ຄາລິຟໍເນຍມອບລາງວັນເກືອບ 147 ລ້ານໂດລາເພື່ອເສີມສ້າງການບໍລິການສຸຂະພາບຂອງຊຸມຊົນ​​ 

ກອງທຶນຈະຊ່ວຍໃຫ້ຜູ້ໃຫ້ບໍລິການ Medi-Cal ເພີ່ມຂີດຄວາມສາມາດໃນຊຸມຊົນສະມາຊິກ – ສະໜອງການເຂົ້າເຖິງການດູແລບຸກຄົນໃນບ່ອນທີ່ເຂົາເຈົ້າອາໄສຢູ່.​​   

SACRAMENTO — The California Department of Health Care Services (DHCS) today awarded $146.6 million to 133 organizations to support the provision of Enhanced Care Management (ECM) and Community Supports services to Medi-Cal members. These awards are part of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative, designed to help providers strengthen their ability to participate in the Medi-Cal delivery system and provide whole-person care to Californians.​​ 

“ເງິນທຶນເຫຼົ່ານີ້ຈະຊ່ວຍໃຫ້ຜູ້ໃຫ້ບໍລິການໃນທ້ອງຖິ່ນສ້າງຄວາມສາມາດໃນລະບົບການດູແລທີ່ຄຸ້ມຄອງໂດຍ Medi-Cal ເພື່ອຂະຫຍາຍການບໍລິການຂອງເຂົາເຈົ້າ, ຮັບປະກັນວ່າສະມາຊິກ Medi-Cal ໄດ້ຮັບການບໍລິການຄຸ້ມຄອງການດູແລທີ່ດີຂຶ້ນ ແລະ ການສະໜັບສະໜູນຊຸມຊົນທີ່ເຂົາເຈົ້າຕ້ອງການໃນຊຸມຊົນຂອງເຂົາເຈົ້າ,” ຜູ້ອຳນວຍການ DHCS Michelle Baass ກ່າວ. "ພວກເຮົາມຸ່ງໝັ້ນທີ່ຈະປັບປຸງຜົນໄດ້ຮັບດ້ານສຸຂະພາບໂດຍການສະໜັບສະໜູນຜູ້ຄົນ ແລະ ອົງການຈັດຕັ້ງຕ່າງໆຢູ່ແນວໜ້າ."​​ 

ECM and Community Supports focus on providing personalized care for Medi-Cal members with the highest needs, providing in-person care coordination, housing assistance, and other essential services for eligible members. PATH CITED funds will support these efforts by investing in workforce development, infrastructure, and technology.​​ 

CAPACITY FOR ECM AND COMMUNITY SUPPORTS INCREASING: The latest ECM and Community Supports Quarterly Implementation Report shows an increase in the availability and use of Community Supports, showing significant growth in the number of counties offering these services. As of January 2024, 19 counties across California offered all 14 Community Supports, and all counties offered at least eight Community Supports. About 140,000 unique Medi-Cal members used Community Supports in the first two years of the program, with more than 350,000 total services delivered. ECM participation also grew, with around 96,000 members served in quarter four 2023, a 40 percent increase from the same period in 2022.​​ 

“We’re very grateful for the funding and support from this initiative. We would not be here without this opportunity,” said John Bodtker, California Advancing and Innovating Medi-Cal (CalAIM) Director for California Health Collaborative, a statewide nonprofit serving community members since 1982, which received more than $1.9 million in PATH CITED Round 3 funding. “This funding will help us invest in our workforce and information systems to not only build relationships with nontraditional providers, like food banks and clothing closets, but to also foster relationships with clinical providers to try and identify people experiencing gaps in care.”​​ 

WHY THIS IS IMPORTANT: PATH CITED is helping ECM and Community Supports providers bolster their workforce, invest in infrastructure and information technology systems, and develop their capacity to serve Medi-Cal members. Examples of capacity-building efforts that CITED awardees will undertake include: ​​ 

• ກໍ່ສ້າງພື້ນຖານໂຄງລ່າງພາຍໃນ ແລະ ຄວາມສາມາດຂອງພະນັກງານເພື່ອຕອບສະໜອງຄວາມຕ້ອງການຂອງສະມາຊິກ ແລະ ຊ່ອງຫວ່າງການດູແລທີ່ໃກ້ຊິດໃນຂົງເຂດທີ່ເຂົາເຈົ້າຮັບໃຊ້. ​​ 
• ການປະຕິບັດຊອບແວໃຫມ່ເພື່ອຊ່ວຍໃຫ້ຜູ້ປະສານງານການດູແລ ECM ກັບການປ່ຽນແປງການດູແລຄົນເຈັບ, ການປະສານງານແລະການຄຸ້ມຄອງການດູແລ. ​​ 
• ຂະຫຍາຍການສະໜັບສະໜູນຊຸມຊົນທີ່ຕອບສະໜອງທາງດ້ານວັດທະນະທຳເພື່ອຮັບໃຊ້ສະມາຊິກທີ່ດີຂຶ້ນຈາກພື້ນຖານພາສາ ແລະວັດທະນະທຳທີ່ຫຼາກຫຼາຍ.​​ 

“ຂໍຂອບໃຈ PATH CITED, ພວກເຮົາໄດ້ຫັນປ່ຽນເຕັກໂນໂລຊີຂໍ້ມູນຂ່າວສານ ແລະ ຄວາມສາມາດດ້ານແຮງງານຂອງພວກເຮົາ,” Jeff Little, ຊີອີໂອຂອງ Inland Housing Solutions ແລະ ຜູ້ໄດ້ຮັບລາງວັນ CITED ກ່ອນໜ້ານີ້ກ່າວ. "ການສະໜອງທຶນ CITED ໄດ້ຊ່ວຍໃຫ້ພວກເຮົາພັດທະນາໄປສູ່ຜູ້ນຳການສະໜັບສະໜູນຊຸມຊົນໃນພາກພື້ນໃນທົ່ວເຂດ San Bernardino ແລະ Riverside ແລະ ມີຄວາມສຳຄັນຫຼາຍຕໍ່ການເສີມຂະຫຍາຍຄວາມສາມາດຂອງພວກເຮົາໃຫ້ດີເລີດພາຍໃນຂອບການເຮັດວຽກ Medi-Cal."​​ 

BIGGER PICTURE: ECM is a statewide Medi-Cal benefit addressing the clinical and non-clinical needs of the highest-need members by building trusting relationships and providing intensive coordination of health and health-related services. Lead care managers meet members where they are—on the street, in a shelter, in their doctor’s office, or at home. Through ECM, members can also be connected to Community Supports services to help address their health-related social needs, such as access to healthy foods or safe housing to help with recovery from an illness.​​  

“These investments continue to help local Medi-Cal providers operate within the managed care system by empowering them to build and deliver programs, hire and train specialized staff, invest in information systems, and more. It also underscores our commitment to support sustainable partnerships between managed care plans and community-based providers, and develop a delivery system capable of providing patient-centered, whole-person care,” said Susan Philip, Deputy Director for DHCS’ Health Care Delivery Systems. “Together, we are driving toward better health outcomes and a more equitable health care delivery system for all Californians.”​​ 

HOW WE GOT HERE: PATH is a five-year, $1.85 billion initiative launched in 2022 that provides funds for community-based organizations, county agencies, hospitals, tribes, and other community providers to support improved health care management and delivery through the Medi-Cal system. ​​  

Recipients of PATH CITED awards include cities, counties, local governmental agencies, tribal entities, nonprofit community-based organizations, public hospitals, and others. Awardees must be actively contracted to provide ECM/Community Supports or have a signed attestation from a Medi-Cal managed care plan or their subcontractor that they intend to contract with to provide ECM/Community Supports. ​​  

ໃບສະໝັກ CITED ຮອບທີ 4 ຄາດວ່າຈະເປີດໃນທ້າຍປີນີ້. ສຳລັບຂໍ້ມູນເພີ່ມເຕີມກ່ຽວກັບໂຄງການ PATH CITED, ກະລຸນາເຂົ້າເບິ່ງ ເວັບໄຊທ໌ຂອງ PATH.​​