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主页新闻室 - 交流办公室2024 年 10 月 7 日 - 利益相关者最新动态​​ 

2024 年 10 月 7 日--利益相关者最新消息​​ 

热门新闻​​ 

SB 525(医疗保健最低工资上涨)​​ 

10 月 1 日,DHCS 主任 Michelle Baass通知联合立法预算委员会,DHCS 启动了必要的数据检索工作,以便从 1 月开始的计划期间增加医院质量保证费用收入,1 ,2025 。医疗保健最低工资上调将在通知发布 15 天后,即 10 月 16 日生效,除非指定了更晚的生效日期。有关医护人员最低工资上调的更多信息,包括按设施类型划分的生效日期,请参阅劳资关系部的常见问题。​​ 

Smile 加州移动牙科车将访问三一县​​ 

The Smile, California mobile dental van is hitting the road again and will be in Trinity County from October 9-12. In partnership with the California Department of Public Health (CDPH), Trinity County, and the California Dental Association, this Medi-Cal dental initiative is just one effort underway to enhance member use of essential dental care and improve oral health outcomes in rural communities. The mobile dental van tour will provide preventive and treatment services to residents of Trinity County, including Medi-Cal members.​​ 

Services performed onsite can include exams, X-rays, treatment planning, cleanings, fillings, root canals, fluoride applications, and more. DHCS and its partners are dedicated to advancing preventive dental services for children and adults living in areas throughout California with limited access to dental care.​​ 

The Smile, California dental van tours are part of DHCS’ policy to increase member access to mobile dental services and ensure that members, especially those in rural communities, have access to equitable, quality care. Medi-Cal members interested in attending this event may register by calling (888) 585-3368, and members can find a dentist online.​​ 

项目更新​​ 

Medi-Cal 登记要求和程序​​ 

Effective November 25, community-based organization (CBO) enrollment applications may include community health workers (CHW) offering justice-involved services and licensed/unlicensed individuals rendering care management services. This option will be available to both first-time CBO applicants and currently enrolled CBO providers submitting a supplemental application. Additionally, county children and families commissions that provide CHW and asthma preventive services will be eligible to apply to enroll in the Medi-Cal program.​​ 

10 月 8 日上午 10 时至 11 时 30 分在太平洋时间,DHCS 将 通过网络研讨会 (需提前注册)举行 利益相关者听证会 ,讨论题为 "社区组织、地方卫生辖区和县儿童与家庭委员会 Medi-Cal 注册要求和程序更新 "的监管提供者公告。可在听证会期间通过网络聊天工具提交书面意见、问题或建议。对于那些无法出席会议的人,必须在太平洋标准时间 10 月 8 日下午 5 点之前提交书面意见,以便考虑公布。在提交书面评论时,请确保在评论中同时注明评论者和所代表的组织/协会。书面意见应提交至DHCSPEDStakeholder@dhcs.ca.gov。根据收到的公众意见,DHCS 将在Medi-Cal提供者和DHCS 提供者注册部网站上发布最终公告。​​ 

专业护理机构劳动力标准计划​​ 

10 月 1 日,DHCS 启动了熟练护理机构 (SNF) 劳动力标准计划 (WSP) 的选择加入程序。该计划将为维持集体谈判协议、参加全州多雇主劳动管理委员会或达到 DHCS 规定的基本工资和福利标准的 SNF 提供更多的劳动力费率调整。SNF WSP 每年提供 5 亿多美元,使 SNF 能够招聘和留住为 Medi-Cal 会员提供高质量长期护理的员工。​​ 

WSP 将责成 SNF 为约 100,000 名长期护理人员提供公平的补偿和福利。WSP 是 众议院第 186 号法案(《2022 年法规》第 46 章) 颁布的更广泛的一揽子护理机构融资改革举措的一部分,该 法案 还包括 劳动力& 质量激励计划 问责制制裁计划 。希望在 2024 和 2025 日历年参与 WSP 的 SNF 必须在1 12 月之前提交所需的选择材料,2024 。请访问SNF WSP 网页了解更多信息。​​ 

Additionally, on November 6, from 10 to 11 a.m. PST, DHCS will host a provider webinar (advance registration required) to provide an overview of the WSP opt-in process. Providers can send questions they would like answered during the webinar to SNFWSP@dhcs.ca.gov by October 30.​​ 

2024 年人口健康管理 (PHM) 战略交付成果 - 模板链接现已发布​​ 

2024 年 6 月,DHCS 发布了 Medi-Cal 管理性护理计划 (MCP) 完成 2024 年 PHM 战略交付的说明。可交付成果的可填写 PDF 模板,包括 "提交说明"、 "第 1 部分模板"和 "第 2 部分模板",现已在PHM 网页上提供。可交付成果的最初截止日期为 10 月 31 日,但由于多边协商进程需要更多时间,截止日期延长至 11 月 22 日。​​ 

The purpose of this annual deliverable is to provide DHCS with updates on MCPs’ PHM programs, including progress in meaningful participation in the Community Health Assessments (CHA)/Community Health Improvement Plans (CHIP) led by Local Health Jurisdictions (LHJ) in the service areas where MCPs operate. The MCP-LHJ collaboration on the CHA/CHIP will support MCPs’ ability to identify needs and strengths within members’ communities as well as reduce siloed approaches to PHM. This collaboration will allow MCPs and their community partners to improve the lives of members more effectively.​​ 

更新:公平与实践转型 (EPT) 支付计划​​ 

DHCS 的EPT是一项定向支付计划,旨在激励参与 Medi-Cal 签约初级保健实践,按照 DHCS 的综合质量战略,开展提高质量、人口健康和健康公平的活动。在 7 月 17 日的一周内,DHCS 向所有参与的利益相关者宣布了 EPT 计划的更新和 2024-25 财年最终预算批准后的变化,该预算将 EPT 资金减少了 80%。预算要求对该计划进行重组,以确保其切实可行并取得成功。所有原有的基层医疗机构都有资格继续参与新调整的计划。不过,医疗机构可获得的最高潜在付款额有所减少。此外,还调整和减少了活动和里程碑的数量。请参见新的活动和里程碑。DHCS 没有计划进行第二批 EPT 培训。​​ 

在 7 月 22 日的一周内,DHCS 和人口健康学习中心为医疗机构、MCP 和协会举办了网络研讨会,介绍计划重新设计的概况。如果该计划不符合医疗机构当前的目标和战略计划,医疗机构将获得有关如何退出该计划的详细信息和说明。针对这些实践的技术援助网络研讨会于 8 月 12 日开始。​​ 

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:​​ 

  • 供应商注册部门 (PED) 主管,负责领导与供应商注册相关的政策、流程和服务的制定和实施,包括筛选、注册和重新认证 Medi-Cal 供应商。 此外,PED 主管全权负责制定和实施监管和流程变更,以满足提供商申请和注册验证系统的业务要求和增强功能。 (最终提交日期:10 月 14 日)​​ 
  • 地方政府融资部负责人,提供组织领导并制定政策,支持 Medi-Cal 行为健康和地方教育机构服务计划以及其他地方和县政府联邦报销和融资监督活动。 (最终提交日期:10 月 18 日)​​ 

DHCS 还在为其网站、审计、卫生政策、信息技术和其他团队招聘人员。如需了解更多信息,请访问CalCareers网站。​​ 

即将举行的利益相关方会议和网络研讨会​​ 

行为健康转型质量与公平咨询委员会会议​​ 

太平洋时间 10 月 8 日上午 10 点至中午 12 点,健康与社会服务部将举办行为健康转型质量与公平咨询委员会成立大会(需提前注册)。该委员会是 "1 号提案 "行为健康转型的非官方要求部分,支持制定行为健康的质量和公平战略。该委员会与 DHCS 合作,就衡量和评估行为健康服务的要求提供反馈意见。会议向公众开放,公众将有机会发表意见。请访问行为健康转型网页了解更多信息,或将问题发送至BHTInfo@dhcs.ca.gov。​​ 

改善获得增强护理管理 (ECM) 的机会网络研讨会​​ 

DHCS released updated policies that will allow members to access ECM more quickly and will standardize administrative practices across MCPs. DHCS worked extensively with stakeholders to develop an updated ECM presumptive authorization policy in the ECM Policy Guide (page 107), which allows qualified ECM providers to offer services immediately upon meeting a member for up to 30 days while a formal referral is made. In addition, DHCS released statewide ECM Referral Standards that will require streamlined, uniform practices across MCPs, including new guidance prohibiting certain types of information collection that could delay the timely receipt of ECM services. The policy and standards take effect on January 1, 2025, and MCPs are currently operationalizing the new guidance.​​ 

On October 9, from 11 a.m. to 12 p.m. PDT, DHCS will host an all-comer webinar to share details on the policy and standards. Advance webinar registration is required. This webinar is open to all and will be of special interest to MCPs, providers, community partners, and organizations referring members to ECM. Stakeholders may also direct questions about the new guidance to CalAIMECMILOS@dhcs.ca.gov.​​ 

更新的综合核心实践模型 (ICPM) 指南和综合培训指南 (ITG) 网络研讨会​​ 

On October 9, from 11 a.m. to 12:30 p.m. PDT, the University of California, Davis will host an informational webinar (advance registration required) to support the launch of the new ICPM Guide and ITG. These resources will help managers, service coordinators, social workers, foster youth liaisons, youth probation officers, and others who support the local System of Care for Children and Youth in enhancing and improving sustainable safety, permanency, and well-being for children and families across California.​​ 

网络研讨会将概述更新后的《ICPM 指南》和《ITG》以及实践层面的内容。之前于 9 月 18 日举行的网络研讨会为地方机构间领导小组成员提供了关于更新的《机构间比较方案管理指南》和《信息技术小组》、领导行为和实施的总体概述。​​ 

California Children’s Services Advisory Group Meeting​​ 

On October 9, DHCS will host the quarterly meeting of the California Children’s Services (CCS) Advisory Group. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include a post-transition update on the Kaiser Permanente January 1, 2024, WCM implementation and the WCM January 2025 expansion progress, as well as updates from Blue Shield Promise Health Care Plan on childhood lead poisoning prevention services; the CCS Compliance, Monitoring, and Oversight Workgroup; and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are available on the CCS Advisory Group webpage.​​ 

行为健康工作组 (BHTF) 网络研讨会​​ 

On October 15, from 12 to 1:30 p.m. PDT, the BHTF will hold a webinar on population-based prevention (advanced registration is required). Participants include Dr. Tomás Aragón, MD, DrPH, Director of CDPH and State Public Health Officer, and Julie Nagasako, Deputy Director of the Office of Policy and Planning at CDPH. This webinar will help prepare attendees for an in-depth discussion at the November 13 BHTF quarterly meeting. The webinar will be recorded and posted on the BHTF website. For questions, comments, or to join the BHTF listserv, please email BehavioralHealthTaskForce@chhs.ca.gov.​​ 

利益相关者咨询委员会 (SAC)/行为健康 (BH)-SAC 会议​​ 

On October 16, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the SAC/BH-SAC meeting (advance registration required) at 1700 K Street (first floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts and helps DHCS further its efforts to provide high-quality, equitable care. BH-SAC provides DHCS with input regarding behavioral health activities and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. It incorporates existing groups that have advised DHCS on behavioral health topics. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.​​ 

DHCS 减害峰会​​ 

Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). Through these convenings, DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder (SUD) treatment system and create low-barrier, patient-centered care. DHCS encourages SUD treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in SUD treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into SUD treatment. Additional summits will be held in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.​​ 

选择家庭网络研讨会:跨性别者和性别多元化人士的避孕方法​​ 

On October 29, from 10 a.m. to 11:30 a.m. PDT, DHCS and the California Prevention Training Center will host the Chosen Family: Contraception for Transgender and Gender Diverse People webinar (advanced registration required). Transgender and gender diverse (TGD) people represent a growing subset of patient populations, yet many continue to report a lack of provider knowledge when it comes to TGD health. This webinar will build upon TGD health terminology and competency essentials by reviewing evidence-based recommendations for contraceptive counseling. For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.​​ 

面向医疗服务提供者和听力专业人士的儿童助听器覆盖计划 (HACCP) 网络研讨会​​ 

On November 12, from 12 to 1 p.m. PST, DHCS will host the quarterly HACCP webinar for medical providers and hearing professionals. For more information and to register, please visit DHCS’ HACCP webpage.​​ 

面向家庭和社区伙伴的 HACCP 网络研讨会​​ 

12 月 3 日,太平洋标准时间上午 11 点至下午 12 点,DHCS 将举办网络研讨会,与家庭和社区合作伙伴分享有关申请助听器承保和加入后最大化 HACCP 福利的指导。如需了解更多信息并进行预先登记,请访问HACCP 网页。​​  

如果你错过了​​ 

扩大行为健康服务的关键融资机会​​ 

On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications. Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. Interested parties can find application instructions on the BHCIP website and must sign up for a pre-application consultation by October 15 in order to be eligible. Applications must be submitted by December 13. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.​​