项目更新​​ 

卫生保健战略中心最近宣布，加利福尼亚州是参与其州养老院创新与透明度学习协作计划的五个州之一，另外四个州是肯塔基州、密歇根州、俄勒冈州和弗吉尼亚州。 这项为期一年的计划将支持参与团队实施创新战略，提高养老院的透明度和责任感。 州团队将获得一对一的技术援助并参与点对点的学习机会。 在学习协作结束时，参与的州团队将拥有证据、专业知识和最佳实践知识，以制定支持为居民提供有意义的疗养院护理改善的举措。​​  

加入我们的团队​​ 

DHCS 正在寻找高技能、积极性极高的人才担任以下职务：​​ 

• Medi-Cal 企业系统现代化主管负责领导该部门的所有信息技术 (IT) 管理和政策相关活动，包括使用敏捷方法/框架来确保项目和任务通过交付 IT 产品满足客户需求。 （最终提交日期：6 月 4 日）​​ 
• 信息技术战略服务主管，领导企业系统架构、治理、项目组合和交付管理以及行政活动方面的 IT 相关战略、政策和规划的制定、实施和管理。 （最终提交日期：6 月 4 日）​​  

DHCS 还在招聘通讯、人力资源、审计、卫生政策、信息技术和其他团队的人员。 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​​ 

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

On May 29 at 10 a.m. and June 6 at 1 p.m. PDT, DHCS will host CPE and newborn gateway portal overview trainings. Registration for these trainings is available through the Medi-Cal Learning Portal, where recorded trainings will be available.​​  

Effective July 1, DHCS will launch provider online portals to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full scope coverage to eligible applicants through an online portal. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. All providers seeking to participate must complete training available through the Medi‑Cal Learning Portal to become familiar with the updated portals and reporting requirements.​​  

The newborn gateway portal is for reporting the birth of a baby with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours after birth or 24 hours after discharge, whichever is sooner. All qualified presumptive eligibility providers are required to use this portal to report infants born to Medi-Cal or Medi-Cal Access Program members in their facilities, including hospitals, birthing centers, and other birthing settings.​​  

利益相关者咨询委员会 (SAC)/行为健康 (BH)-SAC 会议​​ 

On May 29, from 9:30 a.m. to 3 p.m. PDT, DHCS will convene the SAC/BH-SAC hybrid meeting (advance registration required). The meeting will include an update on Proposition 1 implementation.​​  

SAC为 DHCS 提供有关正在进行的加州推进和创新 Medi-Cal (CalAIM) 实施工作的宝贵意见，并帮助 DHCS 进一步努力提供高质量、公平的医疗服务。 BH-SAC为 DHCS 提供有关行为健康活动的意见。 它的创建是 DHCS 正在进行的努力的一部分，旨在将行为健康与更大的医疗保健系统相结合，并吸收了在行为健康主题上为 DHCS 提供建议的现有团体。​​  

CalAIM 管理的长期服务和支持 (MLTSS) 及双重集成工作组会议​​ 

5 月 30 日上午 10 时PDT、DHCS 将主办 CalAIM MLTSS 和 Duals 整合工作组虚拟会议（需提前注册）。该工作组是 CalAIM MLTSS 和双重资格成员综合护理的利益相关者合作中心，允许利益相关者就即将对 Medi-Cal 和 Medicare 进行的更改提供反馈并分享有关政策、运营和战略的信息。​​  

Agenda topics include updates on the Dual Eligible Special Needs Plan (D-SNP) State Medicaid Agency Contract and Policy Guide, Medicare enrollment data for dual eligible members, the Default Enrollment Pilot, and the 2025 Centers for Medicare & Medicaid Services Medicare Advantage and Part D Final Rule, as well as a presentation on Enhanced Care Management (ECM) and Community Supports for dual eligible members.​​  

以前的工作组会议的背景材料、记录和视频记录以及有关该工作组的其他信息均发布在CalAIM MLTSS 和 Duals Integration 工作组网页上。 如有问题或意见，请发送电子邮件至 info@calduals.org 。​​  

行为健康转型 (BHT) 公众聆听会​​ 

On May 30, from 1 to 2 p.m. PDT, DHCS will host a BHT public listening session on the County Integrated Plan for Behavioral Health Services and Outcomes. This session is open to the public.​​ 

In March, California voters passed Proposition 1, which includes the Behavioral Health Services Act (BHSA) and Behavioral Health Infrastructure Bond Act. The BHSA calls for new County Integrated Plans for Behavioral Health Services and Outcomes that require counties to demonstrate coordinated behavioral health planning using all services and sources of behavioral health funding to provide increased transparency, stakeholder engagement, and outcomes for all local services. During the public listening session, attendees can provide direct input on the guidance DHCS is developing for the County Integrated Plan for Behavioral Health Services and Outcomes.​​  

Visit the BHT webpage for more information about the monthly public listening sessions and additional resources. Please send questions related to BHT and/or the public listening sessions to BHTinfo@dhcs.ca.gov. Additionally, please sign up on our website to receive monthly BHT updates.​​  

Further, on June 3, from 2 to 3:30 p.m. PDT, the California Health & Human Services Agency will host a BHT all-comer webinar (advance registration required) for the public to learn more about BHT.​​  

加州儿童服务 (CCS) 重新设计绩效衡量质量工作组会议​​ 

On May 30, from 11 a.m. to 1 p.m. PDT, DHCS will virtually host the CCS Redesign Performance Measure Quality Workgroup meeting in accordance with Assembly Bill 118 (Chapter 42, Statutes of 2023). DHCS and the workgroup are partnering to develop utilization and quality measures, which will be reported annually, that relate to CCS specialty care for both Whole Child Model and Classic CCS counties. Additional information and meeting details are available on the CCS Redesign Performance Measure Quality Subcommittee webpage.​​  

CalAIM 为无家可归的个人和家庭举办网络研讨会​​ 

On May 31, from 1:30 to 3 p.m. PDT, DHCS will host an informational webinar (advance registration required) on the available ECM benefit and Community Supports services for individuals and families experiencing homelessness. DHCS will provide an overview of the impact of ECM and Community Supports on meeting members’ clinical and non-clinical needs. The webinar will also feature a panel discussion with providers and Medi-Cal managed care plans (MCP) that offer ECM and key housing-related Community Supports. DHCS will share guidance with MCPs, counties, and other providers on referring individuals to ECM and Community Supports, engaging members experiencing homelessness in ECM and Community Supports, and coordinating care across ECM and Community Supports providers.​​  

The webinar is open to all, but will be of special interest to MCPs, providers, and organizations working with individuals and families experiencing homelessness, including counties and community-based organizations. Participants may submit questions by May 28 to CalAIMECMILOS@dhcs.ca.gov. Attendees will be able to ask questions during the webinar.​​  

CalAIM 人口需求评估网络研讨会​​ 

On June 3, from 2:30 to 3:30 p.m. PDT, DHCS will host an all-comer webinar to provide an overview of policy guidance for the Population Needs Assessment (PNA). To support the success of the Population Health Management (PHM) Program and broader Medi-Cal transformation efforts, DHCS has redesigned Medi-Cal MCP requirements for developing a PNA, which has historically been the primary mechanism for MCPs to identify the priority health and social needs of their members, including any health disparities. DHCS requires MCPs to meaningfully participate in local health jurisdictions’ (LHJs) Community Health Assessments (CHA)/Community Health Improvement Plans (CHIP) rather than complete a separate PNA focused solely on their own members’ data. This meeting will provide an overview of the January 2024 PHM policy guidance for MCPs to participate in LHJ CHA/CHIP processes and a preview of the 2024 DHCS PHM Strategy Template.​​