10월 13, 2025
인기 뉴스
최신 향상된 케어 관리 및 커뮤니티 지원 분기별 보고서 제공
On October 10, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report, covering data from January 2022 through March 2025. These services help Medi-Cal members stay healthier and avoid more costly health care services, such as emergency department visits and hospital stays. Key highlights from Q1 2025 include:
- ECM 등록 회원 수는 2024년 1분기에 비해 61% 증가하여 177,527명이 서비스를 이용했습니다.
- 어린이와 청소년의 ECM 등록이 두 배 이상 증가했습니다.
- 커뮤니티 지원은 429,000명 이상의 회원에게 110만 건 이상의 서비스를 제공했습니다.
- 메디칼 회원의 약 94%가 최소 10개의 커뮤니티 지원을 이용할 수 있습니다.
- 가장 많이 이용하는 서비스는 의료 맞춤형 식사와 주거 관련 지원입니다.
또한 ECM 및 커뮤니티 지원 확대를 지원하기 위해 DHCS는 다음을 통해 14억 3천만 달러 이상을 지원했습니다. 액세스 제공 및 건강 변화 (PATH) 이니셔티브에는 역량 및 인프라 전환, 확장 및 개발(CITED), 공동 계획 및 구현(CPI), 기술 지원 마켓플레이스 등이 포함됩니다. 이 작업은 캘리포니아 주민들이 더 건강하고 안정적인 삶을 살 수 있도록 돕습니다.
메디케어 공개 등록 기간 동안 이용 가능한 메디 메디 플랜
10월 15일부터 12월 7일까지의 메디케어 공개 등록 기간 동안 자격을 갖춘 캘리포니아 주민은 다음에 가입할 수 있습니다. 메디 메디 플랜 , a type of Medicare Advantage plan that combines Medicare and Medi-Cal benefits into one coordinated plan. In 2026, these plans will be available in 41 counties, up from 12 counties in 2025. Medi-Medi Plans currently serve approximately 330,000 members. Starting in 2026, nine new Medi-Medi Plans will launch, and three existing Medi-Medi Plans will expand, to serve 461,000 potential members in 29 additional counties. Medi-Medi Plans simplify care with one member identification card, one care team, and integrated services across medical, behavioral health, and long-term services and supports. They also include wraparound Medi-Cal services and specialized care coordination. Joining a Medi-Medi Plan is voluntary. To join one, members can call Medicare at 1-800-MEDICARE or call Medi-Cal’s Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). If already enrolled in a Medi-Cal health plan, members may call the plan directly and ask about their Medi-Medi Plan option. For more information, visit the DHCS 메디-메디 플랜 웹페이지 .
프로그램 업데이트
발달 장애가 있는 캘리포니아 주민을 위한 Medi-Cal 가정 및 지역사회 기반 서비스(HCBS) 1915(c) 면제 개정안
DHCS는 캘리포니아 발달 장애인을 위한 Medi-Cal HCBS 1915(c) 웨이버에 대한 제안된 개정안에 대해 가입자, 제공자 및 기타 이해 관계자의 의견을 구하고 있습니다( HCBS-DD 면제 ). Under the Lanterman Act administered by the Department of Developmental Services (DDS), people with developmental disabilities are eligible to receive services and supports that meet their individual needs and choices. DDS, under DHCS oversight, ensures that the HCBS-DD waiver is implemented by Regional Centers in accordance with Medicaid law and the State’s approved waiver application. Regional centers coordinate, provide, arrange, and/or purchase the services and supports available under the HCBS-DD waiver.
DHCS는 제안된 면제 개정안을 11월 28일까지 메디케어 센터 & 메디케이드 서비스(CMS)에 제출할 계획이며, 발효일은 3월 1일로 예정되어 있습니다 1, 2026. 제안된 개정안의 사본을 입수할 수 있으며, 다음 이메일을 통해 의견을 제출할 수 있습니다. Federal.Programs@dds.ca.gov . Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.
산후안 카피스트라노에 새로운 올코브 청소년 드롭인 센터 오픈
On October 9, DHCS announced the opening of a new allcove youth drop-in center in San Juan Capistrano, funded through the Children and Youth Behavioral Health Initiative (CYBHI) and in partnership with the Behavioral Health Services Oversight and Accountability Commission. The centers are designed with and for youth, expanding access to evidence-based, youth-driven behavioral health services for people aged 12-25 in Orange County. The center offers mental health support, physical health, peer services, substance use support, and education and employment resources in one welcoming, stigma-free space. This investment is a part of CYBHI’s broader effort to transform California’s behavioral health system by reducing barriers to care, supporting community connections, and building a youth-centered, coordinated system of support across California. For more information about site details and access, please visit allcove San Juan Capistrano.
팀에 합류하세요
DHCS는 재능 있고 의욕적인 인재를 찾고 있습니다:
- 통합 치료 시스템 부문 책임자. 최고 책임자는 Medi-Cal 및 기타 주 의료 프로그램과 서비스를 받을 자격이 있는 취약 계층을 위한 주 전체 의료 시스템의 전달, 규정 준수 및 모니터링 활동을 이끌고 있습니다. 신청서는 10월 14일까지 제출해야 합니다.
- Chief, CA-MMIS Operations Division. The Chief leads the administration, oversight, and monitoring of DHCS’ Fiscal Intermediary (FI) Business Operations and FI-Maintenance and Operations (M&O) contracts for the Medi-Cal program. In this role, the Chief also provides oversight of the FI-M&O vendor and related systems used to assist with the processing of approximately $21 billion annually in Medi-Cal claim payments. Applications must be submitted by October 16.
DHCS is also hiring for its Audits and Investigations, Fiscal, Strategic Planning and Workforce Development, and other teams. For more information, please visit the CalCareers website.
예정된 이해관계자 회의 및 웨비나
DHCS는 DHCS 이벤트 캘린더에 예정된 공개 회의를 게시합니다. DHCS는 언어 통역, 실시간 캡션, 회의 자료의 대체 포맷 등 무료 지원 서비스를 제공합니다. 서비스를 요청하려면 회의 최소 10영업일 전까지 해당 연락처 이메일 주소로 DHCS에 이메일을 보내주세요.
California Children’s Services (CCS) Advisory Group Meeting
On October 15, from 1 to 3 p.m. PDT, DHCS will hold the quarterly California Children’s Services Advisory Group meeting. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities and Medi-Cal Rx pharmacy benefits. Additional information and meeting details are available on the CCS Advisory Group webpage. Please email CCSProgram@dhcs.ca.gov if you have any questions.
포괄적인 자궁 내 장치(IUD) 및 피임 임플란트 삽입 교육
On October 15-17, DHCS’ Office of Family Planning will host the Comprehensive IUD and Contraceptive Implant Placement Training series. Participants may choose between IUD and Implant Placement training on October 15-16, from 7:15 a.m. to 5 p.m. (advance registration required), with both days covering the same content. This training is designed for both new and experienced providers who want to build or refine their skills in IUD placement and removal. The agenda covers patient counseling and consent, method selection, instrument use, and step-by-step instruction for all U.S. Food and Drug Administration-approved IUDs. Participants will receive hands-on practice with pelvic models and computer simulators under the guidance of family planning experts. Advanced topics include managing side effects, pain control, troubleshooting difficult placements, and creating clinic flow for same-day IUD services.
Alternatively, participants may select the Implant-Only Placement on October 17, from 10 a.m. to 1:45 p.m. (advance registration required). Participants will receive hands-on training for NEXPLANON® placement and removal procedures as well as implant localization techniques. For more IUD resources, visit IUD & Implant Resources.
행동 건강 혁신 커뮤니티 계획 프로세스: 웨비나
On October 16, from 2 to 3 p.m. PDT, DHCS will host a public informational webinar on engaging in the Behavioral Health Services Act Community Planning Process. This process represents the local stakeholder and partner engagement requirement for each county’s Integrated Plan under the Behavioral Health Services Act. During the session, participants will learn how to become involved in the Community Planning Process, how DHCS evaluates meaningful stakeholder engagement in the Integrated Plan, and about resources available to help foster engagement efforts. Individuals must register to participate virtually. Visit the Behavioral Health Transformation webpage for more information and resources.
행동 건강 혁신 품질 및 형평성 자문 위원회: 웨비나
On October 21, from 11 a.m. to 1 p.m. PDT, DHCS will host the eighth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members will collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Attendees can provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send any questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.
ACES 인식 학습 센터 웨비나
10월 23일 오후 12시부터 1시(태평양 표준시)까지, DHCS의 ‘ACEs Aware’ 이니셔티브에서 ‘캘리포니아 의료 제공자 여러분: 무료 디지털 도구를 활용하여 청소년의 행동 건강 지원하기’라는 제목의 웨비나를 개최합니다(사전 등록 필수). ‘의도를 담은 실행(Implementation with Intention)’ 시리즈의 일환으로, ACES Aware Learning Center는 CYBHI를 통해 개발된 행동 건강 가상 서비스 플랫폼인 Mirror, Soluna,BrightLife Kids를 소개할 예정입니다. 이번 발표에서는 이러한 플랫폼을 진료 경로에 어떻게 통합할 수 있는지, 청소년층과의 소통을 어떻게 강화할 수 있는지, 그리고 다양한 지역사회에 걸쳐 행동 건강 서비스의 접근성을 어떻게 확대할 수 있는지에 대한 통찰을 다룰 예정입니다.
아동 및 청소년 모범 사례와의 연계 강화: 웨비나
On October 24, from 10 to 11 a.m. PDT, DHCS will host a public webinar, Strengthening Connections with Children and Youth Providers (advance registration required). The webinar is part of a series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increase providers’ successful participation in California Advancing and Innovating Medi-Cal (CalAIM), and improve collaboration with Medi-Cal health plans, state and local government agencies, and others to build and deliver quality benefits and services to Medi-Cal members. The webinar will demonstrate how First 5 programs across California are working with ECM and Community Supports services and providers and explain how schools and school districts help connect children and families with local organizations, youth programs, and health plans. All webinar recordings and best practices resources will be made available at ca-path.com/collaborative under the “Best Practices and Resources” section. For questions, please email collaborative@ca-path.com.
이해관계자 자문 위원회(SAC)/행동 건강(BH)-SAC 회의
On October 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
놓친 경우를 대비하여
스마일, 캘리포니아: 이동 치과 밴 이벤트(인요 카운티)
On October 16-18, from 8 a.m. to 5 p.m. PDT, mobile dental van events will be held in Inyo County to provide free dental services. The van will be located at 1360 N Main Street in Bishop. Smile, California will support the events with a custom flyer, social media posts, and a Smile Alert to notify members and partners of the event. Visitors are encouraged to call 1-888-585-3368 to pre-register and complete the consent forms before the event.
과도기 임대료 지불 방법론
10월 3일, DHCS는 최종 과도기적 임대료 지불 방법론을 발표했습니다. 이 문서에는 노숙자 또는 노숙 위험이 있고 추가 자격 기준을 충족하는 Medi-Cal 가입자에게 최대 6개월의 임대료 지원을 제공하기 위해 마련된 최신 커뮤니티 지원 서비스인 과도기 임대료와 관련된 최대 환급 가능 금액("환급 가능 한도") 및 관리 수수료가 포함되어 있습니다. 커뮤니티 지원 정책 안내서 2권에 설명된 대로 Medi-Cal 매니지 케어 플랜은 1월 1일부터 행동 건강 인구를 위한 과도기 임대료를 첫 번째 의무 커뮤니티 지원 서비스로 보장해야 합니다 1, 2026. 과도기적 임대료 지급 방식에 대한 자세한 정보를 제공하기 위해, DHCS는 10월 31일 오전 10시부터 11시까지 웨비나를 개최할 예정입니다. 또한 DHCS는 파트너 및 이해관계자 여러분께서 ECM 및 지역사회 지원 웹페이지를 방문하여 자세한 정보를 확인하시고, DHCS가 주도하는 다양한 주거 중심 사업의 최신 소식을 확인하기 위해 새로 개설된 ‘건강을 위한 주거(Housing for Health)’ 웹페이지를 방문해 주시기를 권장합니다.