ຂ່າວເດັ່ນ​​  

DHCS ໄດ້ຮັບການອະນຸມັດໃຫ້ເຂົ້າຮ່ວມໃນ Medi-Cal Cell ແລະ Gene Therapy Access Model​​ 

The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.​​ 

Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.​​ 

ອັບເດດໂຄງການ​​ 

California’s 1115 Waiver Approvals Remain Unaffected​​ 

DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.​​ 

This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.​​ 

DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.​​ 

ເຂົ້າຮ່ວມທີມງານຂອງພວກເຮົາ​​ 

DHCS ກຳລັງຊອກຫາບຸກຄົນທີ່ມີພອນສະຫວັນ ແລະ ມີແຮງຈູງໃຈເພື່ອຮັບໃຊ້ເປັນ:​​ 

• Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.​​ 

• Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.​​ 

DHCS ຍັງຈ້າງສໍາລັບບັນຊີ, ສຸຂະພາບພຶດຕິກໍາ, ແລະທີມງານອື່ນໆ. ສໍາລັບຂໍ້ມູນເພີ່ມເຕີມ, ກະລຸນາເຂົ້າໄປທີ່ ເວັບໄຊທ໌ CalCareers.
​​ 

ກອງປະຊຸມຜູ້ມີສ່ວນກ່ຽວຂ້ອງ ແລະກອງປະຊຸມທາງເວັບທີ່ຈະມາເຖິງ​​ 

DHCS ປະກາດການປະຊຸມສາທາລະນະທີ່ຈະມາເຖິງໃນ ປະຕິທິນຂອງເຫດການ. 
​​ 

ການດູແລສຸຂະພາບແບບດັ້ງເດີມປະຕິບັດຜົນປະໂຫຍດການປະຕິບັດ​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.​​ 

DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
​​ 

ຄອບຄົວທີ່ເລືອກ, ພາກທີ 2: ການຄຸມກຳເນີດ ແລະ ການຈະເລີນພັນສຳລັບຜູ້ປ່ຽນເພດ ແລະ ເພດທີ່ຫຼາກຫຼາຍ​​  

ວັນທີ 5 ພຶດສະພາ ເວລາ 10-11:30 ໂມງ PDT, DHCS ຈະເປັນເຈົ້າພາບຂອງຄອບຄົວທີ່ເລືອກ, ພາກທີ 2: ການຄຸມກຳເນີດ ແລະ ການຈະເລີນພັນສຳລັບຜູ້ປ່ຽນເພດ ແລະ ຄົນຫຼາກຫຼາຍເພດ webinar (ຕ້ອງລົງທະບຽນຂັ້ນສູງ). ຄົນຂ້າມເພດ ແລະຄວາມຫຼາກຫຼາຍທາງເພດ (TGD) ເປັນຕົວແທນຂອງປະຊາກອນຄົນເຈັບທີ່ເພີ່ມຂຶ້ນ, ແຕ່ຫຼາຍຄົນຍັງສືບຕໍ່ລາຍງານການຂາດຄວາມຮູ້ຂອງຜູ້ໃຫ້ບໍລິການເມື່ອເວົ້າເຖິງສຸຂະພາບ TGD. ກອງປະຊຸມນີ້ຈະສ້າງຄໍາສັບທາງດ້ານສຸຂະພາບ TGD ແລະຄວາມສາມາດທີ່ຈໍາເປັນທີ່ນໍາສະເຫນີໃນ ພາກທີ 1 ຂອງຊຸດ webinar ນີ້ໂດຍການທົບທວນຄືນຄໍາແນະນໍາໂດຍອີງໃສ່ຫຼັກຖານສໍາລັບການຄຸມກໍາເນີດ, ການຈະເລີນພັນ, ແລະການໃຫ້ຄໍາປຶກສາການສ້າງຄອບຄົວ. ຖ້າທ່ານບໍ່ສາມາດເຂົ້າຮ່ວມ webinar ສົດໄດ້, ຂໍ້ຄວາມຖອດຖອນແລະການບັນທຶກ webinar, ພ້ອມກັບຊັບພະຍາກອນເພີ່ມເຕີມ, ຈະມີຢູ່ໃນ ເວັບໄຊທ໌ Family PACT ໃນເວລາຕໍ່ມາ.
​​ 

ຄະນະກໍາມະການທີ່ປຶກສາຜູ້ມີສ່ວນກ່ຽວຂ້ອງ (SAC)/ສຸຂະພາບພຶດຕິກໍາ (BH)-SAC ກອງປະຊຸມ​​ 

ໃນວັນທີ 21 ພຶດສະພາ, ເວລາ 9:30 ໂມງເຊົ້າ ຫາ 3 ໂມງແລງ PDT, DHCS ຈະເປັນເຈົ້າພາບຈັດ ກອງປະຊຸມ SAC/BH-SAC ແບບປະສົມ (ການລົງທະບຽນລ່ວງໜ້າທີ່ຕ້ອງການສຳລັບການເຂົ້າຮ່ວມທາງອອນລາຍ ແລະ ດ້ວຍຕົນເອງ) ທີ່ຖະໜົນ 1700 K (ຫ້ອງປະຊຸມຊັ້ນໜຶ່ງ 17.1014), Sacramento. SAC ສະຫນອງ DHCS ດ້ວຍການປ້ອນຂໍ້ມູນທີ່ມີຄຸນຄ່າແລະຄໍາຄຶດຄໍາເຫັນກ່ຽວກັບຄວາມພະຍາຍາມເພື່ອສະຫນອງການເຂົ້າເຖິງການດູແລສຸຂະພາບທີ່ມີຄຸນນະພາບເທົ່າທຽມກັນ. BH-SAC ສະໜອງ DHCS ດ້ວຍການລິເລີ່ມດ້ານສຸຂະພາບພຶດຕິກຳ ແລະ ໄດ້ຖືກສ້າງຂື້ນເປັນສ່ວນໜຶ່ງຂອງຄວາມພະຍາຍາມຢ່າງຕໍ່ເນື່ອງເພື່ອເຊື່ອມໂຍງສຸຂະພາບພຶດຕິກຳກັບລະບົບການດູແລສຸຂະພາບທີ່ໃຫຍ່ກວ່າ. ວາລະປະຊຸມ ແລະ ເອກະສານການປະຊຸມອື່ນໆ ຈະຖືກ ປະກາດ ເມື່ອມື້ປະຊຸມໃກ້ເຂົ້າມາ. ສໍາລັບຂໍ້ມູນເພີ່ມເຕີມ, ກະລຸນາສົ່ງອີເມວຫາ SACinquiries@dhcs.ca.gov ຫຼື BehavioralHealthSAC@dhcs.ca.gov.
​​ 

ໃນກໍລະນີທີ່ທ່ານພາດມັນ​​ 

ຂໍ້ສະເໜີ 35: ປົກປ້ອງການເຂົ້າເຖິງການດູແລສຸຂະພາບ Act-SAC​​  

Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
​​ 

ຕອນນີ້ເປີດແລ້ວ: ສະໜອງການເຂົ້າເຖິງ ແລະຫັນປ່ຽນສຸຂະພາບ (PATH) ຄວາມອາດສາມາດ ແລະໂຄງສ້າງພື້ນຖານການຫັນປ່ຽນ, ການຂະຫຍາຍຕົວ ແລະການພັດທະນາ (CITED) ຮອບທີ 4 ຄໍາຮ້ອງສະຫມັກ​​ 

On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new 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. 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.​​ 

ເສັ້ນຕາຍໃນການສະໝັກທຶນ PATH CITED ຮອບທີ 4 ແມ່ນເວລາ 11:59 ໂມງ PDT ໃນວັນ 2 ພຶດສະພາ, 2025. ເອກະສານແນະນຳ ແລະໃບສະໝັກແມ່ນມີຢູ່ໃນໜ້າເວັບ PATH CITED. ກະລຸນາສົ່ງຄໍາຖາມໃດໆໄປທີ່ cited@ca-path.com.

​​