七月28 ， 2025
热门新闻
应对联邦削减：与加州卫生与公众服务部 (CalHHS) 的演示
继最近签署 H.R. 1 成为法律之后，加利福尼亚州继续履行其保护所有加州人健康和福祉的使命。请观看由 DHCS 主任 Michelle Baass、加州健康与公共服务局 (CalHHS) 部长 Kim Johnson、加州社会服务部主任 Jennifer Troia 和 Covered California 执行主任 Jessica Altman 就这些变化将如何影响加州居民所做的重要演讲。
DHCS 发布 CalAIM 概念文件并启动公众意见征询期
7 月 23 日，DHCS 发布了《 继续 推进加州 医疗保险转型概念文件 》，该文件概述了 DHCS 在授权加州推进和创新加州医疗保险（CalAIM）的关键联邦豁免于 2026 年 12 月到期后，从 2027 年开始的五年内的愿景和目标。概念文件概述了最近的进展、当前的优先事项以及该部的长期愿景，即加强和维持加州医疗保险，使其成为一个以人为本、公平驱动的系统。
强大的利益相关者伙伴关系和跨部门合作（与加州医保成员、社区组织、加州医保管理性护理计划、县行为健康计划、部落和医疗服务提供者）推动 CalAIM 取得成功。DHCS 仍致力于继续和维持 CalAIM 计划，并提出了与 DHCS 的 Medi-Cal 改革原则和目标相一致的有针对性的改进措施。DHCS 的方法继续体现 CalAIM 的精神：以成员为中心，支持合作伙伴提供全人护理。公众意见征集期为 30 天，从 7 月 23 日至 8 月 22 日，可通过电子邮件（1115Waiver@dhcs.ca.gov）提出反馈意见。
项目更新
更新后的人口健康管理政策指南可用于管理式医疗计划
DHCS 发布了针对管理式医疗计划的更新版人口健康管理 (PHM) 政策指南。该指南建立了一个有凝聚力的、全州范围的方法，确保 Medi-Cal 成员能够享受全面、优质的健康计划，从而实现更长寿、更健康、更幸福的生活，改善健康结果并实现健康公平。PHM 政策指南概述了管理式医疗计划在实施 PHM 计划要求方面的要求。这些要求将有助于确保所有成员在整个护理过程中都能根据自己的需求和偏好获得全面的服务。有关 PHM 政策指南的更多信息，请访问CalAIM 人口健康管理计划网页。
更新后的县办公室定位工具现已推出
DHCS launched an enhanced version of the online Medi-Cal County Office Locator tool to improve the user experience for Medi-Cal members and stakeholders. The updated tool replaces the previous list of county offices with an interactive map. Users can now search for their local Medi-Cal county office by entering a zip code or county name or by enabling location services. Search results include office address, phone number, direct links to official county websites, and a “Get Directions” link for easy navigation. We invite you to explore the new County Office Locator and share this resource with those who may benefit from a quicker, more accessible connection to their local Medi-Cal office.
细胞和基因治疗获取模式政策更新
DHCS 最近发布了 Medi-Cal 提供商手册中新的细胞和基因治疗 (CGT) 获取模型部分。CGT 访问模型包括以下疗法：Vertex Pharmaceuticals, Inc. 的 CASGEVY，暂定于1 、 2025年 9 月生效，可能会有所变更，并最终获得医疗保险和医疗补助服务中心 (CMS) 的批准；bluebird bio, Inc. 的 LYFGENIA，经 CMS 批准，于1 、 2025年 7 月生效。更多信息请参阅 CGT 访问模型网站和最近更新的常见问题解答。此外，DHCS 还发布了 Medi-Cal 提供商手册中新的、广泛的 CGT部分。在此新部分中，自 7 月1 、 2025或之后的服务日期起生效，现行程序术语 (CPT) 代码 38228（嵌合抗原受体 T 细胞 [CAR-T] 疗法；CAR-T 细胞给药，自体）现可报销某些 CAR-T 程序代码的管理费用，具体规定如下。有关 CGT 访问模型和其他政策更新的更多信息，请参阅医疗服务提供者出版物。请将您的问题通过电子邮件发送至dhcscgt@dhcs.ca.gov。{cph0
2024 年加州青年提升计划 (EYC) 年度报告
DHCS 与 Sierra Health Foundation：项目管理中心合作发布了2024 年 EYC 年度报告。EYC 是一个全州范围的项目，旨在解决物质使用障碍问题，通过投资有色人种青年和 2S/LGBTQIA+（2S/LGBTQIA+ = 双灵、女同性恋、男同性恋、双性恋、变性人、酷儿和疑惑者）青年的公民参与，这些青年生活在受毒品战争影响尤为严重的社区，年龄在 12 至 26 岁之间。本报告涵盖了 2023 年 11 月至 2024 年 12 月 EYC 资助合作伙伴的第 3、4 和 5 轮数据。如对 EYC 有任何疑问，请参阅EYC 网页或发送电子邮件至 elevateyouthca@shfcenter.org 。
加入我们的团队
DHCS 正在寻找有才华、有上进心的人才担任以下职务：
- Chief, Quality and Health Equity Division (QHED). The Chief of QHED, within Quality and Population Health Management, leads DHCS’ health care clinical quality and health equity initiatives, evaluations, assurance, and improvement efforts. The Chief of QHED is also responsible for developing and implementing policies and processes related to clinical quality and health equity improvement and assurance (compliance/monitoring) activities. Applications must be submitted by August 15.
- Senior Assistant Chief Counsel (ACC), Fiscal, Financing, and Privacy Branch. The Senior ACC, within the Office of Legal Services, oversees the development and application of legal advice and policy to support DHCS’ fiscal, financial, and privacy-related matters. This Senior ACC also provides legal advice and direction related to financing, rate setting, and third-party collections for the state’s Medi-Cal program. Applications must be submitted by August 15.
DHCS 还在招聘会计、行为健康、管理医疗和其他团队的人员。欲了解更多信息，请访问CalCareers 网站。
即将举行的利益相关方会议和网络研讨会
DHCS 在活动日历上发布即将召开的公开会议。DHCS 提供免费辅助服务，包括语言翻译、实时字幕和会议材料的替代格式。如需服务，请在会议召开前至少十个工作日向 DHCS 发送相应的联系电子邮件地址。
All-Comer ASCMI 和 DSAG 住房/重返社会工具包网络研讨会
On July 29, from 3 to 3:50 p.m. PDT, DHCS will host an All-Comer Webinar to announce the release of the Authorization to Share Confidential Member Information (ASCMI) Form and provide an overview of the previously released Data Sharing Authorization Guidance (DSAG) Toolkits focused on Medi-Cal Housing Support Services and the Medi-Cal Justice-Involved Reentry Initiative. The ASCMI Form is a release of information form that Medi-Cal partners, including counties, agencies, providers, health plans, community-based organizations, and others, may use to obtain their clients’ consent to exchange their sensitive health and social services information. DHCS piloted the ASCMI Form in 2023 and is pleased to publish a revised version for Medi-Cal partners’ use when seeking to exchange their members’ sensitive information to coordinate their care. DSAG Toolkits illustrate real-world scenarios that will help Medi-Cal partners navigate complex data sharing and privacy laws and understand when consent is or is not needed to share information to support care coordination across sectors.
请访问数据交换和共享网页，了解有关 DHCS 数据交换工具、指南和倡议的更多信息。有关这些和其他 DHCS 数据共享资源的问题，请发送电子邮件至DHCSDataSharing@dhcs.ca.gov。
覆盖大使网络研讨会
On July 31, from 11 a.m. to 12 p.m. PDT, DHCS’ Coverage Ambassador webinar (advance registration required) will include an overview of how the 2025-26 budget will impact the Medi-Cal program and new resources available. The session will also provide information about California Achieving a Better Life Experience (CalABLE), California’s tax-advantaged savings and investment plan for individuals with disabilities. Coverage Ambassadors are encouraged to ask questions or share comments during the webinar.
行为健康转型公众听证会
7 月 31 日，太平洋时间中午 12 点至下午 1 点，健康与社会服务部将就 行为健康 服务 法案 下的监督和监测以及早期干预循证实践 (EBP) 列表举办公开听证会（需提前注册）。监督和监测是 DHCS 对如何提供行为健康服务的系统性监督和评估。整理出来的早期干预 EBP 清单已经过科学验证，证明对行为健康的早期干预是有效的。会议期间，公众可就多个主题发表意见，包括合规性审查、执行政策和立法授权的早期干预 EBP 清单。请访问行为健康转型网页，了解有关公众听证会和其他资源的更多信息。请将有关行为健康转型和/或公众听证会的问题发送至BHTinfo@dhcs.ca.gov。此外，我们鼓励您注册获取行为健康转型的最新信息。
行为健康转型质量和公平咨询委员会网络研讨会
On August 12, from 11 a.m. to 1 p.m. PDT, DHCS will host the sixth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members can collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Once registered, you will receive a confirmation email with the webinar link and additional details. Attendees will be able to provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.
CalAIM 行为健康工作组会议
8 月 13 日上午 10 时至 11 时PDT、DHCS 将主办 CalAIM 和 BH-CONNECT 行为健康工作组会议（需提前注册）。会议将提供有关 "高保真全方位 "服务的最新信息。更多详情请参见议程。邀请工作组成员在会议期间提供反馈意见，会议对公众开放。如有问题或意见，请发送电子邮件至bhcalaim@dhcs.ca.gov。
行为健康工作组会议
On August 13 at 10 a.m. PDT, the CalHHS Behavioral Health Task Force will hold its August meeting (advance registration required for virtual attendance). The agenda includes a panel discussion on the theme “Transforming Behavioral Health – Housing is Health,” featuring leading experts in medicine, housing policy, and county-level behavioral health services. The meeting will also include a discussion on the implementation of Proposition 1 and the Behavioral Health Services Act, followed by updates and public comment. This meeting is open to the public and will be held at the Clifford L. Allenby building, 1215 O Street, Sacramento, in conference rooms 110A and 110B. For questions or comments, please email BehavioralHealthTaskForce@chhs.ca.gov.
如果你错过了
DHCS 2025-26 财年预算重点、会员须知以及最新项目上线信息发布
DHCS’ FY 2025-26 budget totals $202.7 billion to support DHCS programs and services. DHCS’ budget reflects the Newsom Administration’s ongoing commitment to invest in the health of all Californians within a responsible budgetary structure. The budget enables DHCS to continue transforming Medi-Cal into a more coordinated, person-centered, and equitable health system that works for Medi-Cal’s millions of members and California as a whole. The budget also continues to modernize the behavioral health delivery system, including the implementation of Proposition 1, improve accountability and transparency, and strengthen the continuum of community-based behavioral health care for all Californians. In addition, DHCS released the new What Medi-Cal Members Need to Know document to help Medi-Cal members and the providers and organizations that work with them understand the impact of budget changes. Finally, DHCS posted an updated DHCS Major Program Initiatives – Go-Live Dates document that includes detailed schedules for the rollout of new policies and services. We encourage all stakeholders to stay informed by regularly checking DHCS communications and participating in upcoming stakeholder meetings.
行为健康学生贷款偿还
The California Department of Health Care Access and Information opened the application period for the Medi-Cal Behavioral Health Student Loan Repayment Program, which offers financial relief to behavioral health professionals who commit to serving Medi-Cal patients in underserved areas. This program is available for behavioral health professionals with educational debt, including licensed prescribing behavioral health practitioners, non-prescribing licensed or associate level pre-licensure practitioners, and non-licensed non-prescribing practitioners, including substance use disorder counselors, community health workers, peer support specialists, and wellness coaches. The program is part of the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) initiative’s workforce development funding opportunities. A webinar recording will soon be posted that provides information on eligibility and the application process. The application cycle closes on August 15, 2025.