5 月5日， 2025
项目更新
DHCS 发布更新的社区支持政策指南 - 第 1 卷和第 2 卷
On April 30, DHCS released an updated Community Supports Policy Guide, reorganized into two volumes to provide clearer and more targeted guidance. Volume 1 includes updated service definitions for eight Community Supports that address members’ health-related social needs, including Medically Tailored Meals/Medically Supportive Food, Asthma Remediation, and Transitions from Assisted Living Facilities or Institutional Settings. Volume 2 focuses on housing-related Community Supports, including the new Transitional Rent benefit, and provides guidance on services designed to support members experiencing or at risk of homelessness. Transitional Rent will be optional for managed care plans to offer starting on July 1, 2025, and will become the first mandatory Community Support on January 1, 2026.
为支持实施工作，健康与社会服务部将举办两次信息网络研讨会：
- 第 2 卷（住房专题）网络研讨会 - 5 月 14 日星期三，太平洋夏令时间下午 12 点至下午 1:30（需提前注册）
- 第 1 卷网络研讨会 - 5 月 16 日星期五，上午 11 点至下午 12:30（太平洋夏令时间）（需提前注册）
这些更新反映了来自管理性护理计划、医疗服务提供者和其他利益相关者的广泛反馈，并与 "强化护理管理和社区支持行动计划"保持一致。 我们鼓励各利益相关方查看更新后的指南并注册参加网络研讨会。欲了解更多信息，请参阅 " 强化护理管理和社区支持" 网页 和 DHCS 新的 " 健康住房 "网页 。
DHCS推出移动验光服务计划
4 月 17 日，DHCS 启动了 "流动视力服务计划"，在加州学校为 4 至 18 岁的低收入学生提供免费的视力筛查、检查、配眼镜和眼镜试戴服务。DHCS 与 Vision To Learn (VTL) 签订了提供流动验光服务的合同，VTL 是一家慈善流动验光服务提供商，目前在湾区、萨克拉门托、内陆帝国、橙县、大洛杉矶地区和圣地亚哥的学校开展业务。参议院第 502 号法案（2023 年法规，第 487 章）要求该计划的州匹配资金为慈善资金，而不是州普通基金。筹资工作正在进行中。随着资金的筹集，VTL 将把该计划扩展到该州的其他地区。如需了解更多信息，请发送电子邮件至MOSClinic@dhcs.ca.gov或访问移动验光服务计划网页。
牙科管理式护理转型
During the week of April 28, DHCS mailed 60-day notices to approximately 350,000 Medi-Cal members in Sacramento and Los Angeles counties to notify them of upcoming changes to their dental service delivery, effective July 1, 2025. The member notices explain what is changing, whether the member needs to make a plan choice, continuity of care protections, and other important information. The mailings also include a Medi-Cal managed care enrollment packet. Members in Sacramento County currently enrolled in Access Dental Plan or dental fee-for-service (FFS) must select a new Dental Managed Care plan, while members in Los Angeles County who do not choose a Dental Managed Care plan will remain in FFS. Members already enrolled with Health Net or Liberty will not be affected by these changes. Changing Dental Managed Care plans will not affect Medi-Cal coverage or benefits. Members will receive another notice 30 days prior to the effective date of the changes.
此外，在 5 月，加州醫療保險健康護理選擇（HCO）將向會收到加州醫療保險管理性護理註冊資料包的會員開展外撥電話活動。在这些电话中，HCO 代表将审查现有的牙科管理式保健计划选择，回答任何问题，并通过电话帮助会员注册所选择的计划。牙科过渡会员通知网页包括会员通知和其他有关牙科管理式保健过渡的信息。
加州微笑：幼儿园口腔健康评估活动
Watch for updates from Smile, California in May to help promote the Kindergarten Oral Health Assessment (KOHA) and encourage families to use their Medi-Cal dental benefits. Updates will include new homepage banners, email signature banners, social media posts, and newsletter content in both English and Spanish. Partner organizations are welcome to request physical KOHA toolkits to support events and organizational outreach efforts within your communities. You may request a physical toolkit by filling out and submitting the KOHA Toolkit Request Form. For additional information, please see the Smile, California Oral Health and School Readiness webpage.
加入我们的团队
DHCS 正在寻找一位有才华、有上进心的个人担任以下职务：
- 管理式医疗质量和监控部门(MCQMD) 主管：MCQMD 主管领导并监督 Medi-Cal 管理式医疗计划的合规相关活动。活动包括制定和实施全州管理式医疗计划政策、流程和改进和变革管理工作，以及为与计划相关的审计和合规计划提供技术援助和进行风险分析。MCQMD 局长还直接监督及时获得护理、网络充分性以及加州推进和创新 Medi-Cal (CalAIM) 计划，例如社区支持。申请必须在 5 月 7 日之前提交。
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 posts upcoming public meetings on the Calendar of Events.
最后一次 Doula 实施工作组会议
On May 9, from 10 a.m. to 12 p.m., DHCS will host the final Doula Implementation Workgroup meeting, as required by Senate Bill 65 (Chapter 449, Statutes of 2021), to examine implementation of the Medi-Cal doula benefit. The workgroup meeting, which is open to the public, will be held at 1501 Capitol Avenue in Sacramento. DHCS will present highlights from the draft report, including the workgroup’s recommendations. The final report is scheduled to be posted on the DHCS website by July 1, 2025. Please see the Doula Implementation Stakeholder Workgroup webpage for more information.
ECM最佳实践网络研讨会
On May 16, from 10 to 11 a.m. PDT, DHCS will host a public webinar, “Connecting Services for the ECM Justice-Involved Population of Focus Throughout the Reentry and Post-Release Process” (advance registration required). Guest speakers include HC2 Strategies and Scott Coffin of Serrano Advisors LLC. The webinar will help participants recognize the benefits of utilizing justice-involved referral and billing toolkits, identify strategies to increase justice-involved referrals for ECM and Community Supports providers, and discuss a reentry care plan designed to support linkages and handoffs to community-based organizations, justice-involved agencies, and managed care plans. Please submit any questions to collaborative@ca-path.com.
第 35 号提案：保护医疗保健法案 - 利益相关者咨询委员会 (SAC)
太平洋时间 5 月 19 日上午 10 点至下午 3 点，健康与社会服务部将召开下一次《保护获得医疗服务法案》SAC 会议。该委员会负责就制定和实施《2024 年保护获得医疗服务法案》（第 35 号提案）的内容向 DHCS 提供建议。会议材料将在会议日期临近时发布。有关会议的更多信息，请参阅《保护获得医疗服务法案》-SAC 网页。DHCS 公布了常见问题，解释了加州的管理式医疗组织税以及第 35 号提案的实施进展情况。如需一般咨询，请发送电子邮件至DHCSPAHCA@dhcs.ca.gov。
利益相关者咨询委员会 (SAC)/行为健康 (BH)-SAC 会议
On May 21, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
覆盖大使网络研讨会系列：分娩护理途径
太平洋标准时间 5 月 29 日上午 11 时至中午 12 时，DHCS 将举办 "承保大使 "网络研讨会，重点介绍 DHCS 的 "分娩护理途径 "倡议（需提前注册）。该网络研讨会将提供有关 Medi-Cal 怀孕和产后会员从受孕到产后 12 个月的产科服务信息。该倡议有助于确保 Medi-Cal 成员获得优质、公平的护理，以改善孕产妇健康状况并减少差异。保险大使还将了解 DHCS 的社交媒体页面，这些页面提供相关主题的最新信息，可使保险大使和 Medi-Cal 会员受益。