2025年6月23日
プログラムの最新情報
Medi-Cal移民の資格に関するFAQ
DHCS posted updated frequently asked questions (FAQ) on Medi-Cal eligibility. If you do not find an answer to your question, you may contact your local county office (by phone or in person) or email Medi-Cal member support for help in your preferred language. Also, on June 13, DHCS issued a statement about its commitment to protecting the privacy and well-being of all Medi-Cal members. Recent reports have raised serious concerns about how federal agencies may be using Medicaid data, including the personal data of all 15 million Californians covered by Medi-Cal.
Quality Incentive Pool(QIP)プログラム6年目評価レポート
On June 19, DHCS posted the QIP Program Year 6 (calendar year 2023) evaluation report, as required by the Centers for Medicare & Medicaid Services (CMS). QIP began in 2017 to incentivize Designated Public Hospital (DPH) and District and Municipal Public Hospital (DMPH) systems to improve the quality of care provided to Medi-Cal members. QIP is a directed payment program under Code of Federal Regulations (CFR) Section 438.6(c), which provides states with the flexibility to implement delivery system and provider payment initiatives under Medicaid managed care plan contracts.
QIP supports the state’s quality strategy by tying funding to performance on specific high-priority measures. The evaluation report assesses the impact of $2.2 billion in directed payments to participating hospital systems in 2023, based on the quality of inpatient and outpatient services for Medi-Cal members who received care at DPHs and DMPHs. In 2023, DHCS continued to require DPHs to make improvements on a set of nine mandatory priority measures and continue meaningful work on some of the 47 elective measures selected by each QIP entity. DPHs improved on eight of nine priority measures, and DMPHs improved on seven of nine priority measures, as compared with 2022. The report also showed QIP entities met performance targets more frequently in 2023 than in 2022.
私たちのチームに参加しませんか
DHCSは、会計、医療費融資、統合医療システム、その他のチームで人材を募集しています。詳細については、 CalCareersのウェブ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
DHCSは、今後の公開会議を イベントカレンダーに掲載しています。DHCSは、言語通訳、リアルタイムキャプション、会議資料の代替フォーマットなどの無料の支援サービスを提供しています。サービスをリクエストするには、会議の少なくとも10営業日前までに、適切な連絡先メールアドレスにDHCSに電子メールを送信してください。
Bond Behavioral Health Continuum Infrastructure Program(BHCIP)ラウンド2:満たされていないニーズ情報ウェビナー
6月23日午後1時から2時(太平洋夏時間)に、DHCSは、債券BHCIP第2ラウンド:未充足ニーズ助成金の申請および交付プロセスに関する情報提供ウェビナーを開催します。6月24日午後2時から3時(太平洋夏時間)に、DHCSは部族関連団体向けに、部族固有の情報を確認するための2回目のウェビナーを開催します。DHCSは、不動産の建設、取得、および/または改修を通じて地域密着型の行動医療施設を拡充する適格団体に対し、8億ドルを超える競争的助成金を交付する予定です。債券BHCIP第2ラウンドの助成金は、既存のサービス提供能力を維持することを目的としたものではありません。プロジェクトは、メディカル加入者およびホームレス、退役軍人、高齢者、障害のある成人、子供や若者などの社会的弱者層への支援を約束しなければならない。応募資格および要件については、応募要項を参照してください。これは、住民投票案1号に基づく行動医療インフラ債券法による最後の資金調達ラウンドであり、すべての適格団体が応募可能です。詳細については、 BHCIPのウェブサイトをご覧いただくか、 BR2@ahpnet.comまでメールでお問い合わせください。
CDCガイドラインウェビナー
On June 24, from 12 to 1:30 p.m. PDT, DHCS will host the What’s New in the 2024 U.S. Centers for Disease Control and Prevention (CDC) Medical Eligibility Criteria (MEC), Selected Practice Recommendations (SPR), and Quality Family Planning (QFP) Guidelines webinar (advance registration required). The webinar will highlight key updates for clinicians, including new recommendations for individuals with chronic kidney disease, revised risk categories for depot-medroxyprogesterone acetate users, expanded guidance on intrauterine device-related pain management, and updated contraceptive counseling best practices. The changes will be discussed in detail, and the webinar will review the MEC/SPR app and job aids available from the CDC. If you are unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.
CalAIM MLTSSおよびDuals統合ワークグループ会議
On June 25, from 11 a.m. to 12:30 p.m. PDT, DHCS will host the California Advancing and Innovating Medi-Cal (CalAIM) Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advance registration required). The workgroup is a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members. It allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare. The meeting agenda includes updates on the 2026 Medi-Medi Plan expansion, DHCS’ Dual Eligible Special Needs Plan (D-SNP) initiatives, the D-SNP State Medicaid Agency Contract and Policy Guide, and a duals data spotlight presentation on D-SNP data, dental data, Enhanced Care Management and Community Supports data, and Medicare enrollment data for duals. More information, background materials, transcripts, and video recordings of previous workgroup meetings are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.
カリフォルニア州妊産婦保健タスクフォースの発足
6 月 27 日午前 11 時 30 分から午後 1 時 (太平洋夏時間) まで、カリフォルニア母体品質ケア共同体とカリフォルニア母体保健イノベーション プログラムがカリフォルニア母体保健タスク フォースを立ち上げます。この会議(事前登録が必要)では、カリフォルニア州全域から母子保健のリーダーとパートナーが集まり、カリフォルニア州の母子保健の改善に向けた共通のビジョンを形成します。地域に根ざした組織、資金提供者、地元の保健局、母性保健従事者、臨床専門家、専門家協会、政策および公衆衛生の利害関係者、学者、およびカリフォルニア州の母性保健の改善に熱意を持つ人々の参加を奨励します。
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
7月10日午前10時から午後2時(太平洋夏時間)まで、DHCSはMCHAPの四半期会議を、カリフォルニア州サクラメント市Kストリート1700番地(郵便番号95811)の1階会議室(17.1014)または公開ウェブセミナー(事前登録が必要)にて開催します。MCHAPは、メディカル(Medi-Cal)の対象となる子供たちに影響を与える政策および運営上の問題について、DHCS(カリフォルニア州保健医療サービス局)に助言を行う。この会議では、子どもの予防医療の成果向上に関する情報、カリフォルニア州児童サービス品質指標の再設計に関する最新情報、およびメディカル(Medi-Cal)の視力ケアサービスの詳細が提供されます。
医療アクセス保護法(PAHCA)ステークホルダー諮問委員会(SAC)
On July 18, from 9:30 a.m. to 2 p.m. PDT (the time is tentative), DHCS will host the PAHCA-SAC meeting (advance registration for online participation required) at 1700 K Street (first-floor conference room 17.1014), Sacramento. The committee is responsible for advising DHCS on developing and implementing components of the PAHCA of 2024 (Proposition 35).
ステークホルダー諮問委員会(SAC)/行動健康(BH)-SAC会議
On July 23, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
見逃した場合に備えて
現在オープン中:PATH正義に関与するラウンド4アプリケーション
On May 12, DHCS opened the Providing Access and Transforming Health (PATH) Justice-Involved Round 4 application window. The deadline to apply for Round 4 funding is July 11, 2025. Only PATH Justice-Involved Round 3 awardees are eligible for the Justice-Involved Round 4 funding opportunity, and applications must be submitted on behalf of county sheriff’s offices, county probation offices, the California Department of Corrections and Rehabilitation, and county behavioral health agencies. Eligible agencies will receive email communications with instructions on how to apply. For more information about PATH Justice-Involved Round 4, please visit the PATH Justice-Involved webpage. All resources are available under “Reference Materials.” Please submit questions to justice-involved@ca-path.com.