十二月2 ， 2024
项目更新
2024 年立法摘要已定稿
DHCS’ Office of Legislative and Governmental Affairs issued the final 2024 Legislative Summary. This comprehensive report of all policy and budget bills impacting DHCS highlights those signed or vetoed by the Governor. It also includes full copies of veto messages, offering valuable insights into the decision-making process shaping California’s health care landscape.
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
On January 1, 2025, DHCS will open the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31, 2025. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but will focus on services for the following provider types: rural providers, Medi-Cal Tribal and Designee of Indian Health Program providers, maternal and child-serving providers, and transitional rent providers.
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.
The webinar will explain and emphasize the value of hospitals engaging with California Advancing and Innovating Medi-Cal (CalAIM) providers in their region, recognize opportunities for improved collaboration on discharge planning among hospital staff and ECM or Community Supports providers, and identify opportunities for warm handoffs and other coordination strategies between hospital staff and ECM providers to improve member connection to ECM and Community Supports services. Please submit questions to 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)
From CalAIM to transforming the state’s behavioral health programs, DHCS’ initiatives provide equitable access to quality health care, leading to a healthy California for all. The links below reflect DHCS’ major program initiatives and anticipated go-live dates, pending readiness and federal approvals. This useful resource available on the DHCS website has been updated, as of November 22, and new information will be added as needed: DHCS Major Program Initiatives – Go-Live Dates.
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.