아동과 가족의 건강과 기회를 지원하기 위한 CalAIM Medi-Cal의 전략
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:
- 건강 격차 해소 및 건강 형평성 증진;
- 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;
- 서비스 제공 시스템 및 하위 전문 분야 전반에 걸쳐 통합 치료를 촉진합니다;
- 서비스 제공에 대한 책임 및 감독 개선, 그리고
- Medi-Cal을 넘어 DHCS 파트너십을 육성하기 위해 노력합니다.
활동 영역
이 전략에는 8가지 실행 영역과 함께 DHCS가 Medi-Cal에 등록된 아동과 가족에 대한 집중을 강화하는 주요 이니셔티브가 포함되어 있습니다. 이러한 작업 영역에는 다음이 포함됩니다:
- 새로운 리더십 구조 및 참여 방식
- Stronger coverage base for California’s children
- 소아 예방 및 1차 진료 강화
- 소아 예방 접종에 대한 접근성 향상
- 양질의 결과에 대한 새로운 의료 보험의 책임성
- 가족 중심 접근 방식
- 아동 및 청소년 행동 건강 투자
- 위탁 보호 모델의 다음 단계
주요 문서
- Medi-Cal 어린이 및 청소년 아웃리치 및 교육 툴킷(2023년 2월)
- Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)
정보 제공 웨비나
Medi-Cal 어린이 및 청소년을 위한 아웃리치 및 교육 툴킷 올 커머 웨비나 (3월 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.
최종 자료는 아래에 게시되어 있습니다.
CalAIM EPSDT 등록자 대면 자료 올 커머 웨비나 (11월 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.
초안 자료는 아래에 게시되어 있습니다.
- 슬라이드
- 트랜스크립트
- Draft EPSDT Enrollee Brochure – Child Version
- Draft EPSDT Enrollee Brochure – Teen Version
- EPSDT 알기 Medi-Cal 권리 서신 초안
Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)
추가 리소스
- DHCS EPSDT 웹 페이지
- DHCS 종합 품질 전략
- CalAIM 인구 건강 관리(PHM) 이니셔티브
- 어린이 & 청소년 행동 건강 이니셔티브(CYBHI)
- 에이스 인식 이니셔티브
- 조기 학습 관리를 위한 마스터 플랜
질문 및 의견
Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.