Ang Diskarte ng CalAIM Medi-Cal na Suportahan ang Kalusugan at Pagkakataon para sa mga Bata at Pamilya
Bumalik sa Homepage ng 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:
- Pagtugon sa mga pagkakaiba sa kalusugan at pagsusulong ng pantay na kalusugan;
- 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;
- Pagsusulong ng pinagsamang pangangalaga sa mga sistema ng paghahatid ng serbisyo at mga subspecialty;
- Pagpapabuti ng pananagutan at pangangasiwa sa paghahatid ng mga serbisyo; at
- Pagtingin sa kabila ng Medi-Cal upang pasiglahin ang mga partnership ng DHCS.
Mga Lugar ng Aksyon
Kasama sa diskarte ang walong bahagi ng aksyon na may mga pangunahing inisyatiba na naglalarawan kung saan pinalalakas ng DHCS ang pagtuon nito sa mga bata at pamilyang nakatala sa Medi-Cal. Kasama sa mga lugar ng pagkilos na ito ang:
- Bagong istraktura ng pamumuno at diskarte sa pakikipag-ugnayan
- Stronger coverage base for California’s children
- Mas malakas na pediatric preventative at pangunahing pangangalaga
- Naka-streamline na pag-access sa mga pagbabakuna sa bata
- Bagong Planong Pangkalusugan na pananagutan para sa kalidad na mga resulta
- Pamamaraan na nakasentro sa pamilya
- Mga pamumuhunan sa kalusugan ng pag-uugali ng bata at kabataan
- Mga susunod na hakbang sa modelo ng pangangalaga ng foster care
Mga Pangunahing Dokumento
- Toolkit sa Outreach at Edukasyon ng Medi-Cal para sa Mga Bata at Kabataan (Pebrero 2023)
- Brochure ng bata
- Brochure ng Teen / Young Adult
- Ang iyong Liham ng Mga Karapatan sa Medi-Cal
- Pagsasanay sa Provider
- Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)
Mga Webinar na Pang-impormasyon
Medi-Cal for Kids & Teens Outreach & Education Toolkit All Comer Webinar (Marso 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.
Ang mga huling materyales ay naka-post sa ibaba.
CalAIM EPSDT Enrollee Facing Materials All Comer Webinar (Nobyembre 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.
Ang mga draft na materyales ay naka-post sa ibaba.
- Mga slide
- Transcript
- Draft EPSDT Enrollee Brochure – Child Version
- Draft EPSDT Enrollee Brochure – Teen Version
- Draft EPSDT Alamin ang Iyong Liham ng Mga Karapatan sa Medi-Cal
Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)
Karagdagang Mga Mapagkukunan
- DHCS EPSDT Webpage
- DHCS Comprehensive Quality Strategy
- CalAIM Population Health Management (PHM) Initiative
- Children & Youth Behavioral Health Initiative (CYBHI)
- ACEs Aware Initiative
- Master Plan para sa Early Learning Care
Mga Tanong at Komento
Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.