加州获得前所未有的联邦资金用于关键行为健康支持
新闻稿
州政府的 BH-CONNECT 计划获得联邦批准 Medi-Cal 将于 2025 年 7 月提供过渡性租金保障，并涵盖一项价值 19 亿美元的新行为健康劳动力计划
SACRAMENTO — California has secured federal and state funding to revolutionize behavioral health care for Medi-Cal members. The Department of Health Care Services (DHCS) announced today that the Centers for Medicare & Medicaid Services (CMS) approved the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration. This transformative initiative establishes a robust continuum of evidence-based community services for people with significant behavioral health needs, including providing up to six months of transitional rent for qualified members, funding new training for providers and counties, and addressing disparities through targeted funding and innovative programs. By expanding community-based services and integrating evidence-based practices, BH-CONNECT aims to reduce costly emergency department visits, hospitalizations, and institutional stays, including in carceral settings.
“The importance of BH-CONNECT cannot be overstated,” said DHCS Director Michelle Baass. “BH-CONNECT equips California with critical resources to partner with counties in strengthening and expanding behavioral health services—making sure that the system will work for Californians that need services and support. In the face of a historic mental health crisis, we are ensuring that Medi-Cal members living with significant behavioral health needs receive equitable, community-based care to thrive where they live.”
BH-CONNECT 的两个重要组成部分是提供长达六个月的过渡性租金援助和 19 亿美元的行为健康劳动力计划。
“BH-CONNECT builds upon California’s unprecedented investments and transformative policies to ensure Medi-Cal members with the greatest behavioral health needs have access to community-based care that promotes recovery, stability, and dignity,” said State Medicaid Director Tyler Sadwith. “BH-CONNECT provides essential stability for Medi-Cal members transitioning from institutional settings or homelessness by offering up to six months of transitional rent assistance. Coupled with our commitment to expanding the continuum of behavioral health care and investing in our workforce, this initiative ensures that individuals receive the comprehensive, community-based care they need to thrive.”
为什么这很重要：精神疾病是加州人面临的最常见的健康状况之一，每 26 名居民中就有近 1 名患有严重的精神疾病。 2022年，三分之二患有精神疾病的成年人未接受治疗。 这些人在离开机构环境或无家可归时都面临着巨大的挑战，通过 BH-CONNECT 提供的服务，可以在康复和社区稳定方面获益最多。 该计划将帮助有重大行为健康需求的 Medi-Cal 会员，包括参与儿童福利的儿童和青少年、正在经历或面临无家可归风险的个人和家庭，以及参与司法系统的人员。
BH-CONNECT is a key pillar of Governor Newsom’s Mental Health for All and is strategically aligned with Behavioral Health Transformation efforts underway as part of Proposition 1 to modernize California’s behavioral health system, expand access to evidence-based service models on a statewide basis, and address the housing needs of Californians with significant behavioral health conditions.
TRANSFORMATIVE FEATURES: BH-CONNECT represents a strategic shift in how California addresses behavioral health care. In partnership with county behavioral health plans, BH-CONNECT strengthens California’s behavioral health workforce, incentivizes measurable outcomes, and fills critical service gaps to create a more equitable and effective system of care. Key features include:
- 劳动力投资：支持 19 亿美元的强大而多样化的行为健康劳动力计划，其中包括奖学金、贷款偿还计划、招聘激励、居住权和奖学金扩展以及专业发展。 该劳动力计划将由医疗保健获取和信息部管理。
- Transitional Rent Assistance: Provides up to six months of rental support, through a member’s managed care plan, for eligible Medi-Cal members transitioning from institutions, congregate settings, or homelessness. This support is crucial in stabilizing individuals during vulnerable periods, significantly reducing the risk of returning to institutional care or experiencing homelessness. Transitional rent will serve as a bridge to permanent housing for members who need it. For members with significant behavioral health needs, the Behavioral Health Transformation funding dedicated to Housing Interventions will provide permanent rental subsidies and housing following transitional rent, providing seamless continuity and supporting members in achieving long-term housing stability.
- 对儿童和青少年的支持： 包括活动资金，用于改善参与儿童福利的青少年获得专业心理健康服务的机会和结果。
- 我 对县的激励措施： 支持一项 19 亿美元的准入、改革和成果激励计划，以 奖励县行为健康计划，以改善获取医疗服务的机会、减少差异并加强行为健康质量改进。
- 社区过渡内展服务：支持成员从长期机构居住过渡，以确保护理的连续性和成功融入社会。
- 短期住院精神病护理： 为符合联邦精神疾病机构标准的住院和住宅治疗环境中提供的短期精神卫生护理的联邦 Medi-Cal 资金提供了新的灵活性。
在批准第 1115 款示范项目的支出和豁免权的同时，DHCS 还在实施 BH-CONNECT 示范项目中不需要第 1115 款示范项目授权的其他功能，包括
Medi-Cal 涵盖循证实践(EBP)，包括（由县政府决定）：
积极社区治疗 (ACT) ，这是一种综合性的、以社区为基础的、跨学科的团队服务模式，旨在帮助患有严重精神疾病的个体应对其精神健康状况的症状，并发展或恢复在社区中正常生活所需的技能。
法医行为 一项专为与司法系统有牵连的人员量身定制的ACT项目。
首发精神病协调专科护理，是一种综合性的、以社区为基础的、跨学科的团队服务模式，旨在帮助患者应对早期精神病症状并融入社区。
个人安置与支持模式（IPS）是一种支持性就业服务，它提供以社区和团队为基础的服务，帮助有行为健康问题的个人在社区中过上功能性且富有成效的生活，包括获得和/或维持有竞争力的就业机会。
社区健康工作者服务，即通过专业行为健康服务体系，由值得信赖的社区成员提供的预防性服务，包括健康教育、倡导和导航服务，以支持成员获得所需的医疗保健和社区资源，从而解决影响健康的社会因素。
会所服务， 康复计划提供的服务，为有严重行为健康需求的人们提供一个实体场所
让他们能够建立人际关系、参与工作和教育活动，并获得支持性服务。明确 Medi-Cal 对儿童和青少年循证实践 (EBP) 的承保要求，包括多系统治疗、功能性家庭治疗、亲子互动治疗和高保真环绕式服务（在全州范围内实施） 。通过为这些循证实践提供更清晰的指导方针和覆盖范围要求，BH-
旨在确保加州更多儿童和青少年能够获得这些有效的治疗。在管理式医疗计划中设立一名管理层级的县级儿童福利联络员，负责监督和实施强化护理管理，参加儿童和家庭团队会议，确保管理式医疗服务与其他服务协调一致，并在护理经理遇到运营障碍时作为升级处理点（已在全州范围内实施）。
卓越中心为行为健康服务系统和提供者提供培训和技术援助，以支持循证实践治疗和交付的完整性（在全州范围内实施）。
儿童福利/专业心理健康联合访问，当儿童进入福利系统时（全州范围内实施） 。
“The BH-CONNECT Demonstration will be a transformative step forward in improving Riverside County’s behavioral health system,” said Dr. Matthew Chang, Behavioral Health Director for Riverside University Health System. “By building a more organized and equitable network of community-based services, we can enhance access to timely, comprehensive care for our most vulnerable populations, ensuring they receive support when and where they need it most.”
“Kaiser Permanente supports programs and policies that ensure all individuals have access to affordable, high-quality health care, and we applaud DHCS for its efforts to address health-related social needs for Medi-Cal members. We are excited by the transformative potential of transitional rent and are committed to partnering with DHCS as it develops a transitional rent program that will improve the health and well-being of our most vulnerable members and communities,” said Amanda Flaum, Kaiser Permanente Vice President for Medicaid in California and Hawaii.
In 2022, DHCS commissioned Assessing the Continuum of Care for Behavioral Health Services in California to study and make recommendations about the missing gaps in access and infrastructure needed to create a more seamless, coordinated network of behavioral health care—ensuring that communities that have historically faced barriers to accessing care can navigate a full spectrum of services easily, ultimately improving health outcomes for all members. The BH-CONNECT waiver application, submitted to CMS in October 2023, focused on closing key service gaps along the continuum of behavioral health care, such as increasing evidence-based treatment options for vulnerable populations, including children and youth involved in child welfare, members at risk of or experiencing homelessness, and members with justice system involvement, and increasing equity for Medi-Cal members.
大局观： BH-CONNECT 以近 150 亿美元的州投资为基础，并与 行为健康转型提案 1 、 儿童和青少年行为健康 计划、行为健康连续性基础设施计划 、 行为健康桥式住房计划 、 涉案司法人员重返 社会计划、 行为健康支付改革 、 医疗保险转型 、 988 扩展 等 变革性计划 保持一致。
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