加利福尼亚州官方网站
行为健康服务每年扩大至 4,800 人
萨克拉门托--1 月23,2025 日，卫生保健服务部（DHCS）和Sierra Vista 儿童& 家庭服务机构共同庆祝斯坦尼斯劳斯县一家新机构的开业，该机构旨在缩小精神健康和药物使用障碍（SUD）治疗方面的差距。社区健康和青少年预防中心将提供重要的行为健康服务，包括针对青少年的恢复性司法实践、心理健康咨询、孕期和产后服务、家庭和父母支持服务以及其他综合服务。
DHCS awarded Sierra Vista Child & Family Services more than $4.6 million through the Behavioral Health Continuum Infrastructure Program (BHCIP), which works to ensure comprehensive behavioral health care for California’s most vulnerable individuals. The facility is expected to serve 4,800 individuals annually. With approved Proposition 1 bonds, in 2025 and 2026, even more behavioral health treatment facilities will be funded and built.
社区健康和青少年预防中心是加州为农村和服务不足的社区提供高质量的整体医疗保健服务的重要组成部分，"DHCS 主任 Michelle Baass 说，"社区健康和青少年预防中心是加州为农村和服务不足的社区提供高质量的整体医疗保健服务的重要组成部分。"对于在斯坦尼斯劳斯县寻求有尊严的整体行为健康服务的人们来说，该中心的开业改变了游戏规则"。
"Sierra Vista 儿童& 家庭服务机构首席执行官安德鲁-廷比（Andrew Timbie）说："加强家庭和社区是我们的使命。"我们相信，我们在斯坦尼斯劳斯县中心地带的社区健康和青少年预防中心的投资和进一步发展，有效地发挥了我们的战略举措，体现了我们的使命"。
SIERRA VISTA CHILD & FAMILY SERVICES: Sierra Vista Child & Family Services offers a diverse array of services, including Enhanced Care Management, mentoring, short-term residential therapeutic programs for foster youth, and perinatal substance use disorder treatment programs.
新的社区健康和青少年预防中心是利用 BHCIP 的资金建成的，目的是为儿童、家庭和整个斯坦尼斯劳斯社区的生活带来持久的变化。该中心的服务对象是 25 岁以下的儿童和青少年，他们来自服务不足的高危人群，包括少年司法系统中的低犯罪率人群及其家庭成员。服务包括基于优势的评估、全面的个案管理服务、与当地社区资源的联系、家庭和照顾者教育及福利支持、心理健康筛查以及孕期和产后服务。
WHY BHCIP IS IMPORTANT: Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure to further expand the range of community-based behavioral health treatment options for people with mental health and substance use disorders. BHCIP is addressing historic gaps in the behavioral health care system to meet the growing demand for services and support throughout the lifespan of people in need. Sierra Vista Child & Family Services received BHCIP Round 4: Children and Youth grant funding.
DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS will distribute up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1. DHCS holds regular public listening sessions on this effort. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage.
关于 BHCIP 第四轮：儿童和青少年：BHCIP 第四轮重点关注 25 岁及以下的加州人，包括孕妇和产后妇女及其子女，以及 18-25 岁的过渡年龄青年及其家人。通过加州 儿童和青少年行为健康计划 （California's Children and Youth Behavioral Health Initiative ）提供的资金，总计 4.805 亿美元的 52 笔拨款用于新建和扩建多种门诊和住院设施，包括儿童危机住院计划、围产期药物使用障碍住院设施、社区健康/青少年预防中心以及药物使用障碍门诊治疗。请参阅BHCIP 网站，了解有关赠款获得者的更多信息以及 BHCIP 各轮资助的更多详情。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
项目为等待或即将离开住院治疗的病人增加了 16 张新的同伴暂息床位
SACRAMENTO — On January 29, 2025, the Department of Health Care Services (DHCS) attended Placer County’s opening of a new 16-bed adult peer respite that provides a safe, supportive, and home-like environment for adults awaiting placement in residential treatment programs or exiting such programs to a lower level of care. The facility, dubbed “The Harbor,” will begin welcoming clients on February 3 through a referral-based system managed by Placer County’s substance use team.
DHCS awarded Placer County nearly $400,000 through the Behavioral Health Continuum Infrastructure Program (BHCIP), which is part of California’s ongoing commitment to expand behavioral health services for all Californians. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026.
“Too often, restrictive inpatient settings are the only option available to people experiencing a mental health crisis,” said DHCS Director Michelle Baass. “Community-based, trauma-informed, and resilience-focused centers like The Harbor have the potential to revolutionize California’s approach to behavioral health treatment and recovery.”
THE HARBOR: The new facility will include peer respite designed to complement the Placer County Health and Human Services Drug Medi-Cal Organized Delivery System (DMC-ODS) treatment continuum by providing a structured environment for people leaving residential placements or awaiting placement. Residents will engage in self-help recovery activities while potentially also participating in outpatient care.
Services provided include ongoing needs assessment across the behavioral health and physical health spectrums, case management, crisis management, trauma-informed individual and group therapy, peer-to-peer supportive services, linkage to cultural supports and services, and other necessary referral services for a safe and efficient discharge back into the community. These services are designed to provide less costly and less intrusive care than those offered in a hospital setting.
“The Harbor will offer a compassionate, supportive environment where individuals can regain their strength, heal, and reconnect with their sense of well-being,” said Placer County Behavioral Health Director Amy Ellis. “This facility is part of Placer County’s ongoing efforts to build and expand its behavioral health infrastructure to respond to people in need.”
WHY BHCIP IS IMPORTANT: Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure to further expand the range of community-based behavioral health treatment options for people with co-occurring mental health treatment needs and substance use disorders. BHCIP is addressing historic gaps in the behavioral health care system to meet the growing demand for services and supports throughout the lifespan of people in need.
DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS will distribute up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1. DHCS holds regular public listening sessions on this effort. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage.
ABOUT BHCIP ROUND 3: LAUNCH READY: BHCIP Round 3 supported preparation activities to plan for the acquisition and expansion of behavioral health infrastructure throughout the state. The 45 awarded facilities were funded a total of $518.5 million. BHCIP applicants were required to demonstrate service expansion for Medi-Cal members and have a valid planning process to ensure projects are ready for implementation.
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
萨克拉门托 --卫生保健服务部（DHCS）通过加州用药过量预防网络 （COPN ）向 15 个地方联盟 拨款 270 万美元。这笔资金将为支持 COPN 使命的联盟提供持续支持，以加强社区内的联系，并提供获取知识、培训和资源的途径，从而改进实践，创造持久的变革。
"DHCS 主任 Michelle Baass 说："传统上，阿片类药物使用障碍的治疗是孤立的，医疗服务提供者和其他组织之间的联系有限，从而导致了治疗上的差距。"这笔资金将支持 COPN 努力帮助协调在加州用药过量疫情最前沿工作的联盟、组织和个人，优先考虑独特的本地化需求，并实施行之有效的解决方案来挽救生命"。
有所作为：获得资助的 15 个联盟将在 1 月1,2025 和 8 月30,2027 之间使用这笔资金，实施过量用药预防、治疗和康复战略。这些努力包括分发纳洛酮、扩大救生资源的使用范围以及开展社区教育，所有这些都旨在减少用药过量导致的死亡，并促进全州的长期康复。
重要原因：2022 年，超过 7,000 名加利福尼亚人死于阿片类药物过量。全国每年有超过 83,000 人死于阿片类药物过量，其中 90% 涉及芬太尼。
圣路易斯奥比斯波阿片类药物安全联盟协调员 Jenn Rhoads 表示："有了这笔资金，我们联盟将继续提供社区教育和宣传，以减少阿片类药物的使用，并增加预防用药过量的机会。"我们还将改善医疗服务提供者的获取途径，在全县范围内提供更多的治疗和减低伤害服务"。
"索拉诺州毒品安全联盟协调员亚瑟-卡马戈（Arthur Camargo）说："这笔资金将加强我们联盟目前的行动，并扩大我们的工作范围，以覆盖更多人群。"具体来说，这些资金将使我们能够扩大减低伤害服务、纳洛酮培训和分发以及社区教育活动和培训。这笔资金还将支持我们的联盟努力更新和传播针对处方者的资源，以更安全地开具阿片类药物和丁丙诺啡处方，并利用我们的数据资源倡导优化使用当地的阿片类药物结算资金"。
By strengthening connections and providing vital resources, COPN’s network and training give coalitions the tools and support they need to tackle the overdose epidemic effectively.
更宏观的视角：本项目由美国药物滥用和精神健康服务管理局颁发的州阿片类药物应对 IV 拨款资助。该项目是 DHCS 解决药物使用障碍的更广泛努力的一部分，统称为 "加州类鸦片应对项目"，旨在通过提供预防、治疗和康复活动，增加获得 MOUD 的机会，减少未满足的治疗需求，并减少与类鸦片过量相关的死亡。更多信息，请 网站 。
加州推出了opioids.ca.gov 网站，这是一个为加州居民提供预防和治疗资源的一站式工具，同时还提供有关加州如何努力追究大型制药公司和毒品贩运者在这场危机中的责任的信息。
符合条件的实体可以通过 DHCS 的纳洛酮 分发项目 免费获得 CalRx 品牌 的非处方 (OTC) 4 毫克 纳洛酮 鼻腔喷雾剂。CalRx 正在为个人提供直接购买 CalRx OTC 纳洛酮鼻腔喷雾剂的选择。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
萨克拉门托——加州卫生保健服务部 (DHCS) 向 91 个组织拨款近 6540 万美元，以加强加州中心辐射系统。该系统是一个经过验证的模式，旨在增加全州范围内获得阿片类药物使用障碍 (MOUD) 服务的机会。这笔资金将加强全州的预防、治疗和康复服务，推进对抗阿片类药物危机的斗争，挽救生命。
"DHCS 主任米歇尔-巴斯（Michelle Baass）说："战胜阿片类药物流行病需要我们公共卫生系统的每一个部门共同努力。"枢纽和辐条系统 "通过改善全州各社区的服务和资源，加强了加州的预防、减低伤害、治疗和康复服务提供者网络"。
The Hub and Spoke System consists of a network of Narcotic Treatment Programs (known as Hubs) licensed to dispense methadone and other MOUDs. These Hubs are connected to other MOUD prescribers (known as Spokes), which primarily provide various formulations of buprenorphine—a medication that reduces opioid cravings and withdrawal symptoms—and ongoing opioid use disorder (OUD) and substance use disorder (SUD) care and treatment.
重要性： 2022 年，超过 7000 名加州居民死于阿片类药物过量。全国每年有超过 83,000 人死于与阿片类药物相关的过量用药，其中 90% 以上与芬太尼有关。中心辐射式系统提高了全州（尤其是药物过量率最高的县）获得药物辅助治疗 (MAT) 服务的机会。该计划以佛蒙特州的枢纽辐射系统为蓝本，该系统成功地提高了治疗基础设施匮乏的农村州获得药物辅助治疗的机会。该项目通过增加开具丁丙诺啡处方的医生、医师助理和执业护士的总数
提高了阿片类
使用障碍（OUD）患者获得药物辅助治疗（MAT）的机会。中心辐射系统持续改进对药物滥用和阿片类药物使用障碍患者的教育、外展和治疗，尤其注重服务弱势群体和增加药物辅助治疗服务。该系统旨在：
这意味着：91 个组织将获得奖励，以提供 MOUD 服务，从 1 月1,2025, 到 9 月29,2027 。受资助者包括麻醉品治疗计划、联邦合格医疗中心、农村医疗诊所、社区诊所、非营利组织和部落实体。
拨款影响： “这笔资金使威尼斯家庭诊所能够为患有药物滥用障碍的人提供拯救生命的帮助，无论他们的保险状况如何，”威尼斯家庭诊所项目管理主任阿里尔·彼得森说。“这包括阿片类药物使用障碍的药物治疗、咨询、个案管理以及前往戒毒所或住宿护理机构的交通服务。”
"K'ima:w 医疗中心的 MAT项目经理 Judith Surber 说："我们很荣幸能获得这笔资助，以支持我们的 OUDMAT 项目，使我们能够继续为高风险的美国原住民患者提供重要的外联和医疗服务。"MAT 计划仍然是我们医疗中心和我们所服务的广大社区不可分割的一部分。这笔资金将有助于发展我们的项目，减少污名化，并降低我们农村部落因阿片类药物过量而导致的死亡率。通过营造有序的诊所环境，我们旨在增强患者的能力，使他们能够重建生活，成为对社会有贡献的成员，为家庭和社区提供支持"。
"Clare|Matrix评估总监Andrea Nee 表示："有了Hub and Spoke系统的资金支持，我们的门诊、住院和阿片类药物治疗项目就能够向社区提供更广泛的救生MOUD宣传，并为更多未参保和参保不足的患者提供平等的MAT治疗机会。"Hub and Spoke System 的资金对于支持我们的医务主任、咨询和护理人员为更多的 OUD 和兴奋剂使用障碍患者提供最优质的治疗非常重要。我们将能够通过全面的患者教育和参与服务，提高人们对 MAT 的益处和影响的了解和认识，并进一步减少耻辱感。
更宏观的视角：加州推出了opioids.ca.gov 网站，这是一个为加州居民提供预防和治疗资源的一站式工具，同时还提供有关加州如何努力追究大型制药公司和毒品贩运者在这场危机中的责任的信息。
枢纽和辐条系统由药物滥用和心理健康服务管理局颁发的州阿片类药物应对措施 IV 补助金资助。该项目是 DHCS 解决 SUDs（统称为 "加州类鸦片应对措施"）更广泛努力的一部分，旨在通过预防、治疗和康复努力，增加获得 MOUDs 的机会，减少未满足的治疗需求，并减少与类鸦片过量相关的死亡。如需了解更多信息，请访问加州 DHCS 阿片类药物响应概述网站。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — In response to the Southern California wildfires, the Department of Health Care Services (DHCS) requested and received federal approval from the Biden-Harris administration of several dozen flexibilities to prevent disruptions in health care delivery so Medi-Cal members can continue to receive needed care. 1135 waivers allow the U.S. Department of Health and Human Services (HHS) to waive various administrative requirements to increase access to medical services during a time of national emergency. 1135 waiver approvals remain in effect throughout the duration of the public health emergency declared by former HHS Secretary Xavier Becerra, which is 90 days.
"州医疗补助局局长 Tyler Sadwith 表示："DHCS 致力于帮助加州人在这场毁灭性的危机中以及在社区开始复苏和恢复的过程中获得所需的医疗服务。"我们的联邦合作伙伴批准的豁免将为医疗服务提供者提供必要的灵活性，以满足 Medi-Cal 会员的迫切需要。无论是确保在替代环境中继续提供门诊服务，为家庭和社区服务提供有针对性的灵活性，还是简化医疗服务提供者的注册程序，这些措施都旨在消除护理障碍，并在此次紧急状况和整个恢复过程中为患者和一线医疗服务提供者提供支持"。
Key flexibilities include:
关于灵活性： 根据 1135 特例，医疗保险& 医疗补助服务中心（CMS）将暂时放宽医疗保险、医疗补助和儿童健康保险计划的某些要求，以帮助医疗服务提供者和设施应对紧急情况或灾难。附录 K 批准为家庭和社区服务计划提供了额外的灵活性。这些行动旨在减少行政负担，在关键时刻灵活提供医疗服务
今天就获得帮助：加州居民可以访问CA.gov/LAfires，这是一个州、地方和联邦政府的信息和资源中心。
加州保险最近宣布为洛杉矶县和文图拉县的居民提供一个特别注册期。该特别注册期将持续到 3 月8 ，2025 。 可通过洛杉矶县和加利福尼亚州获得资源。在通过 "加州保险 "获得补贴或符合加州医疗保险资格的 130 万无保险加州人中，有 35.6 万人居住在南加州。
California developed resources to help guide people through disasters and provide information about the different types of federal, state, and local services available in California:
Through the BenefitsCal portal, Californians can get and manage benefits online. This includes food assistance (CalFresh, formerly food stamps), cash aid (CalWORKs, General Assistance, Cash Assistance Program for Immigrants), and affordable health insurance (Medi-Cal).
Individuals and business owners who sustained losses from the Southern California wildfires can apply for disaster assistance:
如果您使用中继服务，如视频中继服务、字幕电话服务或其他服务，请向 FEMA 提供该服务的电话号码。
背景：为应对野火和州长加文-纽森（Gavin Newsom）于 1 月7 发布的紧急状态和行政命令，2025 ，DHCS迅速实施了关键的行政灵活性，以保护该州受影响地区的加州医疗保险成员。
DHCS 管理加州版的医疗补助计划 Medi-Cal，为近 1500 万人提供医疗保险，其中包括洛杉矶县的近 400 万名成员和文图拉县的 25 万多名成员。如果 Medi-Cal 会员需要帮助，应联系其医疗服务提供者或计划。
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通讯办公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — In response to the devastating Southern California wildfires and Governor Gavin Newsom’s proclaimed State of Emergency and Executive Order issued on January 7, 2025, the Department of Health Care Services (DHCS) swiftly implemented key administrative flexibilities to protect Medi-Cal members in affected regions of the state. These efforts include simplified Medi-Cal enrollment and renewal processes, waived requirements to access prescription medications and medical devices, and other flexibilities to ensure all Medi-Cal members have access to care during this emergency.
Help for Medi-Cal members in Los Angeles County and Ventura County includes:
DHCS understands recovering from these wildfires will be challenging and has developed an online resource to help answer Medi-Cal member questions about accessing services during this emergency.
Current flexibilities for Medi-Cal managed care plans and providers include:
Additionally, DHCS submitted requests to the federal Centers for Medicare & Medicaid Services (CMS) to help Californians covered by Medi-Cal impacted by the Southern California wildfires. Section 1135 of the Social Security Act provides flexibility during national public health emergencies.
“At DHCS, our members are our top priority, and our hearts go out to the families affected by the Southern California wildfires,” said DHCS Director Michelle Baass. “We are working closely with CMS to obtain speedy federal approvals for flexibilities to help our state and Medi-Cal members meet the challenges posed by the wildfires. We will continue to issue guidance to providers so they can quickly take advantage of the new flexibilities to deliver quality, equitable health care to Southern Californian Medi-Cal members.”
Significant additional flexibilities requested by DHCS include:
DHCS is dedicated to safeguarding the health and well-being of Medi-Cal members and communities suffering from the devastating effects of the Southern California wildfires. DHCS’ purpose extends beyond routine health care services, focusing on proactive planning, rapid response, and continuous support in the face of challenges like these wildfires.
通过与州、地方、联邦和部落合作伙伴的协调努力，DHCS 确保受影响的个人能够及时获得重要的医疗服务。 DHCS 利用其团队的专业知识和紧急法规的灵活性来满足南加州社区的独特需求，从促进获得医疗保健和行为健康服务到确保药品和耐用医疗设备的可用性。
BACKGROUND: On January 8, 2025, in response to the catastrophic wildfires in Southern California, President Joseph R. Biden, Jr. declared that a major disaster exists in the State of California in the areas affected by wildfires. On January 10, 2025, U.S. Department of Health & Human Services Secretary Xavier Becerra declared a public health emergency for California, granting CMS additional flexibility to address the health needs of impacted individuals. These measures were made possible through extensive preparedness planning and proactive emergency response protocols. These efforts underscore a strong state and federal partnership, ensuring uninterrupted care and services during this emergency.
DHCS administers Medi-Cal, California’s version of Medicaid, providing health coverage to nearly 15 million people, including nearly 4 million members in Los Angeles County and more than 250,000 members in Ventura County.
DHCS鼓励所有受影响的居民遵守当地的疏散命令，监测空气质量，并在需要时在户外佩戴口罩。如果 Medi-Cal 会员需要帮助，他们应该联系他们的医疗保健提供者或计划。
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SACRAMENTO — The California Department of Health Care Services (DHCS) has been selected by the Centers for Medicare & Medicaid Services (CMS) to implement its Transforming Maternal Health (TMaH) Model, a 10-year Medicaid and Children’s Health Insurance Program (CHIP) delivery and payment model designed to improve maternal health outcomes and reduce health care expenditures through a whole-person approach to pregnancy, childbirth, and postpartum care. California is one of 15 states selected to participate in the TMaH Model.
The TMaH Model will implement evidence-informed interventions within a value-based payment (VBP) framework, reimbursing providers based on patient health outcomes and quality of care, rather than the volume of services provided. By focusing on improving maternal outcomes, reducing costs, and enhancing the quality of care, the model aims to reduce low-risk cesareans, lower severe maternal morbidity, and increase access to maternal providers, such as midwives, doulas, and birth centers, for Medi-Cal members.
This initiative will improve the state’s maternal care system, particularly for pregnant Medi-Cal members and their infants, who traditionally experience disparities in maternal health care access and outcomes. The TMaH Model will focus on areas with the greatest need for intervention and resources. DHCS will implement the TMaH Model in five Central Valley counties: Fresno, Kern, Kings, Madera, and Tulare.
“By targeting these high-need counties, we are taking a strategic step toward improving the health and well-being of pregnant people across California, particularly in areas experiencing the greatest maternal health disparities,” said DHCS Director Michelle Baass. “This model will allow us to test innovative approaches to maternal health care, ensuring that every pregnant Medi-Cal member, regardless of their background or circumstances, receives the care they need to have a healthy pregnancy and delivery. Participation in TMaH will advance DHCS’ ability to achieve its maternal health priorities and continue investing in the future of equitable birthing care.”
“TMaH offers a meaningful opportunity to reduce maternal health disparities by increasing access to doulas and midwives in our communities,” said Shantay R. Davies-Balch, President and Chief Executive Officer of Belonging, Love, Affinity, Community, & Kinship (BLACK) Wellness & Prosperity Center. “These professionals are vital advocates for families, providing personalized care and a holistic approach to both prenatal and postpartum support.”
“The CMS Transforming Maternal Health grant strengthens California’s leadership and innovation while taking a crucial step toward reducing health disparities and ensuring mothers in the Central Valley have access to equitable care,” said California Surgeon General Dr. Diana Ramos. “This initiative aligns with our shared commitment to reducing maternal mortality and morbidity, ensuring healthier futures for families across California.”
WHY THIS IS IMPORTANT: Medi-Cal-members have a higher rate of maternal mortality than individuals with commercial insurance. Poor maternal health outcomes disproportionately impact Black, Indigenous, and People of Color, particularly those in the Southern Central Valley and Northeastern/Northern Central Valley regions of California.
DHCS will implement the TMaH Model in the five counties characterized by some of the highest pregnancy-related mortality rates in California, where C-sections and rates of prenatal and postpartum depression are higher than the statewide average. There is also a greater need for maternity care providers and health-related social services in these regions compared to others in California.
A STEP FORWARD IN HEALTH EQUITY: For pregnant people, particularly those in rural and underserved areas, this initiative represents a significant opportunity to access improved services that support their birthing plan. The TMaH Model is part of California’s broader commitment to addressing racial and ethnic disparities in maternal health and ensuring that all pregnant people, especially people in low-income communities, receive the support they need to safely navigate pregnancy and childbirth. TMaH is a key pillar in DHCS’ strategy to improve outcomes for pregnant and postpartum individuals.
“This is an important step forward in our ongoing efforts to address maternal health disparities in California,” said Palav Babaria, Chief Quality and Medical Officer and Deputy Director of DHCS’ Quality and Population Health Management. “By testing new models of care, California is leading the way in advancing health equity, particularly for communities that have been historically underserved or disadvantaged in accessing timely, effective maternal care.”
BACKGROUND: The TMaH Model will provide $17 million in funding over the program’s course. CMS will award this funding to DHCS in two phases: $8 million during the three-year pre-implementation period (2025-2027) and $9 million during the seven-year implementation period (2028-2035). DHCS will leverage this funding for technical assistance and infrastructure support that will be made available to providers and key implementation partners in the five counties to meet required milestones, including the rollout of a VBP model aimed at rewarding providers for delivering high-quality care.
The TMaH Model will provide valuable insights into the impact of value-based care models on maternal health. It will emphasize improving care coordination, enhancing provider training, and offering holistic support that accounts for social drivers of health, including housing, food security, and transportation.
BIGGER PICTURE: TMaH aligns with and will be complementary to DHCS’ Birthing Care Pathway, a comprehensive policy and care model roadmap to cover the journey of all pregnant and postpartum Medi-Cal members from conception through 12 months postpartum. The Birthing Care Pathway is being developed to be a strategic roadmap for state entities, managed care plans, counties, providers, social service entities, philanthropy, and other key partners in providing services to pregnant and postpartum Medi-Cal members. The roadmap will include a series of policy recommendations that aim to address the physical, behavioral, and health-related social needs of pregnant and postpartum members by improving access to providers, strengthening clinical care and care coordination across the care continuum, providing whole-person care, and modernizing how Medi-Cal pays for maternity care. Additionally, TMaH aligns with DHCS’ Bold Goals 50×2025 initiative, which was launched in 2022 as a focused campaign to improve the quality and equity of care in three focus areas outlined in DHCS’ Comprehensive Quality Strategy: children’s preventive care, behavioral health integration, and maternity care.
DHCS has already implemented several required TMaH Model elements and other initiatives that will contribute to the success of TMaH, such as adding doula, dyadic care, and community health worker benefits; extending Medi-Cal coverage from 60 days to 12 months postpartum; facilitating enrollment of children and newborns eligible for Medi-Cal through expanding the Children’s Presumptive Eligibility Program and establishing the Newborn Gateway; requiring perinatal screenings and assessments to address whole-person needs; implementing health-related social needs Community Supports services (e.g., housing supports, medically tailored meals); and launching a Birth Equity Population of Focus under the Enhanced Care Management benefit that offers high-touch care management to eligible pregnant and postpartum individuals.
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Contact:
Office of Communications
(916) 440-7660
www.dhcs.ca.gov