12월 2, 2024
프로그램 업데이트
2024년 입법 요약 확정
DHCS’ Office of Legislative and Governmental Affairs issued the final 2024 Legislative Summary. This comprehensive report of all policy and budget bills impacting DHCS highlights those signed or vetoed by the Governor. It also includes full copies of veto messages, offering valuable insights into the decision-making process shaping California’s health care landscape.
This year’s legislative activity addressed critical topics, such as behavioral health reforms, Medi-Cal enhancements, and innovative approaches to community health and pharmacy benefits, showcasing California’s commitment to advancing health care for all.
메디칼 치과 커뮤니티 의료 종사자 서비스
Effective December 1, Community Health Worker (CHW) services have been added as a benefit under Medi-Cal Dental. CHWs are important in addressing key barriers to dental care and serve as a bridge between Medi-Cal members and the oral health care system, offering support to help individuals access and maintain oral health. DHCS received federal approval on July 26, 2024, to extend CHW services to Medi-Cal Dental. The added CHW benefit integrates CHWs into the oral health care system to enhance preventive care and provide support services to Medi-Cal members. Medi-Cal Dental providers can now bill for CHW services under the updated dental fee schedule.
Covered CHW services include oral health education and oral health navigation assistance to help members access and maintain care. CHWs provide information, training, and support to help members navigate the oral health care system, understand how it works, and become active participants in their own care. In addition, CHWs connect members with community resources that promote oral health and address specific barriers. This includes connecting members to translation or interpretation services and arranging transportation for dental visits.
접근성 제공 및 보건 혁신(PATH) 기술 지원(TA) 마켓플레이스 5라운드 벤더 조달
On January 1, 2025, DHCS will open the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31, 2025. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but will focus on services for the following provider types: rural providers, Medi-Cal Tribal and Designee of Indian Health Program providers, maternal and child-serving providers, and transitional rent providers.
DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. The resources must be already fully developed, meet the needs of the TA Marketplace, and include a final cost. Organizations interested in applying to qualify as a TA vendor are encouraged to review the guidance document. Please submit questions to ta-marketplace@ca-path.com.
팀에 합류하세요
DHCS는 재능 있고 의욕적인 인재를 찾고 있습니다:
- 감사 및 조사 부서 내계약 및 등록 검토 부서(CERD) 책임자. 최고 책임자는 건강 보험, 의료 서비스 제공자 및 약물 메디칼 조직 전달 시스템의 규정 준수 검토를 위한 활동을 계획, 조직 및 지휘할 책임이 있습니다. 또한 최고 책임자는 Medi-Cal 및 기타 DHCS 프로그램의 프로그램 무결성과 관련된 정책 및 절차의 개발과 시행을 주도합니다. 신청서는 12월 6일까지 제출해야 합니다.
- 전략 파트너십 사무소의 부 국장은 아동 및 청소년 행동 건강 이니셔티브, CalHOPE, Medi-Cal 학교 기반 서비스, 법무부 관련 재입국 이니셔티브 등 다른 부서, 상업 보험사, 기술 및 자선 분야 혁신가와의 파트너십을 포함하여 Medi-Cal을 넘어 새로운 부문 간 전략적 파트너십을 구축하는 대규모 DHCS 이니셔티브를 기획, 개발 및 실행하는 데 도움을 주는 역할을 담당합니다. 신청서는 12월 13일까지 제출해야 합니다.
DHCS는 보건 정책, 정보 기술 및 기타 팀에서도 채용을 진행 중입니다. 자세한 내용은 CalCareers 웹사이트를 참조하세요.
예정된 이해관계자 회의 및 웨비나
어린이를 위한 보청기 보장 프로그램 웨비나
12월 3일 오전 11시부터 오후 12시(태평양 표준시)까지 DHCS는 웨비나를 개최하여 가족 및 커뮤니티 파트너와 보청기 보험 신청 및 등록 후 아동 보청기 보험 프로그램 혜택을 극대화하는 방법에 대한 지침을 공유합니다. 자세한 정보 및 사전 등록은 어린이 보청기 보장 프로그램 웹페이지에서 확인하세요.
PATH 협업 계획 및 구현(CPI) 모범 사례 웨비나
On December 6, from 10 to 11 a.m. PST, DHCS will host a public webinar, Hospital Engagement in CalAIM: Supporting Connection to Enhanced Care Management (ECM) Services Among Eligible Medi-Cal Members (advance registration required). Guest presenters include Dignity Health, University of California, San Francisco Medical Center, and Marshall Medical Center.
The webinar will explain and emphasize the value of hospitals engaging with California Advancing and Innovating Medi-Cal (CalAIM) providers in their region, recognize opportunities for improved collaboration on discharge planning among hospital staff and ECM or Community Supports providers, and identify opportunities for warm handoffs and other coordination strategies between hospital staff and ECM providers to improve member connection to ECM and Community Supports services. Please submit questions to collaborative@ca-path.com.
소비자 중심 이해관계자 워킹그룹(CFSW)
On December 6, from 10 to 11:30 a.m. PST, DHCS will convene the monthly meeting of 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 DHCS-Consumer-Focused-Stakholder-Workgroup-CFSW by noon on December 4. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.
DHCS 피해 감소 서밋
DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder treatment system and create low-barrier, patient-centered care. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into substance use disorder treatment. Summits will be held in Fresno, Los Angeles, and San Diego counties in winter 2025. Register on the event website.
놓친 경우를 대비하여
DHCS Major Program Initiatives – Go-Live Dates (Updated)
From CalAIM to transforming the state’s behavioral health programs, DHCS’ initiatives provide equitable access to quality health care, leading to a healthy California for all. The links below reflect DHCS’ major program initiatives and anticipated go-live dates, pending readiness and federal approvals. This useful resource available on the DHCS website has been updated, as of November 22, and new information will be added as needed: DHCS Major Program Initiatives – Go-Live Dates.
2025년 1월에 출시되는 새로운 패밀리 PACT 포털
From January 13 through February 2, 2025, the Family Planning, Access, Care, and Treatment (Family PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs (HAP) Client Eligibility System to a new Family PACT portal. The HAP Client Eligibility System will be disabled on February 3, 2025, after which all Family PACT client enrollment, changes, and deactivations will be completed exclusively through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal.
To access the new portal, existing users must confirm and/or update current site certifier contact information in the Provider Application and Validation for Enrollment (PAVE) portal to receive their login credentials. Family PACT providers who do not have a current site certifier in PAVE must email site certifier information (National Provider Identifier, first and last name, and email address) to providerservices@dhcs.ca.gov as soon as possible.
To support Family PACT providers during this transition, beginning in December 2024, providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before it launches. Detailed instructions for accessing the Family PACT portal will be emailed to all enrolled and actively billing Family PACT providers in early January 2025.