CalAIM Medi-Cal 支持儿童和家庭健康和机会的战略
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:
- 解决健康差距，促进健康公平；
- 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;
- 促进跨服务提供系统和专科的综合护理；
- 提高服务提供中的问责制和监督力度；
- 超越 Medi-Cal 来促进 DHCS 伙伴关系。
行动领域
该战略包括八个行动领域，其中的关键举措表明卫生和儿童服务部 (DHCS) 在哪些方面加强了对参加 Medi-Cal 计划的儿童和家庭的关注。 这些行动领域包括：
- 新的领导结构和参与方式
- Stronger coverage base for California’s children
- 加强儿科预防和初级保健
- 简化儿童疫苗接种流程
- 新的健康计划对质量结果负责
- 以家庭为中心的方法
- 儿童和青少年行为健康投资
- 寄养护理模式的下一步
重要文件
- 儿童和青少年 Medi-Cal 推广和教育工具包（2023 年 2 月）
- Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families (March 2022)
信息网络研讨会
儿童和青少年 Medi-Cal 推广和教育工具包 All Comer 网络研讨会（3 月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.
最终材料发布如下。
CalAIM EPSDT 学员入门材料 All Comer 网络研讨会（11 月18日、 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.
草稿材料发布如下。
- 幻灯片
- 脚本
- Draft EPSDT Enrollee Brochure – Child Version
- Draft EPSDT Enrollee Brochure – Teen Version
- 起草 EPSDT 了解您的 Medi-Cal 权利信函
Medi-Cal’s Strategy to Support Health and Opportunity for Children and Families All Comer Webinar (March 2022)
其他资源
- DHCS EPSDT 网页
- DHCS综合质量战略
- CalAIM 人口健康管理 (PHM) 计划
- 儿童及青少年行为健康倡议 (CYBHI)
- ACE 意识倡议
- 早期学习护理总体规划
问题和评论
Contact DHCS with any questions or comments on this initiative at PHMSection@dhcs.ca.gov.