热门新闻​​ 

加州先进创新型 Medi-Cal (CalAIM) 仪表板更新​​ 

On August 9, DHCS posted an update to the public-facing CalAIM dashboards that promote transparency and demonstrate the impact, progress, and key opportunity areas of CalAIM. This update includes a new dental initiative dashboard that highlights CalAIM initiatives to improve oral health outcomes. It also refreshes data and enhances features in existing dashboards, including Behavioral Health, Community Supports, Enhanced Care Management, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health, and Bold Goals initiative. The dashboards will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.​​ 

项目更新​​ 

家庭和社区服务 (HCBS) 1915(C) 残疾人士豁免和 1915(I) 州计划修正案 - 30 天公众意见征询期​​ 

On August 2, the Department of Developmental Services (DDS), in partnership with DHCS, posted a proposed amendment to the HCBS 1915(c) waiver and the HCBS 1915(i) State Plan Amendment (SPA) for a 30-day public comment period, prior to submitting the final versions to the Centers for Medicare & Medicaid Services for approval.​​ 

The HCBS 1915(c) waiver amendment and 1915(i) SPA would implement the next round of rate increases associated with rate reform effective on January 1, 2025. Additionally, the waiver amendment and SPA would add a new service (person-centered future planning) along with a corresponding provider type and payment methodology, increase rates for financial management service providers, and include new provider personal assistance to community living arrangement services with the opportunity for participants to manage their own services.​​  

All comments must be received by September 1, 2024. DDS and DHCS invite all interested parties to review the amendment and comment instructions on the DDS HCBS Programs webpage. If you have any questions, or to comment on the waiver amendment and/or SPA, please email federal.programs@dds.ca.gov.​​  

CalAIM 最佳实践网络研讨会资料现已发布​​ 

DHCS hosted a public webinar, “Tools to Better Engage Eligible Members in CalAIM,” in June as part of a series of Providing Access and Transforming Health (PATH) Collaborative Planning and Implementation webinars. The webinars are designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to develop and deliver quality, equitable services to Medi-Cal members.​​  

Organizations may now access and share the webinar recording and other supporting materials by visiting the “Best Practices & Resources” library on the PATH webpage. Please submit your questions to collaborative@ca-path.com.​​ 

加入我们的团队​​ 

DHCS 正在寻找一位技术高超、积极性极强的人才担任以下职务：​​  

• Assistant Deputy Director for Health Care Financing to assist in leading the planning, implementation, coordination, evaluation, and management of DHCS’ health care financing programs and policies. (Final filing date: August 21)​​ 

DHCS is also hiring for its human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.​​ 

即将举行的利益相关方会议和网络研讨会​​ 

面向医疗服务提供者和听力专业人士的儿童助听器覆盖计划 (HACCP) 网络研讨会​​ 

On August 15, from 12 to 1 p.m. PDT, DHCS will host its quarterly HACCP webinar for medical providers and hearing professionals. For more information and to pre-register, please visit DHCS’ HACCP webpage.​​  

人口健康管理网络研讨会：为 Medi-Cal 会员提供长期服务和支持 (LTSS) 需求支持​​ 

太平洋时间 8 月 21 日中午 12 点至下午 1 点，DHCS 将举办网络研讨会，讨论如何在有 LTSS 需求的会员经历护理过渡（如从医院转入专业护理机构或从护理机构转入家庭）时，为他们提供更好的服务和支持（需提前注册）。根据 CalAIM 人口健康管理计划，管理性护理计划负责提供过渡性护理服务，以确保会员从出院规划流程开始到过渡期间都能得到支持，直到他们成功连接到所有需要的服务和支持。鉴于加州医疗保险为长期医疗服务人群提供的服务种类繁多且复杂，利益相关者要求提供技术援助，以确保成功过渡到限制最少的护理级别。虽然所有感兴趣的人都可以报名参加，但此次网络研讨会对管理性医疗计划和医疗机构中负责对有长期护理服务需求的会员进行护理管理的员工尤其有益。​​ 

本次网络研讨会将重点讨论社区支持、强化护理管理和过渡性护理服务如何在过渡期间和之后为会员提供最佳支持。Partners in Care Foundation 的 LTSS 副总裁 Anwar Zouehid 和 Health Plan of San Mateo 的首席医疗官 Chris Esguerra 将作为嘉宾与 DHCS 一起进行炉边谈话，分享这些会员成功过渡的可行做法。网络研讨会将重点介绍新资源，包括 "强化护理管理长期护理重点人群聚焦"和即将推出的针对有长期护理服务需求的会员的过渡性护理服务技术援助资源指南。​​  

CalAIM 司法相关倡议学习协作系列​​ 

8 月 22 日，太平洋标准时间上午 10 点至下午 12 点，DHCS 将为参与司法行动的实施合作伙伴推出一个新的虚拟学习合作系列，讨论 CalAIM 豁免要求，分享最佳实践和经验教训，并确保所有合作伙伴步入正轨。会议注册链接将通过电子邮件发送给各县的实施合作伙伴。会议将被录制并发布在DHCS 的 "司法介入倡议 "网页上。​​  

会议将重点讨论各县的准备情况和实施策略，包括涉及司法的筛查门户、短期护理模式、承保服务、计费和报销、强化护理管理、温馨交接、自动分配和药房政策等主题。会议将包括为惩教机构、县级合作伙伴和 Medi-Cal 管理性护理计划提供便利的分组讨论，以便就地区实施工作开展合作。在每次会议后的一周内，健康与安全部将举办办公时间，提供一个开放论坛，并回答前一周提出的任何未决问题。​​  

The primary learning collaborative audience is county adult jails (Sheriff’s Office staff and correctional health care services partners); county youth correctional facilities (probation staff and associated correctional health care services providers); managed care plans; county behavioral health agencies; and the California Department of Corrections and Rehabilitation. DHCS also encourages county partners to invite Enhanced Care Management providers and reentry providers, as well as any other key implementation partners, to the sessions. For more information, email DHCS at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.​​ 

CalAIM 管理的 LTSS 和 Duals 集成工作组会议​​ 

On August 29 at 12 p.m. PDT, DHCS will host the virtual CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advanced registration required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.​​  

Agenda topics include updates on Medicare enrollment data for dual eligible members, the Dual Eligible Special Needs Plan (D-SNP) dashboard, D-SNP State Medicaid Agency Contract and Policy Guide, D-SNP Default Enrollment Pilot, Medi-Cal Matching Plan Policy for dual eligible members, and Enhanced Care Management and Community Supports resources, and a presentation on dental care coordination for dual eligible members.​​  

以前的工作组会议的背景材料、记录和视频记录以及有关该工作组的其他信息均发布在CalAIM MLTSS 和 Duals Integration 工作组网页上。 如有问题或意见，请发送电子邮件至 info@calduals.org 。​​ 

DHCS 减害峰会​​ 

Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). The DHCS Harm Reduction Summits aim to reduce stigma and educate substance use disorder treatment providers about harm reduction approaches to treatment services. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating harm reduction into substance use disorder treatment settings. The remaining summits will be in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.​​ 

如果你错过了​​ 

Medi-Cal 成人扩展数据集​​ 

On August 1, DHCS published age 26-49 adult expansion population datasets for the January 2024, February 2024, March 2024, and April 2024 months of eligibility on the California Health & Human Services Agency Open Data Portal. The datasets include the monthly count of individuals 26-49 years of age, by county, receiving full scope Medi-Cal benefits because of the age 26-49 adult expansion. The counts reflect the total number of eligible individuals enrolled during the month. The datasets also include total counts for ethnicity, written language, and spoken language, by county, reported by members. DHCS will publish ongoing datasets monthly.​​  

扩大行为健康服务的关键融资机会​​ 

On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award up to $3.3 billion in grants to projects that expand community-based behavioral health facilities and services.​​  

This funding aims to address significant treatment gaps by improving access to behavioral health care. Interested parties can find application instructions on the BHCIP website and submit their applications by December 13, 2024. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.​​