资源
CalAIM:转型 Medi-Cal
CalAIM 概念文件
DHCS is hosting a 30-day public comment period from July 23 to August 22, 2025, to solicit feedback on the Continuing the Transformation of Medi-Cal Concept Paper. This concept paper focuses on California’s Medi-Cal transformation efforts to date and highlights DHCS’ vision and goals for the five years, starting in 2027, after key federal waivers that authorize California Advancing and Innovating Medi-Cal (CalAIM) expire in December 2026.
DHCS 请求利益相关方在 8 月21星期四2025之前将有关此概念文件的反馈意见发送至1115Waiver@dhcs.ca.gov 。此外,DHCS 还将在夏季举行的一系列利益相关者参与会议中欢迎反馈。
CalAIM ASCMI 试点
CalAIM 计划页面
- 行为健康
- 牙科
- Enhanced Care Management, Community Support, and Incentive Payments – Webinars | Important Updates
- Justice-Involved – Webinars | Important Updates
- Providing Access and Transforming Health (PATH) – Webinars | Important Updates
- Population Health Management – Webinars | Important Updates
CalAIM 更新提案
DHCS 于 2021 年 1 月 8 日发布了修订后的 CalAIM 提案:
DHCS 于 2019 年 10 月 29 日在利益相关者咨询委员会 (SAC) 和行为健康利益相关者咨询委员会 (BH-SAC) 会议上正式发布了 CalAIM 提案。 2019 年 11 月至 2020 年 2 月期间,DHCS 就 CalAIM 和 Medi-Cal 运营的联邦权力更新(即 1115 和 1915b 豁免)。
DHCS 推迟了原定于 2021 年 1 月 1 日实施的 CalAIM 计划,以便 DHCS 和我们所有的合作伙伴能够将有限的资源集中在因 COVID-19 造成的公共卫生紧急情况的需求上。
DHCS 于 2021 年 1 月举行了一次网络研讨会,概述了 2021 年 CalAIM 提案,以审查该提案的各个组成部分,包括根据利益相关者的反馈对原始提案所做的更改。
豁免资源
- CalAIM 1115 示范和 1915(b) 豁免:
- DHCS 已获得联邦医疗保险和医疗补助服务中心 (CMS) 对 CalAIM 第 1115 条示范和 CalAIM 第 1915(b) 条豁免以及 Medi-Cal 州计划修正案的批准。 如需了解更多详细信息,请访问CalAIM 1115 演示和 1915(b) 豁免网页或CMS 网站。
CalAIM 工作组
In 2019, DHCS established topic-specific stakeholder workgroups to explore specific sections of the CalAIM proposal. While these workgroups concluded in February 2020, several new workgroups continue to meet to share feedback and learn more about CalAIM initiatives. For information about upcoming meetings, visit CalAIM News & Updates.
行为健康工作组
2022 年 1 月 20 日,DHCS 主持了行为健康工作组,以审查 2022 年 1 月及以后上线的 CalAIM 行为健康计划的进展情况,并考虑与 CalAIM 行为健康计划相关的实施和运营注意事项。
- View presentation materials from the January 20, 2022 Behavioral Health Workgroup.
Visit the CalAIM Behavioral Health webpage to access materials from past meetings. Send any questions regarding the Behavioral Health Workgroup to calaimbh@dhcs.ca.gov.
寄养护理模式工作组
In consultation with key stakeholders, DHCS and the California Department of Social Services (CDSS) launched the Foster Care Model of Care workgroup in June 2020. Send any questions regarding the Foster Care Workgroup to CalAIMFoster@dhcs.ca.gov.
司法相关咨询小组
The Justice-Involved Advisory Group is a broad-based body to solicit stakeholder input on policy and implementation matters regarding the CalAIM Justice-Involved initiative. Visit the CalAIM Justice-Involved webpage to access materials from all past Advisory Council meetings. Send questions about the Justice-Involved Advisory Group to CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.
- Listen to the January 27, 2022 Justice-Involved Advisory Group.
- View presentation materials from the January 7, 2022 Justice-Involved Advisory Group.
To receive relevant updates on Justice-Involved Advisory Group meetings, sign up for the DHCS Stakeholder Announcements.
管理长期服务和支持及双重集成工作组
经与主要利益相关者协商并与州长老龄化总体规划相协调,DHCS 于 2021 年 2 月启动了管理长期服务和支持 (MLTSS) 和双重整合工作组。 该工作组的目标是与利益相关者合作,将 Cal MediConnect(CMC)过渡到全州 MLTSS 和双重合格特殊需求计划(D-SNP)一致的注册结构。这项政策旨在帮助实现 CalAIM 和加州老龄化总体规划下改善护理整合和以人为本的护理的全州目标。
- View presentation materials from the November 18, 2021 MLTSS and Duals Integration Workgroup.
Send any questions regarding this workgroup to info@calduals.org.
人口健康管理 (PHM) 咨询小组
Launched in 2022, the PHM Advisory Group is comprised of cross-sector stakeholders who provide feedback and recommendations on many aspects of the CalAIM PHM program and the PHM Service. Members include a diverse set of leaders from across the state with representation from health plans, providers, counties, state departments, consumer organizations, and other groups. Specific topics for discussion will vary by meeting and will include screening and assessments, risk stratification and tiering, basic population health management, including wellness and prevention, care management, and patient engagement. While the PHM Advisory Group will be open to the public, active participation will be limited to Advisory Group members. The group will meet periodically through 2022.
- 2022 年 4 月 26 日 PHM 顾问小组的演示材料将很快发布。
- View presentation materials from the March 18, 2022 PHM Advisory Group.
Visit the Population Health Management webpage to access PHM Advisory Group meeting information and materials from past sessions. Questions about the PHM Advisory Group may be directed to PHMSection@dhcs.ca.gov. To receive relevant updates on PHM Advisory Group meetings, sign up for the DHCS Stakeholder Announcements.
The workgroups listed below met from November 2019 – February 2020:
支持儿童和家庭健康和机会的 Medi-Cal 战略
DHCS 于 2022 年 3 月 2 日发布了一项针对参加 Medi-Cal 的家庭的战略,该战略统一了现有和新提出的儿童和家庭健康计划的共同点,并加强了 DHCS 对儿童服务的问责和监督。 DHCS 正在加强对参加 Medi-Cal 的儿童和家庭的关注,包括改善预防保健和 EPSDT 基础、解决儿童保健和结果方面的健康差距、与家庭接触以更好地在决策中纳入参保者的发言权,以及解决青少年行为健康危机。
其他会议
强制性管理式医疗登记计划
- 2020 年 2 月 27 日
- 会议演示
CMC 和 CCI 向全州 MLTSS 和 D-SNP 结构的转变
- 2020 年 2 月 24 日
- 会议材料