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加州加強 Medi-Cal 品質評等的問責性

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加州加強 Medi-Cal 品質評等的問責性

DHCS’ Quality Improvement Strategies Are Driving Measurable Progress Across Medi-Cal

SACRAMENTO — The California Department of Health Care Services (DHCS) today released the 2024 quality ratings for Medi-Cal managed care plans (MCP) and county behavioral health plans (BHP), highlighting measurable improvements in care quality, expanded oversight, and a deepening commitment to health equity across the state’s Medi-Cal delivery system.

This is the fourth year of MCP ratings and the third for BHPs. The ratings are based on performance against the Managed Care Accountability Set and Behavioral Health Accountability Set measures for services delivered from January to December 2024. These measures evaluate how well plans deliver high-quality, equitable care across key domains, such as preventive services, behavioral health, maternal health, and chronic disease management. They also inform DHCS’ oversight of managed care and county behavioral health systems, supporting enforcement actions, such as monetary sanctions and Corrective Action Plans (CAP), when performance standards are not met. Among the key findings:

BHPs are being held accountable through CAPs, with 10 of 56 Mental Health Plans and 29 of 38 Drug Medi-Cal Organized Delivery System plans receiving CAPs based on performance calculated using Medi-Cal Connect, DHCS’ statewide data analytics platform.

“These results reflect our shared commitment to advancing quality and equity across the Medi-Cal delivery system,” said DHCS Director Michelle Baass. “We are seeing real progress in areas like children’s preventive care, dental services, and behavioral health performance. We know there’s more work to do, and we’re holding ourselves and our partners accountable every step of the way.”

DHCS is transitioning to performance-based oversight with a strong emphasis on equity and data-driven progress. For example, in 2025, the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECTAccess, Reform and Outcomes Incentive Program began offering payments to BHPs that demonstrate progress on key behavioral health measures.

“This isn’t just about numbers; it’s about making real, positive changes in the way care is delivered,” said Dr. Palav Babaria, Chief Quality and Medical Officer and Deputy Director of Quality and Population Health Management. “We’re doing it in partnership with our MCP and BHP partners, and I’m incredibly proud of the progress we’ve made so far. Every step we take is about building a Medi-Cal health care delivery system that works for all members.”

Dr. Babaria added, “By leveraging data, aligning incentives, and listening to the voices of Medi-Cal members, we’re creating a system that not only measures performance, but also supports continuous learning and improvement. Our goal is to ensure that every Californian, regardless of geography or background, has access to high-quality, coordinated care.”

Updated fact sheets, enforcement reports, and sanction letters are available on the Medi-Cal Managed Care Monitoring page.

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Elevate Youth California: New Grants Strengthen Community-Based Prevention Across the State

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Elevate Youth California: New Grants Strengthen Community-Based Prevention Across the State

加州資助 57 個組織以支援青年領導力及減少藥物使用

SACRAMENTO — The Department of Health Care Services (DHCS) today awarded nearly $47 million in grants to 57 community-based and Tribal organizations throughout California to help prevent substance use among youth. These grants support programs that focus on mentoring, peer support, and civic engagement for young people in communities that have historically faced barriers to accessing these services. 

“This funding empowers youth to lead change in their communities,” said DHCS Director Michelle Baass. “By supporting culturally responsive, peer-led programs, we’re investing in the resilience and long-term wellness of California’s young people.”  

Each organization will receive up to $1 million in total over a three-year period, from January 1, 2026, through December 31, 2028, to implement the Elevate Youth California (EYC) program. EYC is designed to help youth ages 12 to 26 build leadership skills, connect with mentors, and access culturally responsive support services.  

WHY THIS MATTERS:This funding is part of a larger effort by DHCS to strengthen California’s substance use disorder prevention programs. EYC helps youth-serving organizations use evidence-based and community-driven approaches to support young people. Programs funded through EYC are healing-centered, trauma-informed, and culturally and linguistically responsive. EYC prioritizes substance use prevention and public health strategies that build resilience. 

This investment also supports Governor Gavin Newsom’s Path & Purpose executive order, which calls on state agencies to support young men and boys in service and leadership and provide meaningful and caring adult relationships for young people living in the highest need communities. All awarded organizations welcome young men and boys. While EYC requires that funded initiatives focus on underserved communities, all genders may participate. DHCS’ 2024 Annual Report shows that 37 percent of the population served by EYC programs are boys. 

WHAT THEY ARE SAYING: “Elevate Youth California funding has been more than just support, but transformative in our practices as a program,” said Ilien Tolteca, Youth Coordinator for the Mixteco Indigena Community Organizing Project. “This funding has allowed us to create and enhance our satellite sites across our city, serving and fostering community with 60 to 100 Indigenous youth from the Mixteco, Zapotec, and many other Diasporic communities throughout the Central Coast. It has strengthened autonomous youth leadership, cultural knowledge, and accessibility to higher education resources/tools for our youth.” 

“The EYC grant has allowed us to provide vital prevention services to foster youth, youth on probation, and others in our community,” said Anthony Hughey, Executive Director of The Young People’s Foundation, Inc. “We’ve built long-term relationships with youth from underserved Black and brown communities and developed peer leaders who are driving change.” 

ABOUT EYC: Since EYC launched in 2019, DHCS has awarded more than $370 million through 517 grants. EYC is funded by Proposition 64, passed by voters in November 2016, which legalized adult non-medical marijuana use in California and created a tax system to regulate cannabis sales. A portion of that tax revenue supports EYC through DHCS, funding youth-focused prevention and leadership programs statewide. These grants support youth development, civic engagement, and peer-led support in 56 of California’s 58 counties.    

PATH AND PURPOSE: In July, Governor Gavin Newsom issued an executive order to address a growing issue — the alarming rise in suicides and disconnection among California’s young men and boys. The order directs a coordinated statewide response to improve mental health outcomes, reduce stigma, and expand access to meaningful education, work, and mentorship opportunities. The full executive order can be found here. The executive order helps address this crisis, directing state agencies to create a new focus on this issue and developing new pathways to help reconnect men and boys with the support, assistance, and help they need. 

To see the full list of EYC grant recipients and learn more about EYC, visit www.elevateyouthca.org.

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California Awards $145 Million To Expand Provider Capacity to Deliver CalAIM Services

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California Awards $145 Million To Expand Provider Capacity to Deliver CalAIM Services

基金將協助醫療服務提供者為會員實施全面、以人為中心的照護協調

SACRAMENTO — The California Department of Health Care Services (DHCS) today announced $145.5 million in awards to 153 organizations across all 58 counties to strengthen services for Medi-Cal members. Enhanced Care Management (ECM) and Community Supports are core components of California Advancing and Innovating Medi-Cal (CalAIM), DHCS’ broad transformation of Medi-Cal to create a more coordinated, person-centered, and equitable health system that works for all Californians. They offer tailored, community-based services, including in-person care coordination, housing support, and other vital resources for Medi-Cal members with complex needs. The awards are part of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative, which helps local providers grow their ability to deliver whole-person, community-based care.

為了支持 ECM 和社區支援的擴展,DHCS 已透過其 PATH 倡議(包括 CITED、協作規劃與實施以及技術援助市場)向 2,200 多個組織提供了超過 16.6 億美元的獎金。這些努力已讓超過 373,000 位 ECM 投保人受惠,提供了超過 100 萬項社區支援服務,並大幅擴大了兒童和青少年的使用機會,單是 2025 年初就同比增加了 120%。

“PATH CITED represents a vital investment in the future of Medi-Cal and the health of California,” said DHCS Director Michelle Baass. “By empowering local providers, many of whom serve historically under-resourced communities, we are strengthening the foundation of a more equitable, person-centered delivery system. Together, we’re creating lasting change that connects Medi-Cal members to the care and support they need to live healthier, more fulfilling lives. I’m proud of the progress we’ve made and the partnerships that made it possible.”

Recent data show that investments like these are resulting in long-term savings for California’s Medi-Cal program. Community Supports have been proven cost-effective, reducing avoidable emergency department visits, hospitalizations, and long-term care use. By investing now, DHCS is helping ensure a more sustainable, efficient, and equitable health care system for the future.

請觀賞以下短片,直接聆聽過往獲獎者的心聲,了解 PATH CITED 資金如何協助他們擴展服務、聘請員工,以及與社區建立更緊密的聯繫。

WHY THIS IS IMPORTANT: ECM and Community Supports offer tailored, community-based services, including in-person care coordination, housing support, and other vital resources for Medi-Cal members with complex needs. PATH CITED is helping ECM and Community Supports providers transition, expand, and develop their capacity to provide local, coordinated care for member communities. Awardees will use funds to:

WHAT THEY’RE SAYING: “ECM and Community Supports are transforming how we care for Medi-Cal members with diverse and often intensive needs,” said Susan Philip, Deputy Director of DHCS’ Health Care Delivery Systems. “Just like in prior PATH CITED rounds, we are investing in the infrastructure and workforce that make whole-person care possible, ensuring that providers have the tools they need to deliver timely, compassionate, and coordinated care.”

“Thanks to PATH CITED support, Sanctuary Centers of Santa Barbara has turned an idea into a thriving clinic that continues to expand its reach and impact,” said Sanctuary Centers of Santa Barbara Interim CEO Stephanie R. Drake, PhD. “The Integrated Health Clinic is a model for collaborative, patient-centered care, bridging critical gaps in services and ensuring that Medi-Cal members receive the timely, high-quality, and compassionate care they deserve.”

“We did not have the staffing to follow up with people once they were housed, which led to more instability,” said Ronni Duncan, Care Management Manager at Adventist Health, a CITED awardee from previous rounds. “PATH CITED funds have allowed us to expand staffing, fill service gaps, and let case managers focus on their specific roles. Most of all, these programs have helped build community and provide hope and healing to people who may not have had access to the healing support we offer.”

“Thanks to PATH CITED funding, we are building a growing team of skilled case managers to meet our patients where they are – in homes, coffee shops, and throughout their communities to build trust and transform care,” said Jeniffer Zamora, Community Health Program Manager at Peach Tree Health, a CITED awardee from previous rounds.

“Supported by PATH CITED funding, Rady Children’s Hospital’s ECM program has expanded from San Diego County to also serve Riverside County,” said Russell Gagui, ECM Manager at Rady Children’s Hospital, a CITED Round 2 awardee. “As we grow, we remain committed to the principles that make pediatric ECM work: hiring from within the communities we serve, designing systems that support families’ real-world needs, and centering every effort around improving the lives of children with complex medical and social needs.” 

“Through the CITED grants, we have been able to expand access to recuperative care and strengthen care coordination by hiring additional staff as well as updating our internal data systems, which has allowed us more time to focus on the acute needs of our clients,” said Tracy Wilson, Co-Founder and CEO of Rooted Life, a CITED Round 3 awardee. “CITED grants have been pivotal in allowing us to create robust program where we can focus on the stability and recovery of our clients.”

HOW WE GOT HERE: PATH is a five-year, $1.85 billion initiative launched in 2022, providing funds for community-based organizations, county agencies, hospitals, Tribes, and other community providers to support improved health care management and delivery through the Medi-Cal system. Recipients of PATH CITED awards are committed to serving historically under-resourced and underserved populations.

WHAT’S NEXT: Round 4 is the final PATH CITED funding round. DHCS will continue to listen to Medi-Cal members and providers to improve service delivery, making care more accessible, effective, and responsive to California’s diverse communities. This also includes utilizing the other PATH workstreams to listen intentionally and provide technical assistance, such as through the Technical Assistance Marketplace and the regional Collaborative Planning Implementation convenings. For more information about the PATH CITED initiative, visit the PATH website.

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創新撥款模式協助學校持續提供心理健康服務

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創新撥款模式協助學校持續提供心理健康服務

州政府補償計畫利用新資源在早期取得的正面成果上更進一步

SACRAMENTO — California schools have long worked to meet student mental health needs, and the Department of Health Care Services (DHCS) is supporting these efforts through a new sustainable funding program that is already showing promising results.  

Through the Children and Youth Behavioral Health Initiative (CYBHI) Fee Schedule program, local educational agencies (LEA), which includes California public K-12 school districts, charter schools, and county offices of education, and public institutions of higher education (IHE), including public community colleges and universities, can sign up to participate in a reimbursement pathway for mental health and substance use screenings, treatment, and case management. This creates a sustainable funding source for school-based care. This innovative multi-payer program breaks down barriers and puts students first, creating a more seamless experience for youth seeking help with mental health. More than 500 LEAs and IHEs have already signed up and are actively onboarding. 

儘管仍處於實施初期,這項全國首創的努力已展現出積極成果:學校及其合作夥伴已獲得超過 180 萬美元的新資金,用於為 5,000 多名學生提供服務。截至 10 月 15 日,55 個 LEA 和 IHE 已透過計劃提交超過 26,000 份索賠,代表 32 個 Medi-Cal 管理性護理計劃和其他保險公司,包括商業計劃。這些成果反映了自參與者首次有資格取得服務帳單後,在短短一年多的時間內所取得的重大進展。 

“Schools are often the first place students turn to for support,” said DHCS Director Michelle Baass. “Through the CYBHI Fee Schedule program, we’re helping schools meet that need by easing financial pressures and building a sustainable foundation for student mental health services, so every student has access to care when and where they need it.” 

“We were lucky enough to be the first to successfully submit a service for billing, and we actually got our first check. It was only $77, but it was a big milestone,” said Nevada Joint Union High School District Director of Pupil Services Timothy Reid. As of November 3, the district had been reimbursed more than $30,000. Since the first claim was submitted in December 2024, the average reimbursement for an LEA/IHE is nearly $50,000, and multiple LEAs are nearing being reimbursed $1 million through the program. 

NEW RESOURCES AND AWARENESS CAMPAIGN: To support program implementation, DHCS launched new public-facing and provider-facing information and resources to help schools and families navigate the program:

ABOUT THE CYBHI FEE SCHEDULE PROGRAM: The program requires Medi-Cal managed care plans, Medi-Cal fee-for-service providers, commercial health insurance plans, and disability insurers to reimburse school-linked providers for behavioral health services provided to students under age 26, with no out-of-pocket costs for families. As a result, schools now have a sustainable funding source through which to hire, train, and retain staff, increasing access to behavioral health services.

WHY THIS IS IMPORTANT: Youth mental needs have risen significantly in the last decade. California falls short of the recommended ratio of one school psychologist per 500 students, largely due to cost barriers. By creating a sustainable funding mechanism for providing these services, the CYBHI Fee Schedule program addresses this gap by funding school-based services, prioritizing early intervention, and expanding opportunities for the behavioral health workforce to meet growing demand. Research has shown an association between students who access services through a school-based health center and positive school attendance, particularly for students with a mental health diagnosis, suggesting that increased mental health support through school may improve school attendance. 

WHAT THEY’RE SAYING: “We’ve heard from California students across the state about the need to increase behavioral health support where they spend time – at schools. The CYBHI Fee Schedule program is answering the call,” said CYBHI Director Dr. Sohil Sud. “Through partnerships and deeper connections between schools and health plans, along with sustainable funding, schools can meet the behavioral health needs of students who need it most.”

“Together, we have made significant strides in our efforts to transform school-based behavioral health care in California. Our progress to date is a testament to the commitment and the collaborative efforts of our school-district, managed care plan and community partners,” said Autumn Boylan, Deputy Director of DHCS’ Office of Strategic Partnerships. “With the foundation we’ve built, I am confident we will continue to succeed in making a lasting impact on the lives of students across the state.”

“Through the CYBHI Fee Schedule, our school district can continue to provide comprehensive, school-based behavioral health services, including assessments, counseling, prevention, and wellness programs, all at no cost to students and families. These funds will sustain and strengthen the vital program we have built to nurture the mental and emotional well-being of our students, while extending care to their families and our broader community,” said Jesus Chavarria, Anaheim Elementary School District Superintendent.

“CYBHI’s involvement allows us to expand the services and support we can provide,” said Matthew Zavala, Mental Health Therapist at Silver Springs High School in Grass Valley. “When I started working at this school, mental health programming was very grassroots. Now, it’s more stable and secure. It really feels like mental health is part of the school system. On a smaller scale, it’s just nice to see students find a place where they feel welcome and have a positive school experience. Seeing both of those things happen simultaneously is a very rewarding part of this job.”

BIGGER PICTURE: The CYBHI Fee Schedule is part of the state’s broader effort to transform youth mental health care into a coordinated, equitable, and prevention-focused system. The CYBHI Fee Schedule program is the CYBHI’s flagship, a more than $4 billion investment to transform behavioral health services for children, youth, and families, and it is central to the Governor’s Master Plan for Kids’ Mental Health. Learn more on the CYBHI Fee Schedule webpage

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Medi-Cal 會員與健康領袖攜手組成新的諮詢小組

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Medi-Cal 會員與健康領袖攜手組成新的諮詢小組

Voices and Vision Council 提供 Medi-Cal 會員和健康照護專業人員塑造 Medi-Cal 政策的途徑

薩克拉門托——為推動包容性政策制定,加州醫療保健服務部 (DHCS) 成立了Medi-Cal 之聲與願景委員會,這是一個史無前例的諮詢小組,匯集了 Medi-Cal 會員、護理人員、醫療服務提供者、社區組織、倡導團體和縣級合作夥伴,共同塑造 Medi-Cal 政策、計劃和實施的未來。透過將親身經歷直接融入政策制定過程,該委員會確保 Medi-Cal 的政策和計劃以服務對象的實際需求為基礎,並透過與醫療保健專家和系統領導者的合作不斷完善。

The Voices and Vision Council held its inaugural meeting alongside the established Medi-Cal Member Advisory Committee to launch a new collaborative structure that brings together lived experience and system expertise to shape Medi-Cal policy.

“The Medi-Cal Voices and Vision Council is a vital platform for ensuring that Medi-Cal members and community partners help shape how we deliver care,” said DHCS Director Michelle Baass. “We are committed to strengthening our Medi-Cal program so it is more equitable, responsive, and grounded in the voices of the people we serve. This council reflects our belief that meaningful change and innovation begin with listening and acting on what people tell us they need.”

“Medi-Cal provides the nursing care that keeps my son healthy and safe at home with our family,” said Jenny McLelland, a parent and member of the Voices and Vision Council. “The council gives me the opportunity to share my experiences as a caregiver and ensures that families like mine have a voice in making Medi-Cal better for all Californians.”

WHY THIS IS IMPORTANT: The Voices and Vision Council and the Medi-Cal Member Advisory Committee help ensure that Medi-Cal members remain at the heart of policy development and program administration. These two advisory bodies work in close partnership with DHCS leaders and policy experts to co-design equity-centered programs and policy solutions that reflect the real needs of members.

透過直接與會員和利害關係人互動,DHCS 正在建立基礎設施,以便處理對其服務對象而言最重要的事情。每季度的會議都以成員和護理人員分享的見解為中心。這些討論有助於加州醫療保健服務部 (DHCS) 將回饋轉化為切實可行的改進措施,從而加強加州醫療補助計劃
Medi-Cal
對加州各地社區的支持。背景: 2023 年,DHCS 成立了 Medi-Cal 會員諮詢委員會,這是美國首批正式諮詢小組之一,其成員完全由 Medi-Cal 會員及其家人和護理人員等支持者組成。2024 年,聯邦醫療保險和醫療補助服務中心發布了《確保獲得醫療補助服務規則》 ,該規則要求所有州在 7 月之前設立兩個諮詢機構:一個由成員和護理人員組成的受益人諮詢委員會,以及一個包括提供者的醫療補助諮詢委員會,該委員會至少 25% 的成員來自受益人諮詢委員會10 , 2027 。

To meet this requirement, California designated its existing Medi-Cal Member Advisory Committee as the state’s Beneficiary Advisory Council and created the Medi-Cal Voices and Vision Council as its Medicaid Advisory Committee. Together, these groups are designed to create a continuous feedback loop: The Medi-Cal Member Advisory Committee will meet first each quarter to surface themes and priorities from members and caregivers, which will then inform the Voices and Vision Council’s policy and operational discussions. Potential topics include access to care, service delivery, communication, and other issues that influence how Medi-Cal works for the people it serves.

WHAT’S NEXT: The first public meeting of the Medi-Cal Voices and Vision Council will be held on March 18, 2026. Meeting schedules, agendas, minutes, and membership lists for both groups will be publicly available. For more information, including how to register for the first public meeting, please visit the Voices and Vision Council webpage.
 
ABOUT THE VOICES AND VISION COUNCIL MEMBERS: The Voices and Vision Council is made up of 16 Medi-Cal members and leaders from across California who bring experience from advocacy groups, community-based organizations, health centers, county health and social services departments, managed care plans, and health plan associations.

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(916) 440-7660
DHCSPress@dhcs.ca.gov

隨著聯邦醫療保險開始公開註冊,加州將 Medi-Medi 計劃擴展至 29 個新縣

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隨著聯邦醫療保險開始公開註冊,加州將 Medi-Medi 計劃擴展至 29 個新縣

Medi-Medi 計劃是為同時擁有聯邦醫療保險和加州醫療保險的人士提供的特殊健康計劃。

SACRAMENTO — As Medicare open enrollment begins on October 15, the Department of Health Care Services (DHCS) is expanding access to Medi-Medi Plans––integrated health plans for people who have both Medicare and Medi-Cal—to 29 additional counties. This expansion brings the total to 41 counties that offer Medi-Medi Plans, nearly quadrupling access to these plans. This means Californians who are eligible for both Medicare and Medi-Cal will have the option to enroll in a Medi-Medi Plan to receive additional support to help manage chronic conditions, disabilities, or long-term care needs. Enrollment runs from October 15 to December 7, with coverage starting on January 1, 2026.

“California is building upon the success of Medi-Medi Plans that have already made a real difference in people’s lives,” said DHCS Director Michelle Baass. “By expanding access to these plans, we’re helping more Californians with complex health needs get the care they need—more easily, more consistently, and with greater support. This is about making health care work better for the people who rely on it most.”

The 29 new counties are: Alameda, Alpine, Amador, Calaveras, Contra Costa, El Dorado, Imperial, Inyo, Kern, Marin, Mariposa, Merced, Mono, Monterey, Napa, Placer, San Benito, San Francisco, San Joaquin, San Luis Obispo, Santa Barbara, Santa Cruz, Solano, Sonoma, Stanislaus, Tuolumne, Ventura, Yolo, and Yuba.

These 29 counties will join the 12 counties where Medi-Medi Plans are currently available: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, and Tulare. For more details, visit the Medicare Medi-Cal Plan List webpage, Joining a Medi-Medi Plan information sheet, and the Medi-Medi Plan Expansion Fact Sheet.

WHY THIS IS IMPORTANT: For the first time, Californians who qualify for both Medicare and Medi-Cal will have access to Medi-Medi Plans in 29 additional counties. Members with both Medicare and Medi-Cal often face serious health challenges, need help with daily activities, and deal with barriers like low income or limited transportation. They typically rely on many different services, but must navigate two separate systems to get care.

“This expansion is about making health care work better for the people who need it most,” said Lauren Solis, Chief of DHCS’ Office of Medicare Innovation and Integration.

Medi-Medi Plans combine Medicare and Medi-Cal benefits into one plan and provide specialized care coordination and wraparound Medi-Cal services. This model simplifies care with one card, one care team, and integrated services across medical, behavioral health, and long-term services and supports.

Currently, about 330,000 people are enrolled in these plans across 12 counties. As a result of this expansion, an additional 461,000 Californians will now have the choice to enroll in a Medi-Medi Plan. Meanwhile, nearly a quarter of Medicare members in California – 1.7 million people – also have Medi-Cal.

ABOUT MEDI-MEDI PLANS: Medi-Medi Plans are available to individuals who have both Medicare Part A and B, are enrolled in Medi-Cal, are 21 or older, and live in a participating county. Medi-Medi Plans coordinate all services across both Medicare and Medi-Cal, including:

會員還可從以下方面獲益:

更多資訊:符合資格的加州居民可以在 10 月 15 日至 12 月 7 日的 Medicare 開放註冊期間註冊 Medi-Medi 計劃。保險將於 1 月1和2026開始生效。有關 Medi-Medi 計劃以及如何註冊的更多信息,請訪問Medi-Medi 計劃網頁。

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(916) 440-7660
DHCSPress@dhcs.ca.gov

強化照護管理與社區支援持續成長

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強化照護管理與社區支援持續成長

新數據顯示,有複雜需求的 Medi-Cal 會員註冊人數增加、醫療服務提供者合作關係加強,以及護理協調得到改善。

SACRAMENTO — The Department of Health Care Services (DHCS) today released new data showing continued growth and impact from Enhanced Care Management (ECM) and Community Supports as part of the state’s Medi-Cal transformation under California Advancing and Innovating Medi-Cal (CalAIM). These services help Medi-Cal members stay healthier and avoid other, costlier health care services, such as emergency department visits and hospital stays. 

就在今年的前三個月: 

"健康照護服務部總監 Michelle Baass 表示:「這就是 Medi-Cal 轉型的樣貌。"我們不只是擴展服務。我們比以往接觸到更多的人"。 

ECM 協助有複雜健康與社會需求 (包括無家可歸、嚴重精神疾病或經常住院) 的人們,不論身處何地,都能獲得所需的照護。主要照護經理協助協調各方面的照護,從看醫生、心理健康服務到住房和營養支援。自 2022 年 1 月推出以來,ECM 已將超過 372,000 名 Medi-Cal 會員連結至高接觸、以人為中心的照護。  

Community Supports are also growing rapidly. These services offer cost-effective, community-based alternatives to traditional medical care, addressing housing, nutrition, and other social drivers of health. As of early 2025: 

"每個數字背後都有一個故事:父母找到穩定的住處、青少年獲得心理健康照護、長者獲得符合其狀況的膳食,」州政府 Medicaid 主任 Tyler Sadwith 表示。「這就是我們如何建立一個更健康的加州」。 

WHY THIS IS IMPORTANT: The growth in ECM and Community Supports comes as California rolls out historic policies under the Behavioral Health Services Act (BHSA), aimed at reducing homelessness and expanding behavioral health care. ECM and Community Supports are proving to be vital tools to help people navigate housing, nutrition, and health systems with dignity and support. From ECM and Community Supports to Transitional Rent and permanent housing, California is building a continuum of care that supports people across every stage of their recovery journey. 

為了支持這項擴張,DHCS 透過其「提供醫療服務和改變健康」(PATH)計畫撥款超過 14.3 億美元,其中包括「能力和基礎設施轉型、擴張和發展」(CITED)、「合作規劃和實施」以及「技術援助市場」。這些資金幫助社區組織、診所和地方機構透過僱用員工、升級系統和改善護理協調來提高提供 ECM 和社區支援的能力。CITED 資助計畫的最後一輪申請已於 2025 年 5 月結束,新的獲獎者將於今年稍後公佈。 

WHAT’S NEXT: DHCS will continue listening to Medi-Cal members who use ECM and Community Supports. Member feedback, gathered through surveys, focus groups, and other outreach, will help improve how these services are delivered, making them easier to access, more effective, and more responsive to different cultures and communities. 

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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov

加州和聖華金縣透過新校園擴展行為健康服務

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加州和聖華金縣透過新校園擴展行為健康服務

校園每年將為 72,000 人提供服務

SACRAMENTO — On September 10, 2025, the Department of Health Care Services (DHCS) and San Joaquin County Behavioral Health Services Department celebrated the groundbreaking of the Be Well Campus, a new facility in French Camp that will expand access to mental health and substance use disorder treatment in the Central Valley. The campus will include 10 facility types, with 116 behavioral health treatment beds and 1,205 outpatient slots, enabling care for more than 72,000 individuals annually.

「這個計畫有力地體現了加州致力於建立一個能夠滿足人們實際需求的心理健康體系的決心,」 DHCS主任米歇爾·巴斯說。“透過行為健康連續體基礎設施計劃,我們正在投資當地基礎設施,並幫助社區擴大獲得醫療服務的途徑。”

This transformative project is supported by more than $149 million through the Behavioral Health Continuum Infrastructure Program (BHCIP), including Round 5: Crisis and Behavioral Health Continuum and Bond BHCIP Round 1: Launch Ready (a conditional award made possible by the Behavioral Health Infrastructure Bond Act), part of California’s voter-approved reform to expand behavioral health care and housing. This project is one of several in California that will combine earlier BHCIP rounds with bond funds to support both immediate needs and long-term infrastructure.

Be Well campus groundbreaking
健康校園突破

BHCIP is a key component of Mental Health for All, California’s ongoing commitment to build a stronger and more equitable behavioral health system. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026.

“We are pleased to see the Behavioral Health Infrastructure Bond Act in action,” said DHCS Community Services Division Chief Marlies Perez. “San Joaquin County is building a model that brings together multiple levels of care in one place, making it easier for people to get the care they need when they need it.”

瑪麗絲·佩雷斯在 Be Well 校園突破性活動上發表演講
瑪麗絲·佩雷斯在 Be Well 校園突破性活動上發表演講

INVESTING IN BEHAVIORAL HEALTH CARE CAPACITY: More than 1.2 million adults in California live with a serious mental illness, and 1 in 10 residents meet the criteria for a substance use disorder. Additionally, shortages of behavioral health treatment sites contribute to rising rates of homelessness and incarceration among people with mental health disorders.

To address this, DHCS launched BHCIP to fund the construction, acquisition, and expansion of behavioral health facilities and mobile crisis services. Since 2021, the state has awarded more than $2.2 billion through BHCIP Rounds 1–5, including $430 million in Round 5 to expand crisis care statewide. California is investing billions more through Bond BHCIP to build long-term behavioral health and housing infrastructure. In May 2025, DHCS conditionally awarded $3.3 billion through Bond BHCIP Round 1: Launch Ready to 121 projects across 42 counties, supporting 4,895 residential beds and 21,402 outpatient slots.

WHAT’S NEXT: The Be Well Campus project received a conditional award through Bond BHCIP Round 1: Launch Ready, and the next step is to finalize that funding. San Joaquin County will work with DHCS to complete a Program Funding Agreement, confirm matching funds and property ownership, and wrap up other required documentation before the award becomes final.

同時,DHCS 正準備通過債券 BHCIP 第二輪:未滿足的需求,撥款超過 8 億美元。本輪申請對全州符合資格的申請人開放,申請截止日期為 10 月28 、 2025 ,預計將於 2026 年春季頒發獎項。

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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov

加州投資 26 萬美元來解決藥物使用障礙治療需求並拯救生命

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加州投資 26 萬美元來解決藥物使用障礙治療需求並拯救生命

補助金將建立社區合作夥伴關係並增加治療的機會

SACRAMENTO — The Department of Health Care Services (DHCS) has awarded $26 million to more than 70 organizations to combat the opioid crisis in California. These grants are designed to expand access to treatment, strengthen community partnerships, and save lives. The grants represent a critical part of the State’s Opioid Response (SOR) initiative.

“Addressing the opioid crisis requires a comprehensive, compassionate, and community-driven approach. That’s why DHCS is pleased to partner with so many organizations to offer access to this life-changing care,” said DHCS Director Michelle Baass. “We must expand access to treatment, invest in prevention, and dismantle the stigma surrounding addiction. Lives are at stake, and we are committed to doing everything we can to support recovery.”

減少部落社區未滿足的需求和阿片類藥物相關的過量用藥: DHCS 向12 個組織撥款 210 萬美元,用於實施 SOR IV 部落地方阿片類藥物聯盟 (TLOC) 計劃。TLOC 透過增加治療機會、提供植根於文化的康復服務以及透過預防和護理減少過量用藥相關的死亡,為部落和城市印第安人社區提供支持。該計劃透過建立社區成員、利害關係人和服務提供者之間的夥伴關係,加強對阿片類藥物和興奮劑使用障礙的復健工作。

“DHCS is pleased to support Tribal communities with resources that reflect their unique needs and strengths. The TLOC program empowers local partnerships to expand treatment, prevent substance use, and promote culturally grounded healing,” said Baass.

EXPANDING ACCESS TO MEDICATIONS FOR ADDICTION TREATMENT: DHCS also awarded nearly $3 million to four DHCS-licensed Narcotic Treatment Programs (NTP) to create satellite facilities, called medication units, that provide access to addiction treatment. These medication units will serve people who otherwise struggle to access care, including people in rural areas, justice-involved communities, and people without reliable transportation, and support care integration.

“Geographically isolated communities often face compounded challenges to accessing care, including transportation barriers and systemic inequities. Establishing medication units addresses these gaps by improving access, enhancing retention, and advancing health equity in the areas that need it most,” said Sarah Khawaja-Laljiani, Senior Director of Grants and Patient Services of Pinnacle Treatment Center, a recipient of funding to expand access to Medications for Addiction Treatment (MAT).

“This funding opportunity aligns with our commitment to expanding access to evidence-based treatment in underserved communities, said Evelyn Sosa, Senior Vice President of BayMark Health Services. “This support will help us meet patients where they are, removing barriers to care and improving outcomes for people most at risk of overdose.”

擴大藥物治療服務範圍:此外,DHCS 也向59 個獲得 DHCS 許可的住宅藥物濫用障礙治療計畫撥款超過 2,100 萬美元,用於啟動或擴大針對阿片類藥物使用障礙患者的現場循證藥物治療服務。

“As the opioid and fentanyl crisis continues to devastate lives across the country, expanding access to MAT services in residential programs is not only a clinical necessity, but a moral imperative,” said Dr. BJ Davis, Executive Director, Gateway House for Women and Sacramento Recovery House for Men. “This funding allows us to meet people where they are with the full continuum of evidence-based care.”

「我們的客戶需要及時獲得藥物輔助治療 (MAT) 來控制毒癮,並開始他們的康復和穩定之旅,」十字路口基金會執行董事、工商管理碩士林賽·珀迪 (Lindsey Purdie)說。“透過與DHCS的合作,我們有機會擴展我們的服務,更好地滿足我們所支持的人們的需求。”我們衷心感謝
資金以及持續
合作。為什麼這很重要: 2023 年,有 11,359 人死於與藥物相關的過量用藥。其中,8000例與鴉片類藥物有關,7000例與芬太尼有關。雖然加州有相當一部分人符合物質使用障礙的標準,但只有一小部分人接受治療,這通常是由於農村地區難以獲得藥物輔助治療 (MAT) 和納洛酮等服務。

BIGGER PICTURE: These grants are part of DHCS’ Opioid Response, a key element of Governor Newsom’s Master Plan for Tackling the Fentanyl and Opioid Crisis. For more information about opioids and how you can protect yourself and loved ones, visit Opioids.ca.gov, a one-stop shop for Californians seeking resources around prevention and treatment.

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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov

Medi-Cal Reports Strong Growth in Enhanced Care Management and Community Supports

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Medi-Cal Reports Strong Growth in Enhanced Care Management and Community Supports

兒童和青少年加入加強照護管理服務增加了近三倍;自推出以來為會員提供了近 100 萬個社區支持服務

薩克拉門托——加州醫療保健服務部 (DHCS) 今天分享了新的數據,顯示作為加州推進和創新醫療補助計劃 (CalAIM) 的一部分,增強護理管理(ECM) 和社區支持如何增加並幫助更多的人,這是加州醫療補助計劃轉型的一部分。

“The trends reflected in the data demonstrate the real and growing impact of CalAIM in supporting the health and well-being of Medi-Cal members,” said DHCS Director Michelle Baass. “We’re seeing especially strong progress in reaching children and youth, expanding access to critical supports like housing and food, and growing the provider networks needed to deliver these services. Together, these efforts are helping more Californians live healthier, more stable lives.”

WHAT THE NUMBERS SHOW: Since ECM launched in January 2022, more than 326,000 unique Medi-Cal members have enrolled in this benefit that provides comprehensive, person-centered care coordination for members with complex needs. In the last three months of 2024 alone, more than 149,400 members received ECM services, including more than 31,000 children and youth under 21, nearly four times more than when ECM launched for these groups in July 2023.

社區支持也正在接觸更多 Medi-Cal 成員。截至 2024 年底,約有 368,400 名會員使用這些服務,共提供了超過 920,000 個服務。這些支持為傳統醫療保健提供符合成本效益的社區基礎的替代方案,解決影響健康的社會因素。在 2024 年第四季獲得社區支持的人中:

WHY THIS MATTERS: More Medi-Cal members with complex medical and social needs are accessing ECM and Community Supports. Key drivers of growth include:

PROVIDER NETWORKS ARE GROWING: The number of providers delivering ECM and Community Supports has grown significantly. Managed care plans now hold approximately 2,600 provider contracts for Community Supports alone, up from about 750 in early 2022. This reflects a strong commitment from community-based organizations, housing providers, and local health systems to support CalAIM’s goals.

COMMUNITY SUPPORTS ARE COST-EFFECTIVE: DHCS’ June 2025 cost-effectiveness report shows that Community Supports help reduce overall health care costs by preventing avoidable hospitalizations, emergency room visits, and long-term institutional care, while improving health outcomes.

WHAT’S NEXT: Starting January 1, 2026, Transitional Rent will become a mandatory Community Support and will be available to provide up to six months of rental assistance to members who are experiencing or at risk of homelessness, are experiencing significant behavioral health needs, and meet certain risk factors. This is another important step in making sure Medi-Cal members have the support they need to live healthy, stable lives in their communities.

DHCS will continue to center feedback from Medi-Cal members to ensure ECM and Community Supports are responsive, accessible, and equitable. By listening closely to people who are directly impacted, California aims to enhance the effectiveness of these programs and better support members’ health and well-being.

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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov