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DHCS 覆盖大使
DHCS 已发起全州范围的活动，帮助 Medi-Cal 受益人保留他们的 Medi-Cal 保险或加入其他保险。
In the largest effort of its kind, across the country, Medicaid (e.g., Medi-Cal) and the Children’s Health Insurance Program will soon begin the process of redetermining eligibility for about 85 million people who use these programs to access the health care they need. This large, complex effort will be triggered by the official end of the COVID-19 public health emergency (PHE) and the end of the federal Medicaid continuous coverage requirement that was implemented as part of the Families First Coronavirus Response Act.
由于加州计划恢复正常的 Medi-Cal 资格审核工作，大约 1450 万受益人将需要重新确定其承保资格。 在 PHE 结束时，各县将根据下一个年度续订日期（滚动进行而不是一次性进行）重新确定所有受益人的 Medi-Cal 资格。 该程序的结果是，两百万至三百万受益人不再有资格享受 Medi-Cal。
DHCS has been actively preparing for this unprecedented event for many months, and has implemented a two-phased communication campaign to reach beneficiaries with messages across multiple channels using trusted partners called DHCS Coverage Ambassadors. DHCS encourages its partners, including local county social services agencies, managed care plans (MCPs), health enrollment navigators, clinics, providers, and community stakeholders, to sign up to serve as DHCS Coverage Ambassadors.
For Phase 1 of the campaign, DHCS recently launched a customizable Medi-Cal Continuous Coverage toolkit and webpage to help trusted entities and individuals act as DHCS Coverage Ambassadors to provide critical information to beneficiaries and to help preserve health coverage for millions. The toolkit includes social media, call scripts, noticing, and website banners. During Phase 1, trusted entities and individuals encourage beneficiaries to update their contact information with their local county offices, if they have not done so already. Beneficiaries need to know what to expect and what they can do to keep their Medi-Cal health coverage. Those no longer eligible for Medi-Cal may qualify for tax subsidies that allow them to buy affordable Covered California coverage.
第 2 阶段计划在 COVID-19 PHE 结束前约 60 天启动，旨在鼓励受益人更新联系信息并向当地县办公室报告任何情况变化，以及查看邮件中是否有即将到来的续订包。 随着有更多工具包或资源可用，DHCS 将通过电子邮件发送重要更新，让 DHCS 覆盖大使随时了解情况，以便他们能够传播信息。
DHCS 知道，在我们共同采取措施摆脱 COVID-19 PHE 之际，分享信息和听取您的反馈非常重要。 我们需要所有人通力合作，帮助我们的受益人了解他们必须做什么以及何时做才能维持或转变他们的医疗保险。 感谢您一直以来的合作。
Medi-Cal COVID-19 疫苗接种激励计划
从 9 月1,2021, 到 2 月28,2022 ，DHCS 拨款高达 3.5 亿美元，用于激励 Medi-Cal 管理性医疗服务系统中的 COVID-19 疫苗接种工作。Medi-Cal MCP 有资格获得奖励金，用于开展旨在缩小其注册会员的疫苗接种差距的活动，以及解决特定年龄和种族/民族群体的疫苗接种差距问题。该计划的第二个成果确认期于 1 月 2 日结束。在 11 月 1 日至 1 月 2 日期间，所有报告的接种率均有所提高。全州的目标（59.2在提高 MCP 网络中初级医疗服务提供者在诊室接种 COVID-19 疫苗的比例方面，该比例（61.4%）超额完成。1 月 2 日，所有疫苗结果衡量的目标均提高到缩小 Medi-Cal 与县级比率之间三分之二的差距，这对计划而言是一项挑战。三个受益人子群体（12-25 岁、非裔美国人和美国印第安人/阿拉斯加原住民）在这一时间点成功缩小了三分之一以上的差距，而另外三个群体（12 岁以上、50-64 岁和 65 岁以上的总体年龄）缩小三分之一差距的差距在 2% 以内。向多边协商程序发布了高性能游泳池计划的规范。欲了解更多信息，请参阅所有计划信函 (APL)21-010，附录 A。
老年人拓展
5 月 1 日，加州将把州资助的全范围 Medi-Cal 福利扩大到 50 岁或以上的个人，无论其公民身份或移民身份如何。这一覆盖范围的扩大包括约 18.5 万名 50 岁或以上的个人，他们目前已加入限制范围的加州医保。 在这一承保范围的扩大下，符合条件的个人将能够获得 Medi-Cal 受益人享有的全范围承保的全部福利，包括无费用/低费用的优质医疗、行为健康、药物使用障碍服务，以及通过 Medi-Cal 计划下的有组织交付系统提供的牙科服务。限制範圍 Medi-Cal 中符合此擴展資格的入會個人將收到郵寄的 My Medi-Cal Choice資料包，以便他們加入 Medi-Cal 管理性護理計劃，獲得協調、綜合的醫療必需服務。一旦加入计划，他们就可以在计划网络中选择一名主治医生。如需了解更多信息，请访问 DHCS 网站。
加州 55 岁及以上居民的医疗保健调查
In April, DHCS will release the results from a survey of California adults ages 55 and older on health care needs, services, and coverage, including Medicare, Medi-Cal, and other health coverage. The survey included questions about respondents’ medical needs, coordination of and access to health care services, caregiver experiences, and the need for and access to in-home care and services. Interviews for this survey were conducted between January 25 and February 10, 2022. A total of 1,540 individuals completed the survey. It was administered by NORC at the University of Chicago, with funding from The SCAN Foundation and oversight from DHCS’ Office of Medicare Innovation and Integration. The survey results will be posted on the DHCS website.