热门新闻​​ 

Tyler Sadwith 入选 Medicaid Pathways 计划​​ 

医疗保健战略中心（CHCS）本周宣布， 医疗保健 战略中心行为健康项目副主任泰勒-萨德维斯（Tyler Sadwith）是通过竞争被选中参加第三期 医疗 补助 路径计划 的全国 20 名 医疗补助 机构新领导人之一。Tyler 负责领导 DHCS 雄心勃勃的议程，以确保 Medi-Cal 和其他公共计划中提供高质量和可获得的精神健康和药物使用障碍专科服务。他领导该部门的行为健康团队制定和实施旨在加强行为健康护理的获取、质量、公平性以及为 1550 万 Medi-Cal 会员和通过公共计划接受服务的加州人提供服务的举措。​​ 

项目更新​​ 

2024 年 Medi-Cal 管理式医疗计划 (MCP) 过渡政策指南​​ 

On September 29, DHCS released a revised version of the 2024 MCP Transition Policy Guide that includes DHCS policy and MCP requirements related to member transitions of Medi-Cal MCPs that take effect on January 1, 2024. The latest version includes a new MCP transition monitoring and oversight policy and transition-related requirements for incentive programs, as well as updates to all other sections. The policy guide will be updated regularly to keep MCPs informed of new and developing guidance.​​ 

提供就医机会和改变健康状况（PATH）技术援助（TA）市场--修订后的技术援助受援方准入政策​​ 

On September 29, DHCS announced the revised policy for accessing free TA resources available through the PATH TA Marketplace. Effective immediately, all approved TA recipients may now access both off-the-shelf TA projects and hands-on TA projects in all seven TA domains, regardless of if they are contracted with a MCP or other eligible entity to provide Enhanced Care Management (ECM) and/or Community Supports. Learn how free TA services offered through the PATH TA Marketplace can strengthen your organization’s ability to build and deliver quality ECM and Community Supports by visiting the PATH TA Marketplace webpage. Please submit any questions regarding the revised access policy to ta-marketplace@ca-path.com.​​ 

PATH TA 市场第三轮供应商申请​​ 

On October 1, DHCS will open the PATH TA Marketplace Round 3 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access free TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations must apply to qualify as a TA Marketplace vendor before the October 31 deadline. Visit the TA Marketplace vendor webpage for more information and to apply. For questions, please email ta-marketplace@ca-path.com.​​ 

医疗补助计划​​ 

On September 27 and 28, DHCS delivered the first presentations to update stakeholders on DHCS’ plans to advance Medi-Cal Rx. DHCS presented to the Pharmacy Directors meeting and the California Association of Medical Product Suppliers meeting. Also, on September 22, Reinstatement Phase 4, Lift 2 was successfully implemented. Drug cost ceiling and prior authorization for enteral nutrition and specific standard therapeutic classes for members 22 years of age and older have been reinstated. Additionally, as of September 22, the new COVID-19 vaccines appropriately reimburse the cost of the commercial vaccines (in addition to a $40 incentive fee).​​ 

加入我们的团队​​ 

DHCS 正在招聘财务、人力资源、法律、审计、卫生政策和信息技术团队的人员。 欲了解更多信息，请访问CalCareers 网站。​​ 

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.​​ 

即将举行的利益相关方会议和网络研讨会​​ 

消费者焦点利益相关方工作组 (CFSW) 会议​​ 

10 月 6 日上午 10:00 至 11:30，DHCS 将主办 CFSW 会议。消费者信息社群的目的是为利益相关者提供一个机会，审查各种消费者信息资料并提供反馈意见。论坛将重点讨论与资格和注册相关的活动，并就 Medi-Cal 政策和功能进行公开讨论。消费者保护中心的参与者包括消费者保护团体的倡导者、医疗服务提供者协会的代表以及医疗保健领域的专家。如有任何问题，请发送电子邮件至DHCSCFSW@dhcs.ca.gov。所有会议材料最迟将于 10 月 4 日发布在DHCS CFSW 网页上。​​ 

CalAIM ICF/DD Carve-In 有前景的实践网络研讨会​​ 

On October 6, from 9:30 to 11 a.m., DHCS will virtually host the third in a series of educational webinars (advance registration required) on the California Advancing and Innovating Medi-Cal (CalAIM) intermediate care facility for the developmentally disabled (ICF/DD) carve-in. The goal of these webinars is to provide stakeholders with an understanding of the ICF/DD carve-in policy requirements and how to support members when all Medi-Cal MCPs will be required to cover and coordinate institutional long-term care for members residing in an ICF/DD beginning on January 1, 2024. The webinar will focus on promising practices that MCPs, ICF/DD homes, and Regional Centers can consider as they prepare for the ICF/DD carve-in to take effect. Webinars are open to the public.​​ 

有关即将举行的网络研讨会的更多详细信息，请访问CalAIM ICF/DD 长期护理分割过渡网页。如有问题或意见，请发送电子邮件至LTCtransition@dhcs.ca.gov。​​ 

加州医疗保险覆盖范围选择：网络研讨会​​ 

On October 11 at 1 p.m., DHCS and the California Department of Aging will jointly host a webinar entitled, “Navigating Medicare Coverage Choices in California, Including Medicare Advantage Supplemental Benefits” (advance registration required). Presenters will include Stephanie Fajuri from the Center for Health Care Rights, an expert in Medicare choices for consumers, and Nils Franco from ATI Advisory, a lead analyst for the review of Medicare Advantage Plan supplemental benefits in California.​​  

The webinar will share helpful information for consumers, families, health care providers, and the public policy community. It will include a presentation and question and answer session on Medicare coverage choices for consumers during the Medicare Open Enrollment period from October 15 to December 7, as well as highlight a newly released DHCS chartbook on supplemental benefits in Medicare Advantage Plans in California for contract year 2023. The chartbook is part of a series of chartbooks available on the DHCS Office of Medicare Innovation and Integration webpage. For questions or comments, please email OMII@dhcs.ca.gov.​​ 

利益相关者咨询委员会 (SAC) 和行为健康-SAC (BH-SAC) 会议​​ 

On October 19, from 9:30 a.m. to 3:30 p.m., DHCS will host the next SAC and BH-SAC hybrid meeting (advance registration required). It will open as a joint meeting, with topics shared by SAC and BH-SAC. A BH-SAC-only meeting will be held after the joint meeting; there is no SAC-only meeting. Participants may attend in person at The California Endowment, located at 1414 K Street in downtown Sacramento, or virtually. For more information, please visit the SAC and BH-SAC webpages.​​ 

如果你错过了​​ 

联邦医疗保险 Medi-Cal 计划：利益相关者信息​​ 

9 月 22 日，DHCS 在 聯邦醫療 保險 Medi-Cal 計劃 網頁 上張貼了 英文 、 西班牙文 、 苗語 、 越南語 、 繁體中文/ 粵語 、 俄文 和 高棉語/柬 埔寨語 的聯邦醫療 保險 Medi-Cal 計劃 簡介。​​  

The 2024 Medicare open enrollment period is from October 15 to December 7, with plan coverage taking effect on January 1, 2024. Californians in 12 counties will be eligible to enroll in Medicare-Medi-Cal Plans, a type of Medicare Advantage plan in California only available to dual eligible members. Medicare Medi-Cal Plans provide more comprehensive care, and benefits in both programs are coordinated by one managed care plan. In 2024, Medicare Medi-Cal Plans will be available in the following counties: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, and Tulare. Please contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org.​​