项目更新

2024 年立法摘要已定稿

DHCS 立法和政府事务办公室发布了2024 年最终立法摘要。这份全面报告涵盖了所有影响 DHCS 的政策和预算法案，重点介绍了州长签署或否决的法案。它还包括否决信的完整副本，为了解塑造加州医疗保健格局的决策过程提供了宝贵的见解。 

This year’s legislative activity addressed critical topics, such as behavioral health reforms, Medi-Cal enhancements, and innovative approaches to community health and pharmacy benefits, showcasing California’s commitment to advancing health care for all.

Medi-Cal 牙科社区卫生工作者服务

Effective December 1, Community Health Worker (CHW) services have been added as a benefit under Medi-Cal Dental. CHWs are important in addressing key barriers to dental care and serve as a bridge between Medi-Cal members and the oral health care system, offering support to help individuals access and maintain oral health. DHCS received federal approval on July 26, 2024, to extend CHW services to Medi-Cal Dental. The added CHW benefit integrates CHWs into the oral health care system to enhance preventive care and provide support services to Medi-Cal members. Medi-Cal Dental providers can now bill for CHW services under the updated dental fee schedule.

Covered CHW services include oral health education and oral health navigation assistance to help members access and maintain care. CHWs provide information, training, and support to help members navigate the oral health care system, understand how it works, and become active participants in their own care. In addition, CHWs connect members with community resources that promote oral health and address specific barriers. This includes connecting members to translation or interpretation services and arranging transportation for dental visits.

提供获取和转型健康 (PATH) 技术援助 (TA) 市场第 5 轮供应商采购

1月1日、 2025 ，DHCS将开放PATH TA市场第五轮供应商申请。申请截止日期为1月31 、 2025 。第五轮采购将针对新的和现有的实践服务产品进行有针对性的采购，以解决 TA 市场缺口。第五轮采购将征集所有七个TA 领域的TA 供应商申请，但将重点关注以下提供商类型的服务：农村提供商、Medi-Cal 部落和印第安人健康计划指定提供商、妇幼保健提供商和过渡性租金提供商。

DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. The resources must be already fully developed, meet the needs of the TA Marketplace, and include a final cost. Organizations interested in applying to qualify as a TA vendor are encouraged to review the guidance document. Please submit questions to ta-marketplace@ca-path.com.

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：

• 审计和调查部门合同和招生审查司（CERD）负责人。 主管负责规划、组织和指导健康计划、提供者和药物 Medi-Cal 有组织的交付系统的合规性审查活动。 该局长还领导制定和实施与 Medi-Cal 和其他 DHCS 计划的计划完整性相关的政策和程序。 申请必须在 12 月 6 日之前提交
  

• 战略伙伴关系办公室助理副主任，帮助领导规划、开发和实施大型 DHCS 计划，建立超越 Medi-Cal 的新的跨部门战略伙伴关系，包括与其他部门、商业保险公司以及技术和慈善事业创新者的伙伴关系，例如儿童和青少年行为健康计划、CalHOPE、Medi-Cal 学校服务和涉及司法的重返社会计划。 申请必须在 12 月 13 日之前提交。

DHCS 还在为其健康政策、信息技术和其他团队招聘人员。 欲了解更多信息，请访问CalCareers 网站。 

即将举行的利益相关方会议和网络研讨会

儿童助听器覆盖计划网络研讨会

12 月 3 日太平洋标准时间上午 11 点至中午 12 点，DHCS 将举办一场网络研讨会，与家庭和社区伙伴分享有关申请助听器保险以及在注册后最大限度地利用儿童助听器保险计划福利的指导。 如需了解更多信息并进行预先注册，请访问儿童助听器覆盖计划网页。

PATH 协作规划与实施 (CPI) 最佳实践网络研讨会

On December 6, from 10 to 11 a.m. PST, DHCS will host a public webinar, Hospital Engagement in CalAIM: Supporting Connection to Enhanced Care Management (ECM) Services Among Eligible Medi-Cal Members (advance registration required). Guest presenters include Dignity Health, University of California, San Francisco Medical Center, and Marshall Medical Center.

本次网络研讨会将解释并强调医院与所在地区的加州推进和创新医疗补助计划 (CalAIM) 提供商合作的价值，认识到医院工作人员与 ECM 或社区支持提供商在出院计划方面改进合作的机会，并确定医院工作人员与 ECM 提供商之间进行无缝交接和其他协调策略的机会，以改善成员与 ECM 和社区支持服务的联系。请将问题提交至collaborative@ca-path.com 。

以消费者为中心的利益相关者工作组 (CFSW)

On December 6, from 10 to 11:30 a.m. PST, DHCS will convene the monthly meeting of the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage DHCS-Consumer-Focused-Stakholder-Workgroup-CFSW by noon on December 4. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.

DHCS 减害峰会

DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder treatment system and create low-barrier, patient-centered care. 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 the tenets of harm reduction into substance use disorder treatment. Summits will be held in Fresno, Los Angeles, and San Diego counties in winter 2025. Register on the event website.

如果你错过了

DHCS Major Program Initiatives – Go-Live Dates (Updated)

从 CalAIM 到改革该州的行为健康计划，DHCS 的各项举措旨在提供公平的优质医疗保健服务，从而为所有人创造一个健康的加州。以下链接反映了DHCS的主要项目计划和预计上线日期，但需视准备情况和联邦政府的批准而定。DHCS 网站上提供的这项实用资源已于 11 月 22 日更新，并将根据需要添加新信息： DHCS 主要项目计划 - 上线日期。

新的家庭 PACT 门户将于 2025 年 1 月推出

From January 13 through February 2, 2025, the Family Planning, Access, Care, and Treatment (Family PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs (HAP) Client Eligibility System to a new Family PACT portal. The HAP Client Eligibility System will be disabled on February 3, 2025, after which all Family PACT client enrollment, changes, and deactivations will be completed exclusively through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Family PACT portal.

To access the new portal, existing users must confirm and/or update current site certifier contact information in the Provider Application and Validation for Enrollment (PAVE) portal to receive their login credentials. Family PACT providers who do not have a current site certifier in PAVE must email site certifier information (National Provider Identifier, first and last name, and email address) to providerservices@dhcs.ca.gov as soon as possible.

To support Family PACT providers during this transition, beginning in December 2024, providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before it launches. Detailed instructions for accessing the Family PACT portal will be emailed to all enrolled and actively billing Family PACT providers in early January 2025.