CalAIMメディカルの戦略は、子供と家族の健康と機会をサポートします
The Department of Health Care Services (DHCS) is responsible for the health care of more than 50 percent of California’s children and is committed to improving their health, supporting their families, and reducing barriers and disparities in care. To achieve these aims, DHCS launched Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families in March 2022, which integrates existing and new child and family health initiatives and strengthens DHCS’ accountability and oversight of children’s services. DHCS was guided by the following principles and considerations when shaping this strategy:
- 健康格差に対処し、健康の公平性を推進する。
- Implementing a whole-child, preventive approach to care informed by families’ needs and preferences;
- Providing family and community-based care that considers the health of a child’s parents, caregivers, and siblings in the context of the communities in which they live;
- サービス提供システムとサブスペシャリティ全体で統合ケアを促進する。
- サービスの提供における説明責任と監視の改善。そして
- Medi-Calを超えてDHCSパートナーシップを育成します。
アクションエリア
この戦略には、DHCSがMedi-Calに登録している子供と家族に焦点を当てている場所を示す主要なイニシアチブを含む8つの行動領域が含まれています。 これらのアクション領域には、次のものが含まれます。
- 新しいリーダーシップ構造とエンゲージメントアプローチ
- Stronger coverage base for California’s children
- より強力な小児予防およびプライマリケア
- 小児ワクチン接種へのアクセスの効率化
- 質の高い結果に対する新しい医療計画の説明責任
- 家族中心のアプローチ
- 子供と青年期の行動健康への投資
- ケアの里親養育モデルの次のステップ
主な文書
- Medi-Cal for Kids & Teens Outreach & Education Toolkit (2023年2月)
- Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)
情報ウェビナー
Medi-Cal for Kids & Teens Outreach & Education Toolkit All Comer ウェビナー (3月 1日、 2023日)
On Wednesday, March 1st from 11:00am- 12:00pm PT, DHCS hosted a webinar focused on the recently published Medi-Cal for Kids & Teens Outreach & Education Toolkit. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth from birth to age 21 access to preventive and medically necessary treatment services. DHCS developed the Toolkit to promote understanding of and access to EPSDT-covered services, which are available to the 5.7 million children, teens, and young adults enrolled in Medi-Cal. Included in the Medi-Cal for Kids & Teen Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen / young adult version), a member-facing letter explaining Medi-Cal rights for children, teens, and young adults, and a standardized training for Medi-Cal managed care providers. The All Comer webinar provided interested stakeholders the opportunity to learn more about the Toolkit, including how it was developed; how consumers, providers, and stakeholders can access the materials; and how the Toolkit will help advance Medi-Cal’s Strategy to Support Health & Opportunity for Children & Families.
最終資料は以下に掲載されています。
CalAIM EPSDT登録者向け直面材料オールカマーウェビナー(11月 18日、 2022)
On Friday, November 18th from 11:00 AM – 12:00 PM PT, DHCS hosted a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth under 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT-covered services, the comprehensive healthcare services available to the 5.6 million children and youth enrolled in Medi-Cal. Included in the EPSDT Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the “EPSDT” name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped, including who to contact and how to file grievances and appeals. The All Comer webinar provided interested stakeholders the opportunity to share public feedback and comment on the enrollee-facing materials.
資料の草案は以下に掲載されています。
- スライド
- 写し
- Draft EPSDT Enrollee Brochure – Child Version
- Draft EPSDT Enrollee Brochure – Teen Version
- ドラフトEPSDTはあなたのMedi-Calの権利レターを知っています
Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)
関連情報
- DHCS EPSDTウェブページ
- DHCS総合品質戦略
- CalAIMポピュレーションヘルスマネジメント(PHM)イニシアチブ
- Children & Youth Behavioral Health Initiative(CYBHI)(子供と若者の行動健康イニシアチブ)
- ACEs Aware Initiative(ACEs Awareイニシアチブ)
- 早期学習ケアのマスタープラン
質問とコメント
Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.