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消息加州医疗补助计划创新惠及比以往任何时候都多的加州居民​​ 

加州医疗保险护理创新惠及更多加州人​​ 

新数据显示,"强化护理管理 "和 "社区支持 "显著增长​​ 

SACRAMENTO — The Department of Health Care Services (DHCS) today released new data showing continued growth and impact from Enhanced Care Management (ECM) and Community Supports, key components of California’s Medi-Cal transformation under the California Advancing and Innovating Medi-Cal (CalAIM) initiative.​​  

“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​​