인기 뉴스​​ 

메디케이드 경로 프로그램에 선정된 타일러 새드위드​​ 

보건의료전략센터(CHCS)는 이번 주 DHCS의 행동 건강 프로그램 부국장인 타일러 새드위드가 메디케이드 경로 프로그램의 세 번째 수업에 참여하도록 경쟁적으로 선발된 전국 20명의 신진 메디케이드 기관 리더 중 한 명이라고 발표했습니다. 타일러는 Medi-Cal 및 기타 공공 프로그램에서 고품질의 접근 가능한 전문 정신 건강 및 약물 사용 장애 서비스를 보장하기 위한 DHCS의 야심 찬 의제를 이끌고 있습니다. 그는 공공 프로그램을 통해 서비스를 제공하는 1,550만 명의 메디칼 회원과 캘리포니아 주민을 위해 행동 건강 관리 접근성, 품질, 형평성 및 서비스 제공을 강화하기 위한 이니셔티브의 개발 및 실행을 담당하는 행동 건강 부서의 팀을 이끌고 있습니다.​​ 

프로그램 업데이트​​ 

2024 메디칼 매니지 케어 플랜(MCP) 전환 정책 가이드​​ 

On September 29, DHCS released a revised version of the 2024 MCP Transition Policy Guide that includes DHCS policy and MCP requirements related to member transitions of Medi-Cal MCPs that take effect on January 1, 2024. The latest version includes a new MCP transition monitoring and oversight policy and transition-related requirements for incentive programs, as well as updates to all other sections. The policy guide will be updated regularly to keep MCPs informed of new and developing guidance.​​ 

접근성 제공 및 보건 혁신(PATH) 기술 지원(TA) 마켓플레이스 - 개정된 TA 수혜자 접근 정책​​ 

On September 29, DHCS announced the revised policy for accessing free TA resources available through the PATH TA Marketplace. Effective immediately, all approved TA recipients may now access both off-the-shelf TA projects and hands-on TA projects in all seven TA domains, regardless of if they are contracted with a MCP or other eligible entity to provide Enhanced Care Management (ECM) and/or Community Supports. Learn how free TA services offered through the PATH TA Marketplace can strengthen your organization’s ability to build and deliver quality ECM and Community Supports by visiting the PATH TA Marketplace webpage. Please submit any questions regarding the revised access policy to ta-marketplace@ca-path.com.​​ 

PATH TA 마켓플레이스 3라운드 벤더 신청서​​ 

On October 1, DHCS will open the PATH TA Marketplace Round 3 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access free TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations must apply to qualify as a TA Marketplace vendor before the October 31 deadline. Visit the TA Marketplace vendor webpage for more information and to apply. For questions, please email ta-marketplace@ca-path.com.​​ 

Medi-Cal Rx​​ 

On September 27 and 28, DHCS delivered the first presentations to update stakeholders on DHCS’ plans to advance Medi-Cal Rx. DHCS presented to the Pharmacy Directors meeting and the California Association of Medical Product Suppliers meeting. Also, on September 22, Reinstatement Phase 4, Lift 2 was successfully implemented. Drug cost ceiling and prior authorization for enteral nutrition and specific standard therapeutic classes for members 22 years of age and older have been reinstated. Additionally, as of September 22, the new COVID-19 vaccines appropriately reimburse the cost of the commercial vaccines (in addition to a $40 incentive fee).​​ 

팀에 합류하세요​​ 

DHCS는 재정, 인사, 법무, 감사, 건강 정책, 정보 기술 팀에서 채용을 진행 중입니다. 자세한 내용은 CalCareers 웹사이트를 참조하세요.​​ 

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.​​ 

예정된 이해관계자 회의 및 웨비나​​ 

소비자 중심 이해관계자 워킹그룹(CFSW) 회의​​ 

10월 6일 오전 10시부터 11시 30분까지 DHCS에서 CFSW 회의를 개최합니다. CFSW의 목적은 이해관계자에게 다양한 소비자 메시지 자료를 검토하고 피드백을 제공할 수 있는 기회를 제공하는 것입니다. 이 포럼에서는 자격 및 등록 관련 활동에 초점을 맞추고 Medi-Cal 정책 및 기능에 대한 공개 토론을 진행합니다. CFSW 참가자는 소비자 보호 커뮤니티의 옹호자, 공급자 협회 대표, 의료 분야 전문가로 구성됩니다. 질문이 있으시면 DHCSCFSW@dhcs.ca.gov 으로 이메일을 보내주세요. 모든 회의 자료는 늦어도 10월 4일까지 DHCS CFSW 웹페이지에 게시됩니다.​​ 

CalAIM ICF/DD 카브인 유망 사례 웨비나​​ 

On October 6, from 9:30 to 11 a.m., DHCS will virtually host the third in a series of educational webinars (advance registration required) on the California Advancing and Innovating Medi-Cal (CalAIM) intermediate care facility for the developmentally disabled (ICF/DD) carve-in. The goal of these webinars is to provide stakeholders with an understanding of the ICF/DD carve-in policy requirements and how to support members when all Medi-Cal MCPs will be required to cover and coordinate institutional long-term care for members residing in an ICF/DD beginning on January 1, 2024. The webinar will focus on promising practices that MCPs, ICF/DD homes, and Regional Centers can consider as they prepare for the ICF/DD carve-in to take effect. Webinars are open to the public.​​ 

예정된 웨비나에 대한 자세한 내용은 CalAIM ICF/DD 장기 케어 카브인 전환 웹페이지에서 확인할 수 있습니다. 질문이나 의견을 이메일(LTCtransition@dhcs.ca.gov)로 보내주세요.​​ 

캘리포니아의 메디케어 보장 범위 선택: 웨비나​​ 

On October 11 at 1 p.m., DHCS and the California Department of Aging will jointly host a webinar entitled, “Navigating Medicare Coverage Choices in California, Including Medicare Advantage Supplemental Benefits” (advance registration required). Presenters will include Stephanie Fajuri from the Center for Health Care Rights, an expert in Medicare choices for consumers, and Nils Franco from ATI Advisory, a lead analyst for the review of Medicare Advantage Plan supplemental benefits in California.​​  

The webinar will share helpful information for consumers, families, health care providers, and the public policy community. It will include a presentation and question and answer session on Medicare coverage choices for consumers during the Medicare Open Enrollment period from October 15 to December 7, as well as highlight a newly released DHCS chartbook on supplemental benefits in Medicare Advantage Plans in California for contract year 2023. The chartbook is part of a series of chartbooks available on the DHCS Office of Medicare Innovation and Integration webpage. For questions or comments, please email OMII@dhcs.ca.gov.​​ 

이해관계자 자문 위원회(SAC) 및 행동 건강 자문 위원회(BH-SAC) 회의​​ 

On October 19, from 9:30 a.m. to 3:30 p.m., DHCS will host the next SAC and BH-SAC hybrid meeting (advance registration required). It will open as a joint meeting, with topics shared by SAC and BH-SAC. A BH-SAC-only meeting will be held after the joint meeting; there is no SAC-only meeting. Participants may attend in person at The California Endowment, located at 1414 K Street in downtown Sacramento, or virtually. For more information, please visit the SAC and BH-SAC webpages.​​ 

놓친 경우를 대비하여​​ 

메디케어 메디칼 플랜: 이해관계자를 위한 정보​​ 

9월 22일, DHCS는 메디케어 메디칼 플랜 웹 페이지에 영어, 스페인어, 몽족어, 베트남어, 중국어 번체/광둥어, 러시아어 및 크메르어/캄보디아어로 된 메디케어 메디칼 플랜 팩트 시트를 게시했습니다.​​  

The 2024 Medicare open enrollment period is from October 15 to December 7, with plan coverage taking effect on January 1, 2024. Californians in 12 counties will be eligible to enroll in Medicare-Medi-Cal Plans, a type of Medicare Advantage plan in California only available to dual eligible members. Medicare Medi-Cal Plans provide more comprehensive care, and benefits in both programs are coordinated by one managed care plan. In 2024, Medicare Medi-Cal Plans will be available in the following counties: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, and Tulare. Please contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org.​​