Hunyo 23, 2025
Mga Update sa Programa
Mga FAQ sa Pagiging Karapat-dapat sa Medi-Cal Immigrant
DHCS posted updated frequently asked questions (FAQ) on Medi-Cal eligibility. If you do not find an answer to your question, you may contact your local county office (by phone or in person) or email Medi-Cal member support for help in your preferred language. Also, on June 13, DHCS issued a statement about its commitment to protecting the privacy and well-being of all Medi-Cal members. Recent reports have raised serious concerns about how federal agencies may be using Medicaid data, including the personal data of all 15 million Californians covered by Medi-Cal.
Quality Incentive Pool (QIP) Program Year 6 Evaluation Report
On June 19, DHCS posted the QIP Program Year 6 (calendar year 2023) evaluation report, as required by the Centers for Medicare & Medicaid Services (CMS). QIP began in 2017 to incentivize Designated Public Hospital (DPH) and District and Municipal Public Hospital (DMPH) systems to improve the quality of care provided to Medi-Cal members. QIP is a directed payment program under Code of Federal Regulations (CFR) Section 438.6(c), which provides states with the flexibility to implement delivery system and provider payment initiatives under Medicaid managed care plan contracts.
QIP supports the state’s quality strategy by tying funding to performance on specific high-priority measures. The evaluation report assesses the impact of $2.2 billion in directed payments to participating hospital systems in 2023, based on the quality of inpatient and outpatient services for Medi-Cal members who received care at DPHs and DMPHs. In 2023, DHCS continued to require DPHs to make improvements on a set of nine mandatory priority measures and continue meaningful work on some of the 47 elective measures selected by each QIP entity. DPHs improved on eight of nine priority measures, and DMPHs improved on seven of nine priority measures, as compared with 2022. The report also showed QIP entities met performance targets more frequently in 2023 than in 2022.
Sumali sa Aming Koponan
Naghahanap ang DHCS ng mga tauhan para sa accounting, health care financing, integrated systems of care, at iba pang mga pangkat nito. Para sa karagdagang impormasyon, pakibisita ang website ng CalCareers.
Mga Paparating na Mga Pagpupulong ng Stakeholder at Webinar
Nagpo-post ang DHCS ng mga paparating na pampublikong pagpupulong sa Calendar of Events. Nagbibigay ang DHCS ng mga libreng serbisyong pantulong, kabilang ang interpretasyon ng wika, real-time na caption, at alternatibong pag-format ng mga materyales sa pagpupulong. Upang humiling ng mga serbisyo, mangyaring mag-email sa DHCS sa naaangkop na email address sa pakikipag-ugnayan nang hindi bababa sa sampung araw ng trabaho bago ang pulong.
Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 2: Unmet Needs Informational Webinars
Sa Hunyo 23, mula 1 hanggang 2 ng hapon PDT, magsasagawa ang DHCS ng isang webinar na nagbibigay ng impormasyon tungkol sa mga proseso ng aplikasyon at paggawad ng oportunidad sa pagpopondo ng grant para sa Bond BHCIP Round 2: Unmet Needs. Sa Hunyo 24, mula 2 hanggang 3 ng hapon PDT, magsasagawa ang DHCS ng pangalawang webinar para sa mga entidad ng Tribo upang repasuhin ang impormasyong partikular sa Tribo. Magkakaloob ang DHCS ng mahigit $800 milyon na kompetitibong mga gawad sa mga karapat-dapat na entidad na magpapalawak ng mga pasilidad sa kalusugang pangkaisipan na nakabase sa komunidad sa pamamagitan ng pagtatayo, pagkuha, at/o rehabilitasyon ng mga ari-arian. Ang mga pondo ng grant para sa Bond BHCIP Round 2 ay hindi nilayon upang mapanatili ang kasalukuyang kapasidad ng serbisyo. Ang mga proyekto ay dapat mangakong maglingkod sa mga miyembro ng Medi-Cal at mga mahihinang populasyon, kabilang ang mga taong walang tirahan, mga beterano, mga matatanda, mga nasa hustong gulang na may mga kapansanan, at mga bata at kabataan. Para sa impormasyon tungkol sa pagiging karapat-dapat at mga kinakailangan, mangyaring sumangguni sa Kahilingan para sa mga Aplikasyon. Ito ang pangwakas na round ng pagpopondo sa pamamagitan ng Behavioral Health Infrastructure Bond Act ng Proposisyon 1 at bukas ito sa lahat ng kwalipikadong entidad. Para sa karagdagang impormasyon, bisitahin ang website ng BHCIP o mag-email sa BR2@ahpnet.com.
Webinar ng Mga Alituntunin ng CDC
On June 24, from 12 to 1:30 p.m. PDT, DHCS will host the What’s New in the 2024 U.S. Centers for Disease Control and Prevention (CDC) Medical Eligibility Criteria (MEC), Selected Practice Recommendations (SPR), and Quality Family Planning (QFP) Guidelines webinar (advance registration required). The webinar will highlight key updates for clinicians, including new recommendations for individuals with chronic kidney disease, revised risk categories for depot-medroxyprogesterone acetate users, expanded guidance on intrauterine device-related pain management, and updated contraceptive counseling best practices. The changes will be discussed in detail, and the webinar will review the MEC/SPR app and job aids available from the CDC. If you are unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.
CalAIM MLTSS at Duals Integration Workgroup Meeting
On June 25, from 11 a.m. to 12:30 p.m. PDT, DHCS will host the California Advancing and Innovating Medi-Cal (CalAIM) Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advance registration required). The workgroup is a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members. It allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare. The meeting agenda includes updates on the 2026 Medi-Medi Plan expansion, DHCS’ Dual Eligible Special Needs Plan (D-SNP) initiatives, the D-SNP State Medicaid Agency Contract and Policy Guide, and a duals data spotlight presentation on D-SNP data, dental data, Enhanced Care Management and Community Supports data, and Medicare enrollment data for duals. More information, background materials, transcripts, and video recordings of previous workgroup meetings are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.
Paglunsad ng California Maternal Health Task Force
Sa Hunyo 27, mula 11:30 a.m. hanggang 1 p.m. PDT, ang California Maternal Quality Care Collaborative at California Maternal Health Innovation Program ay ilulunsad ang California Maternal Health Task Force. Ang pagpupulong na ito (kinakailangan ang paunang pagpaparehistro) ay magsasama-sama sa mga pinuno ng kalusugan ng ina at mga kasosyo mula sa buong estado upang hubugin ang isang ibinahaging pangitain para sa pagpapabuti ng kalusugan ng ina sa California. Ang mga organisasyong nakabatay sa komunidad, mga nagpopondo, mga lokal na kagawaran ng kalusugan, ang mga manggagawa sa kalusugan ng ina, mga klinikal na propesyonal, mga propesyonal na asosasyon, mga stakeholder sa patakaran at kalusugan ng publiko, mga akademiko, at mga taong masigasig sa pagpapabuti ng kalusugan ng ina sa California ay hinihikayat na dumalo.
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
Sa Hulyo 10, mula 10:00 ng umaga hanggang 2:00 ng hapon PDT, ang DHCS ang magho-host ng quarterly MCHAP meeting sa 1700 K Street, Sacramento, CA 95811, sa conference room sa unang palapag (17.1014) o sa pamamagitan ng pampublikong webinar (kinakailangan ang paunang pagpaparehistro). Pinapayuhan ng MCHAP ang DHCS tungkol sa mga isyu sa patakaran at operasyon na nakakaapekto sa mga batang nasa Medi-Cal. Ang pulong ay magbibigay ng impormasyon tungkol sa pagpapabuti ng mga resulta ng pangangalagang pang-iwas sa sakit ng mga bata, mga update sa California Children's Services Quality Metric Redesign, at mga detalye tungkol sa mga serbisyo sa paningin ng Medi-Cal.
Protektahan ang Access sa Health Care Act (PAHCA) Stakeholder Advisory Committee (SAC)
On July 18, from 9:30 a.m. to 2 p.m. PDT (the time is tentative), 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 PAHCA of 2024 (Proposition 35).
Stakeholder Advisory Committee (SAC)/Behavioral Health (BH)-SAC Meeting
On July 23, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
Kung sakaling Nalampasan Mo Ito
Ngayon Bukas: PATH Justice-Involved Round 4 Application
On May 12, DHCS opened the Providing Access and Transforming Health (PATH) Justice-Involved Round 4 application window. The deadline to apply for Round 4 funding is July 11, 2025. Only PATH Justice-Involved Round 3 awardees are eligible for the Justice-Involved Round 4 funding opportunity, and applications must be submitted on behalf of county sheriff’s offices, county probation offices, the California Department of Corrections and Rehabilitation, and county behavioral health agencies. Eligible agencies will receive email communications with instructions on how to apply. For more information about PATH Justice-Involved Round 4, please visit the PATH Justice-Involved webpage. All resources are available under “Reference Materials.” Please submit questions to justice-involved@ca-path.com.