首頁DHCS 利益相關者新聞 - 五月12 、2023​​ 

DHCS Stakeholder News – May 12, 2023​​ 

熱門新聞​​  

Governor’s May Revision​​  

Governor Gavin Newsom proposed a $156 billion May Revision for DHCS programs and services for fiscal year 2023-24. It proposes to support vital services that reinforce the state’s commitment to preserve and improve the overall health and well-being of all Californians while operating within a responsible budgetary structure. Highlights include:​​  

Managed Care Organization (MCO) Tax and Medi-Cal Provider Rate increases. The May Revision includes the renewal of the MCO tax, effective April 1, 2023, nine months earlier than planned at Governor’s Budget. This earlier start results in approximately $3.7 billion in additional General Fund for calendar year 2023. Additionally, the May Revision increases MCO revenue (as compared to Governor’s Budget) to achieve an approximately $5 billion annual state benefit.
A portion of this revenue will support an increase in provider rates to at least 87.5 percent of Medicare for specified providers, including Primary Care (inclusive of nurse practitioners and physician assistants), Maternity Care (inclusive of OB/GYN and doulas), and non-specialty mental health services beginning January 1, 2024.
Additionally, in collaboration with key stakeholders in the Medi-Cal delivery system and with a focus on enhancing equitable access to care, DHCS will assess which ongoing, long-term rate augmentations will deliver the greatest benefit to improving Medi-Cal systems across California. The focus will be to look at additional augmentations to primary care, maternal care, and behavioral health as well as specialty care, outpatient, and acute care systems with attention on how to increase the commitment of providers to serve Medi-Cal members, support providers in disproportionately impacted areas, and build robust teams and programs with a strong workforce, to ensure care is provided in the right settings, at the right time, and at the highest quality. Following this process, DHCS will return with a proposed set of investments and augmentations that will be put forward to the Legislature in the 2024-25 Governor’s Budget, with an intended effective date of January 1, 2025. 
Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT). Formerly known as California Behavioral Health Community-Based Continuum (CalBH-CBC), the proposal continues to include the 1115 demonstration waiver to address the gaps in the behavioral health continuum of care for Medi-Cal members living with serious mental illness (SMI) and serious emotional disturbance (SED). The May Revision adds a new Workforce Initiative to the waiver, $480 million a year for the five years ($2.4 billion total funding), to strengthen the pipeline of behavioral health professionals, including improving short-term recruitment and retention efforts. 
Behavioral Health Modernization. The May Revision includes initial funding to support the behavioral health modernization proposal.​​  

五月修訂預算文件：​​ 

DHCS 宣布行為健康豁免的新名稱​​  

DHCS is renaming the proposed California Behavioral Health Community-Based Continuum (CalBH-CBC) demonstration waiver to better align with the Department’s mission, vision, and goals. It will now be known as the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) waiver. The name change emphasizes DHCS’ commitment to providing a robust continuum of community-based behavioral health care services and improving equity, quality, and access for all Medi-Cal members living with SMI and SED, particularly populations experiencing disparities in behavioral health access and outcomes. The waiver name is new, but its objectives and approach remain the same.  

The waiver is informed by findings from DHCS’ 2022 report, Assessing the Continuum of Care for Behavioral Health Services in California, and is a historic opportunity to make significant investments in the full continuum of care for behavioral health, with a particular focus on the most vulnerable populations. For more information about this waiver, please visit the DHCS website.​​  

專案更新​​  

更新人口需求評估概念文件​​  

DHCS released a concept paper that outlines DHCS’ vision of a reimagined PNA that Medi-Cal managed care plans (MCPs) are required to complete. DHCS envisions a modified PNA that promotes greater alignment with local health departments and other community stakeholders, more robust community engagement, and a deeper understanding of member health and social needs and preferences and the communities in which they live. This approach will help target resources and interventions to support improved health outcomes for Medi-Cal members. DHCS encourages feedback on the concept paper through written comments and by participating in upcoming public forums and advisory groups. DHCS will accept public comment through 5 p.m. on June 2, 2023, to PHMSection@dhcs.ca.gov, with the subject line “Comments on PNA Concept Paper”.​​   

Along with the concept paper, DHCS will soon issue a new All Plan Letter (APL) to replace APL 19-011 and provide near-term MCP guidance on the modified PNA and the new population health management strategy. For more information and regular updates, please visit the CalAIM Population Health Management Initiative webpage.​​  

健康註冊導覽器項目​​   

5月12日，DHCS通知合作夥伴，他們申請了通過眾議院第74號法案（2019年成文法第23章）和參議院第154號法案（2022年成文法第43章）撥付的剩餘未分配健康註冊導航員資金360萬美元。這些額外的資金將立即使合作夥伴能夠在連續承保解除期間，建立與 Medi-Cal 擴展和 Medi-Cal 更新有關的新活動和事件，並增加現有的活動和事件。有興趣協助這些工作的當地社區組織可參閱 DHCS 網站「項目合作夥伴」部份的「項目合作夥伴聯絡資訊」。​​  

中卡 Rx 更新​​  

5 月 19 日，第三期升降 3 將實施，解除 22 個標準治療課程的過渡政策。 這是一系列升降機中的第三次通過恢復拒絕代碼 75 — 需要事先授權，逐步取消歷史的先前授權和索賠。​​  

加利福尼亞州微笑醫療牙科服務活動​​ 

在 5 月 22 日的星期內，每月將發送一份微笑警報電子通訊給所有訂閱者，以提醒 Medi-Cal 會員參加 2023 年會員客戶服務調查。 該電子報還將引起關注 Smile California.org 上的常見問題頁面 ，在這裡 Medi-Cal 會員可以訪問有關 Medi-Cal 牙科保障的常見問題。​​    

家庭協定年度計劃報告​​   

5 月 12 日，DHCS 在家庭 PACT 網站上發布了《家庭計劃、接觸、護理和治療（家庭 PACT）計劃 2019-20 財政年度報告。 該法規要求每年對關鍵計劃指標進行分析。 本年度報告基於註冊和索償數據，其中描述 Family PACT 提供商和客戶群體、使用的服務類型以及計劃補償。 本報告中的服務日期為 2019-20 會計年度，該年度由 7 月 1, 2019 開始，並於 6 月 30, 2020 結束。​​  

加入我們的團隊​​    

DHCS is hiring! DHCS has an immediate opening for Deputy Director and Chief Counsel, Office of Legal Services. This executive role offers the right attorney an opportunity to lead DHCS’ legal team in providing comprehensive legal and regulatory services and advice regarding Medi-Cal and behavioral health.​​  

DHCS is also hiring for our fiscal, human resources, legal, auditing, health policy, communications, and information technology teams. For more information, please visit the CalCareers website.  ​​  

DHCS 致力於保護和改善所有加利福尼亞州人的整體健康和福祉。 DHCS 的使命是為最脆弱的居民提供公平的機會獲得經濟實惠、綜合、高質量的醫療保健服務，並目前正在改變 Medi-Cal 計劃，以確保它提供加利福尼亞人生活更健康、更快樂的生活所需的護理。​​  

即將舉行的利害關係人會議和網絡​​  

認知障礙症護理-認知健康評估（CHA）虛擬培訓​​  

從 2023 年 5 月 19 開始，認知障礙症 Care Aware 將每月在 CHA 上提供 Zoom 培訓（需要提前註冊），由加州大學歐文大學老人醫學專家領導。 CHA 是一種認知障礙症篩查方法，旨在在有需要認知篩查時對老年患者進行。 基層醫療服務提供者和團隊應於 5 月 19 日，以及其後每個月的第一個和第三個星期五參加培訓，以了解這項評估如何讓基層醫護提供者及其團隊更好地檢測患者的認知障礙症。 提供免費的持續醫學教育和持續教育單位。​​   

更新註冊 Medi-Cal 牙科服務提供者的要求和程序​​  

On May 22, from 1:30 to 3 p.m., DHCS will hold a public hearing via webinar (advance registration required) to discuss the regulatory provider bulletin entitled, “Updated Requirements and Procedures for the Enrollment of Medi-Cal Dental Providers.” Stakeholders can submit questions and suggestions during the hearing, and written comments will be accepted on the day of the hearing. Based on the public comments received, DHCS will publish the final bulletins on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.​​   

For those who are unable to attend, written comments to be considered prior to publication may be submitted by 5 p.m. on May 22 to DHCSPEDStakeholder@dhcs.ca.gov. Please ensure the commenter and organization/association represented are identified in the comment.​​  

利害關係人諮詢委員會（SAC）和行為健康利害關係人諮詢委員會（BH-SAC）會議​​   

5 月 24 日，上午 9 時 30 分至下午 3 時 30 分，DHCS 將主持 2023 年第二次 SAC 和 BH-SAC 混合會議（需提前註冊）。 它將以聯合會議開幕，主題由 SAC 和 BH-SAC 共享。 聯合會議後將舉行僅限 BH-SAC 的會議；沒有僅限 SAC 的會議。 與會者可以親自參加加利福尼亞基金會，位於薩克拉門托市中心 1414 K 街，或虛擬參加。 有關更多信息，請訪問 SAC 和 BH-SAC 網頁。​​  

費用表工作小組​​  

5 月 25 日，從下午 1 點到 3 點，DHCS 與管理健康護理部（DMHC）合作將虛擬主持第四次公共工作小組會議（需要提前註冊），討論兒童和青少年行為健康倡議下學校行為健康服務的全州全支付費表的制定。 DHCS 和 DMHC 將與代表 K-12 教育、高等教育機構、Medi-Cal MCP、商業健康計劃、縣行為健康部門、行為健康提供者、協會、倡導者、青年和家長/照顧者的合作夥伴關係，以提供各種政策和營運主題，以提供計劃設計的發展和改進。​​     

如果你錯過了​​  

DHCS Director Michelle Baass’ Message on the End of the COVID-19 Public Health Emergency (PHE)  ​​  

DHCS expresses gratitude to our plans, providers, stakeholders, and other partners for their commitment and partnership during the COVID-19 PHE. We worked together and adapted quickly to the pandemic’s challenges and difficulties to care for millions of Californians. Our joint efforts enabled us to navigate the PHE with resilience and perseverance, and we are grateful for your ongoing engagement.  Read the full statement.​​   

用於藥物使用障礙預防、治療和恢復的新救生工具和資源​​  

On May 11, DHCS launched a partnership with national nonprofit Shatterproof to help combat the substance use crisis, keep Californians safe, and provide recovery resources to those in need. The new resources include Treatment Atlas, a confidential addiction treatment locator, assessment, and standards website platform that connects individuals and their families to appropriate evidence-based, high-quality addiction treatment. Additionally, to empower individuals and change attitudes about substance use disorders, DHCS launched Unshame California, a science-driven and content-based campaign that promotes anti-stigma messaging through stories of Californians impacted by substance use disorders. Both of these resources are available in English and Spanish.​​   

已發佈的 COVID-19 信息​​