4월 14, 2025
인기 뉴스
DHCS, 메디칼 세포 및 유전자 치료 접근 모델 참여 승인
The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.
Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.
프로그램 업데이트
California’s 1115 Waiver Approvals Remain Unaffected
DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.
This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.
DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.
팀에 합류하세요
DHCS는 재능 있고 의욕적인 인재를 찾고 있습니다:
- Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.
- Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.
DHCS는 회계, 행동 건강 및 기타 팀에서도 채용을 진행 중입니다. 자세한 내용은 CalCareers 웹사이트를 참조하세요.
예정된 이해관계자 회의 및 웨비나
DHCS는 이벤트 캘린더에 예정된 공개 미팅을 게시합니다.
전통적 건강 관리 관행의 혜택 구현
On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.
DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
선택된 가족, 2부: 트랜스젠더 및 성별 다양성을 위한 피임과 생식력
5월 5일 오전 10시부터 11시 30분까지. PDT에 DHCS에서 '선택된 가족, 2부: 트랜스젠더 및 성별 다양성을 위한 피임과 생식' 웨비나를 개최합니다(사전 등록 필요). 트랜스젠더 및 성별 다양성(TGD)은 환자 인구의 일부분을 차지하지만, 많은 사람들이 TGD 건강에 관한 의료진의 지식이 부족하다고 계속 보고하고 있습니다. 이 세션에서는 피임, 생식력, 가족 형성 상담에 대한 증거 기반 권장 사항을 검토하여 이 웨비나 시리즈의 1부에서 소개한 TGD 건강 용어와 필수 역량에 대한 내용을 기반으로 합니다. 라이브 웨비나에 참석할 수 없는 경우, 웨비나 대본 및 녹화본과 추가 자료는 추후 Family PACT 웹사이트에서 확인할 수 있습니다.
이해관계자 자문 위원회(SAC)/행동 건강(BH)-SAC 회의
5월 21일 오전 9시 30분부터 오후 3시(태평양 표준시)까지 DHCS는 새크라멘토의 1700 K 스트리트(1층 회의실 17.1014)에서 하이브리드 SAC/BH-SAC 회의 (온라인 및 직접 참석을 위해서는 사전 등록 필요)를 개최합니다. SAC는 양질의 의료 서비스에 대한 공평한 접근을 제공하기 위한 노력에 대한 귀중한 의견과 피드백을 DHCS에 제공합니다. BH-SAC는 DHCS에 행동 건강 이니셔티브에 대한 의견을 제공하며, 행동 건강을 더 큰 의료 시스템과 통합하기 위한 지속적인 노력의 일환으로 만들어졌습니다. 안건 및 기타 회의 자료는 회의 날짜가 가까워지면 게시됩니다. 자세한 내용은 이메일 SACinquiries@dhcs.ca.gov 또는 BehavioralHealthSAC@dhcs.ca.gov 으로 문의하시기 바랍니다.
놓친 경우를 대비하여
발의안 제35호: 의료 서비스 접근성 보호법-SAC
Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
지금 신청하세요: 접근성 제공 및 보건 혁신(PATH) 역량 및 인프라 전환, 확장 및 개발(CITED) 4라운드 지원서 접수
On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.
PATH CITED 4라운드 펀딩 신청 마감일은 5월 11일 오후 11시 59분(태평양 표준시 기준)입니다( 2, 2025). 지침 문서와 신청서는 PATH CITED 웹페이지에서 확인할 수 있습니다. 질문이 있으시면 cited@ca-path.com 으로 보내주세요.