프로그램 업데이트
행동 건강 연방 보조금 업데이트
9월 27, 2021일에 DHCS는 11월 29, 2021일까지 이용할 수 있는 위기 치료 이동 유닛(CCMU) 자금 지원 기회를 다시 발표했습니다. 원래 2억 5천만 달러의 자금 지원 기회가 7월 23, 2021부터 8월 23, 2021까지 캘리포니아 카운티, 시 행동 보건 기관, 카운티 및/또는 시 행동 보건 기관의 공동 그룹, 부족 단체에 제공되었습니다. DHCS는 현재 1억 5,900만 달러 규모의 1차 펀딩 라운드에서 신청서를 검토하고 있습니다. 자격 요건은 동일하게 유지되며, 이전 신청자도 추가 지원금을 신청할 수 있지만 DHCS는 신규 신청자에게 우선순위를 부여합니다. 두 가지 트랙에 걸쳐 최소 4,600만 달러가 지원됩니다: 1) 모바일 위기 및 비위기 프로그램의 필요성을 평가하고 이를 해결하기 위한 실행 계획을 개발하기 위한 최대 20만 달러의 계획 보조금, 2) 새로운 CCMU 프로그램을 실행하거나 기존 프로그램을 확장하기 위한 팀당 최대 100만 달러의 실행 보조금입니다. 모든 CCMU 수혜자는 25세 이하의 개인을 위한 모바일 행동 건강 위기 서비스를 우선시하는 동시에 더 많은 인구에게 서비스를 제공해야 하며, 사법 개입 서비스를 지원하도록 권장됩니다. 이번 보조금 지원은 3, 2022년 1월부터 30, 2025년 6월까지 신청할 수 있습니다.}
두 CCMU 기금 라운드는 모두 다음에서 지원됩니다: 약물 남용 예방 및 치료 블록 보조금과 약물 남용 및 정신건강 서비스국에서 코로나바이러스 대응 및 구호 추가 세출법에서 책정된 자금을 통해 수여하는 지역사회 정신건강 서비스 블록 보조금을 통해 5,500만 달러; 행동 건강 연속체 인프라 프로그램을 통해 2021-22 회계연도 주 일반 기금에 포함된 1억 5,000만 달러입니다. CCMU 펀딩 기회에 대한 자세한 내용은 이메일(BHRRP@dhcs.ca.gov)로 문의하시기 바랍니다.
행동 건강 연속성 인프라 프로그램(BHCIP) 업데이트
10월 1일, DHCS는 카운티, 부족, 비영리 및 영리 단체를 대상으로 BHCIP 경청 세션을 개최했습니다. 경청 세션에서는 BHCIP 자금 지원 기회, 프로그램 일정, 이용 가능한 기술 지원에 대해 논의하고, 자격을 갖춘 신청자가 제안된 BHCIP 활동에 대해 서면 및 구두 피드백을 포함한 통찰력을 DHCS에 직접 제공할 수 있는 기회를 제공했습니다.
BHCIP provides DHCS with funding to award competitive grants to qualified entities to construct, acquire, and rehabilitate real estate assets, or to invest in mobile crisis infrastructure to expand the community continuum of behavioral health treatment resources. A portion of the funding is available for increased infrastructure targeted to children and youth age 25 and younger. For more information, please email BHCIP@dhcs.ca.gov or visit the DHCS website.
CalHOPE
The CalHOPE Crisis Counseling Assistance and Training Program (CCP) received federal approval to extend services, allowing the program to continue through February 9, 2022, to provide emotional support for all Californians. Each week, the CalHOPE Connect chat feature continues to assist individuals with an average of 4,000 chats per week. CalHOPE also continues to partner with Together for Wellness and Juntos por Nuestro Bienestar, which feature evidence-based and community resources to help manage stress and anxiety, and offer the CalHOPE Warm Line, (800) 317-HOPE (4673). The Warm Line connects callers to other people who have persevered through struggles with stress, anxiety, and depression.
CalHOPE provided individual crisis counseling, group counseling, public education, brief education, and supportive contact services to 40,075 Californians in July and 46,961 in August. Additionally, from July 1 through September 10, CalHOPE provided CCP services to 459,146 Californians, which involved helpline contact, email responses, resource materials handed out/mailed, and mass media outreach. The most recent statistics and accomplishments are located on the CalHOPE Impact page. Additionally, American gymnast Mary Lou Retton delivered a message identifying CalHOPE as a local sponsor of NBC Universal’s coverage of the Tokyo Olympics.
지역사회 보건 종사자(CHW) 서비스 혜택
DHCS is adding CHW services as a preventive service in the State Plan. In order to allow for the successful launch of the CHW benefit, DHCS is adjusting the implementation date for these benefits from January 1, 2022, to July 1, 2022. Additional time is needed to work with stakeholders and health plans, review their input, incorporate their feedback into the State Plan Amendment, ensure successful system updates, seek federal approval from CMS, and allow time for plans to prepare to offer these services. CHWs are skilled and trained health educators, assist individuals with accessing health care services, and provide key linkages with other similar and related community-based resources. CHWs would render Medi-Cal covered benefits and services under the supervision of an enrolled Medi-Cal provider. These services would be available under both the fee-for-service (FFS) and managed care delivery systems. DHCS met with stakeholders on August 18 and September 17 to discuss developing the State Plan Amendment (SPA) to add CHW services as a covered benefit. More information is available on the DHCS website, including future opportunities for stakeholders to provide input on developing the benefit.
치과 혁신 이니셔티브(DTI)
The July 2021 payment of $2 million for Domain 1 was released on August 2, 2021. The goal of DTI’s Domain 1 is to increase by 10 percentage points the statewide proportion of children through age 20 enrolled in Medi-Cal who receive a preventive dental service during a five-year period. As of August 31, the amount of Domain 2 payments issued was approximately $194.4 million, and 3,375 providers have opted in to participate. The goal of Domain 2 is to diagnose early childhood caries by utilizing caries risk assessments to treat it as a chronic disease and to introduce a model that proactively prevents and mitigates oral disease. For more information, please visit the DHCS website.
약물 Medi-Cal 조직화된 전달 시스템(DMC-ODS)
California’s first regional DMC-ODS model began operating in seven counties on July 1, 2020, bringing the number of counties participating in the DMC-ODS to 37 and covering more than 96 percent of the Medi-Cal population. The regional model is a collaboration among seven Northern California counties and Partnership HealthPlan of California that allows access to screening, assessment, early intervention, and continuum of substance use disorder (SUD) treatment. The DMC-ODS provides a continuum of care modeled after the American Society of Addiction Medicine (ASAM) criteria for SUD treatment services.
2021년에도 DHCS는 관심 있는 DMC 주 계획 카운티를 위한 웨비나를 계속 개최합니다. 웨비나 주제에는 개인 및 지역 모델 옵션, 약물 보조 치료(MAT) 접근, 네트워크 적정성 표준, 재정적 영향 및 예측이 포함되어 있으며, 모두 DMC-ODS의 구현을 지원합니다.
As of February 1, DHCS implemented Senate Bill (SB) 823 (Chapter 781, Statutes of 2018) through Behavioral Health Notice No.: 21-001, which requires DHCS’ licensed alcohol and other drug (AOD) recovery treatment facilities to obtain at least one DHCS Level of Care (LOC) Designation and/or at least one residential ASAM LOC Certification consistent with all of its program services. DHCS has processed 1,425 total designations for AOD providers in California. Of those designations, 1,126 are active for 420 providers. More information about the DMC-ODS is available on the DHCS website.
DHCS also contracts with an External Quality Review Organization (EQRO) that reviews DMC-ODS counties annually regarding access, timely access, and quality of care. The information from these reviews is summarized in annual county reports. For FY 2020-21, the EQRO completed and posted 29 DMC‑ODS county reviews, including the first review of the DMC-ODS regional model. In April 2021, DHCS submitted the annual statewide technical report as well as performance improvement project reports to CMS. All EQRO. The EQRO commenced FY 2021-22 county reviews in September. Additionally, under contract with the University of California Los Angeles, Integrated Substance Abuse Programs (UCLA ISAP), DHCS is conducting annual DMC‑ODS waiver evaluation activities to measure and monitor outcomes. The evaluation focuses on access to care, quality of care, cost, and the integration and coordination of SUD care, both within the SUD system and with medical and mental health services. The latest DMC‑ODS waiver evaluation report is posted on the UCLA ISAP website.
둘라 서비스 혜택
DHCS is adding doula services to the list of Medi-Cal preventive services to improve health equity and address health disparities. In order to allow for the successful launch of this benefit, DHCS is adjusting the implementation date for this benefit from January 1, 2022, to July 1, 2022. Additional time is needed to work with stakeholders and health plans, review their input, incorporate their feedback into the State Plan Amendment, ensure successful system updates, seek federal approval from CMS, and allow time for plans to prepare to offer these services. Doula services include emotional and physical support to individuals throughout pregnancy, labor, childbirth, and the postpartum period. Pursuant to federal regulations, doula services will need to be recommended by a physician or other licensed practitioner. DHCS met with stakeholders on September 16 to discuss developing the SPA, including defining qualifications of doulas, covered services, and supervision. These services will be available in both the FFS and managed care delivery systems. More information is available on the DHCS website, including future opportunities for stakeholders to provide input on doula services and the SPA.
HIV/AIDS 메디캘 웨이버 프로그램(MCWP) 갱신
On September 29, 2021, DHCS submitted the HIV/AIDS MCWP renewal application to CMS. The renewal application is posted on both the DHCS and California Department of Public Health (CDPH) websites. DHCS, in collaboration with CDPH, must renew its HIV/AIDS MCWP every five years. The current HIV/AIDS MCWP term ends on December 31, 2021. The new waiver term will be January 1, 2022, through December 31, 2026. From August 13 through September 13, DHCS posted the HIV/AIDS MCWP renewal to the AIDS Medi-Cal Waiver Program webpage for a 30-day public comment period. CDPH received and responded to 10 comments from stakeholders, and updated the MCWP renewal application to reflect stakeholder comments.
사회보장법 1915(c) 조항에 따라 승인된 HIV/AIDS MCWP는 요양 시설 치료 또는 입원의 대안으로 HIV/AIDS 감염인에게 포괄적인 사례 관리 및 직접 치료 서비스를 제공합니다. MCWP의 목표는 다음과 같습니다: (1) 시설 서비스가 필요한 HIV 감염인에게 가정 및 지역사회 기반 서비스 제공, (2) HIV 건강 관리 지원, (3) 사회적 및 행동 건강 지원 접근성 개선, (4) 서비스 제공자 조정 및 서비스 중복 제거입니다.
가정 및 지역사회 기반 대안(HCBA) 면제 갱신
On September 29, 2021, DHCS submitted the HCBA waiver renewal application to CMS. The renewal application, and additional information, is posted on the DHCS website. DHCS must renew its HCBA waiver every five years. The current waiver term ends on December 31, 2021; the new one will be effective from January 1, 2022, through December 31, 2026. From August 16 through September 16, DHCS posted the HCBA waiver renewal application to the DHCS website for a 30-day public comment period. DHCS received and responded to 128 comments from 36 stakeholders, and updated the HCBA waiver renewal application to reflect stakeholder comments.
사회보장법 1915(c) 조항에 따라 승인된 HCBA 면제는 Medi-Cal 자격을 갖춘 수혜자가 선택한 지역사회 환경에서 장기적인 지역사회 기반 서비스 및 지원을 제공합니다. 이러한 서비스에는 기관이 아닌 지역사회 환경에서 간호 수준의 케어가 필요한 개인의 건강과 안전을 유지하는 데 필요한 개인 간호, 사례 관리 및 개인 케어 서비스가 포함됩니다.
가정 및 지역사회 기반 서비스(HCBS) 지출 계획
On September 3, 2021, CMS notified DHCS that California’s HCBS Spending Plan was granted partial approval of the initiatives proposed, with one initiative denied and additional information requested for other initiatives. On September 17, DHCS, in collaboration with sister departments, provided CMS with the additional information requested for specific initiatives. DHCS and its partners are currently developing implementation strategies and timelines. More information will be made available to stakeholders and posted on the DHCS website in the coming weeks.
On July 12, DHCS submitted California’s $4.6 billion Medicaid HCBS Spending Plan to CMS for review and approval. The American Rescue Plan Act of 2021 (ARPA) provides states with a temporary increase in federal funds for certain HCBS Medicaid expenditures from April 1, 2021, through March 31, 2022. The HCBS plan reflects many of the investments included in the initial version released by DHCS in early June, as well as program funding included in the 2021 Budget Act. The plan will expand services for California’s most vulnerable and at-risk residents through new and existing programs that will strengthen HCBS in the state’s Medicaid delivery systems. These investments will also build capacity and transform critical safety net programs, as well as promote economic mobility and social stability.
의료 통역사 파일럿(MIP) 프로젝트
Pursuant to SB 165 (Chapter 365, Statutes of 2019), DHCS is required to collaborate with stakeholders to establish a pilot at up to four sites to evaluate the provision of medical interpretation services for beneficiaries with Limited English Proficiency (LEP) enrolled in Medi-Cal managed care and FFS Medi-Cal. A primary goal of the pilot will be to determine whether providing medical interpretation services results in a reduction of disparities in access to and use of services, and quality of care, with respect to beneficiaries with LEP and beneficiaries who are proficient in English. DHCS will make available up to $5 million for the pilot project and the associated ongoing, independent evaluation to be conducted throughout the term of the pilot by California State University at San Diego’s Institute for Public Health.
On August 31, DHCS announced the following selected pilot site contractors: Contra Costa County—Monterey Language Services; Los Angeles County—Language World Services, Inc.; San Diego County—Hanna Interpreting Services, L.L.C.; and San Joaquin County—J. Rivera Associates. DHCS anticipates that the pilot project will run from November 1, 2021, through September 30, 2023. For more information, visit the DHCS website.
약물 치료 관리(MTM)
As part of the Governor’s 2021 Budget Act, DHCS submitted SPA 21-0028 to CMS seeking to add MTM as a payable FFS pharmacy service provided in conjunction with certain complex chronic medical conditions. On September 15, DHCS received CMS approval of this SPA, and is now working to finalize provider contracts and meet with stakeholders to obtain feedback and insights regarding the specific requirements and allowances of the MTM benefit. To participate in this program, Medi-Cal-enrolled pharmacies will be required to enter into a contract with DHCS. The contract will outline the requirements and guidelines necessary to receive reimbursement under this methodology.
Medi-Cal Rx 구현 업데이트
Medi-Cal Rx is scheduled to launch on January 1, 2022. Outreach and education activities have begun and will run through December, in advance of the January 1 go-live date. DHCS will send a 60-day notice to all Medi-Cal beneficiaries and a 30-day notice to all FFS beneficiaries. MCPs will also send a 30-day notice to their members as part of a broader outreach campaign. Additionally, DHCS has resumed Medi-Cal Rx stakeholder engagements and meeting schedules. For more information, please visit the DHCS website or email RxCarveOut@dhcs.ca.gov.
머니 팔로우 더 퍼스널(MFP) 추가 자금 지원 신청서
MFP 시범 프로그램은 개인이 거주지를 선택하고 서비스를 받을 수 있도록 주 장기 서비스 및 지원 시스템의 균형을 재조정하려는 주정부의 노력을 지원합니다. MFP 프로그램의 목표는 HCBS 사용을 늘리고 적절한 경우 시설 기반 서비스 사용을 줄이는 한편, 시설에서 전환하기로 선택한 사람들에게 HCBS를 제공할 수 있는 메디케이드 프로그램의 역량을 강화하는 것입니다.
0}년 2020월 23일, CMS는 현재 MFP 시범 프로그램을 운영 중인 주에 최대 1억 6,500만 달러의 추가 자금을 지원한다고 발표했습니다. 각 주에서는 장기요양 시스템 전환 설계 및 실행을 가속화하고 HCBS 역량을 확대하기 위한 계획 및 역량 구축 활동에 최대 5백만 달러의 추가 자금을 지원받을 수 있습니다. 지원금을 받으려면 6월 30일까지 프로젝트 내러티브가 포함된 제안서를 제출해야 했습니다.
On July 27, CMS approved DHCS’ $5 million MFP supplemental funding application to conduct a statewide gap analysis and multiyear roadmap of its HCBS and Managed Medi-Cal Long-Term Supports and Services (MLTSS) programs and networks. The CMS-approved application is available on the DHCS website
동료 전문가 인증 프로그램
On July 22, 2021, DHCS released Behavioral Health Information Notice 21-041 identifying the state standards for Medi-Cal peer support specialist certification programs that may be implemented by counties, or an entity representing counties, that opt in to provide these programs, according to SB 803 (Chapter 150, Statutes of 2020) requirements. This certification is required for Medi-Cal reimbursement, but does not impact peer programs with other funding sources. For questions about Medi-Cal peer support specialist certification, email Peers@dhcs.ca.gov.
On August 27, DHCS released for stakeholder feedback a draft of SPA 21-0051, which seeks to establish peer support services as a distinct specialty mental health service, and peer support specialists as a distinct provider type.
DHCS는 새로운 동료 지원 전문가 혜택을 시행하는 데 필요한 모든 연방 메디칼 면제 및 주 플랜 수정안을 CMS에 제출하는 절차를 진행 중입니다. CMS의 승인에 따라 동료 지원 전문가 서비스는 1, 2022년 7월에 시작될 수 있습니다.
산후조리 보험 적용
Under the provisions of ARPA, DHCS is opting to broaden the scope of Medi-Cal coverage for currently eligible and newly eligible pregnant individuals. Medi-Cal will cover the full breadth of medically necessary services, during both the pregnancy and postpartum periods, by adding ten months of coverage following the current 60-day postpartum period, for a total of 12 months. In the interest of aligning the Medi-Cal Access Program (MCAP) with the Medi-Cal postpartum care extension policies described above, DHCS submitted a Children’s Health Insurance Program (CHIP) SPA, CA-21-0032, proposing to create a Health Services Initiative (HSI) to extend the provisions allowed in ARPA to MCAP. On September 14, DHCS received federal approval for the HSI. Under the provisions of ARPA and the HSI, individuals will maintain coverage through their pregnancy and 12-month extended postpartum coverage period regardless of income changes, citizenship, or immigration status. This policy is targeted for implementation on April 1, 2022.
메디칼 치과 서비스를 위한 캘리포니아 스마일 캠페인
The statewide “Back-Tooth-School” campaign, which aimed to encourage parents and caregivers to send their children back to school with healthy smiles by scheduling a dental check-up before the start of the 2021-22 school year, concluded in September. Smile, California developed 15 new resources and assets (translated in Spanish and some in Chinese) as part of this campaign. Fifty-six local oral health programs participated in the campaign by co-branding Smile, California resources, sharing messaging through social media, and conducting kindergarten oral health assessment events.
Also, two new videos were posted to SmileCalifornia.org and SonrieCalifornia.org. The first video, entitled “How to Use the Find A Dentist Tool,” is available in both English and Spanish. The second video, “Healthy Children are Ready to Learn!“, underscores the important role good oral health and regular dental check-ups play in school readiness. This video is also available in both English and Spanish.
Additionally, in October, Smile, California will partner with 185 school-based health centers, which do not offer dental treatment as a service, by providing them with a new 11×17 inch poster in English, Spanish, Mandarin, and Vietnamese. The poster will feature a 2-2-2 tip message (visit the dentist 2x a year, and brush for 2 minutes 2x a day each day) and will feature a list of the free and low-cost services provided by the Medi-Cal Dental Program. Further, in celebration of the campaign’s third anniversary, five Medi-Cal dental provider testimonial videos will premiere on Smile, California’s website and social media accounts. Watch the series on SmileCalifornia.org, Facebook, or Instagram.
By the end of August, SmileCalifornia.org had 19,854 new visitors, of which 14,505 clicked the “Find a Dentist” button.