Апрель 1, 2025
Главные новости
DHCS публикует последний квартальный отчет по улучшенному управлению уходом и поддержке сообщества
On March 27, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report summarizing utilization data from July 2024 through September 2024. Key highlights from the report include:
- Постоянный рост: с момента запуска ECM в январе 2022 года 279 824 уникальных участника Medi-Cal успешно зарегистрировались в программе ECM. Только в третьем квартале 2024 года 143 188 уникальных участников получили доступ к преимуществам ECM, что на 13 процентов больше, чем во втором квартале 2024 года.
- Участие молодежи: в третьем квартале 2024 года 28 342 ребенка и подростка в возрасте до 21 года получили доступ к пособиям по программе ECM, что на 13 процентов больше, чем во втором квартале 2024 года.
- Использование услуг поддержки сообщества: около 296 500 уникальных участников Medi-Cal воспользовались услугами поддержки сообщества, при этом было предоставлено более 754 000 услуг. Только в третьем квартале 2024 года 136 031 уникальный участник получил поддержку сообщества, что на 7,5 процента больше, чем во втором квартале 2024 года.
- Расширение доступа к услугам: к третьему кварталу 2024 года почти 90 процентов участников Medi-Cal имели доступ как минимум к 10 из 14 услуг поддержки сообщества. Более 41 процента участников имеют доступ к полному набору услуг.
- Основные использованные услуги: более 61 процента участников, пользующихся поддержкой сообщества, получили доступ к медицинскому питанию/медицинскому поддерживающему питанию, а примерно 32 процента воспользовались одной или несколькими услугами из жилищного трио (услуги навигации по жилищному переходу, услуги по аренде и поддержанию жилья, а также жилищные депозиты).
В последнем отчете о внедрении ECM и поддержки сообщества показан устойчивый рост использования из квартала в квартал, поскольку дополнительные группы населения получили право на ECM, а дополнительные услуги поддержки сообщества предлагаются в округах по всему штату. Департамент здравоохранения и социальных служб ожидает дальнейшего роста числа участников программ ECM и Community Support в ближайшие месяцы и годы. В 2025 году DHCS продолжит поддерживать и закреплять этот рост посредством расширенных усилий по мониторингу программ ECM и Community Supports, активного взаимодействия с заинтересованными сторонами и совершенствования разработки политики.
Обновления программы
Работники общественного здравоохранения
Effective April 1, DHCS updated Medi-Cal’s existing Community Health Worker (CHW) policy to allow supervising Medi-Cal providers to bill for covered CHW services provided by CHWs using two new Healthcare Common Procedure Coding System (HCPCS) codes recently added by the Centers for Medicare & Medicaid Services (CMS). DHCS is updating this policy to allow CHWs to better address the economic and social conditions that influence Medi-Cal members and community health, such as food, housing, and transportation insecurities and access to essential utilities. DHCS’ updated CHW policy aims to more effectively support and promote improved health outcomes for Medi-Cal members by addressing needs affected by social drivers of health. DHCS also issued a State Plan Amendment Public Notice to set the rates for these two codes to 100 percent of the Medicare rate, pursuant to Welfare & Institutions Code Section 14105.25.
Additionally, on April 1, DHCS issued a statewide standing recommendation that all Medi-Cal members who meet defined eligibility criteria for receiving CHW services would benefit from CHW services. This standing recommendation, issued to improve access and reduce barriers to Medi-Cal members receiving and Medi-Cal providers rendering CHW services, is signed by Dr. Karen Mark, DHCS’ Medical Director for Policy and Evaluation. Consistent with existing policy, this standing recommendation authorizes CHWs to provide covered Medi-Cal CHW services, including health education, health navigation, screening and assessment, and individual support and advocacy.
Присоединяйтесь к нашей команде
DHCS ищет талантливого и мотивированного человека на должность:
- 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.
DHCS также нанимает сотрудников для своих контрактов, аудитов, управляемого ухода, управления здоровьем населения и других команд. Для получения дополнительной информации, пожалуйста, посетите сайт CalCareers.
Предстоящие встречи заинтересованных сторон и вебинары
DHCS posts upcoming public meetings on the Calendar of Events.
Вебинар для партнеров «Сильный старт и будущее»
On April 2, from 12 to 12:45 p.m. PDT, California Surgeon General Dr. Diana E. Ramos will host the next Strong Start & Beyond partner webinar on prevention to improve lifelong health. Strong Start & Beyond is a bold movement to reduce California’s maternal mortality rate by 50 percent by December 2026. By leveraging the state’s investments and partnerships, we can foster awareness, encourage active participation in health, and build access to resources for mothers, pregnant people, and their families. Joining Dr. Ramos are Dr. Erica Pan, California Department of Public Health Director and State Public Health Officer; Dr. Bernadette Lim, Founder and Executive Director of the Freedom Community Clinic; and Dr. Atul Nakhasi, Transformational Physician Executive. Please contact the Office of the California Surgeon General if you have any questions.
Рабочая группа заинтересованных сторон, ориентированных на потребителей (CFSW)
On April 4, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted by April 2 on the DHCS Consumer-Focused Stakeholder Workgroup webpage.
California Children’s Services (CCS) Advisory Group Meeting
On April 9, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting (advance registration required). DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities, including the 2025 WCM expansion; county compliance, monitoring and oversight; and Medi-Cal Rx pediatric integration. Additional information and meeting details are available on the CCS Advisory Group webpage.
Рабочая группа заинтересованных сторон по внедрению доулы
On April 11, from 10 a.m. to 12 p.m. PDT, DHCS will host the next Doula Implementation Stakeholder Workgroup meeting, as required by Senate Bill 65 (Statutes of 2021, Chapter 449), to examine the implementation of the Medi-Cal doula benefit, in accordance with section 14132.24 of the Welfare and Institutions Code. The meeting will be held at 1501 Capitol Avenue, Sacramento, CA, and is open to the public. The link for this meeting will be available on the DHCS Doula Implementation Stakeholder Workgroup webpage. The workgroup will discuss ways to minimize barriers to doula services and continue discussions regarding the workgroup’s report to the Legislature, which must be posted on DHCS’ website by July 1, 2025.
Закон о защите доступа к здравоохранению (PAHCA) — Консультативный комитет заинтересованных сторон (SAC)
On April 14, from 11:30 a.m. to 3:30 p.m. PDT, DHCS will host the PAHCA-SAC meeting (advance registration for online participation required) at 1700 K Street (first-floor conference room 17.1014), Sacramento. The committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). For general inquiries or to receive more information about meetings, please email DHCSPAHCA@dhcs.ca.gov.
Традиционные практики здравоохранения приносят пользу
On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribes and Indian Health Program Representatives meeting (advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Med-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.
На случай, если вы это пропустили
DHCS объявляет о присуждении премий за лечение расстройств, вызванных употреблением опиоидов
On March 25, DHCS awarded $800,000 to two Local Emergency Medical Service Agencies to foster low-barrier access to clinically proven opioid use disorder (OUD) treatment for patients in an emergency medical services (EMS) setting who are at risk of overdose and often do not have access to services in other settings. The grants—awarded through the Emergency Medical Services Buprenorphine Use Pilot Program (EMSBUP) to the Stanislaus County EMS Agency and Ventura County EMS Agency—will enable these two agencies to address substance use disorder as a treatable emergency condition, utilizing paramedics to identify and treat patients who would benefit from medications for addiction treatment (MAT). MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in treating OUDs and helping some people sustain recovery.
Открыто: Предоставление доступа и трансформация здравоохранения (PATH) Переход, расширение и развитие инфраструктуры (CITED) Раунд 4 Заявка
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.
The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PDT on May 2, 2025. The guidance document and application are available on the PATH CITED webpage. Please send any questions to cited@ca-path.com.