热门新闻​​  

DHCS 获准参与 Medi-Cal 细胞和基因治疗获取模式​​ 

The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.​​ 

Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.​​ 

项目更新​​ 

California’s 1115 Waiver Approvals Remain Unaffected​​ 

DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.​​ 

This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.​​ 

DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.​​ 

加入我们的团队​​ 

DHCS 正在寻找有才华、有上进心的人才担任以下职务：​​ 

• Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.​​ 

• Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.​​ 

DHCS 还在招聘会计、行为健康和其他团队的人员。欲了解更多信息，请访问CalCareers 网站。
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即将举行的利益相关方会议和网络研讨会​​ 

DHCS 在活动日历上发布即将召开的公开会议。
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传统医疗保健实践有利于实施​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.​​ 

DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
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选择家庭（第二部分）：跨性别者和性别多元化人士的避孕和生育​​  

5月5日上午10点至11点30分PDT，DHCS 将主办“选择家庭，第 2 部分：跨性别者和性别多元化人士的避孕和生育”网络研讨会（需要提前注册）。跨性别者和性别多元化 (TGD) 人群在患者群体中占比越来越大，但许多人仍然表示，在 TGD 健康方面缺乏医疗服务提供者的知识。本次会议将以本网络研讨会系列第 1 部分中介绍的 TGD 健康术语和能力要点为基础，回顾避孕、生育和家庭建设咨询方面的循证建议。如果您无法参加现场网络研讨会，网络研讨会的文字记录和录音以及其他资源稍后将在Family PACT 网站上提供。
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利益相关者咨询委员会 (SAC)/行为健康 (BH)-SAC 会议​​ 

5 月 21 日，太平洋夏令时间上午 9:30 至下午 3 点，DHCS 将在萨克拉门托 K 街 1700 号（一楼会议室 17.1014）举办混合SAC/BH-SAC 会议（在线和现场参加需要提前注册）。SAC 为 DHCS 提供了宝贵的意见和反馈，以努力提供公平的优质医疗服务。BH-SAC 为 DHCS 提供行为健康计划方面的意见，其成立旨在将行为健康与更大的医疗保健系统相结合，这是持续努力的一部分。会议议程和其他会议材料将在会议日期临近时发布。如需了解更多信息，请发送电子邮件至 SACinquiries@dhcs.ca.gov或BehavioralHealthSAC@dhcs.ca.gov。{cph0
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如果你错过了​​ 

第35号提案：《保护医疗保健法案》（SAC）​​  

Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
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现已开放：提供访问和转变健康 (PATH) 能力以及基础设施转型、扩展和发展 (CITED) 第 4 轮申请​​ 

On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.​​ 

申请 PATH CITED 第 4 轮资助的截止日期为 5 月2 2025太平洋夏令时间晚上 11:59。指导文件和申请可在 PATH CITED 网页上找到。如有任何疑问，请发送至cite@ca-path.com。{cph0

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