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
- 强化护理管理、社区支持和激励性支付——网络研讨会|重要更新
- 司法相关案件——网络研讨会|重要更新
- 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 月举办了一场网络研讨会，概述了 2021 年 CalAIM 提案，审查了该提案的组成部分，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 received approval on the CalAIM Section 1115 demonstration and CalAIM Section 1915(b) waiver and Medi-Cal State Plan Amendments from the federal Centers for Medicare & Medicaid Services (CMS). For additional details, visit the CalAIM 1115 Demonstration & 1915(b) Waiver webpage or the CMS website.
CalAIM 工作组
2019 年，DHCS 成立了特定主题的利益相关者工作组，以探讨 CalAIM 提案的特定部分。虽然这些工作组已于 2020 年 2 月结束，但几个新的工作组仍在继续开会，分享反馈意见并了解更多关于 CalAIM 计划的信息。有关即将举行的会议的信息，请访问 CalAIM网络研讨会和会议。
行为健康工作组
On January 20, 2022, DHCS hosted the Behavioral Health Workgroup to review the progress on the CalAIM Behavioral Health initiatives that went live January 2022 and beyond, and consider implementation and operational considerations related to the CalAIM Behavioral Health initiative.
- 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
In consultation with key stakeholders, and in coordination with the Governor’s Master Plan for Aging, DHCS launched the Managed Long-Term Services and Supports (MLTSS) and Duals Integration workgroup in February 2021. The goal of the workgroup is to collaborate with stakeholders on the transition of Cal MediConnect (CMC) to a statewide MLTSS and Dual Eligible Special Needs Plan (D-SNP) aligned enrollment structure. This policy is intended to help meet the statewide goals of improving care integration and person-centered care, under both CalAIM and the California Master Plan for Aging.
- 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
PHM 咨询小组成立于 2022 年，由跨部门利益相关者组成，他们就CalAIM PHM Program和 PHM 服务的许多方面提供反馈和建议。 成员包括来自全州各地的各界领导人，其中包括Health Plan 、医疗服务提供者、各县、州政府部门、消费者组织和其他团体的代表。 每次会议的具体讨论主题将有所不同，包括筛查和评估、风险分层和分级、基本人口健康管理（包括健康和预防）、护理管理和患者参与。虽然公共卫生管理咨询小组将对公众开放，但积极参与仅限于咨询小组成员。该小组将在 2022 年定期举行会议。
- 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.
以下列出的工作组于 2019 年 11 月至 2020 年 2 月期间召开会议：
支持儿童和家庭健康和机会的 Medi-Cal 战略
DHCS 于 3 月 2、2022 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 对儿童服务的问责制和监督。DHCS 正在加强对参加 Medi-Cal 的儿童和家庭的关注，包括改善预防性护理和 EPSDT 基础，解决儿童护理和结果方面的健康差异，与家庭互动以更好地将参保者的声音纳入决策，并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结构的过渡
- 2020 年 2 月 24 日
- 会议材料