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DHCS 为受南加州山火影响的 Medi-Cal 会员和医疗服务提供者提供帮助

In response to the Southern California wildfires, DHCS applied for and received several dozen Medicaid Section 1135 waivers and Appendix K flexibilities to prevent disruptions in health care delivery so patients can continue to receive needed care. These actions are designed to reduce administrative burdens and provide flexibility in the delivery of health care during a critical time. Key provisions of California’s Medicaid Section 1135 waivers and Appendix K flexibilities include:

• 对 Medi-Cal 会员的保护：延长公平听证请求和福利恢复的时间，让 Medi-Cal 会员有更多时间解决资格或福利问题。 调整家庭保健服务要求，以允许由于当前限制而延迟面对面的接触。
• 提供商注册的灵活性：加快并简化提供商注册，使提供商更容易为受影响的成员提供护理。
• 家庭和社区服务的灵活性：延长初步评估、重新评估和护理计划审查的时间，以确保因年龄、残疾或慢性疾病而需要持续支持的个人得到不间断的护理。 允许在替代地点（例如避难所或酒店）提供长期服务和支持。
• 对诊所的支持：当主要设施受损或无法进入时，允许诊所在替代环境（例如移动诊所或临时地点）提供护理。

DHCS 了解从这些野火中恢复过来将充满挑战，并开发了一个在线资源，以帮助解答 Medi-Cal 会员、合作伙伴、医疗服务提供者和健康计划在此紧急情况下提出的问题。DHCS 仍致力于在这一艰难时期支持社区，并对一线应急人员和医护人员表示感谢。注意安全，查看官方更新获取最新信息，并遵守当地官员发布的疏散命令。

项目更新

Smile, California to Celebrate National Children’s Dental Health Month

2月1日，加利福尼亚州微笑市将推出新的“健康微笑之旅”活动，庆祝全国儿童牙齿健康月（NCDHM）。该活动旨在减轻人们对看牙医的恐惧，将牙科诊所重新构想为“健康微笑乐园”，其中包含氟化物瀑布、密封剂岛和 X 光湾等主题景点。这些富有创意的诊疗站强调预防保健，同时让家庭感到看牙医既轻松愉快又充满乐趣。SmileCalifornia.org和SonrieCalifornia.org将推出全新的首页横幅广告以及专门的 NCDHM 网页（英文和西班牙文）。为会员和供应商提供资源和材料。

加入我们的团队

DHCS 正在寻找一位有才华、有上进心的个人担任以下职务：

• Assistant Division Chief for the Quality Health Equity Division. The Assistant Division Chief provides strategic leadership to advance quality and health equity for Medi-Cal’s nearly 15 million members. The Assistant Division Chief oversees policy implementation, program operations, budget management, and staff supervision. Responsibilities include leading special projects, driving performance improvement, and fostering collaboration with internal and external stakeholders. Experience in health policy, program management, and equity-focused initiatives is highly desired. Applications must be submitted by January 28.

• Chief of the Pharmacy Benefits Division. The Chief is responsible for overseeing the development and implementation of policy, services, and coverage criteria for outpatient pharmacy services for the state’s Medi-Cal program. This includes providing policy direction for Medi-Cal Rx as well as invoicing and collecting federal and state supplemental drug rebates. The Chief of PBD also leads the development of nutrition, vision care, and medical supply benefits and oversees the administration of the Medi-Cal Pharmacy and Vision Benefit programs. A licensed pharmacist is desired, but not required. Applications must be submitted by February 7.

DHCS is also hiring for its accounting/financing, behavioral health, eligibility, legislative and governmental affairs, and other teams. For more information, please visit the CalCareers website.

即将举行的利益相关方会议和网络研讨会

报道大使网络研讨会：涉及司法的重返社会计划和儿童与青少年行为健康计划

1月30日上午11点至11点45分PST，DHCS 将为 DHCS 保险大使举办网络研讨会（需提前注册）。本次网络研讨会将介绍司法系统涉案人员重返社会计划和儿童及青少年行为健康计划 (CYBHI) 的最新进展。它将传达有关目前或曾经在监狱、青少年教养机构或看守所服刑的涉法人员的信息，这些人比公众面临更高的健康风险、受伤风险和死亡风险。它将重点介绍加州为改善即将重返社区的个人的不良健康状况而采取的重要措施，包括努力确保他们在获释后能够继续获得医疗保障。此外，保障大使们还将了解如何通过 CYBHI 扩大早期儿童全方位服务，该机构将为儿童、青少年和家庭提供心理健康服务。了解更多关于DHCS医保大使的信息，或注册成为医保大使。

DHCS 减害峰会

DHCS 与全州各地的社区合作，在加州的药物滥用障碍治疗系统中推广减少伤害和低门槛、以患者为中心的护理。DHCS 鼓励药物滥用障碍治疗提供者和工作人员（包括社会工作者、同伴、前台工作人员、个案经理、护士、医生以及药物滥用障碍治疗机构的所有工作人员）参加并学习如何将减少伤害的原则融入药物滥用障碍治疗中。峰会将在圣地亚哥县（2月11日）和洛杉矶县（2月27日）举行。请在活动网站上注册。

闭环推荐实施指南和全民网络研讨会

On February 13, from 10 to 11 a.m. PST., DHCS will hold an all-comer webinar (advance registration required) to provide an overview of the Closed-Loop Referral (CLR) Implementation Guidance for managed care plans. The webinar is open to the public and will be of special interest to Medi-Cal managed care plans (MCP), Enhanced Care Management and Community Supports providers, and entities making referrals to the benefit/services. The CLR Implementation Guidance outlines requirements for MCPs in implementing CLRs, including tracking, supporting, and monitoring CLRs. The member’s initial referral loop is completed with a known closure reason, such as the member receiving services. These new requirements will ensure more members are connected to the care they need by identifying and addressing gaps in referral paths. MCPs must implement CLR requirements by July 1, 2025. Requirements will first apply to referrals made to priority Enhanced Care Management and Community Supports services. Please send your questions about the new guidance to PHMSection@dhcs.ca.gov.

利益相关者咨询委员会 (SAC)/行为健康 (BH)-SAC 会议

On February 19, from 9:30 a.m. to 3 p.m. PST, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts and helps DHCS further its efforts to provide high-quality, equitable care. BH-SAC provides DHCS with input regarding behavioral health activities and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.

如果你错过了

现已开放：提供访问和转变健康 (PATH) 能力以及基础设施转型、扩展和发展 (CITED) 第 4 轮申请

On January 6, DHCS opened the PATH CITED Round 4 application window, including the Transitional Rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. Nearly $158 million is available for Round 4.

所有有兴趣成为过渡性租金社区支持提供商的组织都必须与 Medi-Cal MCP 和其所在县的行为健康部门合作。为了证明这些合作关系，所有计划申请过渡性租金社区支持资金的 CITED 申请人必须与其 MCP 和县行为健康部门合作提交支持信。有关此项要求的更多信息，请参加1月27日上午10点的网络研讨会。PST（需要提前注册）并查看过渡性租金支持信指南和过渡性租金支持信模板。

The deadline to apply for PATH CITED Round 4 funding is 11:59 p.m. PST on May 2, 2025. The guidance document and application can be found by visiting the PATH CITED webpage. Please submit questions to cited@ca-path.com.

PATH 技术援助 (TA) 市场第 5 轮供应商申请

On January 1, DHCS opened the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31. 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 it will focus on services for the following provider types: rural providers, Tribal and Indian health care 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. Please visit the TA Marketplace Vendor webpage to access the guidance documents and to apply. Please submit questions to ta-marketplace@ca-path.com.