Дом CalAIM: Преобразование программы Medi-Cal Стратегия программы CalAIM Medi-Cal по поддержке здоровья и расширению возможностей для детей и семей.​​ 

Стратегия CalAIM Medi-Cal по поддержке здоровья и возможностей для детей и семей​​ 

Вернуться на домашнюю страницу CalAIM​​ 

The Department of Health Care Services (DHCS) is responsible for the health care of more than 50 percent of California’s children and is committed to improving their health, supporting their families, and reducing barriers and disparities in care. To achieve these aims, DHCS launched Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families in March 2022, which integrates existing and new child and family health initiatives and strengthens DHCS’ accountability and oversight of children’s services. DHCS was guided by the following principles and considerations when shaping this strategy:​​ 

  • Устранение неравенства в сфере здравоохранения и обеспечение справедливости в сфере здравоохранения;​​ 
  • Implementing a whole-child, preventive approach to care informed by families’ needs and preferences;​​ 
  • Providing family and community-based care that considers the health of a child’s parents, caregivers, and siblings in the context of the communities in which they live;​​ 
  • Содействие комплексному оказанию помощи во всех системах предоставления услуг и узких специальностях;​​ 
  • Улучшение подотчетности и надзора за предоставлением услуг; а также​​ 
  • Выход за рамки Medi-Cal с целью развития партнерских отношений с DHCS.​​ 

Области действия​​ 

Стратегия включает восемь направлений действий с ключевыми инициативами, иллюстрирующими, в каких областях DHCS усиливает свое внимание к детям и семьям, зачисленным в программу Medi-Cal. Эти направления действий включают в себя:​​  

  • Новая структура руководства и подход к взаимодействию​​ 
  • Stronger coverage base for California’s children​​ 
  • Усиление профилактической и первичной медицинской помощи в педиатрии​​ 
  • Упрощенный доступ к вакцинации детей​​ 
  • Новая ответственность плана здравоохранения за качественные результаты​​ 
  • Подход, ориентированный на семью​​ 
  • Инвестиции в поведенческое здоровье детей и подростков​​ 
  • Дальнейшие шаги в модели патронатного воспитания​​ 

Основные документы​​ 

  • Набор инструментов для просветительской работы и образования по программе Medi-Cal для детей и подростков (февраль 2023 г.)​​ 
  • Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)​​ 

Информационные вебинары​​ 

Вебинар для всех желающих по программе Medi-Cal for Kids & Teens Outreach & Education Toolkit (март 1, 2023)​​ 

On Wednesday, March 1st from 11:00am- 12:00pm PT, DHCS hosted a webinar focused on the recently published Medi-Cal for Kids & Teens Outreach & Education Toolkit. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth from birth to age 21 access to preventive and medically necessary treatment services. DHCS developed the Toolkit to promote understanding of and access to EPSDT-covered services, which are available to the 5.7 million children, teens, and young adults enrolled in Medi-Cal. Included in the Medi-Cal for Kids & Teen Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen / young adult version), a member-facing letter explaining Medi-Cal rights for children, teens, and young adults, and a standardized training for Medi-Cal managed care providers. The All Comer webinar provided interested stakeholders the opportunity to learn more about the Toolkit, including how it was developed; how consumers, providers, and stakeholders can access the materials; and how the Toolkit will help advance Medi-Cal’s Strategy to Support Health & Opportunity for Children & Families.​​  

Окончательные материалы размещены ниже.​​ 

Вебинар для всех желающих по облицовочным материалам для зачисленных в CalAIM EPSDT (ноябрь 18, 2022)​​ 

On Friday, November 18th from 11:00 AM – 12:00 PM PT, DHCS hosted a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials. The federal and state requirement, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), gives children and youth under 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT-covered services, the comprehensive healthcare services available to the 5.6 million children and youth enrolled in Medi-Cal. Included in the EPSDT Outreach & Education Toolkit are two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the “EPSDT” name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped, including who to contact and how to file grievances and appeals. The All Comer webinar provided interested stakeholders the opportunity to share public feedback and comment on the enrollee-facing materials.​​  

Проекты материалов размещены ниже.​​ 

Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)​​ 

Дополнительные ресурсы​​ 

Вопросы и комментарии​​ 

Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.​​