인기 뉴스​​ 

DHCS, 행동 건강 치료 센터의 리본 커팅을 축하하다​​ 

On April 25 and 26, DHCS celebrated the addition of two new facilities that will provide lifesaving treatment for Californians with mental health and substance use disorders (SUD). Paving the Way Foundation in Los Angeles County and Center Point Drug Abuse Alternatives Center in Sonoma County are expanding behavioral health treatment and recovery options in their local communities. These are among the first of many community treatment sites supported by the Behavioral Health Continuum Infrastructure Program and are under construction now in 49 counties. Even more sites will be funded and built, thanks to recently approved Proposition 1 bonds.​​ 

프로그램 업데이트​​ 

Medi-Cal Rx 청구에 대한 새로운 코드 1 진단 요구 사항​​ 

Effective April 30, Code 1 Diagnosis Requirement – Reject Code 80 claim utilization management (UM) edits will be implemented for members 22 years of age and older. Medi-Cal Rx will use diagnosis code(s) from the member’s Medi-Cal medical record to meet the Code 1 diagnosis restriction. Code 1 drugs are subject to prescription documentation requirements, and prescribers and pharmacy providers must document the treatment diagnosis and keep that information readily available for auditing purposes. Code 1 diagnosis requirements can be met in one of four ways: provide a diagnosis with the prescription, communicate the diagnosis verbally to the pharmacy provider, submit a prior authorization request with the diagnosis, or use an acceptable diagnosis code that is on file in the Medi-Cal data system. Members 21 years of age and younger are not impacted.​​  

스마일, 캘리포니아 모바일 치과 밴 투어 계속됩니다.​​ 

On May 4, the Smile, California mobile dental van tour will stop in Huntington Park. During the event, individuals will have access to various dental services, such as exams, X-rays, cleaning, and fluoride applications. More information about Medi-Cal-covered dental services is available on the Smile, California website.​​ 

팀에 합류하세요​​ 

DHCS는 커뮤니케이션, 인사, 감사, 건강 정책, 정보 기술 및 기타 팀에서 채용을 진행 중입니다. 자세한 내용은 CalCareers 웹사이트를 참조하세요.​​ 

예정된 이해관계자 회의 및 웨비나​​ 

Medi-Cal Children’s Health Advisory Panel (MCHAP)​​ 

On May 1, from 10 a.m. to 2 p.m., DHCS will hold the MCHAP hybrid meeting (advance registration required). MCHAP advises DHCS on policy and operational issues that affect children in Medi-Cal. The panel consists of a 15-member advisory body whose members include recognized stakeholders and experts in their fields, medical professionals, advocates, and parent members. If you are interested in receiving information about MCHAP meetings or have general inquiries, please email MCHAP@dhcs.ca.gov.​​  

소비자 중심 이해관계자 워킹그룹(CFSW)​​ 

On May 3, from 10 to 11:30 a.m., DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility- and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage no later than May 1. Please email your questions to DHCSCFSW@dhcs.ca.gov.​​  

메디칼 덴탈 로스앤젤레스 이해관계자 회의​​ 

5월 14일 오후 1시부터 3시까지 DHCS에서 Medi-Cal Dental 로스앤젤레스 이해관계자 회의를 개최합니다. DHCS는 신규 및 예정된 활동에 대한 업데이트와 정보를 공유할 예정입니다. 또한 이 회의는 치과 관계자들에게 구강 건강 관리 서비스 제공을 개선하는 데 도움이 될 수 있는 의견을 Medi-Cal 치과 팀과 공유할 수 있는 포럼을 제공합니다. 회의 정보는 DHCS 메디칼 치과 로스앤젤레스 이해관계자 회의 웹페이지에 게시됩니다. 추가 자료는 회의 전 또는 자료가 확보되는 대로 웹페이지에 게시될 예정입니다. 질문이 있으시면 dental@dhcs.ca.gov 으로 이메일을 보내주세요.​​  

이해관계자 자문 위원회(SAC)/행동 건강(BH)-SAC 회의​​ 

On May 29, from 9:30 a.m. to 3 p.m., DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts, as well as helps DHCS further its efforts to provide high-quality, equitable care.​​  

BH-SAC is a broad-based body that disseminates information and receives coordinated input regarding DHCS behavioral health activities. It was created as part of the ongoing DHCS effort to integrate behavioral health with the rest of the health care system and incorporates existing groups that have advised DHCS on behavioral health topics.​​  

CalAIM 관리형 장기 서비스 및 지원(MLTSS) 및 듀얼즈 통합 워크그룹 회의​​ 

On May 30 at 10 a.m., DHCS will host the CalAIM MLTSS and Duals Integration Workgroup virtual meeting (advance registration is required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.​​  

의제 주제에는 이중 자격 특별 필요 플랜(D-SNP) 주 메디케이드 기관 계약(SMAC) 및 정책 가이드, 이중 자격 가입자를 위한 메디케어 등록 데이터, 기본 등록 파일럿, 2025년 메디케어 센터( & ) 메디케이드 서비스(CMS) 메디케어 혜택 및 파트 D 최종 규칙에 대한 업데이트와 이중 자격 가입자를 위한 향상된 케어 관리 및 커뮤니티 지원에 대한 프레젠테이션이 포함되어 있습니다.​​  

이전 작업 그룹 회의의 배경 자료, 녹취록 및 비디오 녹화본과 함께 작업 그룹에 대한 추가 정보는 CalAIM MLTSS 및 듀얼스 통합 작업 그룹 웹페이지에 게시되어 있습니다. 질문이나 의견이 있으시면 이메일( info@calduals.org)로 문의해 주세요.​​