热门新闻

BH-CONNECT 演示附录：公众评论和公开听证会

DHCS began a 30-day public comment period on June 14 for a new addendum to the pending Section 1115 Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Demonstration. The addendum aims to strengthen the continuum of care for Medi-Cal members with significant behavioral health conditions. California proposes enabling county behavioral health plans to opt into one or two new opportunities: Community transition in-reach services for individuals with long-term institutional stays, and room and board in enriched residential settings with 16 beds or less for up to six months for adults with significant behavioral health conditions and specified risk factors.

DHCS 将举办公开听证会，征求利益相关者的意见，并提供现场出席、在线视频和电话会议等方式，以便全州民众都能参与。第一次听证会将于 6 月25 、 2024下午 3:30 至 4:30（太平洋夏令时）在加利福尼亚州萨克拉门托市 K 街 1700 号 1014 室举行，邮编 95814。参与者可以注册 Zoom 会议，也可以拨打 (833) 548-0276（免费电话）或 (915) 1321 2168（接入码 062524）加入会议。

第二次听证会将于7月2 、 2024下午3:30至4:30（太平洋夏令时）在加利福尼亚州萨克拉门托市K街1515号204室举行，邮编95814。参与者可以注册 Zoom 会议，也可以拨打 (833) 928-4608（免费电话）或 (924) 713-3204（接入码 070224）加入会议。

All public comment materials are posted on the DHCS BH-CONNECT webpage, which DHCS will update throughout the public comment period and application process. Please email comments and/or questions to 1115Waiver@dhcs.ca.gov. 

加州庆祝新的行为健康设施破土动工

6 月 10 日，DHCS 和人类服务中心庆祝了莫德斯托一家新的门诊行为健康中心的破土动工，该中心将为儿童、青少年及其家庭提供服务。DHCS 向人类服务中心拨款 500 多万美元，用于建造一个安全场所，以解决心理健康和药物滥用障碍治疗方面的不足。这将使人类服务中心每年能够为超过 1425 名新的社区成员提供关键资源。

Also, on June 12, DHCS and Riverside University Health System celebrated the groundbreaking of a new behavioral health and physical health care campus called the Wellness Village that will serve individuals who need mental health and substance use disorder treatment. DHCS awarded Riverside University Health System more than $80 million to build a safe space to address gaps in behavioral health treatment. The portions of the campus funded through this effort will enable Riverside University Health System to provide critical resources to more than 20,900 community members annually.

DHCS 将根据 1 号提案债券资金，拨出约 40 亿美元的行为健康连续体基础设施计划 (BHCIP ) 拨款，以解决行为健康保健系统的历史性缺口，并满足有需要的人们在其一生中对服务和支持日益增长的需求。有关第 1 号提案的更多信息，请访问mentalhealth.ca.gov 。DHCS每月举行一次公众听证会。会议的最新进展和录像可在行为健康转型网页上查看。请在我们的网站上注册，以接收每月更新信息。

项目更新

重点关注长期护理人群 (POF) 的增强护理管理 (ECM)

DHCS 最近发布了《长期护理 ECM POF Spotlight》，旨在帮助为长期护理 (LTC) 环境中的成年人或有进入该环境风险的成年人提供服务的签约和潜在 ECM 提供商开发和增强他们的 ECM 模型。 焦点描述了供应商提供 ECM 和整合相关社区支持服务的方式，以便为高需求成员提供最佳护理并帮助他们过渡到社区。 此新资源旨在为 Medi-Cal 管理式医疗计划、ECM 提供商、利益相关者以及为接受 LTC 服务的个人提供服务的倡导者提供服务。 焦点包括：

• LTC POF 的关键 ECM 政策摘要，其中列出了为具有长期服务和支持需求的成员提供的各种支持以及 ECM 与这些模型相交叉的方式。
• 两个详细的成员小插图，说明了为 LTC POF 提供 ECM 的方法。 这些插图包括如何向参加 ECM 的成员提供过渡护理服务的例子，以及整合社区支持以便为个人及其护理人员提供最佳服务的策略。
• 有关潜在 ECM 提供商如何起步的指导，以及一系列关键资源和融资机会。

DHCS致力于为加州不断壮大的ECM服务提供商网络提供技术援助和支持。这是 DHCS 发布的 ECM 系列专题报道中的第三篇，旨在帮助利益相关者了解提供商如何定制 ECM 以满足不同 POF 的需求。要访问 ECM LTC POF Spotlight 和其他亮点，请访问 DHCS ECM 和社区支持网页。 

DHCS推出“成功之路”网络门户

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 ECM, Community Supports, and justice-involved services under CalAIM. 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 ECM and Community Supports for the Medi-Cal members they serve.  

Entities are invited to explore the new site and learn how PATH is helping organizations meet the needs of Medi-Cal members and provide coordinated, ongoing ECM and Community Supports. Please email your questions to communications@ca-path.com.

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：

• 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.

The salary range for this position is $11,435 to $13,623 per month. Possession of a medical license is desired, but not required. A salary range of $13,624 to $17,855 per month is available for candidates who are medical doctors or clinicians. (Final filing date: June 26)

DHCS is also hiring for 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

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

On June 25 at 10 a.m. PDT, DHCS will host the final CPE and Newborn Gateway portal overview webinar. Registration is available through the Medi-Cal Learning Portal. Additionally, a recording of the webinar will be available by searching for course code CNPE104RW.

Starting July 1, DHCS will introduce new online portals for providers to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full-scope coverage to eligible applicants. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. The Newborn Gateway portal is for reporting births with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours of birth or 24 hours after discharge. Providers must complete certification training to use these portals and enroll eligible infants into coverage starting on July 1.

CalAIM PATH 最佳实践网络研讨会

6 月 27 日上午 11 点至中午 12 点（太平洋夏令时），DHCS 将举办网络研讨会“更好地让符合条件的成员参与 CalAIM 的工具”（需要提前注册）。本次网络研讨会是 PATH 合作规划与实施 (CPI) 半年一次的系列网络研讨会的一部分，旨在重点介绍实施 ECM 和社区支持的最佳实践，提高医疗服务提供者成功参与 CalAIM 的程度，并改善与 Medi-Cal 管理式医疗计划、州和地方政府机构以及其他机构的合作，从而为 Medi-Cal 会员建立和提供高质量的支持服务。如需了解更多信息，包括过去的网络研讨会资源和录像，请访问PATH CPI 网页。