem ceeb ntawm kev pab nyiaj txiag thiab kev qhib cov chaw kho mob tshiab thiab kev pib ua cov haujlwm tshiab uas tau txais nyiaj los ntawm cov ntawv cog lus tsis tuaj yeem hais dhau lawm. Cov chaw tshiab, cov txaj pw, thiab cov kev pabcuam no yog qhov tseem ceeb rau kev ua kom tau raws li qhov xav tau ntawm cov neeg California uas ntsib teeb meem kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv. Kev txav mus sai thiab ua tau zoo tsis yog ib lub hom phiaj xwb; nws yog ib qho tsim nyog.

Peb kuj tau hais txog kev lav ris thoob plaws txhua txoj haujlwm kom ntseeg tau tias cov peev txheej tau siv zoo thiab cov txiaj ntsig tau zoo dua. Txawm yog los ntawm kev tshaj tawm cov qhab nia zoo thiab kev rau txim rau cov phiaj xwm kho mob Medi-Cal (MCP) lossis kev siv cov tswv yim tshiab xws li Txoj Kev Npaj Kev Ncaj Ncees Hauv Kev Noj Qab Haus Huv, peb tseem tsom mus rau kev muab kev kho mob zoo uas muaj kev tsim kho tshiab, ua haujlwm tau zoo, thiab ncaj ncees.

Additionally, we completed a two-year public awareness campaign to educate diverse communities across the state about Medi-Cal enrollment and renewal, while highlighting the new and improved benefits and services available. This multi-faceted effort spanned across several counties, media markets, and formats to educate California’s historically hard-to-reach and underserved communities.

Hauv qab no, peb zoo siab qhia peb 10 Qhov Tseem Ceeb Tshaj Plaws ntawm xyoo 2024, qhia txog cov kev ua tiav tseem ceeb uas peb tau ua tiav ua ke xyoo no. Cov ntsiab lus tseem ceeb no tsis yog qhia txog lub zog ntawm kev koom tes xwb, tab sis kuj qhia txog qhov cuam tshuam uas peb tuaj yeem ua thaum peb ua haujlwm ua ke rau lub zeem muag sib koom.

1. Ptxoj haujlwm 1/Kev Hloov Pauv Kev Noj Qab Haus Huv ntawm Tus Kheej

California tau tsim keeb kwm los ntawm kev pom zoo ntawm Proposition 1, uas yog ib qho kev pib tseem ceeb uas tau qhib kev rau kev hloov kho loj heev ntawm California txoj kev noj qab haus huv tus cwj pwm. Qhov kev ntsuas no, uas Tus Thawj Kav Xeev Gavin Newsom txhawb nqa, kuj tseem muab $ 4.4 billion hauv cov nyiaj qiv rau DHCS los tsim cov txaj kho mob tshiab thiab cov chaw kho mob sab nraud. Ua ke cov kev nqis peev no yuav nthuav dav cov kev pabcuam rau cov tib neeg uas muaj kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv, suav nrog cov neeg uas tsis muaj tsev nyob, cov neeg uas muaj feem yuav raug kaw hauv tsev loj cuj, thiab cov hluas uas nyob hauv kev saib xyuas menyuam ntsuag.

Txij li thaum qhov kev pib no tau dhau los thaum Lub Peb Hlis 2024, DHCS tau qhib thawj Daim Ntawv Thov (RFA) rau cov nyiaj tshiab no, hu ua Proposition 1 BHCIP Bond Round 1: Launch Ready, muab txog li $ 3.3 billion hauv kev pab nyiaj sib tw los nthuav dav cov kev tsim kho vaj tse tseem ceeb thoob plaws lub xeev. Cov lus teb tau dhau los ua qhov tsis txaus ntseeg, nrog cov neeg tau txais nyiaj pab, suav nrog cov nroog, cov nroog, cov koom haum hauv pab pawg neeg, thiab cov koom haum tsis muaj txiaj ntsig, npaj siv cov nyiaj no los tsim thiab kho dua tshiab cov chaw uas muab cov kev pabcuam xav tau rau lawv cov zej zog. DHCS kuj tau qhia txog cov modules ntawm Behavioral Health Transformation Policy Manual, uas, thaum ua tiav lawm, yuav muab cov lus qhia sib tham rau cov nroog los tsim thiab siv cov phiaj xwm kev noj qab haus huv uas tau txais kev qhia los ntawm cov lus tawm tswv yim ntawm pej xeem. Cov kev siv zog no hais txog kev lav ris thiab kev pom tseeb, kom ntseeg tau tias Proposition 1 muab kev txhim kho uas ntsuas tau hauv kev saib xyuas. Ua ke nrog cov kev pab tseem ceeb ntawm cov neeg koom tes hauv zos, cov kev pib no tsim lub hauv paus rau kev kho mob tus cwj pwm uas ncaj ncees dua, nkag tau yooj yim dua, thiab teb tau sai dua rau txhua tus neeg California.

2. BHCIP Groundbreakings thiab Ribbon Cuttings  

Xyoo no tau cim cov cim tseem ceeb hauv kev nthuav dav cov kev kho mob kev coj cwj pwm, vim DHCS thiab cov neeg koom tes hauv zos tau ua kev zoo siab rau kev tsim kho ntau lub chaw kho mob uas tau txais nyiaj los ntawm BHCIP cov nyiaj pab. Cov haujlwm BHCIP thawj zaug, txhawb nqa los ntawm $ 1.7 billion nyiaj txiag uas tau tso cai rau xyoo 2021, daws cov teeb meem tseem ceeb hauv lub xeev lub peev xwm los muab kev kho mob rau kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv. Txij Modesto thiab Oakland mus rau Los Angeles thiab Indio, cov chaw no tab tom pib tsim kho tshiab thiab qhib rau cov neeg California. Nrog rau kev pab nyiaj txiag ntawm Proposition 1, ntau lub chaw kho mob tau teeb tsa los pib tsim kho, nthuav dav kev nkag mus rau kev saib xyuas thiab tsim kom muaj lub hauv paus ruaj khov rau cov kev pabcuam kev noj qab haus huv thoob plaws California.

3. Kev Ncaj Ncees-Involved Reentry Initiative

California became the first state in the nation to implement a federally approved CalAIM Justice-Involved Reentry Initiative, providing essential Medi-Cal services to individuals in jails and correctional facilities during the 90 days before their release. This groundbreaking program aims to ensure smoother transitions back into the community while addressing significant health equity gaps. As of October 1, three counties—Inyo, Santa Clara, and Yuba—began delivering these services, with all counties required to implement the initiative by 2026. By focusing on preventive care and continuity of services, the program helps reduce recidivism and supports better health outcomes for justice-involved individuals.

4. BrightLife Kids thiab Soluna Apps Launch

Txhawm rau daws cov kev xav tau kev noj qab haus huv ntawm cov tub ntxhais hluas, Tus Thawj Kav Xeev Newsom tau thov kom muaj cov platform virtual los xyuas kom meej tias cov tub ntxhais hluas thiab lawv cov neeg saib xyuas tuaj yeem tau txais kev txhawb nqa kev noj qab haus huv ntawm cov tub ntxhais hluas tau yooj yim dua. Ua teb rau qhov no, DHCS tau qhia ob lub apps tshiab: BrightLife Kids rau cov menyuam yaus hnub nyoog 0–12 thiab Soluna rau cov tub ntxhais hluas thiab cov tub ntxhais hluas hnub nyoog 13–25. Cov apps no muab ib txoj hauv kev tshiab tseem ceeb rau cov tsev neeg kom tau txais kev txhawb nqa kev noj qab haus huv ntawm lub hlwb, muab cov kev pabcuam ua lus Askiv, lus Mev, thiab lwm yam lus Medi-Cal. Cov apps xa cov kev cob qhia thiab cov peev txheej uas tsim los rau cov kev xav tau ntawm cov tub ntxhais hluas thiab lawv cov neeg saib xyuas, txhawb nqa cov tsev neeg nrog cov cuab yeej los daws cov teeb meem kev noj qab haus huv ntawm lub hlwb thiab txhim kho kev noj qab haus huv tag nrho.

5. Txhim Kho Kev Tswj Xyuas Kev Kho Mob (ECM) thiab Kev Pabcuam Zej Zog

Ua ib feem ntawm CalAIM, ECM thiab Cov Kev Pabcuam Hauv Zej Zog tab tom hloov pauv txoj kev uas Medi-Cal muab kev saib xyuas rau cov tswv cuab uas muaj kev xav tau nyuaj. Los ntawm kev daws teeb meem kev kho mob thiab kev sib raug zoo ntawm kev noj qab haus huv, xws li vaj tse, kev thauj mus los, thiab kev noj haus, cov txiaj ntsig thiab kev pabcuam no muab txoj hauv kev uas tsom mus rau tus neeg uas txhim kho cov txiaj ntsig kev noj qab haus huv tag nrho. Txij li thaum pib siv thaum Lub Ib Hlis Ntuj xyoo 2022, muaj 244,750 tus tswv cuab tau txais cov txiaj ntsig ECM, nrog rau kev nce 50 feem pua thaum Lub Plaub Hlis-Lub Rau Hli 2024 (127,024 tus tswv cuab) piv rau Lub Plaub Hlis-Lub Rau Hli 2023. Tsis tas li ntawd xwb, kwv yees li ntawm 239,500 tus tswv cuab tau nkag mus rau cov kev pabcuam Txhawb Nqa Hauv Zej Zog—uas yog 120 feem pua nce ntxiv txij li Lub Plaub Hlis-Lub Rau Hli 2023. Xyoo 2024, DHCS tau nthuav cov kev pabcuam no mus rau ntau lub nroog thiab nthuav kev tsim nyog ECM rau ob lub Populations of Focus tshiab: cov neeg cev xeeb tub thiab cov neeg tom qab yug menyuam thiab cov neeg koom nrog kev ncaj ncees.

6. providing Access and Transforming Health (PATH) Peev Xwm thiab Infrastructure, Kev Hloov, Kev nthuav dav, thiab Kev Txhim Kho (CITED) Cov Nyiaj Pab

Lub koom haum PATH-CITED tau muab $ 146.6 lab rau 133 lub koom haum, uas yog ib qho tseem ceeb rau lub kaw lus xa khoom Medi-Cal. Cov nyiaj pab no tsom mus rau kev txhim kho cov neeg ua haujlwm, thev naus laus zis, thiab kev tsim kho vaj tse, txhawb nqa cov neeg muab kev pabcuam tshiab thiab cov neeg uas twb muaj lawm kom ua tau raws li CalAIM cov lus cog tseg ntawm kev sib koom tes, kev saib xyuas tus neeg. Txog niaj hnub no, DHCS tau muab ntau dua $ 390 lab rau ntau dua 300 lub koom haum thoob plaws lub xeev, txhim kho lawv lub peev xwm los muab kev saib xyuas tus kheej tag nrho. Lub sijhawm kawg ntawm kev pab nyiaj txiag yuav qhib rau thaum pib xyoo 2025, uas qhia meej tias California cog lus tias yuav nthuav kev nkag mus rau kev kho mob tseem ceeb.

7. Medi-Cal MCP Kev Ntsuas Zoo

DHCS txuas ntxiv ua kom MCPs lav ris rau kev ua tau zoo. Xyoo 2024, DHCS tau tshaj tawm qhov kev ntsuas zoo txhua xyoo thib peb rau MCPs thiab, thawj zaug, cov phiaj xwm kev noj qab haus huv ntawm lub nroog. DHCS tau muab kev rau txim nyiaj txiag rau cov MCPs uas ua tsis tau zoo thaum tseem muab kev txhawb nqa los pab lawv txhim kho kev ua tau zoo. Cov kev ntsuas no tau tsim los ntawm daim ntawv cog lus tshiab ntawm MCP, uas siv tau rau lub Ib Hlis 1, 2024, uas teeb tsa cov hom phiaj rau cov phiaj xwm kom ua tau raws li lossis tshaj cov qauv zoo hauv tebchaws thiab cov kev cai lij choj txhim kho kev ncaj ncees ntawm kev noj qab haus huv. Cov kev ntsuas thiab kev rau txim yog ib feem ntawm DHCS ' Bold Goals 50 × 2025 qhov kev pib, uas lub hom phiaj yog los txhim kho cov txiaj ntsig kev noj qab haus huv hauv cov cheeb tsam xws li kev noj qab haus huv ntawm menyuam yaus, kev koom ua ke ntawm kev noj qab haus huv, thiab kev saib xyuas tiv thaiv.

8. Health Equity Roadmap Initiative Ncig saib

Ua ke nrog California Health Care Foundation, DHCS tau tshaj tawm Txoj Kev Npaj Kev Ncaj Ncees ntawm Kev Noj Qab Haus Huv los daws teeb meem kev tsis sib luag ntawm cov tswv cuab Medi-Cal, tshwj xeeb yog cov Neeg Dub, Cov Neeg Ib Txwm, thiab lwm cov zej zog uas muaj xim. Qhov kev pib no tau pib nrog kev ncig xyuas mloog thoob plaws lub xeev, thaum lub sijhawm ntawd cov kws tshaj lij DHCS tau hnov ncaj qha los ntawm cov tswv cuab Medi-Cal txog lawv cov kev paub dhau los thiab cov teeb meem nrog kev nkag mus rau kev kho mob. Cov ntaub ntawv uas tau txais thaum lub sijhawm mloog yuav qhia txog kev tsim daim ntawv qhia kev ncaj ncees rau kev noj qab haus huv zaum kawg, uas yuav tsim cov khoom tshwj xeeb, uas siv tau los tshem tawm kev ntxub ntxaug lwm haiv neeg thiab tshem tawm kev tsis ncaj ncees thiab kev tsis sib luag hauv kev noj qab haus huv. Los ntawm kev siv cov lus taw qhia ntawm zej zog, daim ntawv qhia kev yuav muab qhov tseem ceeb rau kev daws teeb meem uas tsim nyog rau kab lis kev cai, uas tsom mus rau tus neeg mob, thiab thaum kawg yuav tsim kom muaj lub cev kho mob zoo dua thiab suav nrog txhua tus neeg hauv California.

9. TRadictional Healers thiab Natural Helpers

Hauv ib qho keeb kwm tseem ceeb, Medi-Cal tam sim no them rau cov kev pabcuam kho mob siv tshuaj yeeb uas tsom mus rau kab lis kev cai uas muab los ntawm cov kws kho mob ib txwm muaj thiab cov neeg pab ntuj. Qhov kev hloov pauv tseem ceeb no ua rau California yog ib lub xeev ntawm plaub lub xeev uas muab kev them rov qab rau Medicaid rau cov kev kho mob ib txwm muaj. Cov zej zog Amelikas Qhab thiab Alaska Native yuav tau txais txiaj ntsig los ntawm kev nkag mus rau kev saib xyuas kab lis kev cai ntau ntxiv los ntawm cov chaw kho mob Tribal, cov koom haum Urban Indian, thiab lwm cov chaw muab kev pabcuam. Qhov kev hloov pauv no yog ib tshooj tshiab hauv kev koom ua ke cov kev coj ua ib txwm muaj rau hauv cov txheej txheem kev kho mob niaj hnub.

10. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog Hauv Zej Zog ntawm Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Kho Mob (BH-CONNECT)

Qhov kawg tab sis tsis tsawg tshaj plaws, DHCS tau xaus lub xyoo nrog kev pom zoo los ntawm tsoomfwv tebchaws ntawm BH-CONNECT , txhawb nqa California txoj kev siv zog los tsim kom muaj lub network muaj zog dua, tsom mus rau zej zog ntawm kev saib xyuas kev noj qab haus huv. BH-CONNECT ua kom tiav cov kev pabcuam tseem ceeb, muab cov nqi xauj tsev hloov pauv kom ruaj khov rau cov neeg uas muaj kev mob hlwb hnyav thiab kev siv tshuaj yeeb dej cawv, txhawb kev nkag mus rau cov kev pabcuam raws li pov thawj, muab nqi zog rau cov nroog rau kev nthuav dav kev saib xyuas thiab txhim kho cov txiaj ntsig, thiab nqis peev $ 1.9 billion los txhim kho cov neeg ua haujlwm kev noj qab haus huv. Cov kev hloov pauv no yog cov hauv paus tseem ceeb ntawm kev hloov pauv kev noj qab haus huv dav dua, ua kom ntseeg tau tias ntau tus neeg California tau txais kev kho mob zoo, nyob rau hauv qhov chaw zoo, thiab lub sijhawm zoo.

Tag nrho cov kev ua tiav no tsuas yog ua tau los ntawm kev mob siab rau thiab kev ua haujlwm hnyav ntawm Pab Pawg DHCS - ntau dua 4,000 tus neeg uas tau cog lus rau lawv cov peev xwm los pab cov neeg California. Raws li peb xav txog cov kev ua tiav no, peb tos ntsoov yuav txuas ntxiv peb txoj haujlwm ua ke hauv 2025 mus rau California noj qab haus huv rau txhua tus. Ua tsaug rau koj txoj kev koom tes thiab kev cog lus tsis tu ncua los hloov lub neej.