DHCS Stakeholder News – August 19, 2022
親愛なるステークホルダーの皆様へ
医療サービス省(DHCS)は、DHCSプログラムに関する重要な進展について、この最新情報を提供しています。
トップニュース
Governor Unveils California’s Strategy to Support Youth Mental Health; Children and Youth Behavioral Health Initiative (CYBHI) is a Key Component
On August 18 in Fresno, Governor Gavin Newsom discussed California’s Master Plan for Kids’ Mental Health. He said, “Mental and behavioral health is one of the greatest challenges of our time…The Master Plan for Kids’ Mental Health is premised on a very simple belief: every single kid deserves to have their mental health supported.”
One of the key components of the Master Plan is CYBHI, a multiyear, multi-department package of investments that reimagines the systems that support behavioral health for all California’s children, youth, and their families. Efforts focus on promoting social and emotional well-being, preventing behavioral health challenges, and providing equitable, appropriate, timely, and accessible services for emerging and existing behavioral health needs for children and youth ages 0-25.
The $4.7 billion investment of state General Funds for CYBHI will improve access to behavioral health services for all children and youth in California, regardless of payer. Moreover, it will have significant implications for the Medi-Cal program since 5.4 million (approximately 54 percent) children and youth are enrolled in Medi-Cal. CYBHI will improve and change the way Medi-Cal’s children and youth access behavioral health service—virtually, through their communities and schools, and through their existing relationships with Medi-Cal managed care plans (MCP) and County Behavioral Health Plans.
As a component of CYBHI, DHCS will build and drive adoption of the Behavioral Health Virtual Services Platform for all children, youth, and families in California, regardless of payer. The platform will support the delivery of equitable, appropriate, and timely behavioral health services from prevention to treatment to recovery, and provide an e-Consult platform for pediatric and primary care providers to connect with BH providers.
CYBHI also includes statewide efforts that will make it easier for children, youth, and young adults to access behavioral health services in California’s schools. By January 1, 2024, DHCS, in collaboration with the California Department of Managed Health Care (DHMC), will develop and maintain:
- 学校敷地内またはその近くで25歳以下の学生に提供された外来患者のメンタルヘルスおよび物質使用障害サービスを払い戻すための、学校にリンクされた州全体の料金表。
- 学校にリンクされた州全体のプロバイダーネットワークで、学校現場の行動健康カウンセラーのネットワーク。
学校にリンクされたBHサービスの州全体の全支払者料金表は、商業健康保険とMedi-Cal配信システムの特定の範囲の利益と料金要件を提供し、学生にサービスを提供するために確立された料金でプロバイダーに払い戻しる必要があります。 料金表を確立することで、学校ベースの行動医療サービスの償還が合理化および促進され、それにより、学校サイトまたはその近くの生徒に提供される行動医療サービスの範囲が拡大し、子供、若者、および若年成人のサービスと結果へのアクセスが改善されます。
DHCSは、学校にリンクされた行動医療サービスへのアクセスを拡大するために、次の追加の取り組みを主導しています。
- Student Behavioral Health Incentive Program(SBHIP)は、3年間(2022年1月1日〜2024年12月31日)に合計3億8,900万ドルのインセンティブ支払いを提供し、MCP、地方教育機関(LEA)、および郡間の持続可能なパートナーシップとインフラストラクチャを構築します。
- 学生の行動健康(BH)サービスの調整を改善します。
- 移行期の幼稚園から12年生の生徒のための予防的および早期介入BHサービスを増やす。
- 学校のキャンパス内/近くで非専門のメンタルヘルスサービスを増やす。
- 学校のキャンパス内/近く、および/または学校提携のBHプロバイダーを通じて、BHサービスへのアクセスを増やします。
- DHCSは、学校、学校内のプロバイダー、学校関連のコミュニティベースの組織(CBO)、または学校ベースのヘルスセンターの25歳以下の個人に新しいサービスをサポートするために、学校にリンクされたパートナーシップとキャパシティグラントを直接提供します。 DHCSは、能力、パートナーシップ、インフラストラクチャを改善することにより、生徒の学校ベースのサービスへのアクセスを拡大し続けます。 この助成金は、2024年に州全体の全支払者料金表の実施を支援するように設計されています。
- DHCSは、CalHOPEイニシアチブを通じて、学校環境の子供や若者のための社会的および感情的な学習(SEL)環境に投資しています。 同省は、州内の他の57のCOEすべてと覚書を締結しているサクラメント郡教育局(COE)と契約し、州全体のSELコミュニティオブプラクティスの設立を含む実施の取り組みを主導しています。 各COEは、SEL戦略を拡大するためのニーズ評価と行動計画を策定しています。
Effective January 2023, Medi-Cal will cover integrated physical and behavioral health screenings and services for the whole family, not just the child who is the identified patient. This expansion is especially important for families in which the child is enrolled in Medi-Cal but the parent or caregiver is uninsured, and yet there is a need for dyadic treatment. Dyadic services involve simultaneous treatment for the child and parent/caregiver, with studies showing significant improvements in child behavior issues and increases in positive parent/child attachment. These services will include a number of screening, assessment, evaluation, and case management, in addition to integrated BH services, tobacco cessation counseling, and alcohol and/or drug use Screening, Brief Interventions and Referral to Treatment.
In addition, with input from stakeholders, DHCS will select a limited number of evidence-based practices (EBPs) and community-defined practices (CDPs) to scale throughout the state based on robust evidence for effectiveness, impact on racial equity, and sustainability. Medi-Cal MCPs, county BH plans, Medi-Cal providers and Indian Health programs would then be eligible to receive funding for scaling up these practices. By scaling EBPs and CDPs throughout the state, DHCS aims to improve access to critical BH interventions, including those focused on prevention, early intervention and resiliency/recovery, for children and youth, specifically focused on children and youth from Black, Indigenous, and people of color and lesbian, gay, bisexual, transgender, queer and intersex+ communities.
To provide comments, make recommendations, or obtain additional information about the CYBHI, please email CYBHI@dhcs.ca.gov.
コンティンジェンシーマネジメント(CM)提案依頼書(RFP)
On August 19, 2022, DHCS issued a RFP to support implementation of the California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Through the pilot, DHCS is committed to expanding access to evidence-based behavioral treatment to address the stimulant use disorder crisis that persists in California. CM, which provides motivational incentives to reduce the use of stimulants, is the only treatment that has demonstrated strongly positive outcomes for individuals with stimulant use disorder, including a reduction in or cessation of drug use and longer retention in treatment.
DHCS will implement the CM pilot program using an incentive manager vendor. The RFP seeks a vendor that would support the, management, tracking, and distribution of incentives. The pilot was scheduled to begin on July 1, 2022, but the inability to procure an incentive manager delayed implementation. Therefore, the new incentive manager vendor will likely onboard in November, and the anticipated CM pilot program start date will be in December or January 2023.
詳細については、DHCS CMプログラムのWebページをご覧ください。
プログラムの最新情報
司法関係者のための医療資金へのアクセスと変革(PATH JI)能力開発プログラム
On August 9, DHCS launched an online application for round two of the PATH JI Capacity Building Program to support activities focused on pre-release Medi-Cal eligibility and enrollment for justice involved Californians.
PATH JI Capacity Building Program funding supports collaborative planning as well as information technology (IT) system modifications necessary to implement pre-release Medi-Cal application and suspension processes. This program is providing a total of $151 million for correctional agencies and institutions and county social service departments, including sheriff’s offices, county probation departments, and the California Department of Corrections and Rehabilitation. Applications for round two must be submitted through the online application portal no later than December 31, 2022.
Visit the CalAIM PATH webpage for more information on PATH and the JI initiative. Please email justice-involved@ca-path.com with any questions about the application process.
Family PACT プロバイダー向けの Provider Application and Validation for Enrollment (PAVE) ポータル
On August 15, DHCS launched the PAVE portal for Family PACT (Planning, Access, Care, and Treatment) providers. The PAVE portal is a web-based application designed to simplify and accelerate enrollment processes, it is a new mode for submitting Family PACT provider enrollment applications and required documentation to DHCS. Beginning January 1, 2023, DHCS will no longer accept paper applications from providers seeking to enroll as a Family PACT provider.
福利厚生に関する3つの州計画修正案(SPA)のCMS承認
- On August 5, CMS approved SPA 22-0044 to allow “licensed practitioners” to prescribe physical therapy. This revision allows physician assistants and nurse practitioners to prescribe physician therapy, in addition to physicians, dentists, and podiatrists.
- 8月10日、CMSは SPA 22-0003 に喘息予防サービスを追加することを承認しました。 この新しい特典は、無免許の喘息予防サービスプロバイダーと認可された開業医が喘息教育と家庭評価を提供することを許可します。
- 8月12日、CMSは、2021年統合歳出法で義務付けられているように、臨床試験のための日常的な患者費用を承認する SPA 22-0017 を承認しました。 以前は、Medi-Calはがんの臨床試験の参加者のみを対象に、臨床試験の日常的な費用を負担していました。
公開されたCOVID-19情報
- 更新: Medi-CalCOVID-19ワクチン接種率
今後のステークホルダーミーティングとウェビナー
CalAIM免除修正公聴会
On August 22, DHCS is hosting a virtual public hearing to encourage and solicit stakeholder feedback on proposed waiver amendments regarding implementation of county-based model changes in the Medi-Cal Managed Care (MCMC) program. Advance registration for the CalAIM public hearing is required.
CalAIM第1115条のデモ申請および第1915条(b)の概要に関する追加情報は、 CalAIM 1115のデモンストレーションおよび1915(b)免除のウェブページで入手できます。 30日間のパブリックコメント期間は、2022年9月12日までです。
PATH Capacity and Infrastructure Transition, Expansion and Development(CITED)イニシアティブの最新情報
8月23日午後12時、DHCSは、CITEDアプリケーションの対象となるエンティティをサポートするための情報ウェビナーを仮想的に開催します。 DHCSは、9月8日午後2時30分に別の情報ウェビナーを開催します。 このウェビナーでは、CITEDファンドと申請プロセスに関する詳細な情報を提供します。
詳細については、 https://www.ca-path.com/cited をご覧ください。 CITEDイニシアチブと申請プロセスに関する質問は、 cited@ca-path.com に提出できます。 DHCSは、ウェビナー中およびフォローアップコミュニケーションで提出された質問に回答します。
CalAIMウェビナー:ECMとコミュニティがメンバーのエンゲージメントをサポート
On August 25 at 1:30 p.m., DHCS will virtually host a webinar on CalAIM ECM and Community Supports member engagement. Topics for this session will include provider and member communications, referrals, outreach, and enrollment.
CalAIM Member Engagement webinar advance registration is required. Participants are invited to submit questions by August 22 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have the opportunity to ask questions during the session. An additional “Office Hours” event will be held on September 1 at 2 p.m. for attendees to ask questions not covered during the webinar.
CYBHI月例公開ウェビナー
On August 29 at 3 p.m., DHCS will virtually host a public webinar to keep stakeholders apprised of DHCS’ progress in implementing various work streams for the CYBHI. Key attendees include, but are not limited to, youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, and commercial health plans, as well as education and other cross-sector partners. Advance registration for this CYBHI webinar is required.
CalAIM “Office Hours”: ECM and Community Supports Member Engagement
On September 1 at 2 p.m., DHCS will virtually host an “Office Hours” discussion on CalAIM ECM and Community Supports member engagement. As a follow-up to the August 25 webinar on this topic, this Q&A session will cover provider and member communications, referrals, outreach, and enrollment. Advance registration is required. Participants are invited to submit questions by August 29 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.
CalAIMウェビナー:ECM長期ケア集団の焦点
9月8日午後1時30分から、DHCSはCalAIM ECM Long-Term Care Populations of Focusに関するオールカマー向けウェビナーをバーチャルで開催します。 事前登録が必要です。 参加者は、9月5日から CalAIMECMILOS@dhcs.ca.gov 日までに質問を提出するよう求められています。 また、セッション中に参加者が質問する機会もあります。