2024年12月2日
プログラムの最新情報
2024年立法概要最終決定
DHCS’ Office of Legislative and Governmental Affairs issued the final 2024 Legislative Summary. This comprehensive report of all policy and budget bills impacting DHCS highlights those signed or vetoed by the Governor. It also includes full copies of veto messages, offering valuable insights into the decision-making process shaping California’s health care landscape.
This year’s legislative activity addressed critical topics, such as behavioral health reforms, Medi-Cal enhancements, and innovative approaches to community health and pharmacy benefits, showcasing California’s commitment to advancing health care for all.
Medi-Cal歯科コミュニティヘルスワーカーサービス
Effective December 1, Community Health Worker (CHW) services have been added as a benefit under Medi-Cal Dental. CHWs are important in addressing key barriers to dental care and serve as a bridge between Medi-Cal members and the oral health care system, offering support to help individuals access and maintain oral health. DHCS received federal approval on July 26, 2024, to extend CHW services to Medi-Cal Dental. The added CHW benefit integrates CHWs into the oral health care system to enhance preventive care and provide support services to Medi-Cal members. Medi-Cal Dental providers can now bill for CHW services under the updated dental fee schedule.
Covered CHW services include oral health education and oral health navigation assistance to help members access and maintain care. CHWs provide information, training, and support to help members navigate the oral health care system, understand how it works, and become active participants in their own care. In addition, CHWs connect members with community resources that promote oral health and address specific barriers. This includes connecting members to translation or interpretation services and arranging transportation for dental visits.
アクセスの提供と医療の変革(PATH)技術支援(TA)マーケットプレイスラウンド5ベンダー調達
On January 1, 2025, DHCS will open the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31, 2025. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but will focus on services for the following provider types: rural providers, Medi-Cal Tribal and Designee of Indian Health Program providers, maternal and child-serving providers, and transitional rent providers.
DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. The resources must be already fully developed, meet the needs of the TA Marketplace, and include a final cost. Organizations interested in applying to qualify as a TA vendor are encouraged to review the guidance document. Please submit questions to ta-marketplace@ca-path.com.
私たちのチームに参加しませんか
DHCSは、次のような役割を果たす才能と意欲のある個人を求めています。
- 監査および調査内の契約および登録レビュー部門(CERD)のチーフ。チーフは、健康保険、プロバイダー、およびDrug Medi-Cal組織化デリバリーシステムのコンプライアンスレビューのための活動を計画、整理、および指揮する責任があります。 チーフはまた、Medi-Calおよびその他のDHCSプログラムのプログラムの完全性に関連するポリシーと手順の開発と実施を主導します。 申請書は12月6日までに提出する必要があります。
- 戦略的パートナーシップオフィスの副所長 補佐は、他の部門、商業保険会社、およびChildren and Youth Behavioral Health Initiative、CalHOPE、Medi-Cal School-Based Services、Justice-Involved Reentry Initiativeなどのテクノロジーと慈善活動のイノベーターを含む、Medi-Calを超えた新しいセクター横断的な戦略的パートナーシップを構築する大規模なDHCSイニシアチブの計画、開発、および実施を主導します。 申請書は12月13日までに提出する必要があります。
DHCSは、健康政策、情報技術、およびその他のチームも採用しています。 詳細については、 CalCareersのWebサイトをご覧ください。
今後のステークホルダーミーティングとウェビナー
子供向け補聴器カバレッジプログラムウェビナー
12月3日午前11時から午後12時(太平洋標準時)まで、DHCSはウェビナーを開催し、補聴器の補償範囲の適用と、登録後の子供向け補聴器プログラムの特典の最大化に関するガイダンスを家族やコミュニティパートナーと共有します。 詳細および 事前登録については、 子供向け補聴器補償プログラムのウェブページをご覧ください。
PATH Collaborative Planning and Implementation (CPI) Best Practices Webinar
On December 6, from 10 to 11 a.m. PST, DHCS will host a public webinar, Hospital Engagement in CalAIM: Supporting Connection to Enhanced Care Management (ECM) Services Among Eligible Medi-Cal Members (advance registration required). Guest presenters include Dignity Health, University of California, San Francisco Medical Center, and Marshall Medical Center.
The webinar will explain and emphasize the value of hospitals engaging with California Advancing and Innovating Medi-Cal (CalAIM) providers in their region, recognize opportunities for improved collaboration on discharge planning among hospital staff and ECM or Community Supports providers, and identify opportunities for warm handoffs and other coordination strategies between hospital staff and ECM providers to improve member connection to ECM and Community Supports services. Please submit questions to collaborative@ca-path.com.
消費者中心のステークホルダー・ワークグループ(CFSW)
On December 6, from 10 to 11:30 a.m. PST, DHCS will convene the monthly meeting of the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage DHCS-Consumer-Focused-Stakholder-Workgroup-CFSW by noon on December 4. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.
DHCSハームリダクションサミット
DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder treatment system and create low-barrier, patient-centered care. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into substance use disorder treatment. Summits will be held in Fresno, Los Angeles, and San Diego counties in winter 2025. Register on the event website.
見逃した場合に備えて
DHCS Major Program Initiatives – Go-Live Dates (Updated)
From CalAIM to transforming the state’s behavioral health programs, DHCS’ initiatives provide equitable access to quality health care, leading to a healthy California for all. The links below reflect DHCS’ major program initiatives and anticipated go-live dates, pending readiness and federal approvals. This useful resource available on the DHCS website has been updated, as of November 22, and new information will be added as needed: DHCS Major Program Initiatives – Go-Live Dates.
2025年1月に登場する新しいファミリーPACTポータル
From January 13 through February 2, 2025, the Family Planning, Access, Care, and Treatment (Family PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs (HAP) Client Eligibility System to a new Family PACT portal. The HAP Client Eligibility System will be disabled on February 3, 2025, after which all Family PACT client enrollment, changes, and deactivations will be completed exclusively through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal.
To access the new portal, existing users must confirm and/or update current site certifier contact information in the Provider Application and Validation for Enrollment (PAVE) portal to receive their login credentials. Family PACT providers who do not have a current site certifier in PAVE must email site certifier information (National Provider Identifier, first and last name, and email address) to providerservices@dhcs.ca.gov as soon as possible.
To support Family PACT providers during this transition, beginning in December 2024, providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before it launches. Detailed instructions for accessing the Family PACT portal will be emailed to all enrolled and actively billing Family PACT providers in early January 2025.