DHCS Stakeholder News – August 19, 2022
尊敬的各位利益相关方：
卫生保健服务部 (DHCS) 正在提供有关 DHCS 计划重大进展的最新消息。
热门新闻
Governor Unveils California’s Strategy to Support Youth Mental Health; Children and Youth Behavioral Health Initiative (CYBHI) is a Key Component
On August 18 in Fresno, Governor Gavin Newsom discussed California’s Master Plan for Kids’ Mental Health. He said, “Mental and behavioral health is one of the greatest challenges of our time…The Master Plan for Kids’ Mental Health is premised on a very simple belief: every single kid deserves to have their mental health supported.”
One of the key components of the Master Plan is CYBHI, a multiyear, multi-department package of investments that reimagines the systems that support behavioral health for all California’s children, youth, and their families. Efforts focus on promoting social and emotional well-being, preventing behavioral health challenges, and providing equitable, appropriate, timely, and accessible services for emerging and existing behavioral health needs for children and youth ages 0-25.
The $4.7 billion investment of state General Funds for CYBHI will improve access to behavioral health services for all children and youth in California, regardless of payer. Moreover, it will have significant implications for the Medi-Cal program since 5.4 million (approximately 54 percent) children and youth are enrolled in Medi-Cal. CYBHI will improve and change the way Medi-Cal’s children and youth access behavioral health service—virtually, through their communities and schools, and through their existing relationships with Medi-Cal managed care plans (MCP) and County Behavioral Health Plans.
As a component of CYBHI, DHCS will build and drive adoption of the Behavioral Health Virtual Services Platform for all children, youth, and families in California, regardless of payer. The platform will support the delivery of equitable, appropriate, and timely behavioral health services from prevention to treatment to recovery, and provide an e-Consult platform for pediatric and primary care providers to connect with BH providers.
CYBHI also includes statewide efforts that will make it easier for children, youth, and young adults to access behavioral health services in California’s schools. By January 1, 2024, DHCS, in collaboration with the California Department of Managed Health Care (DHMC), will develop and maintain:
- 与学校挂钩的全州收费标准，用于报销在学校或学校附近为 25 岁或以下学生提供的门诊心理健康和物质滥用障碍服务的费用；
- 一个与学校相关的、覆盖全州的校内行为健康顾问提供者网络。
全州范围内与学校相关的 BH 服务的全付费用费用表将为商业健康计划和 Medi-Cal 提供系统提供特定范围的福利和费率要求，这些计划和系统将被要求按照既定费率向提供者报销为学生提供服务的费用。 制定收费标准将简化和促进学校行为健康服务的报销，从而扩大在学校或附近为学生提供的行为健康服务的范围，并改善儿童、青少年和年轻人获得服务和结果的机会。
DHCS 正在领导以下额外努力来扩大与学校相关的行为健康服务的机会：
- 学生行为健康激励计划 (SBHIP) 在三年内（ 1年 1 月、 2022 1 月至31年 12 月、 2024 12 月）向 Medi-Cal MCP 提供总计 3.89 亿美元的激励资金，以在 MCP、地方教育机构 (LEA) 和县之间建立可持续的伙伴关系和基础设施，从而：
- 改善学生行为健康（BH）服务的协调；
- 增加针对过渡期幼儿园至12年级学生的预防和早期干预BH服务；
- 增加校园内或附近的非专业心理健康服务；
- 增加在校园内/附近和/或通过学校附属的 BH 提供商获得 BH 服务的途径。
- DHCS 将提供直接的学校相关伙伴关系和能力补助金，以支持学校、学校服务提供者、学校附属社区组织 (CBO) 或学校健康中心为 25 岁及以下的个人提供新服务。 通过提高能力、合作伙伴关系和基础设施，DHCS 将继续扩大学生获得学校服务的机会。 这些补助金将用于支持 2024 年全州全额付款费用计划的实施。
- 通过其 CalHOPE 计划，DHCS 正在为学校环境中的儿童和青少年投资社交和情感学习 (SEL) 环境。 该教育部正在与萨克拉门托县教育办公室 (COE) 签订合同，该办公室与全州其他 57 个 COE 签署了谅解备忘录，以领导实施工作，包括建立全州范围的 SEL 实践社区。 每个 COE 都在制定需求评估和行动计划，以扩展 SEL 策略。
Effective January 2023, Medi-Cal will cover integrated physical and behavioral health screenings and services for the whole family, not just the child who is the identified patient. This expansion is especially important for families in which the child is enrolled in Medi-Cal but the parent or caregiver is uninsured, and yet there is a need for dyadic treatment. Dyadic services involve simultaneous treatment for the child and parent/caregiver, with studies showing significant improvements in child behavior issues and increases in positive parent/child attachment. These services will include a number of screening, assessment, evaluation, and case management, in addition to integrated BH services, tobacco cessation counseling, and alcohol and/or drug use Screening, Brief Interventions and Referral to Treatment.
In addition, with input from stakeholders, DHCS will select a limited number of evidence-based practices (EBPs) and community-defined practices (CDPs) to scale throughout the state based on robust evidence for effectiveness, impact on racial equity, and sustainability. Medi-Cal MCPs, county BH plans, Medi-Cal providers and Indian Health programs would then be eligible to receive funding for scaling up these practices. By scaling EBPs and CDPs throughout the state, DHCS aims to improve access to critical BH interventions, including those focused on prevention, early intervention and resiliency/recovery, for children and youth, specifically focused on children and youth from Black, Indigenous, and people of color and lesbian, gay, bisexual, transgender, queer and intersex+ communities.
To provide comments, make recommendations, or obtain additional information about the CYBHI, please email CYBHI@dhcs.ca.gov.
应急管理 (CM) 提案请求 (RFP)
On August 19, 2022, DHCS issued a RFP to support implementation of the California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Through the pilot, DHCS is committed to expanding access to evidence-based behavioral treatment to address the stimulant use disorder crisis that persists in California. CM, which provides motivational incentives to reduce the use of stimulants, is the only treatment that has demonstrated strongly positive outcomes for individuals with stimulant use disorder, including a reduction in or cessation of drug use and longer retention in treatment.
DHCS will implement the CM pilot program using an incentive manager vendor. The RFP seeks a vendor that would support the, management, tracking, and distribution of incentives. The pilot was scheduled to begin on July 1, 2022, but the inability to procure an incentive manager delayed implementation. Therefore, the new incentive manager vendor will likely onboard in November, and the anticipated CM pilot program start date will be in December or January 2023.
欲了解更多信息，请访问 DHCS CM 计划网页。
项目更新
提供获取途径和转变涉及司法系统的卫生资金 (PATH JI) 能力建设计划
On August 9, DHCS launched an online application for round two of the PATH JI Capacity Building Program to support activities focused on pre-release Medi-Cal eligibility and enrollment for justice involved Californians.
PATH JI Capacity Building Program funding supports collaborative planning as well as information technology (IT) system modifications necessary to implement pre-release Medi-Cal application and suspension processes. This program is providing a total of $151 million for correctional agencies and institutions and county social service departments, including sheriff’s offices, county probation departments, and the California Department of Corrections and Rehabilitation. Applications for round two must be submitted through the online application portal no later than December 31, 2022.
Visit the CalAIM PATH webpage for more information on PATH and the JI initiative. Please email justice-involved@ca-path.com with any questions about the application process.
家庭 PACT 提供商的提供商申请和注册验证 (PAVE) 门户
On August 15, DHCS launched the PAVE portal for Family PACT (Planning, Access, Care, and Treatment) providers. The PAVE portal is a web-based application designed to simplify and accelerate enrollment processes, it is a new mode for submitting Family PACT provider enrollment applications and required documentation to DHCS. Beginning January 1, 2023, DHCS will no longer accept paper applications from providers seeking to enroll as a Family PACT provider.
CMS 批准三项州福利计划修正案 (SPA)
- On August 5, CMS approved SPA 22-0044 to allow “licensed practitioners” to prescribe physical therapy. This revision allows physician assistants and nurse practitioners to prescribe physician therapy, in addition to physicians, dentists, and podiatrists.
- 8 月 10 日，CMS 批准SPA 22-0003以增加哮喘预防服务。 这项新福利授权未经许可的哮喘预防服务提供者和执业医师提供哮喘教育和家庭评估。
- 8 月 12 日，CMS 批准SPA 22-0017 ，授权临床试验的常规患者费用，这是《2021 年综合拨款法案》的要求。 此前，Medi-Cal 仅为参加癌症临床试验的参与者承担常规临床试验费用。
已发布的 COVID-19 信息
- 更新： Medi-Cal COVID-19 疫苗接种率
即将举行的利益相关方会议和网络研讨会
CalAIM 豁免修正案公开听证会
On August 22, DHCS is hosting a virtual public hearing to encourage and solicit stakeholder feedback on proposed waiver amendments regarding implementation of county-based model changes in the Medi-Cal Managed Care (MCMC) program. Advance registration for the CalAIM public hearing is required.
有关 CalAIM 第 1115 条演示申请和第 1915(b) 条概述的更多信息，请参阅CalAIM 1115 演示和 1915(b) 豁免网页。 为期 30 天的公众意见征询期将于 9 月12日2022结束。
PATH 能力和基础设施转型、扩展和发展 (CITED) 计划更新
8 月 23 日中午 12 点，DHCS 将举办一场信息网络研讨会，以支持符合条件的实体提交 CITED 申请。 DHCS 将于 9 月 8 日下午 2:30 举办另一场信息网络研讨会 网络研讨会将提供有关 CITED 基金和申请流程的详细信息。
欲了解更多信息，请访问https://www.ca-path.com/cited 。 有关 CITED 计划和申请流程的问题可以提交至quoted@ca-path.com 。 DHCS 将在网络研讨会和后续沟通中回答提交的问题。
CalAIM 网络研讨会：ECM 和社区支持会员参与
On August 25 at 1:30 p.m., DHCS will virtually host a webinar on CalAIM ECM and Community Supports member engagement. Topics for this session will include provider and member communications, referrals, outreach, and enrollment.
CalAIM Member Engagement webinar advance registration is required. Participants are invited to submit questions by August 22 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have the opportunity to ask questions during the session. An additional “Office Hours” event will be held on September 1 at 2 p.m. for attendees to ask questions not covered during the webinar.
CYBHI 每月公开网络研讨会
On August 29 at 3 p.m., DHCS will virtually host a public webinar to keep stakeholders apprised of DHCS’ progress in implementing various work streams for the CYBHI. Key attendees include, but are not limited to, youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, and commercial health plans, as well as education and other cross-sector partners. Advance registration for this CYBHI webinar is required.
CalAIM “Office Hours”: ECM and Community Supports Member Engagement
On September 1 at 2 p.m., DHCS will virtually host an “Office Hours” discussion on CalAIM ECM and Community Supports member engagement. As a follow-up to the August 25 webinar on this topic, this Q&A session will cover provider and member communications, referrals, outreach, and enrollment. Advance registration is required. Participants are invited to submit questions by August 29 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.
CalAIM 网络研讨会：ECM 长期护理重点人群
9 月 8 日下午 1:30，DHCS 将以 CalAIM ECM 长期护理重点人群为主题举办一场面向所有人的网络研讨会。 需提前注册。 请参与者于 9 月 5 日前将问题提交至CalAIMECMILOS@dhcs.ca.gov 。 与会者还将有机会在会议期间提问。