热门新闻​​ 

DHCS COVID-19 公共卫生紧急事件 (PHE) 运营解除计划已更新​​ 

10 月 27 日，DHCS 更新了Medi-Cal COVID-19 PHE 运营解除计划。 更新后的计划反映了医疗保险和医疗补助服务中心 (CMS) 批准的两项新的灵活性，自 10 月 18 日起生效，以进一步减轻 Medi-Cal 会员、管理式医疗计划 (MCP) 和当地县办事处在更新会员联系信息时的行政负担。 这些灵活性将在 COVID-19 PHE 结束 14 个月后仍然有效，这对于各县在 COVID-19 PHE 解除期间处理 Medi-Cal 重新确定至关重要且有帮助。 经批准的额外灵活性包括：​​ 

• 与国家地址变更（NCOA）数据库和美国邮政服务（USPS）州内转发地址合作，更新会员联系信息。DHCS 将暂时允许接受来自 NCOA 数据库和 USPS 州内转发地址的更新的州内登记者联系信息，而无需个人的额外确认。 根据此权力，加利福尼亚州将视经 NCOA 数据库确认并从中收到的更新的州内联系信息或带有转发地址的 USPS 返回邮件为可靠的，并使用新的联系信息更新会员记录，而无需先向州档案中的会员地址发送通知。​​  

• 与老年人全包护理计划 (PACE) 组织合作更新受益人联系信息。 加利福尼亚州将暂时允许接受来自 PACE 组织的最新州内登记者联系信息，无需个人的额外确认。 根据这项权力，州政府将把与州医疗补助机构签约的 PACE 组织确认并从其收到的更新的州内联系信息视为可靠的，并使用新的联系信息更新受益人记录，而无需先向州政府档案中的受益人地址发送通知。​​  

CMS 就 Medi-Cal 资产限额变化展开宣传​​ 

On November 9, CMS will send an outreach email to all California Medicare beneficiaries with email addresses on file, up to one million individuals, to share information about Medicare Savings Programs (MSPs) and the impact the change in asset limits California implemented this year has on MSP program eligibility.​​  

This email will inform Medicare beneficiaries that they can obtain financial assistance through MSPs for their Medicare Part B premiums, copayments, and deductibles, and includes information about the July 1, 2022, asset limits change for MSPs which could allow for more individuals to be eligible for MSPs. The email also includes information on Medi-Cal eligibility, income limits for both programs, and pathways to apply for MSPs and Medi-Cal.​​   

MSPs are for individuals with limited income and resources to help pay some or all of their Medicare Part A and B Premiums, deductibles, copayments, and coinsurance. Individuals enrolled in MSPs may also get extra help that pays for Medicare prescription drug costs. Income limits for MSPs are similar to Medi-Cal, and eligibility for MSPs is determined concurrently with Medi-Cal eligibility by county eligibility offices. Currently, approximately 814,000 individuals in California are receiving MSPs.​​ 

项目更新​​ 

诊所员工稳定保留补助金 (CWSRP)​​ 

DHCS today issued general process guidance to help qualified clinics prepare for the upcoming CWSRP registration and application submission.​​ 

Beginning on November 15, 2022, qualified clinics are required to register with DHCS in order to participate in CWSRP. Once registered and approved, qualified clinics will be provided a link to apply for retention payments on behalf of eligible employees starting on December 29. DHCS encourages early submissions so all applications can be validated prior to the final due date. DHCS anticipates issuing payments to qualified clinics in late February 2023, and clinics receiving funding must issue payments to qualified employees within 60 days of receipt of funds.​​ 

要查看有关 CWSRP注册和申请提交流程的新信息，请访问CWSRP 网页。 注册 CWSRP利益相关者公告以了解新进展。​​ 

儿童健康计划和倡议的演示幻灯片​​ 

On November 4, DHCS released a comprehensive set of presentation slides to help describe the numerous programs and initiatives that will improve Medi-Cal for California’s children and families. These slides cover significant Medi-Cal efforts including the California Advancing and Innovating Medi-Cal (CalAIM) initiative, improvements to Medi-Cal eligibility policy, new physical and behavioral health policies and benefits, and the Children and Youth Behavioral Health Initiative. This resource will provide stakeholders with greater insight into Medi-Cal’s strategy to support children and youth, and other aligned efforts.​​  

CalAIM 第 1115 条示范和第 1915(b) 条豁免​​ 

On November 4, DHCS submitted requests to CMS to amend the CalAIM Section 1115 demonstration and Section 1915(b) waiver. DHCS is seeking approvals to implement county-based plan model changes in the Medi-Cal managed care program. Through the Section 1915(b) waiver amendment, DHCS also plans to add or update language on policies or programs included in the approved waiver, including to reflect proposed direct contracts with the Kaiser Foundation Health Plan to enroll certain Medi-Cal beneficiaries in select counties.​​ 

DHCS hosted 30-day public comment and Tribal public comment periods to solicit feedback on the proposed amendments. Additional information about the CalAIM Section 1115 demonstration application and the Section 1915(b) overview is available on the CalAIM 1115 Demonstration & 1915(b) Waiver webpage.​​ 

支持尤罗克部落地区健康中心的资金​​ 

11 月 1 日，DHCS 向尤罗克部落拨款 1500 万美元，以协助建立区域健康中心。 参议院第 154 号法案（2022 年法令第 43 章）包含一次性普通基金，用于支持建立区域健康中心，该中心将成为部落专用的药物、酒精和心理健康服务中心。 这支持了 DHCS 综合质量战略目标，即通过帮助确保美国印第安人能够获得适合其文化的行为健康服务（包括物质使用障碍服务、住院治疗、过渡性住房和后续护理）来消除健康差异。​​ 

加入我们的团队​​ 

DHCS is hiring! On December 20 and 21, DHCS is hosting a virtual hiring event to recruit Associate Governmental Program Analysts and Staff Services Analysts. Candidates must complete an exam and submit applications  by November 14 to be considered. For more information, please email Recruit@dhcs.ca.gov, or visit DHCS’ Facebook page.​​  

For other opportunities to join our fiscal, human resources, legal, auditing, health policy, and information technology teams, along with other professions, visit the CalCareers website.​​ 

DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with access to affordable, integrated, high-quality, and equitable health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.​​ 

即将举行的利益相关方会议和网络研讨会​​ 

CalAIM 增强护理管理 (ECM) 和社区支持数据共享网络研讨会​​ 

On November 10, from 1:30 to 3 p.m., DHCS will virtually host an all-comers webinar on how CalAIM organizations are sharing data for ECM and Community Supports (advance registration required). Participants may submit questions to CalAIMECMILOS@dhcs.ca.gov by November 7, and attendees will be able to ask questions during the webinar. An additional “Office Hours” event will be held on December 1, from 2 to 3 p.m., for attendees to ask additional questions which were not covered during the webinar. For information about upcoming webinars and links to previous sessions, please see DHCS’ Technical Assistance Events.​​ 

行为健康利益相关方咨询委员会 (BH-SAC) 特别网络研讨会征求有关医疗补助第 1115 条概念文件的反馈​​ 

On November 15, from 11:30 a.m. to 12:30 p.m., DHCS will virtually host a special public stakeholder meeting (join webinar at scheduled time) to solicit stakeholder feedback for an upcoming concept paper on DHCS’ intent to apply for a new Medicaid Section 1115 demonstration. This demonstration will expand access to and strengthen the continuum of community-based mental health services for Medi-Cal members living with serious emotional disturbance or mental illness. It will also amplify California’s ongoing behavioral health initiatives, and be informed by findings from DHCS’ 2022 Assessing the Continuum of Care for Behavioral Health Services in California. Meeting materials for the November 15 meeting will be posted to the BH-SAC webpage as they become available. Questions about the BH-SAC may be directed to BehavioralHealthSAC@dhcs.ca.gov.​​ 

儿童助听器覆盖计划 (HACCP) 家庭网络研讨会​​ 

On November 15, DHCS will hold two sessions for the next quarterly HACCP Webinar for Families: 10 to 10:50 a.m. and 6 to 6:50 p.m. The purpose of this webinar is to provide information about HACCP’s eligibility criteria, enrollment process, and covered benefits to interested families, as well as those with children already enrolled in HACCP. Additional program information is available on DHCS’ HACCP webpage. Webinar details are available on HACCP’s Resources for Families webpage.​​ 

公开听证会讨论助产士的 Medi-Cal 注册要求和程序​​ 

On November 17, from 1 to 3 p.m., DHCS will virtually host a public stakeholder meeting (advance registration required) to discuss the regulatory provider bulletin entitled, “Medi-Cal Enrollment Requirements and Procedures for Doulas.” The bulletin was created to implement the reporting requirements and procedures of doula providers to enroll in the Medi-Cal fee-for-service program. Stakeholders may submit questions and suggestions during the hearing; written comments will be accepted on the day of the hearing until 5 pm. Based on the public comments received, DHCS will publish the final bulletin on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.​​ 

CalAIM 办公时间：针对新实施 ECM 和社区支持的县的问答​​ 

On November 17, from 2 to 3 p.m., DHCS will virtually host an “Office Hours” discussion (advance registration required) for counties newly implementing ECM and Community Supports. Participants may submit questions by November 14 to CalAIMECMILOS@dhcs.ca.gov, and attendees may ask questions during the session.​​ 

微笑，加州Medi-Cal 牙科服务运动​​ 

11 月 17 日和 21 日，加州微笑将为 Medi-Cal 会员举办两场 Facebook 实时演示，一场为英语，一场为西班牙语。英语 介绍会将于 11 月 17 日下午 5:30 举行，西班牙语介绍会将于 11 月 21 日下午 5:30 举行。 Smile, California 会员外联代表将进行Smile, Your Medi-Cal Benefits Include Dental! 介绍会并发表讲话：​​ 

• 讨论 Medi-Cal 牙科计划。​​ 
• 向观众告知适合各年龄段人群的牙科服务。​​ 
• 回答有关 Medi-Cal 牙科福利的问题。​​ 

护理机构融资改革网络研讨会​​ 

11 月 18 日下午 2 点至 3 点，DHCS 将举办一次虚拟利益相关者会议，讨论由议会第 186 号法案（2022 年法规第 46 章）授权的劳动力和质量激励计划 (WQIP)。 本次会议将继续讨论 10 月 25 日虚拟利益相关者会议上提出的 WQIP 计划设计，提出任何拟议的变更，并为利益相关者提供进一步的反馈机会。 有关如何参加 11 月 18 日网络研讨会的信息将在会议日期临近时发布在护理机构融资改革 AB 186 网页上。​​ 

CalAIM 早期和定期筛查、诊断和治疗服务 (EPSDT) 面向登记者的材料网络研讨会​​ 

On November 18, from 11 a.m. to 12 p.m., DHCS will host a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials (advance registration required). The federal and state requirement for children’s services, known as EPSDT, gives children and youth under age 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT covered services.​​ 

Proposed materials include: two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the EPSDT name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped. The draft materials will be posted on the DHCS CalAIM News & Updates webpage before webinar. All interested members, providers, plans, counties, health systems, advocates, and other stakeholders are invited to attend.​​ 

痴呆症护理意识网络研讨会系列 - 第四场网络研讨会​​ 

On November 18, from 12 to 1 p.m., Dementia Care Aware will virtually host The Cognitive Health Assessment via Video or Phone (advance registration required) webinar. Jennifer Schlesinger, Vice President of Healthcare Services & Community Education at Alzheimer’s Los Angeles, and Elena Tsoy, PhD, Clinical Neuropsychologist and Assistant Professor at UCSF, will speak about ways to conduct cognitive health assessments via phone or video. Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Additional information is available on the Dementia Care Aware Initiative website. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit).​​