カリフォルニア州、保険サービスを提供するプロバイダーの能力拡大に1億4500万ドルを交付​​ 

資金提供者は、会員のための包括的かつ個人中心のケアコーディネーションを実施できるようになります。​​ 

サクラメント —カリフォルニア州保健医療サービス局 (DHCS) は本日、メディケア加入者向けサービスを強化するため、全 58 郡の 153 組織に 1 億 4,550 万ドルの助成金を支給すると発表しました。強化ケア管理 (ECM) とコミュニティ サポートは、カリフォルニア州民全員に役立つ、より調整され、個人中心で、公平な医療システムを構築するために DHCS が Medi-Cal を広範囲に変革した California Advancing and Innovating Medi-Cal (CalAIM) の中核コンポーネントです。彼らは、複雑なニーズを持つ Medi-Cal 会員のために、対面でのケア調整、住宅支援、その他の重要なリソースを含む、カスタマイズされたコミュニティベースのサービスを提供しています。この賞は、 PATH (アクセスの提供と医療の変革) 能力とCITED (インフラストラクチャ、移行、拡張、開発) イニシアチブの一環であり、地元の医療提供者が全人的かつ地域ベースの医療を提供する能力を高めるのに役立ちます。​​ 

ECM とコミュニティ サポートの拡張をサポートするために、DHCS は、CITED、共同計画と実装、技術支援マーケットプレイスなどの PATH イニシアチブを通じて、2,200 を超える組織に 16 億 6,000 万ドル以上を授与しました。これらの取り組みにより、すでに 373,000 人を超える ECM 登録者が利用し、100 万件を超えるコミュニティ サポート サービスが提供され、子供や若者のアクセスが劇的に拡大し、2025 年初頭だけで前年比 120% の増加が見られました。​​ 

“PATH CITED represents a vital investment in the future of Medi-Cal and the health of California,” said DHCS Director Michelle Baass. “By empowering local providers, many of whom serve historically under-resourced communities, we are strengthening the foundation of a more equitable, person-centered delivery system. Together, we’re creating lasting change that connects Medi-Cal members to the care and support they need to live healthier, more fulfilling lives. I’m proud of the progress we’ve made and the partnerships that made it possible.”​​ 

Recent data show that investments like these are resulting in long-term savings for California’s Medi-Cal program. Community Supports have been proven cost-effective, reducing avoidable emergency department visits, hospitalizations, and long-term care use. By investing now, DHCS is helping ensure a more sustainable, efficient, and equitable health care system for the future.​​ 

以下の短いビデオを見て、PATH CITED の資金提供がどのようにサービスの拡大、スタッフの雇用、地域社会とのより強いつながりの構築に役立ったかについて、過去の受賞者から直接聞きましょう。​​ 

これが重要である理由: ECM とコミュニティ サポートは、複雑なニーズを持つ Medi-Cal メンバー向けに、対面でのケア調整、住宅サポート、その他の重要なリソースなど、カスタマイズされたコミュニティ ベースのサービスを提供します。PATH CITED は、ECM およびコミュニティ サポート プロバイダーがメンバー コミュニティにローカルで調整されたケアを提供するための能力を移行、拡張、および開発できるよう支援しています。受賞者は資金を以下の目的に使用します。​​ 

• アウトリーチおよびコミュニティベースの ECM サービスを提供するために新しいスタッフを雇用します。​​ 
• メンタルヘルスおよび物質使用障害の治療を含む外来臨床サービスをサポートします。​​ 
• 患者が Medi-Cal の給付およびサービスにアクセスできるようにするために IT 機器を購入します。​​ 
• ECM とコミュニティ サポートを提供する組織間の健康情報交換をサポートします。​​ 
• 監視およびデータ報告のためのシステムを強化します。​​ 

WHAT THEY’RE SAYING: “ECM and Community Supports are transforming how we care for Medi-Cal members with diverse and often intensive needs,” said Susan Philip, Deputy Director of DHCS’ Health Care Delivery Systems. “Just like in prior PATH CITED rounds, we are investing in the infrastructure and workforce that make whole-person care possible, ensuring that providers have the tools they need to deliver timely, compassionate, and coordinated care.”​​ 

“Thanks to PATH CITED support, Sanctuary Centers of Santa Barbara has turned an idea into a thriving clinic that continues to expand its reach and impact,” said Sanctuary Centers of Santa Barbara Interim CEO Stephanie R. Drake, PhD. “The Integrated Health Clinic is a model for collaborative, patient-centered care, bridging critical gaps in services and ensuring that Medi-Cal members receive the timely, high-quality, and compassionate care they deserve.”​​ 

“We did not have the staffing to follow up with people once they were housed, which led to more instability,” said Ronni Duncan, Care Management Manager at Adventist Health, a CITED awardee from previous rounds. “PATH CITED funds have allowed us to expand staffing, fill service gaps, and let case managers focus on their specific roles. Most of all, these programs have helped build community and provide hope and healing to people who may not have had access to the healing support we offer.”​​ 

“Thanks to PATH CITED funding, we are building a growing team of skilled case managers to meet our patients where they are – in homes, coffee shops, and throughout their communities to build trust and transform care,” said Jeniffer Zamora, Community Health Program Manager at Peach Tree Health, a CITED awardee from previous rounds.​​ 

“Supported by PATH CITED funding, Rady Children’s Hospital’s ECM program has expanded from San Diego County to also serve Riverside County,” said Russell Gagui, ECM Manager at Rady Children’s Hospital, a CITED Round 2 awardee. “As we grow, we remain committed to the principles that make pediatric ECM work: hiring from within the communities we serve, designing systems that support families’ real-world needs, and centering every effort around improving the lives of children with complex medical and social needs.” 
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“Through the CITED grants, we have been able to expand access to recuperative care and strengthen care coordination by hiring additional staff as well as updating our internal data systems, which has allowed us more time to focus on the acute needs of our clients,” said Tracy Wilson, Co-Founder and CEO of Rooted Life, a CITED Round 3 awardee. “CITED grants have been pivotal in allowing us to create robust program where we can focus on the stability and recovery of our clients.”

HOW WE GOT HERE: PATH is a five-year, $1.85 billion initiative launched in 2022, providing funds for community-based organizations, county agencies, hospitals, Tribes, and other community providers to support improved health care management and delivery through the Medi-Cal system. Recipients of PATH CITED awards are committed to serving historically under-resourced and underserved populations.​​ 

WHAT’S NEXT: Round 4 is the final PATH CITED funding round. DHCS will continue to listen to Medi-Cal members and providers to improve service delivery, making care more accessible, effective, and responsive to California’s diverse communities. This also includes utilizing the other PATH workstreams to listen intentionally and provide technical assistance, such as through the Technical Assistance Marketplace and the regional Collaborative Planning Implementation convenings. For more information about the PATH CITED initiative, visit the PATH website.
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