Lub Xya Hli 28, 2025
Xov xwm tshaj plaws
Kev Taw Qhia Tsoom Fwv Teb Chaws Txiav: Kev nthuav qhia nrog CalHHS
Ua raws li kev kos npe tsis ntev los no ntawm HR 1 rau hauv txoj cai lij choj, California txuas ntxiv nws lub luag haujlwm los tiv thaiv kev noj qab haus huv thiab kev noj qab haus huv ntawm txhua tus neeg California. Saib ib qho kev nthuav qhia tseem ceeb txog qhov kev hloov pauv no yuav cuam tshuam li cas rau cov neeg California uas muaj DHCS Tus Thawj Coj Michelle Baass, California Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg (CalHHS) Tus Tuav Haujlwm Kim Johnson, Tus Thawj Saib Xyuas Kev Pabcuam Hauv Xeev California Jennifer Troia, thiab Covered California Tus Thawj Coj Jessica Altman.
DHCS Tshaj Tawm CalAIM Cov Lus Qhia Ntawv thiab pib Lub Sijhawm Tshaj Tawm rau pej xeem
Thaum Lub Xya Hli 23, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Kev Hloov Pauv ntawm Medi-Cal, uas piav qhia txog DHCS lub zeem muag thiab lub hom phiaj rau tsib xyoos, pib xyoo 2027, tom qab cov kev zam tseem ceeb ntawm tsoomfwv uas tso cai rau California Advancing and Innovating Medi-Cal (CalAIM) tas sij hawm rau lub Kaum Ob Hlis 2026. Daim ntawv qhia txog kev vam meej tsis ntev los no, qhov tseem ceeb tam sim no, thiab Lub Chaw Haujlwm lub zeem muag mus sij hawm ntev los txhawb thiab tswj hwm Medi-Cal ua ib lub cev uas tsom mus rau tib neeg, thiab
los ntawm kev ncaj
.Kev koom tes muaj zog ntawm cov neeg koom tes thiab kev koom tes thoob plaws hauv ntau qhov chaw (nrog cov tswv cuab Medi-Cal, cov koom haum hauv zej zog, cov phiaj xwm kev saib xyuas Medi-Cal, cov phiaj xwm kev noj qab haus huv ntawm lub nroog, Cov Pab Pawg Neeg, thiab cov chaw muab kev pabcuam) yog cov tsav tsheb CalAIM txoj kev vam meej. DHCS tseem cog lus tias yuav txuas ntxiv thiab txhawb nqa CalAIM txoj haujlwm thiab tab tom tawm tswv yim txog kev txhim kho uas sib haum nrog DHCS cov ntsiab cai thiab lub hom phiaj hloov pauv Medi-Cal. DHCS txoj kev qhia txuas ntxiv mus qhia txog lub siab ntawm CalAIM: muab cov tswv cuab tso rau hauv nruab nrab thiab txhawb nqa cov neeg koom tes hauv kev muab kev saib xyuas tus kheej tag nrho. Lub sijhawm 30 hnub rau pej xeem tawm tswv yim yuav pib txij lub Xya Hli 23 txog rau lub Yim Hli 22, nrog rau kev txais cov lus taw qhia los ntawm email ntawm 1115Waiver@dhcs.ca.gov.
Kev hloov kho tshiab
Hloov Kho Pej Xeem Txoj Cai Tswjfwm Saib Xyuas Kev Noj Qab Haus Huv Phau Ntawv Qhia Muaj rau Kev Npaj Kho Mob
DHCS tau tshaj tawm Txoj Cai Tswj Xyuas Kev Noj Qab Haus Huv Pej Xeem (PHM) kho tshiab rau cov phiaj xwm saib xyuas. Phau ntawv qhia tsim kom muaj kev sib koom ua ke, thoob plaws xeev txoj hauv kev uas ua kom cov tswvcuab Medi-Cal tau txais kev pabcuam kev noj qab haus huv zoo, uas ua rau lub neej ntev dua, muaj kev noj qab haus huv, thiab muaj kev zoo siab, txhim kho kev noj qab haus huv, thiab kev noj qab haus huv muaj vaj huam sib luag. Phau Ntawv Qhia Txoj Cai PHM qhia txog cov kev xav tau rau cov phiaj xwm kev tswj hwm hauv kev siv PHM cov kev cai. Cov kev cai no yuav pab xyuas kom txhua tus tswvcuab tau nkag mus rau cov kev pabcuam dav dav raws li lawv cov kev xav tau thiab kev nyiam nyob thoob plaws kev saib xyuas txuas ntxiv. Yog xav paub ntxiv txog PHM Txoj Cai Qhia, thov mus saib hauv CalAIM Population Health Management Initiative webpage.
Hloov Kho Lub Nroog Chaw Ua Haujlwm Locator Tool Tam sim no muaj
DHCS launched an enhanced version of the online Medi-Cal County Office Locator tool to improve the user experience for Medi-Cal members and stakeholders. The updated tool replaces the previous list of county offices with an interactive map. Users can now search for their local Medi-Cal county office by entering a zip code or county name or by enabling location services. Search results include office address, phone number, direct links to official county websites, and a “Get Directions” link for easy navigation. We invite you to explore the new County Office Locator and share this resource with those who may benefit from a quicker, more accessible connection to their local Medi-Cal office.
Cell thiab Gene Therapy Access Model Policy Updates
DHCS tsis ntev los no tau tshaj tawm ib qho tshiab Cell thiab Gene Therapy (CGT) Access Model seem ntawm Medi-Cal Tus Muab Kev Pab Cuam. CGT Access Model suav nrog cov kev kho mob hauv qab no: CASGEVY los ntawm Vertex Pharmaceuticals, Inc., tau txais txiaj ntsig zoo rau lub Cuaj Hlis 1, 2025, yuav raug hloov thiab zaum kawg Lub Chaw rau Medicare & Medicaid Services (CMS) pom zoo; thiab LYFGENIA los ntawm bluebird bio, Inc., pib lub Xya hli ntuj 1, 2025, raws li kev pom zoo los ntawm CMS. Cov ntaub ntawv ntxiv muaj nyob rau ntawm CGT Access Model lub vev xaib thiab tsis ntev los no cov FAQs tshiab. Tsis tas li ntawd, DHCS tau tshaj tawm ib qho tshiab, dav-raws li CGT seem ntawm Medi-Cal Tus Kws Kho Mob Phau Ntawv Qhia. Hauv seem tshiab no, siv tau rau cov hnub ua haujlwm rau lossis tom qab Lub Xya Hli 1, 2025, Cov Txheej Txheem Txheej Txheem Tam Sim No (CPT) code 38228 (chimeric antigen receptor T-cell [CAR-T] kho; CAR-T cell tswj, autologous) yog tam sim no them rov qab rau kev tswj hwm ntawm qee cov txheej txheem CAR-T, raws li tau teev tseg. Thov mus saib Cov Chaw Kho Mob Tshaj Tawm kom paub ntau ntxiv txog CGT Access Model thiab lwm yam kev hloov kho txoj cai. Thov xa email rau koj cov lus nug rau dhcscgt@dhcs.ca.gov.
2024 Elevate Youth California (EYC) Daim Ntawv Qhia Txhua Xyoo
DHCS, koom tes nrog Sierra Health Foundation: Lub Chaw rau Kev Tswj Xyuas Txoj Haujlwm, tau tshaj tawm 2024 EYC Daim Ntawv Qhia Txhua Xyoo. EYC yog ib qho kev pab cuam thoob plaws lub xeev hais txog kev siv yeeb tshuaj los ntawm kev nqis peev hauv kev coj noj coj ua ntawm cov hluas thiab kev koom tes hauv pej xeem rau cov hluas ntawm cov xim thiab 2S/LGBTQIA+ (2S/LGBTQIA+ = Ob-sab ntsuj plig, poj niam nyiam txiv neej, gay, bisexual, transgender, queer, thiab nug) cov hluas hnub nyoog 12 txog 26 kev ua tsov rog nyob hauv zej zog. Daim ntawv tshaj tawm no suav nrog cov ntaub ntawv los ntawm Rounds 3, 4, thiab 5 ntawm EYC-nyiaj pab koom tes txij lub Kaum Ib Hlis 2023 txog Lub Kaum Ob Hlis 2024. Yog xav paub ntxiv txog EYC, thov mus saib ntawm EYC lub vev xaib lossis email elevateyouthca@shfcenter.org.
Koom nrog peb pab neeg
DHCS tab tom nrhiav cov neeg muaj peev xwm thiab txhawb nqa los ua haujlwm xws li:
- Chief, Quality and Health Equity Division (QHED). The Chief of QHED, within Quality and Population Health Management, leads DHCS’ health care clinical quality and health equity initiatives, evaluations, assurance, and improvement efforts. The Chief of QHED is also responsible for developing and implementing policies and processes related to clinical quality and health equity improvement and assurance (compliance/monitoring) activities. Applications must be submitted by August 15.
- Senior Assistant Chief Counsel (ACC), Fiscal, Financing, and Privacy Branch. The Senior ACC, within the Office of Legal Services, oversees the development and application of legal advice and policy to support DHCS’ fiscal, financial, and privacy-related matters. This Senior ACC also provides legal advice and direction related to financing, rate setting, and third-party collections for the state’s Medi-Cal program. Applications must be submitted by August 15.
DHCS tseem ntiav rau nws cov accounting, coj tus cwj pwm noj qab haus huv, tswj kev saib xyuas, 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. DHCS muab cov kev pabcuam pub dawb, suav nrog kev txhais lus, kev sau npe hauv lub sijhawm, thiab hloov pauv cov ntaub ntawv sib tham. Txhawm rau thov cov kev pabcuam, thov xa email rau DHCS ntawm tus email chaw nyob uas tsim nyog tsawg kawg kaum hnub ua haujlwm ua ntej lub rooj sib tham.
All-Comer ASCMI thiab DSAG Housing/Reentry Toolkit Webinar
On July 29, from 3 to 3:50 p.m. PDT, DHCS will host an All-Comer Webinar to announce the release of the Authorization to Share Confidential Member Information (ASCMI) Form and provide an overview of the previously released Data Sharing Authorization Guidance (DSAG) Toolkits focused on Medi-Cal Housing Support Services and the Medi-Cal Justice-Involved Reentry Initiative. The ASCMI Form is a release of information form that Medi-Cal partners, including counties, agencies, providers, health plans, community-based organizations, and others, may use to obtain their clients’ consent to exchange their sensitive health and social services information. DHCS piloted the ASCMI Form in 2023 and is pleased to publish a revised version for Medi-Cal partners’ use when seeking to exchange their members’ sensitive information to coordinate their care. DSAG Toolkits illustrate real-world scenarios that will help Medi-Cal partners navigate complex data sharing and privacy laws and understand when consent is or is not needed to share information to support care coordination across sectors.
Mus saib nplooj ntawv Data Exchange and Sharing kom paub ntxiv txog DHCS cov cuab yeej sib pauv ntaub ntawv, kev taw qhia, thiab cov kev pib. Yog koj muaj lus nug txog cov no thiab lwm yam kev pab cuam sib qhia cov ntaub ntawv ntawm DHCS, thov xa email rau DHCSDataSharing@dhcs.ca.gov.
Kev Pabcuam Ambassador Webinar
On July 31, from 11 a.m. to 12 p.m. PDT, DHCS’ Coverage Ambassador webinar (advance registration required) will include an overview of how the 2025-26 budget will impact the Medi-Cal program and new resources available. The session will also provide information about California Achieving a Better Life Experience (CalABLE), California’s tax-advantaged savings and investment plan for individuals with disabilities. Coverage Ambassadors are encouraged to ask questions or share comments during the webinar.
Behavioral Health Transformation Public Listening Session
Thaum Lub Xya Hli 31, txij 12 txog 1 teev tsaus ntuj PDT, DHCS yuav tuav lub rooj sib tham mloog pej xeem txog Kev Saib Xyuas thiab Kev Soj Ntsuam thiab Daim Ntawv Teev Cov Kev Ua Haujlwm Raws Li Pov Thawj (EBP) Thaum Ntxov raws li Txoj Cai Kev Noj Qab Haus Huv Kev Coj Tus Kheej (yuav tsum tau sau npe ua ntej). Kev Saib Xyuas thiab Kev Soj Ntsuam yog DHCS txoj kev saib xyuas thiab kev ntsuam xyuas tsis tu ncua ntawm seb cov kev pabcuam kev noj qab haus huv tus cwj pwm tau muab li cas. Daim Ntawv Teev Npe EBP Thaum Ntxov uas tau xaiv los ntawm kev tshawb fawb tau lees paub thiab tau ua pov thawj tias muaj txiaj ntsig zoo rau kev cuam tshuam thaum ntxov hauv kev noj qab haus huv ntawm tus cwj pwm. Thaum lub rooj sib tham, cov pej xeem tuaj yeem tawm tswv yim txog ntau yam, suav nrog kev tshuaj xyuas kev ua raws li txoj cai, cov cai tswjfwm, thiab Daim Ntawv Teev Npe EBP Kev Pabcuam Thaum Ntxov uas raug cai los ntawm txoj cai lij choj. Mus saib nplooj ntawv web Behavioral Health Transformation kom paub ntxiv txog cov kev sib tham mloog pej xeem thiab cov peev txheej ntxiv. Thov xa cov lus nug txog Kev Hloov Pauv Kev Noj Qab Haus Huv thiab/lossis cov rooj sib tham rau pej xeem mus rau BHTinfo@dhcs.ca.gov. Tsis tas li ntawd xwb, peb xav kom koj sau npe rau cov kev hloov tshiab txog Kev Hloov Pauv Kev Noj Qab Haus Huv.
Behavioral Health Transformation Quality and Equity Advisory Committee Webinar
On August 12, from 11 a.m. to 1 p.m. PDT, DHCS will host the sixth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members can collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Once registered, you will receive a confirmation email with the webinar link and additional details. Attendees will be able to provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.
CalAIM Lub Rooj Sib Tham Txog Kev Noj Qab Haus Huv Tus Cwj Pwm
Lub Yim Hli 13, los ntawm 10 txog 11 teev sawv ntxov PDT, DHCS yuav tuav lub rooj sib tham CalAIM thiab BH-CONNECT Behavioral Health Workgroup (yuav tsum tau sau npe ua ntej). Lub rooj sib tham yuav muab cov kev hloov tshiab ntawm High Fidelity Wraparound cov kev pabcuam. Thov saib cov txheej txheem kom paub meej ntxiv. Cov tswv cuab ntawm pawg neeg ua haujlwm raug caw los qhia tawm tswv yim thaum lub rooj sib tham, uas yog qhib rau pej xeem. Rau cov lus nug lossis lus pom, thov email bhcalaim@dhcs.ca.gov.
Lub Rooj Sib Tham Behavioral Health Task Force
On August 13 at 10 a.m. PDT, the CalHHS Behavioral Health Task Force will hold its August meeting (advance registration required for virtual attendance). The agenda includes a panel discussion on the theme “Transforming Behavioral Health – Housing is Health,” featuring leading experts in medicine, housing policy, and county-level behavioral health services. The meeting will also include a discussion on the implementation of Proposition 1 and the Behavioral Health Services Act, followed by updates and public comment. This meeting is open to the public and will be held at the Clifford L. Allenby building, 1215 O Street, Sacramento, in conference rooms 110A and 110B. For questions or comments, please email BehavioralHealthTaskForce@chhs.ca.gov.
Hauv Case Koj Tsis Tau Nws
DHCS Lub Xyoo Nyiaj Txiag (FY) 2025-26 Cov Nyiaj Tau Los Tseem Ceeb, Cov Tswv Cuab Yuav Tsum Paub Txog Dab Tsi, thiab Hloov Kho Cov Lus Qhia Go-Live Tshaj Tawm
DHCS’ FY 2025-26 budget totals $202.7 billion to support DHCS programs and services. DHCS’ budget reflects the Newsom Administration’s ongoing commitment to invest in the health of all Californians within a responsible budgetary structure. The budget enables DHCS to continue transforming Medi-Cal into a more coordinated, person-centered, and equitable health system that works for Medi-Cal’s millions of members and California as a whole. The budget also continues to modernize the behavioral health delivery system, including the implementation of Proposition 1, improve accountability and transparency, and strengthen the continuum of community-based behavioral health care for all Californians. In addition, DHCS released the new What Medi-Cal Members Need to Know document to help Medi-Cal members and the providers and organizations that work with them understand the impact of budget changes. Finally, DHCS posted an updated DHCS Major Program Initiatives – Go-Live Dates document that includes detailed schedules for the rollout of new policies and services. We encourage all stakeholders to stay informed by regularly checking DHCS communications and participating in upcoming stakeholder meetings.
Kev Them Nyiaj Rau Cov Tub Ntxhais Kawm Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv
The California Department of Health Care Access and Information opened the application period for the Medi-Cal Behavioral Health Student Loan Repayment Program, which offers financial relief to behavioral health professionals who commit to serving Medi-Cal patients in underserved areas. This program is available for behavioral health professionals with educational debt, including licensed prescribing behavioral health practitioners, non-prescribing licensed or associate level pre-licensure practitioners, and non-licensed non-prescribing practitioners, including substance use disorder counselors, community health workers, peer support specialists, and wellness coaches. The program is part of the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) initiative’s workforce development funding opportunities. A webinar recording will soon be posted that provides information on eligibility and the application process. The application cycle closes on August 15, 2025.