首页DHCS 利益相关者新闻 - 五月12 、2023​​ 

DHCS Stakeholder News – May 12, 2023​​ 

热门新闻​​  

Governor’s May Revision​​  

Governor Gavin Newsom proposed a $156 billion May Revision for DHCS programs and services for fiscal year 2023-24. It proposes to support vital services that reinforce the state’s commitment to preserve and improve the overall health and well-being of all Californians while operating within a responsible budgetary structure. Highlights include:​​  

Managed Care Organization (MCO) Tax and Medi-Cal Provider Rate increases. The May Revision includes the renewal of the MCO tax, effective April 1, 2023, nine months earlier than planned at Governor’s Budget. This earlier start results in approximately $3.7 billion in additional General Fund for calendar year 2023. Additionally, the May Revision increases MCO revenue (as compared to Governor’s Budget) to achieve an approximately $5 billion annual state benefit.
A portion of this revenue will support an increase in provider rates to at least 87.5 percent of Medicare for specified providers, including Primary Care (inclusive of nurse practitioners and physician assistants), Maternity Care (inclusive of OB/GYN and doulas), and non-specialty mental health services beginning January 1, 2024.
Additionally, in collaboration with key stakeholders in the Medi-Cal delivery system and with a focus on enhancing equitable access to care, DHCS will assess which ongoing, long-term rate augmentations will deliver the greatest benefit to improving Medi-Cal systems across California. The focus will be to look at additional augmentations to primary care, maternal care, and behavioral health as well as specialty care, outpatient, and acute care systems with attention on how to increase the commitment of providers to serve Medi-Cal members, support providers in disproportionately impacted areas, and build robust teams and programs with a strong workforce, to ensure care is provided in the right settings, at the right time, and at the highest quality. Following this process, DHCS will return with a proposed set of investments and augmentations that will be put forward to the Legislature in the 2024-25 Governor’s Budget, with an intended effective date of January 1, 2025. 
Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT). Formerly known as California Behavioral Health Community-Based Continuum (CalBH-CBC), the proposal continues to include the 1115 demonstration waiver to address the gaps in the behavioral health continuum of care for Medi-Cal members living with serious mental illness (SMI) and serious emotional disturbance (SED). The May Revision adds a new Workforce Initiative to the waiver, $480 million a year for the five years ($2.4 billion total funding), to strengthen the pipeline of behavioral health professionals, including improving short-term recruitment and retention efforts. 
Behavioral Health Modernization. The May Revision includes initial funding to support the behavioral health modernization proposal.​​  

五月份修订预算文件：​​ 

DHCS 宣布行为健康豁免的新名称​​  

DHCS is renaming the proposed California Behavioral Health Community-Based Continuum (CalBH-CBC) demonstration waiver to better align with the Department’s mission, vision, and goals. It will now be known as the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) waiver. The name change emphasizes DHCS’ commitment to providing a robust continuum of community-based behavioral health care services and improving equity, quality, and access for all Medi-Cal members living with SMI and SED, particularly populations experiencing disparities in behavioral health access and outcomes. The waiver name is new, but its objectives and approach remain the same.  

The waiver is informed by findings from DHCS’ 2022 report, Assessing the Continuum of Care for Behavioral Health Services in California, and is a historic opportunity to make significant investments in the full continuum of care for behavioral health, with a particular focus on the most vulnerable populations. For more information about this waiver, please visit the DHCS website.​​  

项目更新​​  

关于更新人口需求评估 (PNA) 的概念文件​​  

DHCS released a concept paper that outlines DHCS’ vision of a reimagined PNA that Medi-Cal managed care plans (MCPs) are required to complete. DHCS envisions a modified PNA that promotes greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health and social needs and preferences and the communities in which they live. This approach will help target resources and interventions to support improved health outcomes for Medi-Cal members. DHCS encourages feedback on the concept paper through written comments and by participating in upcoming public forums and advisory groups. DHCS will accept public comment through 5 p.m. on June 2, 2023, to PHMSection@dhcs.ca.gov, with the subject line “Comments on PNA Concept Paper”.​​   

Along with the concept paper, DHCS will soon issue a new All Plan Letter (APL) to replace APL 19-011 and provide near-term MCP guidance on the modified PNA and the new population health management strategy. For more information and regular updates, please visit the CalAIM Population Health Management Initiative webpage.​​  

健康登记导航项目​​   

5 月 12 日，DHCS 通知了申请剩余未分配健康注册导航资金的合作伙伴，这些资金是通过众议院第 74 号法案（2019 年法规第 23 章）和参议院第 154 号法案（2022 年法规第 43 章）拨付的 360 万美元。这些额外的资金将立即使合作伙伴能够在持续覆盖范围解除期间建立新的和加强现有的与加州医疗保险扩展和加州医疗保险更新有关的活动和事件。有兴趣协助这些工作的地方社区组织可参阅 DHCS 网站 "项目合作伙伴 "部分的 "项目合作伙伴联系信息"。​​  

Medi-Cal Rx 更新​​  

5月19日，第三阶段第三阶段将实施，解除22个标准治疗类别的过渡政策。 这是一系列解除限制措施中的第三次，通过恢复拒绝代码 75（需要事先授权），逐步取消对历史事先授权和索赔的豁免。​​  

微笑，加州 Medi-Cal 牙科服务运动​​ 

5 月 22 日当周，每月将向所有订阅者发送一份 Smile Alert 电子通讯，提醒 Medi-Cal 会员参加 2023 年会员客户服务调查。 该通讯还将提醒人们关注 SmileCalifornia.org 上的 常见问题页面 ，Medi-Cal 会员可以在这里了解有关 Medi-Cal 牙科保险的常见问题。​​    

家庭 PACT 年度计划报告​​   

5 月 12 日，DHCS 在 Family PACT 网站 上 发布了 《家庭计划、获取、护理和治疗 (Family PACT) 计划 2019-20 财政年度报告》。该法规要求每年对关键项目指标进行分析。 本年度报告基于描述家庭 PACT 提供商和客户群体、所使用的服务类型和计划报销的登记和索赔数据。 本报告中的服务日期为 2019-20 财政年度，开始于2019年 7 月1日，结束于30年 6 月2020日。​​  

加入我们的团队​​    

DHCS is hiring! DHCS has an immediate opening for Deputy Director and Chief Counsel, Office of Legal Services. This executive role offers the right attorney an opportunity to lead DHCS’ legal team in providing comprehensive legal and regulatory services and advice regarding Medi-Cal and behavioral health.​​  

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, communications, 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​​  

痴呆症护理意识 – 认知健康评估 (CHA) 虚拟培训​​  

从19 5 月、 2023 5 月开始，Dementia Care Aware 将在 CHA 上提供每月一次的Zoom 培训（需要提前注册） ，由加州大学欧文分校的老年医学专家主持。 CHA 是一种痴呆症筛查方法，旨在对需要进行认知筛查的老年患者进行。 初级保健提供者和团队应参加 5 月 19 日以及此后每个月第一个和第三个星期五的培训，以了解更多有关此评估如何使初级保健提供者及其团队能够更好地检测患者痴呆症的信息。 提供免费的继续医学教育和继续教育单位。​​   

Medi-Cal 牙科医疗服务提供者登记的最新要求和程序​​  

On May 22, from 1:30 to 3 p.m., DHCS will hold a public hearing via webinar (advance registration required) to discuss the regulatory provider bulletin entitled, “Updated Requirements and Procedures for the Enrollment of Medi-Cal Dental Providers.” Stakeholders can submit questions and suggestions during the hearing, and written comments will be accepted on the day of the hearing. Based on the public comments received, DHCS will publish the final bulletins on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.​​   

For those who are unable to attend, written comments to be considered prior to publication may be submitted by 5 p.m. on May 22 to DHCSPEDStakeholder@dhcs.ca.gov. Please ensure the commenter and organization/association represented are identified in the comment.​​  

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​​   

5 月 24 日上午 9:30 至下午 3:30，DHCS 将主办2023 年第二届 SAC 和 BH-SAC 混合会议（需提前注册） 。 它将以联合会议的形式召开，讨论由 SAC 和 BH-SAC 共同讨论的主题。 联席会议后将举行 BH-SAC 专属会议；不会举行 SAC 专属会议。 与会者可以亲自前往位于萨克拉门托市中心 K 街 1414 号的加州基金会参加，也可以通过虚拟方式参加。 如需了解更多信息，请访问SAC和BH-SAC网页。​​  

费用表工作组​​  

5 月 25 日下午 1 点至 3 点，DHCS 将与管理医疗保健部 (DMHC) 合作，以虚拟方式主办第四次公共工作组会议（需要提前注册），讨论儿童和青少年行为健康计划下学校行为健康服务的全州全付费用计划的制定。 DHCS 和 DMHC 将与代表 K-12 教育、高等教育机构、Medi-Cal MCP、商业健康计划、县行为健康部门、行为健康提供者、协会、倡导者、青年和父母/看护者的合作伙伴就各种政策和运营主题进行交流，以指导项目设计的制定和改进。​​     

如果你错过了​​  

DHCS Director Michelle Baass’ Message on the End of the COVID-19 Public Health Emergency (PHE)  ​​  

DHCS expresses gratitude to our plans, providers, stakeholders, and other partners for their commitment and partnership during the COVID-19 PHE. We worked together and adapted quickly to the pandemic’s challenges and difficulties to care for millions of Californians. Our joint efforts enabled us to navigate the PHE with resilience and perseverance, and we are grateful for your ongoing engagement.  Read the full statement.​​   

用于物质使用障碍预防、治疗和康复的新型救生工具和资源​​  

On May 11, DHCS launched a partnership with national nonprofit Shatterproof to help combat the substance use crisis, keep Californians safe, and provide recovery resources to those in need. The new resources include Treatment Atlas, a confidential addiction treatment locator, assessment, and standards website platform that connects individuals and their families to appropriate evidence-based, high-quality addiction treatment. Additionally, to empower individuals and change attitudes about substance use disorders, DHCS launched Unshame California, a science-driven and content-based campaign that promotes anti-stigma messaging through stories of Californians impacted by substance use disorders. Both of these resources are available in English and Spanish.​​   

已发布的 COVID-19 信息​​