DHCS Stakeholder News Update – May 6, 2022
親愛なるステークホルダーの皆様へ
Department of Health Care Services(DHCS)は、DHCSプログラムに関する重要な進展と、COVID-19公衆衛生上の緊急事態に関連するガイダンスについて、この最新情報を提供しています。
DHCSエグゼクティブスタッフの変更
5月31日、行動健康担当副局長のケリー・ファイファーは、他の取り組みを追求するために州のサービスから引退します。 ケリーは、California Advancing and Innovating Medi-Cal(CalAIM)イニシアチブ、Behavioral Health Continuum Infrastructure Program(BHCIP)、Behavioral Health Modernizationプロジェクトなど、変革的で歴史的なメンタルヘルスおよび物質使用障害サービスプログラムとイニシアチブの開発と実施を3年間主導してきました。
ケリー氏の退任に伴い、行動健康担当副部長補佐のタイラー・サドウィス氏が副部長代理を務める。
BHCIPとコミュニティケア拡大プログラムの最新情報
The 2021-22 California State Budget provided once-in-a-generation investments in infrastructure funding alongside significant new state and federal resources to address homelessness, support health care delivery reform, and strengthen the social safety net. Together these commitments will address historic gaps in the behavioral health continuum to meet growing demand for services and supports. Infrastructure resources, led by DHCS and the California Department of Social Services, will ensure care can be provided in the least-restrictive settings by creating a wide range of options, including outpatient alternatives, urgent care, peer respite, wellness centers, social rehabilitation models, and licensed community care facilities. A variety of care placements can provide a vital off-ramp from intensive behavioral health service settings and transition the most vulnerable Californians to community living, as well as provide housing options for older adults and people with disabilities. For more information about these programs, please visit the BHCIP webpage.
Medi-Cal Rx 180日間の移行ポリシー
When Medi-Cal Rx launched, a 180-day transition policy was implemented to reduce the impact of the transition on Medi-Cal beneficiaries by extending their previously approved prescriptions, with or without previously approved prior authorizations (PA), through July 1, 2022. Medi-Cal Rx will continue to use historical PA and claims data for the transition policy beyond July 1, 2022. DHCS and Magellan Medicaid Administration are evaluating the appropriate time to terminate this transition policy. Detailed information will be provided in the coming weeks. Stakeholders will be given 90 days’ notice prior to the end of the 180-day transition policy.
ポピュレーションヘルスマネジメント(PHM)ベンダー契約
On May 9, DHCS will release an Invitation for Proposal (IFP) for a PHM Service vendor, as part of the CalAIM initiative. DHCS intends to award the resulting contract by July 2022. This procurement solicits applications for the development, operation, and eventual turnover to DHCS of the PHM Service.
PHMサービスは、リスクを管理し、ケアのギャップと健康の社会的推進力に対処しながら、Medi-Calの受益者への全人的ケアの提供を変革することを目指しています。 PHMサービスは、ビジネスパートナー(州の省庁、地元の郡のパートナーなど)の受益者中心の視点をサポートします。医療提供パートナー(病院、熟練した看護施設など)。また、マネージドケア組織(郡のDrug Medi-Cal、Medicare Advantageなど)は、ケアの質を向上させるために使用できる臨床およびプログラムデータにアクセスできます。
DHCS anticipates that implementation of the PHM Service will contribute to the overall CalAIM goal of improving beneficiaries’ quality of life and health outcomes, aligned with Medi-Cal initiatives outlined in Assembly Bill 133 (Chapter 143, Statutes of 2021). More information about the PHM Service is available in the draft PHM Program and Service Roadmap. For questions or comments, please email CalAIM@dhcs.ca.gov.