热门新闻​​ 

加州庆祝印第奥行为健康中心扩建工程破土动工​​ 

On July 1, DHCS and ABC Recovery Center celebrated the groundbreaking of a facility expansion that will serve people who need mental health and substance use disorder treatment. DHCS awarded ABC Recovery Center more than $27 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) to build two adult substance use disorder residential units, expanding residential treatment capacity by 120 total beds, in addition to intensive outpatient treatment for substance use disorder projected to serve 400 people annually.​​ 

DHCS will distribute roughly $4 billion in BHCIP grants under Proposition 1 bond funds to address historic gaps in the behavioral health care system and meet the growing demand for services and support throughout the lifespan of people in need. More information about Proposition 1 can be found at mentalhealth.ca.gov. DHCS holds regular public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on DHCS’ website to receive monthly updates.​​ 

项目更新​​ 

DHCS Launches “PATHways to Success” Web Portal​​ 

On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing Enhanced Care Management and Community Supports for the Medi-Cal members they serve.​​ 

欢迎各实体访问新网站，了解 PATH 如何帮助各组织满足 Medi-Cal 成员的需求，并提供协调、持续的强化护理管理和社区支持。请将您的问题通过电子邮件发送至communications@ca-path.com。​​ 

Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals​​ 

从 7 月 1 日起，DHCS 将为提供商推出新的在线门户，以改善新家庭获得保险和护理的机会。 通过 CPE，提供商可以为符合条件的申请人提供临时、全方位的保障。 该门户取代了儿童健康和残疾预防门户网站。 新生儿门户网站用于在出生后 72 小时内或出院后 24 小时内报告与 Medi-Cal 和 Medi-Cal Access 婴儿计划相关的出生情况。 服务提供商必须完成认证培训才能使用这些门户，并从 7 月 1 日开始将符合条件的婴儿纳入覆盖范围。​​ 

On June 25, DHCS hosted the final CPE and Newborn Gateway portal overview webinar. A recording of the webinar is available through the Medi-Cal Learning Portal by searching for course code CNPE104RW.​​ 

新的 CMS 指南增强了医疗补助管理式护理服务​​ 

Over the past decade, Medicaid managed care organizations have increasingly aimed to address members’ health-related social needs, such as housing, food security, and transportation, that affect health outcomes. However, these efforts often remained in pilot stages due to capitation rates not reflecting these services. New guidance from the Centers for Medicare & Medicaid Services (CMS) on in lieu of services (ILOS) is changing this by allowing medically appropriate and cost-effective substitutes for state Medicaid benefits, impacting managed care rates. A new Medicaid policy cheat sheet, published by Center for Health Care Strategies, outlines five key takeaways from CMS’ May 2024 final rule on using ILOS to address health-related social needs. Additionally, a new tool, Designing a Health-Related Social Needs Strategy in Medicaid, presents decision points for states, including a snapshot of how nine states are covering these services through a learning series supported by the Kaiser Permanente National Community Benefit Fund.​​ 

加入我们的团队​​ 

DHCS 正在寻找一名技术高超、积极性极强的人员担任以下职务：​​ 

• 负责行为健康的助理副主任，为实施行为健康倡议提供管理和支持，这些倡议旨在实现公平的医疗保健成果，并确保持续获得高质量的心理健康和药物使用障碍护理。(最终申报日期：7 月 12 日）​​ 

• Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.​​ 

该职位的薪资范围为每月11,435美元至13,623美元。 希望拥有行医执照，但这不是必需的。 对于医生或临床医生候选人，薪资范围为每月 13,624 美元至 17,855 美元。 （最终提交日期：7 月 3 日）​​ 

DHCS is also hiring for its legislative and governmental affairs, human resources, auditing, health policy, information technology, 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​​ 

行为健康社区公平护理和治疗组织网络 (BH-CONNECT) 示范附录：第二次公开听证会​​ 

7 月 2 日，太平洋时间下午 3:30 至 4:30，DHCS 将在萨克拉门托 K 街 1515 号 204 室通过 Zoom（需提前注册）举行 BH-CONNECT 演示附录的第二次现场和虚拟混合公听会。6 月14 ，2024 ，DHCS 开始了为期 30 天的BH-CONNECT 示范项目增编公开征求意见期。加利福尼亚州将提交 BH-CONNECT 示范项目申请增编，以进一步加强行为健康护理的连续性。该附录将为县级行为健康计划提供两种新的承保选择：为长期住院的个人提供社区过渡服务，为有严重行为健康问题和特定风险因素的个人提供长达 6 个月的强化住宿环境中的食宿服务。如需了解更多信息，请访问DHCS BH-CONNECT 网页。​​ 

以消费者为中心的利益相关者工作组 (CFSW)​​ 

On July 5, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage by noon on July 3. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

On July 10, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting. The CCS Advisory Group and DHCS partner to ensure children in the CCS and Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on WCM expansion, Enhanced Care Management, the CCS Compliance, Monitoring, and Oversight Workgroup, the Child Health and Disability Prevention program, and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are posted on the CCS Advisory Group webpage. Please email your questions and comments to CCSProgram@dhcs.ca.gov.​​ 

导乐利益相关者实施工作组会议​​ 

7 月 12 日，太平洋夏令时间上午 10 点至中午 12 点，DHCS 将主办 Doula 利益相关者实施工作组会议，根据参议院第 65 号法案（2021 年法规第 449 章）和福利和机构法典第 14132.24 节的规定，审查 Medi-Cal doula 福利的实施情况。​​ 

The meeting will be held via Zoom, with an in-person option at 1501 Capitol Avenue, Sacramento, CA 95814, Room 71.4003. The meeting is open to the public. The link to attend the meeting virtually and an agenda will be posted on the Doula Services as a Medi-Cal Benefit webpage. The workgroup will discuss how to ensure doula services are available to Medi-Cal members and make recommendations on outreach efforts. Please email DoulaBenefit@dhcs.ca.gov with any questions.​​ 

CalAIM 行为健康工作组会议​​ 

太平洋时间 7 月 15 日下午 3 时至 5 时，DHCS 将召开 CalAIM 行为健康工作组会议（需提前注册），介绍提供方整合项目和 BH-CONNECT 的最新情况。工作组成员可就实施和操作方面的考虑提供反馈意见。更多信息请参见议程。本次会议向公众开放。请将您的问题通过电子邮件发送至BHCalAIM@dhcs.ca.gov。​​ 

有针对性的医疗服务提供者费率上调​​ 

太平洋时间 7 月 17 日下午 3:00 至 4:30，DHCS 将举办一次医疗服务提供者网络研讨会（需提前注册），回答有关 2024 日历年目标医疗服务提供者费率上调的问题。医疗服务提供者希望解决的所有问题必须在 7 月 8 日之前发送至 DHCS：targetedrateincreases@dhcs.ca.gov。​​ 

On June 20, DHCS published requirements, through All Plan Letter 24-007, necessary for Medi-Cal managed care plans to implement targeted provider rate increases in calendar year 2024. For additional information, please see the DHCS Medi-Cal Targeted Provider Rate Increases and Investments website.​​ 

如果你错过了​​ 

州政府公布减少污名化运动的积极影响​​ 

“Unshame CA”公共卫生意识运动已开展近一年，旨在打破成瘾的耻辱感，提高加州人对治疗可及性的认识，评估数据显示，在看到并参与到受物质使用障碍影响的个人富有同情心、由社区推动的故事后，人们更有可能改变对成瘾的看法。​​  

Unshame CA 是 DHCS 和Shatterproof的合作项目，旨在让人们了解药物使用障碍是一种可治疗的疾病，并使之正常化。该活动采用循证公共卫生方法，利用社交媒体开展教育和外联活动，并将加州人与有生活经验的人联系起来。​​