2025 年 1 月 6 日
热门新闻
CMS 选择 DHCS 实现创新转型孕产妇健康模式
On January 6, the federal Centers for Medicare & Medicaid Services (CMS) approved California’s participation in its Center for Medicare and Medicaid Innovation’s Transforming Maternal Health (TMaH) Model, a ten-year Medicaid and Children’s Health Insurance Program (CHIP) delivery and payment model designed to test whether effective implementation of evidence-informed interventions, sustained by a value-based payment (VBP) model, can improve maternal outcomes and reduce program expenditures for Medicaid and CHIP.
DHCS 将在五个县实施 TMaH 模式：弗雷斯诺、克恩、金斯、马德拉和图莱尔。该地区与妊娠有关的死亡率在加利福尼亚州最高，剖腹产率以及产前和产后抑郁症发病率也高于全州平均水平。与加州其他地区相比，该地区对孕产妇护理提供者和与健康相关的社会服务的需求也更大。
TMaH 模式是加州更广泛承诺的一部分，旨在解决孕产妇健康方面的种族和民族差异，并确保所有孕妇，尤其是低收入社区的孕妇，获得安全度过孕期和分娩所需的支持。
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
1 月 6 日，DHCS 开放了PATH CITED第四轮申请窗口。PATH CITED 计划提供资金，帮助社区组织、医院、县级机构、部落等实地合作伙伴建设能力和基础设施，以成功参与 Medi-Cal。第 4 轮可用资金近 1.58 亿美元。申请 PATH CITED 第四轮资助的截止时间为太平洋标准时间 3 月7 下午 11:59 ，2025 。指导文件和申请表可访问PATH CITED 网页查阅。 请将问题提交至cited@ca-path.com。
项目更新
BH-CONNECT 循证实践政策指南
DHCS 正在就行为健康 社区公平护理和治疗组织网络 (BH-CONNECT) 循证实践的行为健康信息通知 (BHIN) 25-XXX 草案 和 BH-CONNECT 循证实践政策指南 草案 征求反馈意见。请在太平洋标准时间 1 月 10 日晚上 11:59 之前将您的反馈意见发送至BH-CONNECT@dhcs.ca.gov。
根据 BH-CONNECT 计划，DHCS 将扩大 Medi-Cal 提供的循证实践 (EBP) 的覆盖范围，包括主动社区治疗 (ACT)、法医 ACT、首次发病精神病协调专业护理、支持性就业的个人安置和支持模式、强化社区保健工作者服务和会所服务。
The draft BHIN describes how county behavioral health plans, inclusive of mental health plans and Drug Medi-Cal Organized Delivery System (DMC-ODS) plans, and DMC programs can opt in to cover one or more BH-CONNECT EBPs and provides guidance on billing and claiming requirements for BH-CONNECT EBPs. The draft BH-CONNECT EBP Policy Guide provides operational guidance to support implementation of the BH-CONNECT EBPs, including an overview of the evidence base for each EBP and best practices for staffing teams, delivering covered services, and coordinating with other services and supports. For more information, please visit the BH-CONNECT webpage.
过渡到新的家庭 PACT 门户
On January 13, DHCS’ Family Planning, Access, Care and Treatment (PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs Client Eligibility System to a new Family PACT portal. To support Family PACT providers during this transition, Family PACT 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 its launch.
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.
PATH 协作规划与实施 (CPI) 最佳实践网络研讨会记录和材料
6,2024 ，DHCS 举办了一次公开网络研讨会，题为 "医院参与加州推进和创新 Medi-Cal (CalAIM)"：支持符合条件的 Medi-Cal 会员获得强化护理管理 (ECM) 服务。网络研讨会讨论了医院与本地区 CalAIM 医疗服务提供者合作的价值、改善出院计划合作的机会，以及医院员工与 ECM 医疗服务提供者之间温馨交接的机会。网络研讨会录音和辅助材料可在PATH CPI 网页上的 "最佳做法和资源 "部分获取。请将问题提交至collaborative@ca-path.com。
加入我们的团队
DHCS is hiring for its accounting, program accountability, contracts, behavioral health, managed care quality and monitoring, provider services, 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
California Children’s Services (CCS) Advisory Group Meeting
太平洋标准时间 1 月 8 日下午 1 点至 4 点，DHCS 将举办中央监控服务咨询小组季度会议。DHCS 与 CCS 咨询小组合作，确保 CCS/Whole Child Model (WCM) 计划中的儿童能够及时获得适当的优质护理。议程主题包括 2024 年加州护理服务优先事项回顾和 2025 年展望，以及 WCM 扩展、强化护理管理、加州医保 Rx 和加州护理服务重新设计绩效衡量质量小组委员会的最新情况。更多信息和会议详情请参阅二氧化碳捕获和储存咨询小组网页。
行为健康转型质量与公平咨询委员会网络研讨会
1 月 9 日上午 9 时至 11 时在美国太平洋时间下午 3 点，健康与社会服务部将举办第二次行为健康转型质量与公平咨询委员会网络研讨会。1 月 15 日上午 9 时至 11 时在美国太平洋时间下午 3 点，健康与社会服务部将举办第三次行为健康转型质量与公平咨询委员会网络研讨会。注册成功后，您将收到一封确认电子邮件，其中包含网络研讨会链接和其他详细信息。健康与社会服务部很高兴能继续开展合作，以衡量和评估行为健康服务和计划的质量与效果。这些公开网络研讨会为与会者提供了提供意见供 DHCS 考虑的机会。 请访问行为健康转型利益相关者参与网页，了解有关网络研讨会和其他资源的更多信息。请将有关行为健康转型和/或网络研讨会的问题发送至BHTinfo@dhcs.ca.gov。
导乐实施利益相关者工作组会议
根据参议院第 65 号法案（第 449 章，2021 年法规）的要求，健康与社会服务部将于太平洋标准时间 1 月 10 日上午 10 点至下午 12 点举办杜拉实施利益相关者工作组会议。该工作组确保符合朵拉服务资格并希望获得朵拉服务的 Medi-Cal 成员可获得朵拉服务，最大限度地减少向 Medi-Cal 朵拉支付费用或向 Medi-Cal 成员偿付朵拉服务费用方面的障碍和延误，就外联工作提出建议，从而使所有符合朵拉服务资格的 Medi-Cal 成员了解使用朵拉服务的选择，并帮助 DHCS 向立法机构提交报告，提供有关 Medi-Cal 成员使用朵拉服务的数据以及减少任何已确定的朵拉服务障碍的建议。
As required by Welfare and Institutions Code section 14131.24, the workgroup will make recommendations to DHCS in a report to be published on the DHCS website by July 1, 2025. For more information about the workgroup, please visit the Doula Implementation Stakeholder Workgroup webpage.
DHCS 减害峰会
健康与社会服务部与全州各社区合作，在加州的药物使用障碍治疗系统中推广减少伤害和低障碍、以患者为中心的护理。健康与社会服务部鼓励药物使用障碍治疗机构和工作人员（包括社会工作者、同行、前台工作人员、个案经理、护士、医生以及药物使用障碍治疗机构的所有工作人员）参加并学习将减低伤害原则纳入药物使用障碍治疗的最佳实践。峰会将在弗雷斯诺县（1 月 23 日）、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。
报道大使网络研讨会系列：涉及司法的重返社会计划以及儿童和青少年行为健康计划更新
On January 30, from 11 to 11:45 a.m. PST, DHCS will host a webinar for DHCS Coverage Ambassadors. The topics will include updates on the Justice-Involved Reentry Initiative and Children Youth Behavioral Health Initiative (CYBHI) advance registration required. This session will provide detailed information on justice-involved individuals who are now, or have spent time, in jails, youth correctional facilities, or prisons and who are at higher risk for poor health outcomes, injury, and death than the public. The session will also focus on significant steps California is taking to improve poor health outcomes for individuals as they prepare to reenter their communities by working to ensure they have continuity of coverage upon their release. Additionally, Coverage Ambassadors will learn how early childhood wraparound services will be expanded through the CYBHI, which will provide mental health services to children, youth, and families. Find out more about DHCS Coverage Ambassadors, or sign up to become a Coverage Ambassador.
如果你错过了
DHCS 推出 Cal-MAP 以加强青少年心理健康护理
On December 27, 2024, DHCS, in collaboration with the University of California San Francisco, launched the Child and Adolescent Mental Health Access Portal (Cal-MAP), a key component of the Children and Youth Behavioral Health Initiative (CYBHI), which is reimagining the systems that support behavioral health for all California children, youth, and their families. Cal-MAP supports California’s primary care providers (PCP) by offering free consultations, training, and resources to help them care for youth ages 0-25 with mental health and substance use issues.
Cal-MAP 是一项儿科心理健康护理计划，旨在增加加州各地青少年及时获得心理健康护理的机会，特别是在历史上面临获得护理障碍的社区。 该计划扩大了青少年在较低耻辱感、以早期干预为重点的初级保健环境中获得高质量、适合文化的心理健康护理的公平机会。
Cal-MAP’s interprofessional team of psychiatrists, psychologists, and clinical social workers provides no-cost consultation, education, and resource navigation directly to PCPs. This multi-pronged approach supports the ability of providers to manage common mild-moderate behavioral health conditions within primary care, thereby promoting the integration of pediatric primary and behavioral health care and increasing access to child psychiatry for more complex presentations. PCPs are strongly encouraged to explore resources and opportunities through Cal-MAP. PCPs may contact the Cal-MAP team via phone at 800-253-2103 or email at info@cal-map.org for any questions about registration or services provided.