热门新闻​​ 

增加学生获得行为健康支持的机会​​ 

DHCS 最近宣布，"儿童与青少年行为健康倡议（CYBHI）收费表计划 "已取得积极成果，该计划是一项首创的多方付费计划，旨在向地方教育机构（LEA，即学区和县教育办公室）和公立高等教育机构（IHE）报销为学生提供行为健康支持的费用。

截至 10 月15 ，2025 ，CYBHI 收费表计划已注册了 500 多个地方教育机构和独立高等教育机构，并为 26,000 多项服务报销了 180 多万美元。此外，还有 5,000 多名学生接受了申请报销的服务。此外，55 个地方教育机构和国际高等教育机构通过该计划提交了报销申请，代表了 32 个管理性医疗计划和其他保险公司。这些早期成果反映了收费表计划启动不到两年、参与者首次有资格收取服务费仅一年多的时间里所取得的重大进展。​​ 

为了提高收费表计划的使用率，健康与社会服务部发布了《地方教育机构和独立高等教育机构CYBHI收费表计划指南》，为医疗服务提供者参与该计划提供了全面指导，并向家长和看护人开展了关于该计划及学生如何受益的公众宣传活动。请访问CYBHI 收费表网站了解更多信息。​​ 

项目更新​​ 

现已开放：管理式医疗登记经纪人采购​​ 

On November 5, DHCS released Invitation for Proposal (IFP) 25-007 to entities that may be able to deliver Medi-Cal managed care plan enrollment services. The enrollment broker helps Medi-Cal members enroll in, change, or leave Medi-Cal managed care plans; assists Medi-Cal members with selecting a primary care provider; creates and distributes informational materials; and supports member education and outreach. DHCS will award a single contract to the applicant that meets all qualifications and demonstrates the greatest overall value to the state. The opportunity is open to all eligible applicants, including commercial businesses, nonprofit organizations, state or public universities (including auxiliary organizations), and other entities that meet the proposal requirements. For more information about this procurement, please visit the Procurement and Contract Division webpage.​​ 

加州医保处方医生管理药物政策更新​​ 

正如 10 月 17 日发布的 "30 天倒计时：10 月 17 日发布的 Medi-Cal Rx 医生管理药物政策即将发生变化的提示中，DHCS 对 Medi-Cal Rx 医生管理药物 (PAD) 政策进行了修改，这对医疗服务提供者和会员获取某些 PADs 产生了一些意想不到的下游影响。为了减轻这些影响并确保继续使用，DHCS 暂时收回了最近的政策更新，并迅速恢复了之前的政策。为了提高人们的认识，10 月 30 日，DHCS 在 Medi-Cal Rx 网站上发布了一则警示。

DHCS 将很快安排与主要利益相关者（包括药房提供者、处方者和管理性医疗计划）的会议，以提高透明度，并协助 DHCS 在实施前完成 PAD 政策的修改。这是为了确保该政策符合 DHCS 的总体意图，并有助于继续获得护理。一旦通过该程序最终确定了 PAD 政策并确定了实施日期，DHCS 将通过正常渠道提前通知药剂提供者、处方者和管理性医疗计划，以确保整体准备就绪。​​ 

加入我们的团队​​ 

DHCS is hiring for its Accounting, Licensing and Certification Division, Quality and Population Health Management program, 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​​ 

DHCS 在 DHCS活动日历上公布即将举行的公开会议。DHCS 提供免费的辅助服务，包括语言翻译、实时字幕和会议材料的替代格式。如需申请服务，请在会议召开前至少十个工作日向 DHCS 发送电子邮件至相应的联系邮箱。​​ 

64 号提案咨询小组会议​​ 

On November 13, from 10 a.m. to 2 p.m. PST, DHCS will host the Proposition 64 Advisory Group meeting. The meeting will be held in hybrid format at the Sierra Health Foundation Center for Health Program Management, 2150 River Plaza Drive, Suite 400, Sacramento. At the meeting, participants will hear presentations from DHCS, the California Natural Resources Agency, the California Departments of Social Services and Public Health, and The Center at Sierra Health Foundation on progress achieved over the last year with their Proposition 64 Youth Education, Prevention, Early Intervention and Treatment (YEPEITA)-funded programs. Meeting information, including the agenda and other materials, will be posted on the Proposition 64 Advisory Group webpage. Please email your questions to DHCSProp64@dhcs.ca.gov.​​ 

CalAIM MLTSS 和 Duals 集成工作组会议​​ 

太平洋标准时间 11 月 19 日中午 12:00 至下午 1:30，DHCS 将举办加州推进和创新 Medi-Cal (CalAIM) 长期服务和支持管理 (MLTSS) 及双重福利整合工作组会议（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枢纽。它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。 会议议程包括有关 2026 年 Medi-Medi 计划扩展、完全对齐投保 (EAE) 双重资格特殊需求计划 (D-SNP) 默认投保试点以及 2026 年 D-SNP 州医疗补助机构合同和政策指南的最新信息。它还将涵盖 Medi-Medi 计划与县行为健康和双重医疗保险注册数据之间的协调。CalAIM MLTSS 和双轨制整合工作组的网页上发布了更多信息、背景材料、文字记录以及之前工作组会议的视频录像。 如有问题或意见，请发送电子邮件至 DHCS：info@calduals.org。​​ 

报道大使网络研讨会系列​​ 

On November 20, from 11 a.m. to 12 p.m. PST, DHCS will host a Coverage Ambassador webinar (advanced registration required). DHCS will share overviews of the Medi-Cal adult expansion enrollment freeze and asset limit reinstatement and upcoming changes to the Medi-Cal Rx pharmacy benefit. Coverage Ambassadors help spread the word about Medi-Cal benefits, enrollment information, and new projects focused on creating a healthy California for all. Please visit the Coverage Ambassador website for more information, including how to subscribe to receive regular updates.​​ 

如果你错过了​​ 

加州医保家庭和社区服务（HCBS）1915(c) 加州发育障碍者豁免的拟议修正案​​ 

DHCS is seeking input from members, providers, and other interested stakeholders on the proposed amendment to the Medi-Cal HCBS 1915(c) Waiver for Californians with Developmental Disabilities (HCBS-DD waiver). DHCS plans to submit the proposed waiver amendment to the federal Centers for Medicare & Medicaid Services (CMS) by November 28, for a proposed effective date of March 1, 2026. Copies of the proposed amendment can be obtained and comments may be submitted by emailing Federal.Programs@dds.ca.gov. Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.​​