Nangungunang Balita​​  

Inaprubahan ng DHCS na Makilahok sa Medi-Cal Cell at Gene Therapy Access Model​​ 

The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.​​ 

Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.​​ 

Mga Update sa Programa​​ 

California’s 1115 Waiver Approvals Remain Unaffected​​ 

DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.​​ 

This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.​​ 

DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.​​ 

Sumali sa Aming Koponan​​ 

Ang DHCS ay naghahanap ng mga mahuhusay at motibasyon na mga indibidwal na maglingkod bilang:​​ 

• 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.​​ 

• Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.​​ 

Ang DHCS ay kumukuha din para sa accounting nito, kalusugan ng pag-uugali, at iba pang mga koponan. Para sa karagdagang impormasyon, mangyaring bisitahin ang website ng CalCareers.
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Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar​​ 

Nagpo-post ang DHCS ng mga paparating na pampublikong pagpupulong sa Calendar of Events. 
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Pagpapatupad ng Benepisyo sa Mga Tradisyunal na Kasanayan sa Pangangalagang Pangkalusugan​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-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.​​ 

DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
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Pinili na Pamilya, Bahagi 2: Contraception at Fertility para sa Transgender at Gender Diverse People​​  

Sa Mayo 5, mula 10 hanggang 11:30 ng umaga Iho-host ng PDT, DHCS ang Chosen Family, Part 2: Contraception and Fertility for Transgender and Gender Diverse People webinar (kailangan ng advanced na pagpaparehistro). Ang mga taong transgender at gender-diverse (TGD) ay kumakatawan sa lumalaking subset ng mga populasyon ng pasyente, ngunit marami ang patuloy na nag-uulat ng kakulangan ng kaalaman ng provider pagdating sa kalusugan ng TGD. Ang sesyon na ito ay bubuo sa terminolohiya sa kalusugan ng TGD at mga mahahalagang kaalaman na ipinakita sa Bahagi 1 ng serye ng webinar na ito sa pamamagitan ng pagsusuri sa mga rekomendasyong batay sa ebidensya para sa pagpipigil sa pagbubuntis, pagkamayabong, at pagpapayo sa pagbuo ng pamilya. Kung hindi ka makadalo sa live na webinar, isang transcript at recording ng webinar, kasama ang mga karagdagang mapagkukunan, ay magiging available sa website ng Family PACT sa ibang araw.
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Stakeholder Advisory Committee (SAC)/Behavioral Health (BH)-SAC Meeting​​ 

Sa Mayo 21, mula 9:30 am hanggang 3 pm PDT, iho-host ng DHCS ang hybrid na SAC/BH-SAC meeting (kinakailangan ang advance na pagpaparehistro para sa online at personal na paglahok) sa 1700 K Street (first-floor conference room 17.1014), Sacramento. Ang SAC ay nagbibigay sa DHCS ng mahalagang input at feedback sa mga pagsisikap na magbigay ng pantay na access sa de-kalidad na pangangalagang pangkalusugan. Ang BH-SAC ay nagbibigay sa DHCS ng input sa mga hakbangin sa kalusugan ng pag-uugali at nilikha bilang bahagi ng patuloy na pagsisikap na isama ang kalusugan ng pag-uugali sa mas malawak na sistema ng pangangalagang pangkalusugan. Ang agenda at iba pang materyales sa pagpupulong ay ipo-post habang papalapit ang petsa ng pagpupulong. Para sa karagdagang impormasyon, mangyaring mag-email sa SACinquiries@dhcs.ca.gov o BehavioralHealthSAC@dhcs.ca.gov.
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Kung sakaling Nalampasan Mo Ito​​ 

Proposisyon 35: Protektahan ang Access sa Health Care Act-SAC​​  

Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
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Bukas Na Ngayon: Pagbibigay ng Access and Transforming Health (PATH) Capacity at Infrastructure Transition, Expansion, and Development (CITED) Round 4 Application​​ 

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.​​ 

Ang deadline para mag-apply para sa PATH CITED Round 4 na pagpopondo ay 11:59 pm PDT sa Mayo 2, 2025. Ang dokumento ng gabay at aplikasyon ay makukuha sa PATH CITED webpage. Mangyaring magpadala ng anumang mga katanungan sa cited@ca-path.com.

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