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ផ្ទះ CalAIM៖ ការផ្លាស់ប្តូរ Medi-Cal យុទ្ធសាស្ត្ររបស់ CalAIM Medi-Cal ដើម្បីគាំទ្រសុខភាព និងឱកាសសម្រាប់កុមារ និងគ្រួសារ​​ 

យុទ្ធសាស្ត្ររបស់ CalAIM Medi-Cal ដើម្បីគាំទ្រសុខភាព និងឱកាសសម្រាប់កុមារ និងគ្រួសារ​​ 

ត្រឡប់ទៅទំព័រដើម CalAIM វិញ។​​ 

The Department of Health Care Services (DHCS) is responsible for the health care of more than 50 percent of California’s children and is committed to improving their health, supporting their families, and reducing barriers and disparities in care. To achieve these aims, DHCS launched Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families in March 2022, which integrates existing and new child and family health initiatives and strengthens DHCS’ accountability and oversight of children’s services. DHCS was guided by the following principles and considerations when shaping this strategy:​​ 

  • ការដោះស្រាយវិសមភាពសុខភាព និងការលើកកម្ពស់សមធម៌សុខភាព;​​ 
  • Implementing a whole-child, preventive approach to care informed by families’ needs and preferences;​​ 
  • Providing family and community-based care that considers the health of a child’s parents, caregivers, and siblings in the context of the communities in which they live;​​ 
  • ការលើកកម្ពស់ការថែទាំរួមបញ្ចូលគ្នានៅទូទាំងប្រព័ន្ធផ្តល់សេវា និងឯកទេសរង;​​ 
  • ការកែលម្អគណនេយ្យភាព និងការត្រួតពិនិត្យក្នុងការផ្តល់សេវា; និង​​ 
  • សម្លឹងមើលលើសពី Medi-Cal ដើម្បីជំរុញភាពជាដៃគូរបស់ DHCS ។​​ 

តំបន់សកម្មភាព​​ 

យុទ្ធសាស្ត្រនេះរួមមានផ្នែកសកម្មភាពចំនួនប្រាំបីជាមួយនឹងគំនិតផ្តួចផ្តើមសំខាន់ៗដែលបង្ហាញពីកន្លែងដែល DHCS កំពុងពង្រឹងការយកចិត្តទុកដាក់របស់ខ្លួនលើកុមារ និងគ្រួសារដែលបានចុះឈ្មោះក្នុង Medi-Cal ។ តំបន់សកម្មភាពទាំងនេះរួមមាន:​​  

  • រចនាសម្ព័ន្ធដឹកនាំថ្មី និងវិធីសាស្រ្តចូលរួម​​ 
  • Stronger coverage base for California’s children​​ 
  • ការការពារកុមារកាន់តែរឹងមាំ និងការថែទាំបឋម​​ 
  • ការ​ចូល​ទៅ​កាន់​ការ​ទទួល​បាន​ការ​ចាក់​ថ្នាំ​បង្ការ​កុមារ​កាន់​តែ​ប្រសើរ​​ 
  • ផែនការសុខភាពថ្មី ការទទួលខុសត្រូវចំពោះលទ្ធផលគុណភាព​​ 
  • វិធីសាស្រ្តផ្តោតលើគ្រួសារ​​ 
  • ការវិនិយោគសុខភាពអាកប្បកិរិយារបស់កុមារ និងវ័យជំទង់​​ 
  • ជំហានបន្ទាប់លើគំរូការថែទាំកូនចិញ្ចឹម​​ 

ឯកសារសំខាន់ៗ​​ 

  • Medi-Cal for Kids & Teens Outreach & Education Toolkit (កុម្ភៈ 2023)​​ 
  • Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)​​ 

សិក្ខាសាលាព័ត៌មាន​​ 

Medi-Cal សម្រាប់កុមារ និងក្មេងជំទង់ ប្រអប់ឧបករណ៍ផ្សព្វផ្សាយ និងការអប់រំ ទាំងអស់អ្នកមក Webinar (ខែមីនា 1, 2023)​​ 

On Wednesday, March 1st from 11:00am- 12:00pm PT, DHCS hosted a webinar focused on the recently published Medi-Cal for Kids & Teens Outreach & Education Toolkit. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth from birth to age 21 access to preventive and medically necessary treatment services. DHCS developed the Toolkit to promote understanding of and access to EPSDT-covered services, which are available to the 5.7 million children, teens, and young adults enrolled in Medi-Cal. Included in the Medi-Cal for Kids & Teen Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen / young adult version), a member-facing letter explaining Medi-Cal rights for children, teens, and young adults, and a standardized training for Medi-Cal managed care providers. The All Comer webinar provided interested stakeholders the opportunity to learn more about the Toolkit, including how it was developed; how consumers, providers, and stakeholders can access the materials; and how the Toolkit will help advance Medi-Cal’s Strategy to Support Health & Opportunity for Children & Families.​​  

សម្ភារៈចុងក្រោយត្រូវបានបង្ហោះខាងក្រោម។​​ 

CalAIM EPSDT Enrollee Facing Materials All Comer Webinar (ខែវិច្ឆិកា 18, 2022)​​ 

On Friday, November 18th from 11:00 AM – 12:00 PM PT, DHCS hosted a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth under 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT-covered services, the comprehensive healthcare services available to the 5.6 million children and youth enrolled in Medi-Cal. Included in the EPSDT Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the “EPSDT” name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped, including who to contact and how to file grievances and appeals. The All Comer webinar provided interested stakeholders the opportunity to share public feedback and comment on the enrollee-facing materials.​​  

ឯកសារព្រាងត្រូវបានបង្ហោះខាងក្រោម។​​ 

Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)​​ 

ធនធានបន្ថែម​​ 

សំណួរនិងយោបល់​​ 

Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.​​