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ニュースルーム – 広報室 10月13 、 2025​​ 

2025年10月13日​​ 

トップニュース​​ 

最新の強化ケアマネジメントとコミュニティサポート四半期レポートが公開されました​​ 

On October 10, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report, covering data from January 2022 through March 2025. These services help Medi-Cal members stay healthier and avoid more costly health care services, such as emergency department visits and hospital stays. Key highlights from Q1 2025 include:​​ 

  • ECM の登録者数は 2024 年第 1 四半期と比較して 61% 増加し、177,527 人の会員がサービスを受けました。​​ 
  • 子どもと若者のECM登録者数は2倍以上に増加しました。​​ 
  • コミュニティ サポートは 429,000 人を超える会員に提供され、110 万件を超えるサービスが提供されました。​​ 
  • Medi-Cal 会員の約 94% が少なくとも 10 のコミュニティ サポートを利用できます。​​ 
  • 最も利用されているサービスには、医療に合わせて調整された食事や住宅関連のサポートなどがあります。​​ 

さらに、ECMとコミュニティサポートの拡大を支援するために、DHCSは14億3000万ドル以上を助成金として支給してきました。​​  アクセスの提供と健康の変革​​  (PATH)イニシアチブには、容量およびインフラストラクチャの移行、拡張、開発(CITED)、共同計画および実装(CPI)、技術支援マーケットプレイスが含まれます。この仕事は、カリフォルニア州民がより健康で安定した生活を送るのに役立ちます。​​ 

メディケアオープン登録中に利用可能なMedi-Mediプラン​​ 

メディケアのオープン登録期間である10月15日から12月7日まで、カリフォルニア州の資格のある人は、​​  Medi-Mediプラン​​ , a type of Medicare Advantage plan that combines Medicare and Medi-Cal benefits into one coordinated plan. In 2026, these plans will be available in 41 counties, up from 12 counties in 2025. Medi-Medi Plans currently serve approximately 330,000 members. Starting in 2026, nine new Medi-Medi Plans will launch, and three existing Medi-Medi Plans will expand, to serve 461,000 potential members in 29 additional counties. Medi-Medi Plans simplify care with one member identification card, one care team, and integrated services across medical, behavioral health, and long-term services and supports. They also include wraparound Medi-Cal services and specialized care coordination. Joining a Medi-Medi Plan is voluntary. To join one, members can call Medicare at 1-800-MEDICARE or call Medi-Cal’s Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). If already enrolled in a Medi-Cal health plan, members may call the plan directly and ask about their Medi-Medi Plan option. For more information, visit the​​  DHCSメディメディプランのウェブページ​​ .​​ 

プログラムの最新情報​​ 

カリフォルニア州の発達障害のある人々に対するメディケア在宅・地域密着型サービス(HCBS)1915(c)免除の改正案​​ 

DHCSは、カリフォルニア州の発達障害のある人々のためのメディカルHCBS1915(c)免除の改正案について、メンバー、プロバイダー、その他の利害関係者からの意見を求めています(​​ HCBS-DD免除​​ ). Under the Lanterman Act administered by the Department of Developmental Services (DDS), people with developmental disabilities are eligible to receive services and supports that meet their individual needs and choices. DDS, under DHCS oversight, ensures that the HCBS-DD waiver is implemented by Regional Centers in accordance with Medicaid law and the State’s approved waiver application. Regional centers coordinate, provide, arrange, and/or purchase the services and supports available under the HCBS-DD waiver.​​ 

DHCS は、提案された免除修正案を 11 月 28 日までにメディケアおよびメディケイド サービス センター (CMS) に提出し、 2026年 3 月1に発効させる予定です。修正案のコピーは電子メールで入手でき、コメントを提出することもできます。​​  Federal.Programs@dds.ca.gov​​ . Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.​​ 

サン・ファン・カピストラーノに新しいオールコーブ青少年ドロップインセンターがオープン​​ 

On October 9, DHCS announced the opening of a new allcove youth drop-in center in San Juan Capistrano, funded through the Children and Youth Behavioral Health Initiative (CYBHI) and in partnership with the Behavioral Health Services Oversight and Accountability Commission. The centers are designed with and for youth, expanding access to evidence-based, youth-driven behavioral health services for people aged 12-25 in Orange County. The center offers mental health support, physical health, peer services, substance use support, and education and employment resources in one welcoming, stigma-free space. This investment is a part of CYBHI’s broader effort to transform California’s behavioral health system by reducing barriers to care, supporting community connections, and building a youth-centered, coordinated system of support across California. For more information about site details and access, please visit allcove San Juan Capistrano.​​ 

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。​​ 

  • 統合ケアシステム部門長。チーフは、メディケアやその他の州の医療プログラムやサービスを受ける資格のある脆弱な人々を対象に、州全体の医療システムの提供、コンプライアンス、監視活動を主導します。申請書は10月14日までに提出する必要があります。
    ​​ 
  • Chief, CA-MMIS Operations Division. The Chief leads the administration, oversight, and monitoring of DHCS’ Fiscal Intermediary (FI) Business Operations and FI-Maintenance and Operations (M&O) contracts for the Medi-Cal program. In this role, the Chief also provides oversight of the FI-M&O vendor and related systems used to assist with the processing of approximately $21 billion annually in Medi-Cal claim payments. Applications must be submitted by October 16.​​ 

DHCS is also hiring for its Audits and Investigations, Fiscal, Strategic Planning and Workforce Development, and other teams. For more information, please visit the CalCareers website.​​ 

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 DHCSイベント カレンダーに掲載します。DHCS は、言語通訳、リアルタイム字幕作成、会議資料の代替フォーマット設定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 にメールを送信してください。​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

On October 15, from 1 to 3 p.m. PDT, DHCS will hold the quarterly California Children’s Services Advisory Group meeting. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities and Medi-Cal Rx pharmacy benefits. Additional information and meeting details are available on the CCS Advisory Group webpage. Please email CCSProgram@dhcs.ca.gov if you have any questions.​​ 

子宮内避妊器具(IUD)および避妊インプラントの設置に関する包括的なトレーニング​​  

On October 15-17, DHCS’ Office of Family Planning will host the Comprehensive IUD and Contraceptive Implant Placement Training series. Participants may choose between IUD and Implant Placement training on October 15-16, from 7:15 a.m. to 5 p.m. (advance registration required), with both days covering the same content. This training is designed for both new and experienced providers who want to build or refine their skills in IUD placement and removal. The agenda covers patient counseling and consent, method selection, instrument use, and step-by-step instruction for all U.S. Food and Drug Administration-approved IUDs. Participants will receive hands-on practice with pelvic models and computer simulators under the guidance of family planning experts. Advanced topics include managing side effects, pain control, troubleshooting difficult placements, and creating clinic flow for same-day IUD services.​​ 

Alternatively, participants may select the Implant-Only Placement on October 17, from 10 a.m. to 1:45 p.m. (advance registration required). Participants will receive hands-on training for NEXPLANON® placement and removal procedures as well as implant localization techniques. For more IUD resources, visit IUD & Implant Resources.​​ 

行動健康変革コミュニティ計画プロセス:ウェビナー​​ 

On October 16, from 2 to 3 p.m. PDT, DHCS will host a public informational webinar on engaging in the Behavioral Health Services Act Community Planning Process. This process represents the local stakeholder and partner engagement requirement for each county’s Integrated Plan under the Behavioral Health Services Act. During the session, participants will learn how to become involved in the Community Planning Process, how DHCS evaluates meaningful stakeholder engagement in the Integrated Plan, and about resources available to help foster engagement efforts. Individuals must register to participate virtually. Visit the Behavioral Health Transformation webpage for more information and resources.​​ 

行動健康変革品質・公平性諮問委員会:ウェビナー​​ 

On October 21, from 11 a.m. to 1 p.m. PDT, DHCS will host the eighth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members will collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Attendees can provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send any questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.​​ 

ACES Aware ラーニングセンター ウェビナー​​ 

10月23日午後12時から午後1時(太平洋夏時間)に、DHCSのACEs Awareイニシアチブは、「カリフォルニアの医療提供者の皆様へ:これらの無料デジタルツールで若者の行動健康を支援しましょう」と題したウェビナーを開催します(事前登録が必要です)。「意図を持った実装」シリーズの一環として、ACES Awareラーニングセンターでは、CYBHIを通じて開発された行動健康バーチャルサービスプラットフォーム( MirrorSolunaBrightLife Kidsなど)を紹介します。これらのプレゼンテーションでは、これらのプラットフォームをケアパスウェイにどのように統合できるか、若年層との関わりをどのように強化できるか、そして多様なコミュニティ全体にメンタルヘルスサービスをどのように拡大できるかについての洞察が紹介されます。​​ 

子どもや若者とのつながりを強化するベストプラクティス:ウェビナー​​ 

On October 24, from 10 to 11 a.m. PDT, DHCS will host a public webinar, Strengthening Connections with Children and Youth Providers (advance registration required). The webinar is part of a series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increase providers’ successful participation in California Advancing and Innovating Medi-Cal (CalAIM), and improve collaboration with Medi-Cal health plans, state and local government agencies, and others to build and deliver quality benefits and services to Medi-Cal members. The webinar will demonstrate how First 5 programs across California are working with ECM and Community Supports services and providers and explain how schools and school districts help connect children and families with local organizations, youth programs, and health plans. All webinar recordings and best practices resources will be made available at ca-path.com/collaborative under the “Best Practices and Resources” section. For questions, please email collaborative@ca-path.com.​​ 

ステークホルダー諮問委員会(SAC)/行動健康(BH)-SAC会議​​ 

On October 29, 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​​ 

スマイル、カリフォルニア州:モバイルデンタルバンイベント(インヨー郡)​​ 

On October 16-18, from 8 a.m. to 5 p.m. PDT, mobile dental van events will be held in Inyo County to provide free dental services. The van will be located at 1360 N Main Street in Bishop. Smile, California will support the events with a custom flyer, social media posts, and a Smile Alert to notify members and partners of the event. Visitors are encouraged to call 1-888-585-3368 to pre-register and complete the consent forms before the event.​​ 

移行家賃支払い方法​​ 

10月3日、DHCSは暫定家賃支払い方法の最終版を発表した。この文書には、移行期家賃補助制度(ホームレス状態にある、またはホームレスになるリスクがあり、かつ追加の資格基準を満たすメディカル加入者に対し、最長6か月分の家賃補助を提供するよう設計された最新のコミュニティサポートサービス)に関連する、最大払い戻し額(「払い戻し上限額」)および管理手数料が記載されています。コミュニティサポートポリシーガイド第2巻に概説されているように、メディカルのマネージドケアプランは、1月1 、 2026から最初の必須コミュニティサポートサービスとして、行動健康人口に対する移行家賃をカバーしなければなりません。暫定家賃支払い方法に関する詳細情報を提供するため、DHCSは10月31日午前10時から11時までウェビナーを開催します。DHCSはまた、パートナーや関係者の皆様に、詳細情報についてはECMおよびコミュニティサポートのウェブページを、DHCS主導の住宅関連イニシアチブに関する最新情報についてはDHCSの新しい住宅健康ウェブページをご覧いただくことを推奨しています。
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