June 17, 2024 – Stakeholder Update
인기 뉴스
BH-CONNECT 데모 부록: 공개 의견 및 공청회
DHCS began a 30-day public comment period on June 14 for a new addendum to the pending Section 1115 Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Demonstration. The addendum aims to strengthen the continuum of care for Medi-Cal members with significant behavioral health conditions. California proposes enabling county behavioral health plans to opt into one or two new opportunities: Community transition in-reach services for individuals with long-term institutional stays, and room and board in enriched residential settings with 16 beds or less for up to six months for adults with significant behavioral health conditions and specified risk factors.
DHCS will host public hearings to solicit stakeholder comments, offering in-person attendance and online video and telephone conference capabilities for statewide accessibility. The first hearing is on June 25, 2024, from 3:30 to 4:30 p.m. PDT at 1700 K Street, Room 1014, Sacramento, CA 95814. Participants may register for the Zoom conference or call in at (833) 548-0276 (toll-free) or (915) 1321 2168 (access code 062524).
The second hearing is on July 2, 2024, from 3:30 to 4:30 p.m. PDT at 1515 K Street, Room 204, Sacramento, CA 95814. Participants may register for the Zoom conference or call in at (833) 928-4608 (toll-free) or (924) 713-3204 (access code 070224).
All public comment materials are posted on the DHCS BH-CONNECT webpage, which DHCS will update throughout the public comment period and application process. Please email comments and/or questions to 1115Waiver@dhcs.ca.gov.
캘리포니아, 새로운 행동 건강 시설의 착공을 축하하다
On June 10, DHCS and Center for Human Services celebrated the groundbreaking of a new outpatient behavioral health center in Modesto to serve children, youth, and their families. DHCS awarded Center for Human Services more than $5 million to build a safe space to address gaps in mental health and substance use disorder treatment. This will enable Center for Human Services to serve more than 1,425 new community members with critical resources annually.
Also, on June 12, DHCS and Riverside University Health System celebrated the groundbreaking of a new behavioral health and physical health care campus called the Wellness Village that will serve individuals who need mental health and substance use disorder treatment. DHCS awarded Riverside University Health System more than $80 million to build a safe space to address gaps in behavioral health treatment. The portions of the campus funded through this effort will enable Riverside University Health System to provide critical resources to more than 20,900 community members annually.
DHCS will distribute roughly $4 billion in Behavioral Health Continuum Infrastructure Program (BHCIP) grants under Proposition 1 bond funds to address historic gaps in the behavioral health care system and meet the growing demand for services and support throughout the lifespan of people in need. More information about Proposition 1 can be found at mentalhealth.ca.gov. DHCS holds monthly public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on our website to receive monthly updates.
프로그램 업데이트
장기 치료를 위한 향상된 케어 관리(ECM) 집중 대상 인구(POF) 집중 조명
DHCS는 최근 장기 요양(LTC) 환경에 있거나 진입할 위험이 있는 성인에게 서비스를 제공하는 계약 및 예비 ECM 제공업체가 ECM 모델을 개발하고 개선할 수 있도록 설계된 장기 요양용 ECM POF 스포트라이트를 발표했습니다. 이 스포트라이트에서는 제공자가 ECM을 제공하고 관련 커뮤니티 지원 서비스를 통합하여 도움이 필요한 회원을 가장 잘 돌보고 커뮤니티로 전환하는 데 도움을 줄 수 있는 방법을 설명합니다. 이 새로운 리소스는 Medi-Cal Managed Care 플랜, ECM 제공자, 이해관계자 및 LTC 서비스를 받는 개인에게 서비스를 제공하는 옹호자를 위한 것입니다. 스포트라이트에는 다음이 포함됩니다:
- 장기 서비스 및 지원 요구가 있는 회원에게 제공되는 지원과 ECM이 이러한 모델과 교차하는 방식에 대한 교차로와 함께 LTC POF의 주요 ECM 정책에 대한 요약입니다.
- LTC POF를 위한 ECM 제공 방법을 설명하는 두 가지 세부 멤버 비네트. 이 비네트에는 ECM에 등록된 회원에게 과도기적 케어 서비스를 제공하는 방법과 개인과 간병인에게 최상의 서비스를 제공하기 위해 커뮤니티 지원을 통합하는 전략에 대한 예시가 포함되어 있습니다.
- 주요 리소스 및 자금 조달 기회 모음과 함께 예비 ECM 제공업체가 시작하는 방법에 대한 지침을 제공합니다.
DHCS is committed to providing technical assistance and support to California’s growing network of ECM providers. This is the third in a series of ECM spotlights released by DHCS to support stakeholders seeking more details on how providers can tailor ECM to meet the needs of different POFs. To access the ECM LTC POF Spotlight and other spotlights, please visit the DHCS ECM and Community Supports webpage.
DHCS Launches “PATHways to Success” Web Portal
On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements ECM, Community Supports, and justice-involved services under CalAIM. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing ECM and Community Supports for the Medi-Cal members they serve.
Entities are invited to explore the new site and learn how PATH is helping organizations meet the needs of Medi-Cal members and provide coordinated, ongoing ECM and Community Supports. Please email your questions to communications@ca-path.com.
팀에 합류하세요
DHCS는 고도로 숙련되고 동기 부여가 뛰어난 인재를 찾고 있습니다:
- Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
The salary range for this position is $11,435 to $13,623 per month. Possession of a medical license is desired, but not required. A salary range of $13,624 to $17,855 per month is available for candidates who are medical doctors or clinicians. (Final filing date: June 26)
DHCS is also hiring for legislative and governmental affairs, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.
예정된 이해관계자 회의 및 웨비나
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
On June 25 at 10 a.m. PDT, DHCS will host the final CPE and Newborn Gateway portal overview webinar. Registration is available through the Medi-Cal Learning Portal. Additionally, a recording of the webinar will be available by searching for course code CNPE104RW.
Starting July 1, DHCS will introduce new online portals for providers to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full-scope coverage to eligible applicants. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. The Newborn Gateway portal is for reporting births with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours of birth or 24 hours after discharge. Providers must complete certification training to use these portals and enroll eligible infants into coverage starting on July 1.
CalAIM PATH 모범 사례 웨비나
On June 27, from 11 a.m. to 12 p.m. PDT, DHCS will host a webinar, Tools to Better Engage Eligible Members in CalAIM (advance registration required). The webinar is part of a biannual series of PATH Collaborative Planning and Implementation (CPI) webinars designed to highlight best practices for implementing ECM and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with Medi-Cal managed care plans, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, including past webinar resources and recordings, please visit the PATH CPI webpage.