热门新闻 

DHCS 获得 CMS 资产豁免灵活性批准 

On March 29, DHCS received approval from the Centers for Medicare & Medicaid Services to waive the asset test at redeterminations for members enrolled in Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal. The waiver flexibility, submitted by DHCS on March 10 to support the continuous coverage unwinding, is effective for renewals retroactive to March 1 through December 31. Asset elimination takes effect on January 1, 2024.  

这种豁免的灵活性确保了老年人和残疾人的医疗保障的连续性，并将防止在 2023 年 4 月重新评估恢复后，他们的 Medi-Cal 医疗保障出现潜在的中断。Medi-Cal 会员仍需满足 Medi-Cal 的所有其他资格标准，例如收入，才能继续享有 Medi-Cal 资格。 

DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-19  to provide counties with immediate guidance on operationalizing the waiver flexibility. 

项目更新  

Medi-Cal 持续保障工具包现已提供 19 种语言版本，并举办“让 Medi-Cal 会员继续享受保障”网络研讨会   

本周，DHCS 发布了 17 种 Medi-Cal 阈值语言的Medi-Cal 连续覆盖工具包（此前已发布英语和西班牙语版本）。每个工具包都包含可定制的材料，以帮助 DHCS 覆盖大使和合作伙伴协助 Medi-Cal 成员进行重新确定流程。该内容鼓励会员更新联系信息，以确保他们能够收到有关维持 Medi-Cal 保险的重要信息。工具包资源包括传单、社交媒体帖子、消息传递（包括交互式语音应答电话脚本）、电子邮件样本和短信。 

On April 6, from 1 to 2 p.m., DHCS will host a Continuous Coverage Unwinding and Communications Campaign webinar (advance WebEx registration required) to discuss the Medi-Cal renewal and redetermination process, communications campaign updates, and how DHCS Coverage Ambassadors and other partners can continue to help assist in this important effort. Organizations and individuals who work directly with Medi-Cal members, including communications teams, should attend. 

COVID-19 无保险团体计划工具包启动 

DHCS released a COVID-19 Uninsured Group (UIG) Program toolkit (in English and Spanish) to provide information to more than 500,000 UIG Program members about how to apply for ongoing coverage through Medi-Cal or Covered California before the program ends on May 31, 2023.  Due to the COVID-19 Public Health Emergency ending, Covered California will open a special enrollment period for UIG Program members that have their coverage ending. The special enrollment period will end 60 days after May 31, 2023. The toolkit offers vital information for DHCS Coverage Ambassadors to share broadly with their networks about where UIG Program members can find the resources to apply for health coverage, including contact details for their local county offices and how to apply online. More information about DHCS’ strategy to unwind the UIG Program is available in the Medi-Cal COVID-19 Public Health Emergency and Continuous Coverage Unwinding Plan posted on the Keeping Medi-Cal Members Covered webpage. 

痴呆症护理意识热线  

痴呆症护理关爱热线现已开通，电话号码为 1-800-933-1789，服务时间为周一至周五上午 9 点至下午 5 点。该热线为加利福尼亚州的临床医生和初级保健团队提供教育和决策咨询，涵盖与痴呆症筛查、评估、诊断、管理和护理计划相关的主题。  

该热线还为实施“痴呆症护理意识”认知健康评估作为筛查方法提供支持，详情请见此处。顾问可以解答在痴呆症护理的任何阶段可能出现的问题，如何改变他们的实践中的系统，以及相关的医疗法律问题。非工作时间留下的语音留言将在下一个工作日回复。  

注意：咨询并非旨在替代专业的医疗护理或建议，也不能取代医疗专业人员对个别患者护理的临床判断。 

Medi-Cal Rx 恢复计划更新 

截至 3 月 24 日，Medi-Cal Rx 恢复计划第三阶段第一阶段已成功实施。 对于 22 岁及以上的会员，服务提供商必须提交特定药品类别的新处方和续订处方的事先授权。 更多信息请参阅Medi-Cal Rx 恢复聚焦。 此外，DHCS 还为药房服务提供商和处方人员发布了第三阶段第 2 阶段的 30 天倒计时。 

加利福尼亚州微笑 Medi-Cal 牙科服务活动  
Social media campaigns to raise awareness about the Medi-Cal Dental Program and share important resources with Medi-Cal members begin in April. The campaigns will remind members that dental services are covered by Medi-Cal and inform them about transportation services that are available for dental appointments.  

此外，加州微笑行动“微笑警报”将继续推广“提供者证言视频”系列，提醒会员幼儿园口腔健康评估的截止日期为 5 月 31 日，并宣布 3 月为全国营养月。订阅我们的“微笑提醒” ，随时了解“微笑加州”活动的最新动态。 

从 4 月 3 日到 6 月 2 日，加州 Smile 将开展 2023 年会员客户服务满意度在线调查。 该调查提供 19 种语言版本，旨在收集会员对 Medi-Cal 客户服务代表的体验反馈。 该调查将在Smile、加州和Medi-Cal Dental网站上发布，并在 4 月份的会员公告、Smile Alert、社交媒体以及SmileCalifornia.org主页横幅上进行推广。

加入我们的团队   

DHCS正在招聘！DHCS人力资源部现招聘甄选与招聘处处长。该职位负责指导制定和管理年度部门招聘计划、市场营销以及各种招聘活动，旨在将DHCS推广为首选雇主。  

DHCS is also hiring a Chief of Medi-Cal Eligibility Division (MCED). This position provides leadership, direction, and coordination of eligibility policy and operations among DHCS, California counties, and the federal government regarding Medicaid and the Children’s Health Insurance Program. 

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.   

DHCS 致力于维护和改善所有加利福尼亚人的整体健康和福祉。 DHCS 的使命是为最弱势的居民提供公平的、负担得起的、综合的、高质量的医疗保健，目前正在改变 Medi-Cal 计划，以确保它为加州人提供过上更健康、更快乐的生活所需的医疗服务。 

即将举行的利益相关方会议和网络研讨会  

California’s Reproductive Health Access Section 1115 Demonstration (CalRHAD): Second Public Hearing 

On April 3, from 9 to 10 a.m., DHCS will host the second (advance registration required) public hearing to solicit stakeholder comments on a proposed CalRHAD Medicaid Section 1115 demonstration. On March 16, DHCS launched 30-day public and Tribal public comment periods to solicit feedback on a proposed CalRHAD Medicaid Section 1115 demonstration. DHCS is seeking approval from CMS to provide competitive grants to reproductive health providers to enhance capacity and access to sexual and reproductive health services, promote the sustainability of California’s reproductive health provider safety net, and benefit individuals enrolled in Medi-Cal and other individuals who currently face barriers to such access. Additional information is available on the CalRHAD webpage.   

护理机构融资改革网络研讨会 

On April 12, from 3 to 4 p.m., DHCS will host a stakeholder webinar (advance registration required) to discuss the development of the Skilled Nursing Facility Workforce Standards Program and provide updates on other nursing facility financing programs authorized by Assembly Bill 186 (Chapter 46, Statutes of 2022). Additional information is available on the Nursing Facility Financing Reform (AB 186) webpage. 

ECM 和社区支持数据指导网络研讨会  

On April 13, from 12 to 1 p.m., DHCS will host an ECM and Community Supports webinar (advance registration required) to release new data guidance standards supporting the exchange of information between MCPs and Community Supports providers. DHCS will also share updates to existing ECM and Community Supports CalAIM data guidance, based upon stakeholder feedback during the first year of implementation.  

Sharing information among MCPs, providers, counties, community-based organizations, and DHCS is crucial for the successful implementation and long-term adoption of ECM and Community Supports. This webinar will offer MCPs, current and prospective ECM and Community Supports providers, and other interested stakeholders the opportunity to learn more about ECM and Community Supports data exchange, ask questions, and be informed about key changes for 2023. 

如果你错过了 

加州额外拨款 8850 万美元帮助改造 Medi-Cal 

3 月 24 日，DHCS宣布拨款 8850 万美元，以帮助地方组织建设能力和基础设施，从而为所有加州人建立一个更加协调、以人为本、公平的 Medi-Cal 系统。这些资金进一步推进了加州推进和创新 Medi-Cal (CalAIM) 的愿景，这是加州对 Medi-Cal 进行改革和加强的长期承诺，并将用于在全州范围内开发和部署 Medi-Cal增强护理管理福利和社区支持服务。 

PATH 技术援助 (TA) 市场第二轮供应商申请现已开放 

3月28日，DHCS开放了“提供医疗服务和改变健康”（PATH）TA市场第二轮供应商申请窗口。PATH TA Marketplace 是一个 TA 服务的虚拟市场，一个一站式网站，实体可以在这里获得来自精选和批准的供应商的免费 TA 资源，以帮助提高他们改造 Medi-Cal 的能力。强烈建议有兴趣申请成为 TA Marketplace 供应商的机构参加 4 月 6 日下午 1 点至 2 点举行的信息网络研讨会（需要提前注册），以了解更多申请流程信息。申请成为供应商的截止日期为 4 月28年 1 月2023 。 

Please visit the TA Marketplace vendor webpage for more information. For questions, please email ta-marketplace@ca-path.com. 

DHCS 发放医院和专业护理机构 COVID-19 员工保留补助金  

3 月 28 日、3 月 30 日和 4 月 5 日，DHCS 将发放医院和专业护理机构 COVID-19 工人保留补助金 (WRP)，总额超过 10 亿美元。 DHCS 将向经批准的覆盖实体 (CE)、覆盖服务雇主 (CSE)、医生集团实体 (PGE) 和独立医生发放资金，共涉及超过 832,000 名工作人员。 CE、CSE、PGE 和独立医生将在收到资金之日起 60 天内向获批准的工作人员发放付款。 要求和指导已发布在WRP 网页上，以支持实体的整体分发过程。 如有任何疑问，请发送电子邮件至wrp@dhcs.ca.gov 。 

Webinar on Governor Newsom’s Proposal to Modernize California’s Behavioral Health System 

On March 29, the California Health & Human Services Agency, Department of Managed Health Care, and DHCS held a webinar to walk through the Governor’s proposal to modernize California’s behavioral health system. The proposal builds on the Administrations’ previous investments and policy reforms to re-envision how the state treats mental health and substance use disorders. More information and the presentation are available on the Modernizing our Behavioral Health Initiative webpage.