加利福尼亚州官方网站
1 号提案为内部落健康村扩大圣地亚哥县药物使用障碍和心理健康治疗服务铺平了道路
萨克拉门托--为兑现州长加文-纽森（Gavin Newsom）扩大加州行为健康系统并使之现代化的承诺，加州医疗保健服务部（DHCS）于 3 月 20 日与 Inner-Tribal Treatment 和社区合作伙伴一起，在保马谷（Pauma Valley）为新的 Inner-Tribal Wellness Village 破土动工。在加州选民批准的《行为健康基础设施债券法案》和州行为健康连续基础设施计划 (BHCIP) 的支持下，该项目包括近 2000 万美元的债券 BHCIP 第一轮：启动就绪资金，用于大幅扩大地区药物使用障碍 (SUD) 和精神健康治疗能力。这是数百项 1 号提案投资中的一项，旨在加强加州以社区为基础的行为健康护理的连续性。
"DHCS 主任 Michelle Baass 说："加利福尼亚州的投资体现了对公平和治疗的世代承诺。"部落内部健康村 "将提供个人可以找到安全、尊严和联系的空间，以文化为基础，围绕服务对象的需求而建设"。
该校园将为圣地亚哥县及周边地区需要行为健康治疗和支持的部落社区提供服务。内部落健康村建成后，将包括一个拥有 60 个床位的成人药物滥用住院治疗设施和一个拥有 120 个门诊名额的社区心理健康诊所，估计每年可为 500 人提供服务。
重要原因：自 2021 年以来，Inner-Tribal Treatment 已为圣地亚哥县的 18 个联邦承认的部落以及河滨县和圣贝纳迪诺县的 12 个部落提供了文化肯定服务。新校区将把传统治疗方法与循证临床治疗相结合，为护理和康复创造一个全面的环境，从而扩大这项工作的范围。校园的特色将包括谈话圈、熏香、传统教义和文化仪式空间，以及临床模式，包括认知行为疗法和其他行之有效的治疗方法，帮助人们建立长期健康的技能。
“这项举措代表着在加强我们部落社区的心理健康、药物滥用障碍和健康服务方面迈出的重要一步，这些社区在获得医疗保健方面历来面临着巨大的差距，” Inner-Tribal Treatment 的创始人兼首席执行官 Robert Aguilar说。"部落内部健康村 "将成为在无污名化环境中进行治疗的重要枢纽，使个人有能力在一个文化和精神上得到肯定的空间里掌握自己的健康和福祉"。
内部落健康村反映了一种持续的投资，这种投资扩大了地区治疗能力，并使加利福尼亚州更接近其建立一个更强大、更公平、更负责任的行为健康系统的目标。
更宏观的视角： 2024 年 3 月，加州选民批准了第 1 号提案，授权向加州医疗保健服务部 (DHCS) 提供高达 44 亿美元的债券资金，以扩大全州的行为健康治疗基础设施。该倡议正在新建数千个住宿床位和门诊治疗名额，优先考虑高需求社区，包括部落和农村地区。根据命题 1：
加州正在建立一个全面的连续性行为健康护理体系，提供从预防和早期干预到治疗、危机应对和长期康复的全方位支持。这种方法旨在确保每一位加州人，尤其是那些历来在获得治疗方面面临最大障碍的人，都能在需要的时间和地点获得高质量的心理健康和药物滥用治疗。
在大量投资、新政策和强大的合作伙伴关系的支持下，加州正在扩大治疗服务和支持性住房，同时加强劳动力队伍并使其多样化。通过优先考虑预防、早期支持和针对个人需求的服务，加州正在帮助人们在正确的时间获得正确的护理，从而在全州范围内实现更好的健康结果和更强大的社区。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The Department of Health Care Services (DHCS) is coordinating a statewide Smile, California bilingual outreach campaign to help children and families understand the importance of early and regular dental care and to encourage the use of free Medi-Cal Dental preventive services. The campaign includes easy-to-use English and Spanish-language materials that explain what families can expect during dental visits and how to access care under Medi-Cal. It aims to reduce barriers to care by helping children feel prepared and parents feel confident about scheduling preventive dental visits.
“Dental problems don’t just cause pain—they interrupt learning, impact confidence, and widen achievement gaps,” said Dana Durham, Chief of DHCS’ Medi-Cal Dental Services Division. “The good news is that most of these issues are preventable, and Medi-Cal covers regular dental care for children at no cost to families.”
Throughout National Children’s Dental Health Month, Smile, California is encouraging parents, schools, and community partners to help children build healthy habits, including brushing twice a day, flossing daily, eating nutritious foods, and visiting the dentist regularly.
To support families, Smile, California released a new digital storybook, Jasmín Goes to the Dentist, in English and Spanish. It walks children step-by-step through a regular check-up. From the bright light above the chair to the tools hygienists use to clean teeth, the story helps normalize the experience, showing children that dental visits can be comfortable, friendly, and even fun.
这本小册子还包括一个为家长准备的特别部分，鼓励家长在家里公开谈论牙科保健问题，并提醒家庭加州医保为整个家庭免费提供预防和修复服务。
WHY THIS MATTERS: Dental problems are one of the most common, yet preventable, health issues affecting children in California. When children receive preventive care early and regularly, families can avoid unnecessary dental pain, reduce missed school days, and decrease the need for emergency treatment later in life. The new bilingual campaign supports families in navigating dental care and understanding covered benefits through Medi-Cal Dental.
Recent data show that more than 350,000 children and teens missed at least one school day because of dental issues, demonstrating the impact untreated dental problems can have on student well-being and their ability to learn, adding up to more than 869,000 lost school days and a cost of roughly $60 million to school districts.
ABOUT MEDI-CAL DENTAL: All children and teens enrolled in Medi-Cal qualify for two free dental check-ups each year, along with cleanings, fluoride treatments, sealants, and other preventive services. Adults age 21 and older can receive one free dental check-up each year, in addition to other covered services. Parents can find a Medi-Cal dentist and learn more at SmileCalifornia.org.
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The California Department of Health Care Services (DHCS) today announced the release of the Implementation Plan for New Federal Eligibility and Enrollment Changes Under H.R. 1, outlining the state’s approach to implementing new federal requirements under H.R. 1. These changes, which start as early as October 2026, are expected to impact millions of Californians statewide.
“California is committed to implementing these federally required changes in a way that protects coverage and supports our members,” said DHCS Director Michelle Baass. “Our goal is to make this transition as smooth as possible by providing clear information, reducing administrative burdens, and working closely with members, counties, health plans, and community partners.”
健康与社会服务部正在努力最大限度地减少对 Medi-Cal 会员的干扰，并保持保险的连续性。该计划详细介绍了即将发生的变化、实施指导原则以及为成员和利益相关方提供的资源，以便为过渡做好准备。约有 200 万 Medi-Cal 会员（主要是新扩展的成人群体）面临因这些联邦变化而失去医疗保险的风险。
该计划的主要原则包括
DHCS will host an All-Comer Webinar on February 5 to review the plan and answer questions. Learn more and read the plan.
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
新数据显示，"强化护理管理 "和 "社区支持 "显著增长
Sacramento ——加州Department of Health Care Services (DHCS) ) 今天发布了新的数据，显示增强护理管理 (ECM) 和社区支持持续增长并产生影响，这是California在California推进和创新Medi-Cal ( CalAIM ) 倡议下进行Medi-Cal转型的关键组成部分。
“These services help Medi-Cal members stay healthier and avoid other, costlier care, such as emergency department visits and hospital stays,” said DHCS Director Michelle Baass. “We appreciate the hard work and commitment of Medi-Cal managed care plan providers and partners. Together, we are building a health care delivery system that supports whole-person care for Medi-Cal members.”
最新的季度报告包括 2022 年 1 月以来的趋势和 2025 年 4 月至 6 月的新数据，涵盖州、县和管理式医疗计划层面的信息，包括服务成员、服务使用情况和医疗服务提供者网络。
ECM REACHES MORE CALIFORNIANS: ECM helps people with complex health and social needs, including homelessness, serious mental illness, or frequent hospital visits, coordinate the care they need, wherever they are. Since its launch in January 2022, ECM has connected more than 451,000 Medi-Cal members to high-touch, person-centered care coordination through a Lead Care Manager who helps navigate physical, behavioral, and social services.
2025 年第二季度，幼儿保育和教育的入学率有所上升，尤其是儿童和青少年。超过 47,000 名儿童和青少年接受了幼儿保育和教育，比去年同期增长了 102%。近 3,600 名从监禁中过渡的成年人和超过 16,000 名无家可归的儿童和青少年也接受了 ECM，与去年同期相比分别增加了 83% 和 164%。为满足这一需求，医疗服务提供者网络大幅扩展，为这些人群提供服务的医疗服务提供者同比增长 80% 以上。
“Every expansion means more Californians have access to services that keep them stable, healthy, and supported,” said State Medicaid Director Tyler Sadwith. “We’re focused on making these programs even more accessible and responsive to the communities we serve.”
COMMUNITY SUPPORTS GROWTH: Community Supports provide cost-effective, community-based alternatives to traditional medical care, addressing housing, nutrition, and other social drivers of health. Since launching in January 2022, these services have become a cornerstone of whole-person care in Medi-Cal.
截至 2025 年 6 月，已有 52 万多名加州医疗保险成员获得了社区支持，在全州范围内提供了 130 多万次服务。获得服务的机会继续扩大，几乎所有加州医疗保险成员现在都可以获得至少 10 项社区支持服务，而且大多数（94%）成员可以从全套服务中进行选择。医疗定制膳食和与住房有关的服务仍然是使用率最高的服务之一。
WHY THIS IS IMPORTANT: The growth of ECM and Community Supports reflects California’s commitment. These services are critical tools in addressing challenges, such as homelessness, behavioral health access, and support for families and youth with complex needs.
作为改善健康成果承诺的一部分，加利福尼亚州扩大了 "涉案司法人员重返社会倡议"（Justice-Involved Reentry Initiative），该倡议要求管理性护理计划在释放前 90 天内提供护理协调以及医疗和行为健康服务，以确保重返社区期间护理的连续性。该计划于 2024 年 10 月在三个县启动，2025 年 2 月扩展到州立监狱，目前已在 13 个县开展活动。到 2026 年 10 月，全州所有县都必须提供这些服务。
INVESTING IN CAPACITY: To support the expansion of ECM and Community Supports, DHCS has awarded more than $1.66 billion through its Providing Access and Transforming Health (PATH) initiatives, including Capacity and Infrastructure Transition, Expansion, and Development (CITED), Collaborative Planning and Implementation, Justice-Involved Capacity Building program, and Technical Assistance Marketplace. These funds help community-based organizations, clinics, and local agencies grow their capacity by hiring staff, upgrading systems, and improving care coordination. The fourth and final round of PATH CITED grant awardees was announced in November 2025.
WHAT’S NEXT: DHCS will continue listening to Medi-Cal members who use ECM and Community Supports. Feedback gathered through surveys, focus groups, and other outreach will guide improvements to make these services easier to access, more effective, and more responsive to California’s diverse communities.
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The California Department of Health Care Services (DHCS) today announced a major milestone in Medi-Cal transformation: 139 organizations have successfully completed Round 1 projects under the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) grants. These organizations completed capacity-building projects designed to strengthen their ability to deliver Enhanced Care Management (ECM) and Community Supports, cornerstones of DHCS’ commitment to build a more equitable, person-centered Medi-Cal delivery system under California Advancing and Innovating Medi-Cal (CalAIM).
“PATH CITED Round 1 shows what’s possible when we invest in community-driven solutions,” said DHCS Director Michelle Baass. “These projects are improving access and coordination while laying the foundation for a Medi-Cal system that is more responsive, inclusive, and equitable for all Californians.”
WHAT THIS MEANS FOR CALIFORNIANS: Across the state, these projects expanded ECM and Community Supports by training hundreds of new staff, including care managers and outreach workers, investing in electronic health records to improve care coordination, and developing peer-led outreach models while hosting hundreds of community events to build trust with populations that have historically faced barriers to accessing care. Together, these efforts are creating a stronger, more equitable Medi-Cal delivery system that meets members where they are and delivers whole-person, community-based care.
ECM 和社区支持正在改变加州医疗保险，使有复杂健康需求的人远离急诊室、养老院和无家可归者。这些服务提供手把手的护理协调和实际支持，如住房导航、医疗定制膳食和家居改造，帮助会员管理慢性疾病并在家中安全康复。通过满足医疗和社会需求，ECM 和社区支持可防患于未然，从而改善健康状况，减少昂贵的医院就诊次数。
实际影响：一段新的视频（上图）展示了第一轮获奖者的声音，他们讨论了这些资金对他们服务 Medi-Cal 会员的能力的影响。从扩大行为健康服务到推出创新的外展Program ，这些故事突出了当地合作伙伴如何成为Medi-Cal提供商，并推动变革，从而为加州人带来持久的健康益处。 一些成功的项目包括：
BY THE NUMBERS:
BACKGROUND: Launched in early 2023, PATH CITED Round 1 awarded $203 million in grant funding to a diverse group of organizations, community-based organizations, county agencies, Tribal entities, hospitals, and Medi-Cal managed care plan partners to expedite adoption of new services, contract directly with plans, and implement billing systems for innovative care models. These investments help new and existing providers integrate into the Medi-Cal system and sustain services beyond PATH funding.
LOOKING AHEAD: DHCS extends its deepest gratitude to all Round 1 awardees for their dedication, innovation, and commitment to improving the lives of Medi-Cal members. These organizations have built trust, expanded access, and laid the groundwork for lasting change in communities across California. To explore more impact stories, visit the PATH CITED website or email questions to cited@ca-path.com.
第二轮项目预计将于今年年初完成，延续这一势头。迄今为止，DHCS 已通过其 PATH 计划向 2200 多个组织拨款超过 16.6 亿美元，其中包括 CITED、合作规划和实施、司法相关能力建设计划和技术援助市场。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The California Department of Health Care Services (DHCS) today released the 2024 quality ratings for Medi-Cal managed care plans (MCP) and county behavioral health plans (BHP), highlighting measurable improvements in care quality, expanded oversight, and a deepening commitment to health equity across the state’s Medi-Cal delivery system.
This is the fourth year of MCP ratings and the third for BHPs. The ratings are based on performance against the Managed Care Accountability Set and Behavioral Health Accountability Set measures for services delivered from January to December 2024. These measures evaluate how well plans deliver high-quality, equitable care across key domains, such as preventive services, behavioral health, maternal health, and chronic disease management. They also inform DHCS’ oversight of managed care and county behavioral health systems, supporting enforcement actions, such as monetary sanctions and Corrective Action Plans (CAP), when performance standards are not met. Among the key findings:
BHPs are being held accountable through CAPs, with 10 of 56 Mental Health Plans and 29 of 38 Drug Medi-Cal Organized Delivery System plans receiving CAPs based on performance calculated using Medi-Cal Connect, DHCS’ statewide data analytics platform.
“These results reflect our shared commitment to advancing quality and equity across the Medi-Cal delivery system,” said DHCS Director Michelle Baass. “We are seeing real progress in areas like children’s preventive care, dental services, and behavioral health performance. We know there’s more work to do, and we’re holding ourselves and our partners accountable every step of the way.”
DHCS is transitioning to performance-based oversight with a strong emphasis on equity and data-driven progress. For example, in 2025, the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Access, Reform and Outcomes Incentive Program began offering payments to BHPs that demonstrate progress on key behavioral health measures.
“This isn’t just about numbers; it’s about making real, positive changes in the way care is delivered,” said Dr. Palav Babaria, Chief Quality and Medical Officer and Deputy Director of Quality and Population Health Management. “We’re doing it in partnership with our MCP and BHP partners, and I’m incredibly proud of the progress we’ve made so far. Every step we take is about building a Medi-Cal health care delivery system that works for all members.”
Dr. Babaria added, “By leveraging data, aligning incentives, and listening to the voices of Medi-Cal members, we’re creating a system that not only measures performance, but also supports continuous learning and improvement. Our goal is to ensure that every Californian, regardless of geography or background, has access to high-quality, coordinated care.”
Updated fact sheets, enforcement reports, and sanction letters are available on the Medi-Cal Managed Care Monitoring page.
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov