인기 뉴스

DHCS를 떠나는 사라 브룩스 의료 프로그램 수석 부국장

Sarah Brooks, 보건의료 프로그램 담당 수석 부국장은 개인적인 사정으로 2월 21, 2025 에 DHCS를 떠날 예정입니다. 사라 씨의 부서에 대한 공헌에 감사드리며, 그녀의 앞날에 행운을 빌겠습니다. 사라가 떠나면 타일러 새드위스는 주 메디케이드 국장 역할 외에도 의료 프로그램에 대한 임시 리더십을 제공할 예정입니다.

캘리포니아, 필수 건강 관리 서비스 출시

On February 10, DHCS, the California Department of Corrections and Rehabilitation (CDCR), and California Correctional Health Care Services (CCHCS) announced the expansion of the Justice-Involved Reentry Initiative to prisons statewide. The initiative allows eligible incarcerated individuals to enroll in Medi-Cal and receive a targeted set of services during the 90 days prior to their release. Connecting people to services and providers prior to release will help ensure continuity of health care coverage and services, such as medication-assisted treatment and pharmacy benefits, between incarceration and reentry. All participants are eligible for Enhanced Care Management and linkages to behavioral health care to support their successful reintegration into society.

County jails and youth detention facilities in San Joaquin County are also launching the initiative in February 2025, joining Inyo, Santa Clara, and Yuba counties, which began offering pre-release services in October 2024. More than 3,000 incarcerated individuals in county jails have received Medi-Cal pre-release services, ensuring they return to society with health coverage, prescriptions, durable medical equipment, and scheduled appointments with community-based care providers. This initiative plays a crucial role in reducing health disparities and supporting successful reentry. By October 1, 2026, all California counties must implement the initiative in their jails and youth facilities.

프로그램 업데이트

커뮤니티 지원 서비스 정의

DHCS recently released updated service definitions for four Community Supports that will go into effect on July 1, 2025. These updates cover Nursing Facility Transition/Diversion to Assisted Living Facilities, Community Transition Services/Nursing Facility Transition to a Home, Asthma Remediation, and Medically Tailored Meals/Medically Supportive Food. By refining these definitions, DHCS seeks to ensure that services are more effectively tailored to meet the diverse needs of Medi-Cal members, thereby promoting better health outcomes and more efficient care delivery. The service definition refinements are the result of extensive stakeholder engagement with managed care plans, providers, and subject matter experts. DHCS is committed to enhancing Community Supports and plans to release additional refinements for housing-related Community Supports in late spring 2025. Please email your questions to CalAIMECMILOS@dhcs.ca.gov.

메디칼 재가 및 지역사회 기반 서비스 및 관리형 장기 서비스 및 지원 격차 분석 보고서

2월 14일, 캘리포니아 보건복지부(DHCS)는 캘리포니아의 메디칼 재택 및 지역사회 기반 서비스(HCBS)와 장기 관리 서비스 및 지원(MLTSS) 프로그램의 부족한 부분을 지적하는 새로운 보고서를 발표했습니다. 구체적으로, 이 보고서는 캘리포니아의 HCBS 프로그램 및 서비스 제공 시스템에 심각한 격차가 있음을 지적합니다. 이 보고서는 접근성 및 서비스 불평등을 줄이고, 회원의 요구를 충족하고, 프로그램 통합 및 조정을 강화하고, 진료 품질을 개선하고, 서비스 접근성을 간소화하기 위한 향후 조치에 대한 정보를 제공합니다. 보고서의 주요 결과는 다음과 같습니다.

• 캘리포니아의 인구는 빠르게 고령화되고 있으며, 특히 현재 HCBS에 대한 접근성이 이미 제한되어 있는 지역에서는 더욱 그렇습니다.
• 농촌 지역의 경우 도시 지역보다 기관용 LTSS의 사용률이 더 높습니다. 향후 LTSS 사용자 인구에는 히스패닉계, 85세 이상, 여성이 더 많이 포함될 것으로 예상됩니다.
• HCBS를 필요로 하는 Medi-Cal 가입자의 증가하는 요구를 충족하려면 Medi-Cal에 참여하는 HCBS 제공자의 수가 증가해야 합니다.
• 가장 많은 인력이 필요하다고 보고된 분야는 직접 의료 서비스 제공자입니다.

Based on the report’s results and feedback from a broad array of stakeholders and advocates, DHCS will develop a multi-year roadmap to address LTSS needs in the state by expanding HCBS providers’ capacity, strengthening partnerships among the state, counties, health plans, HCBS providers, and community-based organizations, and identifying key milestones and benchmarks to help California monitor progress. Through the gap analysis and roadmap, DHCS intends to identify and analyze opportunities to expand access to Medi-Cal HCBS and MLTSS and improve health outcomes, patient satisfaction, and health equity for Medi-Cal members.

For more information about this effort, please visit DHCS’ Gap Analysis and Multi-Year Roadmap of Medi-Cal HCBS and MLTSS Programs webpage. DHCS will discuss the report’s highlights with stakeholders in a webinar open to the public scheduled for March 13. More details will be included in a future stakeholder update.

팀에 합류하세요

DHCS는 재능 있고 의욕적인 인재를 찾고 있습니다:

• Chief, Health Information Management Division (HIMD). The Chief of HIMD is responsible for the collection and exchange of data between DHCS and external stakeholders and for ensuring compliance with applicable federal and state standards and regulations. The Chief of HIMD also leads the development of policy and data presentation processes using business intelligence tools that support key policy initiatives, such as California Advancing and Innovating Medi-Cal and HCBS initiatives. Applications must be submitted by February 27.

• Chief, Procurement and Contracting Division (PCD). The Chief of PCD leads all aspects of procurement and contracting activities for DHCS and provides strategic support, expert guidance, and solutions for DHCS’ procurement and contracting needs. The Chief of PCD is also designated as DHCS’ Procurement and Contracting Officer (PCO). As the PCO, the Chief of PCD is responsible for ensuring compliance with all applicable laws, rules, and regulations, including applicable appropriations and executive orders. Applications must be submitted by February 28.

DHCS is also hiring for its accounting, financial, behavioral health, managed care, quality and population health management, and other teams. For more information, please visit the CalCareers website.

예정된 이해관계자 회의 및 웨비나

DHCS posts upcoming public meetings on the Calendar of Events.

이해관계자 자문 위원회(SAC)/행동 건강(BH)-SAC 회의

2월 19일 오전 9시 30분부터 오후 3시(태평양 표준시)까지, DHCS는 새크라멘토 K 스트리트 1700번지(1층 회의실 17.1014호)에서 SAC/BH-SAC 통합 회의 (온라인 및 오프라인 참여 모두 사전 등록 필수)를 개최합니다. SAC는 DHCS에 양질의 의료 서비스에 대한 공평한 접근성을 제공하기 위한 노력에 대한 귀중한 의견과 피드백을 제공합니다. BH-SAC는 DHCS에 행동 건강 관련 정책에 대한 의견을 제공하며, 행동 건강을 더 넓은 의료 시스템에 통합하기 위한 지속적인 노력의 일환으로 설립되었습니다. 회의 안건 및 기타 회의 자료를 참조해 주십시오. 더 자세한 정보를 원하시면 SACinquiries@dhcs.ca.gov 또는 BehavioralHealthSAC@dhcs.ca.gov 로 이메일을 보내주세요.

캘리포니아 외과의사 장군 산모 건강 서밋: 심혈관 건강 개선

On February 20, from 9 a.m. to 12 p.m. PST at the May Lee State Office Complex (651 Bannon Street, Sacramento), California Surgeon General Dr. Diana E. Ramos will host the Maternal Health Summit: Improving Cardiovascular Health as part of American Heart Month for a day dedicated to highlighting the role of cardiovascular disease in pregnancy-associated deaths and opportunities to improve cardiovascular health and reduce maternal morbidity and mortality (advance registration required). This is an in-person event only, and virtual attendance is not available. Registration begins at 8:30 a.m. Please direct all questions to StrongStartAndBeyond@osg.ca.gov, and visit the Office of the California Surgeon General website to learn more about this movement.

캘리포니아 오피오이드 정착금 연간 지출 보고 회의

On February 26, from 1 to 3 p.m. PST, DHCS will host a virtual meeting to discuss the California Opioid Settlements Annual Expenditures Report for State Fiscal Year (SFY) 2022-23 (advance registration required). The statewide report will be published on the DHCS California Opioid Settlements webpage and offers an overview of opioid settlement and bankruptcy payments and expenditures for SFY 2022-23. Beginning in 2023, DHCS received reported expenditure data regarding opioid settlement-funded projects by California and its participating cities and counties. The purpose of the meeting is to review the annual report, provide a high-level review of allowable expenditures under the opioid settlement and bankruptcy agreements, offer details on how funds were appropriated to California state projects, and summarize how funds were spent on local initiatives by cities and counties in SFY 2022-23.

출산 관리 경로 웨비나

On March 4, from 3 to 4:30 p.m. PST, DHCS will host a webinar on the Birthing Care Pathway (advance registration required). On February 4, DHCS released the Birthing Care Pathway Report, which includes a series of policy solutions and strategic opportunities for further exploration that aim to address the physical, behavioral, and health-related social needs of pregnant and postpartum members by improving access to providers, strengthening clinical care and care coordination across the care continuum, providing whole-person care, and modernizing how Medi-Cal pays for maternity care.

During the webinar, attendees will hear from DHCS leaders about the goals of the Birthing Care Pathway, a comprehensive overview of the policies DHCS is implementing, a summary of strategic opportunities for further exploration, and how the Transforming Maternal Health (TMaH) Model will complement and bolster DHCS’ work to strengthen California’s health care delivery system, improve maternal health outcomes, and reduce disparities. Please email BirthingCarePathway@dhcs.ca.gov with any questions.

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

3월 13일 오전 10시부터 오후 2시(태평양 표준시)까지 DHCS는 새크라멘토 1700 K Street(1층 회의실 17.1014)에서 분기별 MCHAP 회의를 개최하거나 공개 웹 세미나를 통해 참여할 수 있습니다(온라인 및 오프라인 참여 모두 사전 등록 필수). MCHAP는 Medi-Cal 수혜 아동에게 영향을 미치는 정책 및 운영 문제에 대해 DHCS에 자문을 제공합니다. 이번 회의에서는 출산 관리 경로 및 DHCS 소아과 대시보드에 대한 최신 정보를 제공할 예정입니다. 또한 캘리포니아 아동 신탁의 알렉스 브리스코가 메디케이드와 청소년 정신 건강 시스템에 영향을 미치는 전례 없는 개혁에 대한 발표를 할 예정입니다. 질문이나 의견이 있으시면 MCHAP@dhcs.ca.gov 로 이메일을 보내주시기 바랍니다.

놓친 경우를 대비하여

로스앤젤레스 카운티의 청소년과 성인에게 중요한 행동 건강 관리 서비스를 제공하는 새로운 사이트

DHCS is expanding residential services for individuals with substance use disorders and co-occurring mental health needs at two locations in Los Angeles County. The Whole Child—Mental Health and Housing Services celebrated the grand opening of a new community wellness center that provides trauma-informed, culturally sensitive mental health, family housing, parent enrichment, and nutrition education services. Also, St. Anne’s Family Services hosted a groundbreaking for a new short-term residential therapeutic program (STRTP) called STRTP FOR ONE, which annually provides high-quality supportive housing programs, early childhood education, mental health, and family-based services to thousands of young women, children, and families in Los Angeles County.

신청 요청(RFA): 행동 건강 서비스 제공 개선

DHCS released a RFA to solicit applications from consultants to assist counties in improving their performance in the delivery of behavioral health services and contracting for these services, with outcomes, transparency, and accountability to residents. Interested participants must apply by February 24 at 4 p.m. PST.

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, including the 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. Nearly $158 million is available for Round 4. 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.

The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PDT on May 2, 2025. The guidance document and application are available on the PATH CITED webpage. Please send any questions to cited@ca-path.com.