Главные новости​​ 

Калифорния празднует закладку фундамента расширенного центра поведенческого здоровья Indio​​ 

On July 1, DHCS and ABC Recovery Center celebrated the groundbreaking of a facility expansion that will serve people who need mental health and substance use disorder treatment. DHCS awarded ABC Recovery Center more than $27 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) to build two adult substance use disorder residential units, expanding residential treatment capacity by 120 total beds, in addition to intensive outpatient treatment for substance use disorder projected to serve 400 people annually.​​ 

DHCS will distribute roughly $4 billion in BHCIP grants under Proposition 1 bond funds to address historic gaps in the behavioral health care system and meet the growing demand for services and support throughout the lifespan of people in need. More information about Proposition 1 can be found at mentalhealth.ca.gov. DHCS holds regular public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on DHCS’ website to receive monthly updates.​​ 

Обновления программы​​ 

DHCS Launches “PATHways to Success” Web Portal​​ 

On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing Enhanced Care Management and Community Supports for the Medi-Cal members they serve.​​ 

Entities are invited to explore the new site and learn how PATH is helping organizations meet the needs of Medi-Cal members and provide coordinated, ongoing Enhanced Care Management and Community Supports. Please email your questions to communications@ca-path.com.​​ 

Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals​​ 

С 1 июля DHCS представит новые онлайн-порталы для поставщиков услуг, чтобы улучшить доступ к страхованию и уходу для новых семей. В рамках программы непрерывного медицинского страхования поставщики медицинских услуг могут предоставлять временное полное покрытие заявителям, имеющим на это право. Этот портал заменяет портал «Здоровье детей и профилактика инвалидности». Портал Newborn Gateway предназначен для сообщения о родах с привязкой к программе Medi-Cal и программе Medi-Cal Access Infant в течение 72 часов после рождения или 24 часов после выписки. Поставщики услуг должны пройти сертификационное обучение, чтобы использовать эти порталы и регистрировать младенцев, имеющих право на страховку, начиная с 1 июля.​​ 

On June 25, DHCS hosted the final CPE and Newborn Gateway portal overview webinar. A recording of the webinar is available through the Medi-Cal Learning Portal by searching for course code CNPE104RW.​​ 

Новое руководство CMS улучшает услуги управляемого медицинского обслуживания Medicaid​​ 

Over the past decade, Medicaid managed care organizations have increasingly aimed to address members’ health-related social needs, such as housing, food security, and transportation, that affect health outcomes. However, these efforts often remained in pilot stages due to capitation rates not reflecting these services. New guidance from the Centers for Medicare & Medicaid Services (CMS) on in lieu of services (ILOS) is changing this by allowing medically appropriate and cost-effective substitutes for state Medicaid benefits, impacting managed care rates. A new Medicaid policy cheat sheet, published by Center for Health Care Strategies, outlines five key takeaways from CMS’ May 2024 final rule on using ILOS to address health-related social needs. Additionally, a new tool, Designing a Health-Related Social Needs Strategy in Medicaid, presents decision points for states, including a snapshot of how nine states are covering these services through a learning series supported by the Kaiser Permanente National Community Benefit Fund.​​ 

Присоединяйтесь к нашей команде​​ 

DHCS ищет высококвалифицированного, исключительно мотивированного человека на должность:​​ 

• Assistant Deputy Director for Behavioral Health to provide management and support in implementing behavioral health initiatives designed to achieve equitable health care outcomes and ensure consistent access to high-quality mental health and substance use disorder care. (Final filing date: July 12)​​ 

• Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.​​ 

Диапазон заработной платы на этой должности составляет от 11 435 до 13 623 долларов в месяц. Наличие медицинской лицензии желательно, но не обязательно. Кандидатам, являющимся врачами или клиницистами, доступен диапазон заработной платы от 13 624 до 17 855 долларов США в месяц. (Окончательная дата подачи: 3 июля)​​ 

DHCS is also hiring for its legislative and governmental affairs, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.​​ 

Предстоящие встречи заинтересованных сторон и вебинары​​ 

Демонстрационное приложение к Сети поведенческого здоровья на уровне сообществ, организованной по справедливому уходу и лечению (BH-CONNECT): Второе публичное слушание​​ 

On July 2, from 3:30 to 4:30 p.m. PDT, DHCS will host the second hybrid in-person and virtual public hearing for the BH-CONNECT Demonstration Addendum at 1515 K Street, Room 204 in Sacramento and via Zoom (advance registration required). On June 14, 2024, DHCS began the 30-day public comment period for an addendum to the pending BH-CONNECT demonstration. California will submit an addendum to the BH-CONNECT demonstration application to further strengthen the continuum of behavioral health care. The addendum will offer two new options for county behavioral health plans to cover: Community transition in-reach services for individuals with long-term institutional stays, and room and board in enriched residential settings for up to six months for those with significant behavioral health conditions and specified risk factors. For more information, please visit the DHCS BH-CONNECT webpage.​​ 

Рабочая группа заинтересованных сторон, ориентированных на потребителей (CFSW)​​ 

On July 5, 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 to the CFSW webpage by noon on July 3. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

On July 10, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting. The CCS Advisory Group and DHCS partner to ensure children in the CCS and Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on WCM expansion, Enhanced Care Management, the CCS Compliance, Monitoring, and Oversight Workgroup, the Child Health and Disability Prevention program, and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are posted on the CCS Advisory Group webpage. Please email your questions and comments to CCSProgram@dhcs.ca.gov.​​ 

Заседание рабочей группы по внедрению заинтересованных сторон Doula​​ 

12 июля с 10:00 до 12:00 по тихоокеанскому времени Департамент здравоохранения и социальных служб проведет совещание рабочей группы по внедрению программы доул с участием заинтересованных сторон для рассмотрения внедрения программы доул Medi-Cal в соответствии с законопроектом Сената 65 (глава 449, Свод законов 2021 года) и разделом 14132.24 Кодекса социального обеспечения и учреждений.​​ 

The meeting will be held via Zoom, with an in-person option at 1501 Capitol Avenue, Sacramento, CA 95814, Room 71.4003. The meeting is open to the public. The link to attend the meeting virtually and an agenda will be posted on the Doula Services as a Medi-Cal Benefit webpage. The workgroup will discuss how to ensure doula services are available to Medi-Cal members and make recommendations on outreach efforts. Please email DoulaBenefit@dhcs.ca.gov with any questions.​​ 

Заседание рабочей группы поведенческого здоровья CalAIM​​ 

On July 15, from 3 to 5 p.m. PDT, DHCS will convene the CalAIM Behavioral Health Workgroup meeting (advance registration required) to provide updates on the Provider Integration Project and BH-CONNECT. Workgroup members can provide feedback on implementation and operational considerations. Please see the agenda for more information. This meeting is open to the public. Please email your questions to BHCalAIM@dhcs.ca.gov.​​ 

Целевые повышения ставок поставщиков​​ 

On July 17, from 3 to 4:30 p.m. PDT, DHCS will host a provider webinar (advance registration required) to answer questions about the 2024 calendar year targeted provider rate increases. All questions providers would like addressed must be sent to DHCS at targetedrateincreases@dhcs.ca.gov no later than July 8.​​ 

On June 20, DHCS published requirements, through All Plan Letter 24-007, necessary for Medi-Cal managed care plans to implement targeted provider rate increases in calendar year 2024. For additional information, please see the DHCS Medi-Cal Targeted Provider Rate Increases and Investments website.​​ 

На случай, если вы это пропустили​​ 

ШТАТ РАСКРЫВАЕТ ПОЛОЖИТЕЛЬНОЕ ВОЗДЕЙСТВИЕ КАМПАНИИ ПО СНИЖЕНИЮ СТИГМЫ​​ 

Прошел почти год с начала кампании по повышению осведомленности общественности в области здравоохранения Unshame CA , направленной на разрушение стигматизации наркозависимости и повышение осведомленности жителей Калифорнии о доступности лечения. Оценочные данные показывают, что люди с большей вероятностью изменят свои взгляды на наркозависимость, увидев и прочитав сострадательные истории людей, пострадавших от расстройств, связанных с употреблением психоактивных веществ.​​  

Unshame CA is a collaboration between DHCS and Shatterproof to build an understanding of and normalize substance use disorder as a treatable medical condition. The campaign uses an evidence-informed public health approach to leverage social media for education and outreach and connect Californians to people with lived experience.​​