加州官方網站
SACRAMENTO — The California Department of Health Care Services (DHCS) remains committed to protecting the privacy and well-being of all Medi-Cal members. Recent reports and legal developments have raised serious concerns about how federal agencies use Medicaid data, including personal information for the more than 14 million Californians covered by Medi-Cal. We want to share what we know.
12 月29,2025 ，聯邦法院裁定 Medicare& Medicaid 服務中心 (CMS) 僅可與移民及海關執法局 (ICE) 分享非「合法居住」在美國的個人的有限資訊。然而，由於聯邦政府尚未向加州提供任何有關其計劃如何執行法院命令的資訊，因此仍存在一些不確定性。我們將隨時更新此頁面，提供更多資訊。
Information that may be shared about people who are not “lawfully residing” in the United States includes citizenship or immigration status, address, phone number, date of birth, and Medicaid ID. CMS must exclude anyone who is “lawfully residing” in the United States. If data of individuals who are not lawfully residing in the United States cannot be separated from the data that is still protected (e.g., data of lawful permanent residents, U.S. citizen data, sensitive health records, etc.), CMS cannot share the data with ICE. These restrictions remain in place while the multistate lawsuit is ongoing.
聯邦法律要求 DHCS 透過「轉型聯邦醫療補助統計資訊系統」 (Transformed Medicaid Statistical Information System, T-MSIS)，每月向 CMS 提交報告。這些報告包括每位 Medi-Cal 會員的基本人口統計和資格詳細資料，例如姓名、地址、出生日期、社會安全號碼（若有提供）或 Medicaid ID，以及移民身份。雖然法院命令允許 CMS 在特定情況下分享有限的資料，但 DHCS 仍致力於保護會員隱私，並密切監控發展情況。
In sharing data for immigration enforcement purposes, CMS has broken a 60-year commitment to protect the health and well-being of millions of families. Make no mistake: This is a grave breach of public trust. No one should be forced to live in fear of seeing the doctor or going to the emergency room.
今天取消 Medi-Cal 保險並不能消除已傳送給移民執法機關的資訊。若個人擔心聯邦政府可能會基於移民原因使用其個人資訊，請諮詢合格的律師或合格的非營利性法律援助組織。
我們致力於透明度、隱私權，並確保所有加州人，不論其移民身份如何，都能安全地獲得所需的護理。我們將繼續與社區合作夥伴接觸、分享最新資訊，並維護所有 Medi-Cal 會員的健康、福祉和隱私。
2026 年 1 月 2 日更新
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
項目每年將為 7,665 個人提供服務
SACRAMENTO — As California continues to strengthen its behavioral health care system, the Department of Health Care Services (DHCS) and Safe Passages today celebrated the ribbon cutting of a new Community Wellness and Youth Prevention Wellness Center in Oakland. Funded by almost $9 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) Round 4: Children and Youth, the center will offer community-derived models of mental health services to a projected 7,600 individuals annually in an outpatient setting.
「『安全通道』社區健康與預防中心的啟用，是對我們兒童與青少年未來的一項重要投資。」「每個孩子都有權獲得發揮其最大潛能所需的資源，不論其種族、社會經濟地位或身心障礙狀況如何，」DHCS 主任蜜雪兒·巴斯表示。「我們支持由社區主導的行動，致力於打造安全且有助於心靈療癒的空間，讓年輕人能夠獲得茁壯成長所需的關懷、支持與機會。」「該中心將成為早期介入與預防的重要樞紐，協助兒童及家庭建立終身受用的韌性與福祉。」
「安全之路」社區健康與預防中心：該中心將為阿拉米達縣從出生至青年期的兒童及青少年提供心理健康服務，並特別關注高風險族群。擴建後的中心將提供幼兒發展計畫，由幼兒心理健康專業人員執行孕產婦服務及親子教育，這些計畫源自社區、以研究為基礎，並已被證實為最佳實踐。這些計畫包括：人生教練計畫、圍產期與幼兒心理健康計畫、親子心理治療、孕產期計畫、親子教養計畫、青少年過渡期發展計畫、個別及團體諮商，以及職涯探索工作坊。
「29 年多來，『安全通道』（Safe Passages）一直致力於打破我們社區中的貧窮循環，並支持家庭和青年共同參與制定屬於我們自己的解決方案與發展道路，」『安全通道』執行長約瑟菲娜·阿爾瓦拉多·梅納表示。「這座健康中心是一個聚會場所，也是安全的避風港，讓我們能夠在此建立社群、分享心得，並共同成長。」
為何這很重要：加州每13名兒童和青少年中，就有近1人面臨嚴重的情緒障礙。透過 BHCIP 計畫，DHCS 向符合資格的機構撥款，用於興建、購置及擴建物業，並投資於行動危機應變基礎設施，協助社區因應日益增長的需求，並彌補歷史性的服務缺口。這些投資對農村社區尤為關鍵，能確保民眾無需長途跋涉，即可獲得及時且能挽救生命的醫療照護。
BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS is distributing up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1. DHCS recently released the Proposition 1 Bond BHCIP Round 2: Unmet Needs Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, or rehabilitate properties that expand behavioral health services for Medi-Cal members and other Californians in need. DHCS will award more than $800 million in grants to support community-based facilities for mental health and substance use disorder care.
關於 BHCIP 第四輪：兒童和青少年： 「 兒童與青少年行為健康倡議」（Children and Youth Behavioral Health Initiative ）的 第四輪計畫 （ BHCIP Round 4 ），其服務對象不僅限於兒童與青少年，更涵蓋所有 25 歲及以下的加州居民，包括孕婦與產後婦女及其子女，以及 16 至 25 歲的過渡期青少年及其家庭。這 52 項總額達 4.805 億美元的撥款，將用於新建及擴建多種類型的門診與住宿設施，包括兒童危機住宿計畫、圍產期物質使用障礙住宿治療機構、社區健康／青少年預防中心，以及物質使用障礙的門診治療。請參閱BHCIP 網站，以瞭解更多有關獲資助者的資訊，以及所有 BHCIP 資助回合的其他詳細資訊。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The California Department of Health Care Services (DHCS) today announced the availability of data showing that Medi-Cal Community Supports are successful and cost-effective. The data show that Community Supports are delivering on their promise to address Medi-Cal member needs—reducing avoidable emergency department visits, hospital stays, and long-term care use while showing strong early signs of cost savings. All 12 Community Supports studied are reducing costs, and of these, nine have already demonstrated cost-effectiveness within the initial study period. The remaining three are projected to reach that threshold over a longer study period, consistent with federal rules for evaluating cost-effectiveness.
“Community Supports represent a fundamental shift in how we deliver health care to Californians, enhancing quality of care for Medi-Cal members and strengthening the overall efficiency and equity of our health care system,” said DHCS Director Michelle Baass. “These findings confirm that these services are not only improving lives, but also reducing avoidable health care costs. By scaling these supports statewide, we’re making meaningful progress toward a person-centered Medi-Cal system that meets members where they are and prioritizes prevention, dignity, and value.”
California’s Community Supports were approved in the California Advancing and Innovating Medi-Cal (CalAIM) waivers and phased in by Medi-Cal managed care plans (MCP) beginning in 2022. CalAIM is the state’s initiative to transform Medi-Cal to improve care quality, reduce complexity, and advance equity through data-driven, whole-person care initiatives.
WHY THIS MATTERS: Medi-Cal currently offers 14 Community Supports. These services promote housing stability, ease transitions from institutional settings, support in-home care, provide healthy meals, and offer caregiver relief, helping members avoid costlier hospital or emergency care. The report analyzed 12 of these supports to assess their impact on health and cost outcomes. These 12 out of 14 Community Supports were studied because they are authorized under California’s 1915(b) CalAIM waiver, which California is required to report on each year to the federal government.
DHCS submitted its annual 2024 report to the federal Centers for Medicaid & Medicare Services. It analyzes the impact of 12 Community Supports on member health care, including a new cost-effectiveness analysis for calendar year 2023. Key highlights from the report include:
COST-EFFECTIVE ANALYSIS: Research showed that 9 of the 12 Community Supports studied are already demonstrably cost-effective, and three are likely to be proven so over time, consistent with federal rules. Members using these services typically saw net reductions in (or offsets of) applicable service costs. Examples include:
The cost-effectiveness analysis may be understated due to the short evaluation period, resulting in immediate costs being fully captured but not longer-term savings. DHCS acknowledges that broader initiatives, like Enhanced Care Management, may influence these results. Future evaluations may refine these methods as more data become available, and an independent evaluation will be conducted in line with waiver requirements.
IMPACT OF COMMUNITY SUPPORTS: The expansion of Community Supports has increased access in rural and underserved areas, with health plans such as Anthem Blue Cross, Health Net, and Partnership HealthPlan of California leading efforts to introduce new services in both urban and rural counties. These three plans are among the largest in the state and demonstrated significant expansion of Community Supports in 2024, both in terms of the number of new services elected and geographic spread, particularly in rural counties. As a result, Medi-Cal members in all 58 California counties now have access to a broad array of Community Supports.
WHAT’S NEXT: DHCS released an updated Community Supports Policy Guide that is aligned with the Enhanced Care Management and Community Supports Action Plan. On July 1, 2025, the new Transitional Rent benefit will be optional for MCPs to offer, and will become the first mandatory Community Support on January 1, 2026.
DHCS 繼續致力擴大和加強社區支持，以更好地滿足全州 Medi-Cal 成員與健康相關的社會需求。加利福尼亞正在努力推動其歷史上的努力，通過預防、尊嚴和穩定解決全人護理，同時注意利潤。這種方法已經有所改變，尤其是在減少可避免的醫療護理使用，並改善具有多種而複雜的健康需求的會員的體驗。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
計劃每年將為 3,650 名寄養青少年提供服務
SACRAMENTO — On May 16, 2025, the Department of Health Care Services (DHCS) and Sycamores celebrated the groundbreaking of Sycamores’ Children’s Crisis Continuum Program, a new behavioral health facility in Altadena. This transformative project will target gaps in the crisis continuum for foster youth across Los Angeles County, with the aim of addressing crises early to avoid escalation in care. DHCS awarded Sycamores more than $2 million for the project through Behavioral Health Continuum Infrastructure Program (BHCIP), Round 5: Crisis and Behavioral Health Continuum.
BHCIP is a key component of Mental Health for All, California’s ongoing commitment to expand behavioral health services for all Californians. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026.
Just days earlier, on May 12, DHCS awarded $3.3 billion in competitive grant funding through the Bond BHCIP Round 1: Launch Ready awards. This historic investment is funding 124 projects across 42 counties to create or expand 214 behavioral health facilities across California. This investment will result in 5,077 new residential treatment beds and 21,882 new outpatient slots for mental health and substance use disorder treatment, bringing essential behavioral health services closer to the Californians who need them most, including those in the foster care system.
“We’re working to ensure foster youth with significant mental health needs are supported with the services they need,” said DHCS Director Michelle Baass. “Organizations like Sycamores are essential to transforming how we respond to urgent behavioral health challenges. By bringing compassionate, community-based care directly to children and youth in need, they exemplify a behavioral health system that meets people where they are with dignity, support, and hope.”
SYCAMORES’ CHILDREN’S CRISIS CONTINUUM PROGRAM: This project will target gaps in the crisis continuum specifically for foster youth by creating a psychiatric health facility with eight beds and a crisis stabilization unit with 10 slots, projected to serve 3,650 individuals annually in an outpatient setting. This project will help support youth living in the community who are experiencing a crisis to avoid the need for a higher level of care in more restrictive settings. The programs are designed to give youth and caregivers tools to manage their crisis, including skill-building, psychiatric monitoring, psychiatry, therapy, case management, and medication management.
“With the groundbreaking of Sycamores’ new children’s crisis programs, our organization will be in the unique position of meeting the urgent mental health needs of thousands of children and youth in crisis throughout Los Angeles County,” said Debra Manners, Sycamores’ President and CEO. “Considering Sycamores’ long-standing reputation for providing compassionate, life-changing care, we are honored to be able to expand our services with the opening of our programs.”
WHY THIS IS IMPORTANT: More than 1.2 million adults in California live with a serious mental illness, and 1 in 13 children has a serious emotional disturbance. Also, 82 percent of Californians experiencing homelessness reported having a serious mental health condition, and 1 in 10 Californians 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.
Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure to further expand the range of community-based behavioral health treatment options for people with co-occurring mental health treatment needs and substance use disorders. BHCIP is addressing historic gaps in the behavioral health care system to meet the growing demand for services and supports throughout the lifespan of people in need. DHCS has awarded $1.7 billion in BHCIP competitive grants.
ABOUT BHCIP ROUND 5: CRISIS AND BEHAVIORAL HEALTH CONTINUUM: BHCIP Round 5: Crisis and Behavioral Health Continuum was developed, in part, through a statewide needs assessment that identified significant gaps in available crisis services. This assessment showed the need for a better system of crisis care to reduce emergency department visits, hospitalizations, and incarceration. The 33 awards, totaling $430 million, are being used to build and expand crisis care and behavioral health facilities statewide and will serve vulnerable Californians of all ages, including Medi-Cal members. Please see the BHCIP website for more information about grant recipients and additional details about all BHCIP funding rounds.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
你需要知道的是：由於 1 號提案，今天的資金預計將為行為健康領域創造 5000 多個住院治療床位和 21800 多個門診治療名額，並將建立在California其他重大行為健康計劃的基礎上。
SACRAMENTO, CALIFORNIA – Governor Gavin Newsom announced $3.3 billion in grant funding today to create over 5,000 residential treatment beds and more than 21,800 outpatient treatment slots for behavioral health care services and will build upon other major behavioral health initiatives in California. Administered by the California Department of Health Care Services (DHCS), the Proposition 1 Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready awards will significantly expand access to care for Californians experiencing mental health conditions and substance use disorders, including those experiencing homelessness.
Here is a list of today’s awardees.
“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024. Today, we’re delivering our biggest win yet. These launch-ready projects will build and expand residential beds and treatment slots for those who need help. Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.” ~Governor Gavin Newsom
When fully awarded, funding from Proposition 1 bonds is estimated to create 6,800 residential treatment beds and 26,700 outpatient treatment slots for behavioral health and will build on other major behavioral health initiatives in California.
Kim Johnson, Secretary of the California Health & Human Services Agency: “Today marks a critical milestone in our commitment to transforming California’s behavioral health system. Through these awards, we are investing in bold, community-driven solutions that expand access to care, promote equity, and meet people where they are. These projects are a reflection of our values and vision for a healthier, more compassionate California.”
Michelle Baass, DHCS Director: “This is a generational investment in California’s behavioral health future. We are not just building facilities. We are building hope, dignity, and pathways to healing for thousands of Californians. These investments will significantly enhance our state’s capacity to provide timely, effective care for individuals in their own communities.”
WHY THIS MATTERS: The Bond BHCIP Round 1 awards will help to create a comprehensive behavioral health system, ensuring that individuals can access the right care at the right time, whether it be for crisis stabilization, inpatient care, or long-term treatment. As part of the state’s goal to reduce mental health crises, increase the availability of services, and support community-based solutions, these investments are vital in ensuring the long-term sustainability and accessibility of behavioral health services.
Through BHCIP, DHCS has competitively awarded grants to construct, acquire, and expand properties and invest in mobile crisis infrastructure for behavioral health. Proposition 1, passed in March 2024, increases funding opportunities to expand BHCIP to serve even more Californians with mental health and substance use disorders through infrastructure development.
BIGGER PICTURE: California’s Mental Health for All initiative is modernizing the behavioral health delivery system to improve accountability, increase transparency, and expand the capacity of behavioral health care facilities. BHCIP supports the creation, renovation, and expansion of facilities that serve individuals with mental health and substance use disorder needs, with a focus on crisis care, residential treatment, and outpatient services. DHCS has already awarded $1.7 billion in BHCIP competitive grants.
There is a 7,000-plus behavioral health bed shortfall in California, contributing to unmet needs among people experiencing homelessness who have mental illness and/or substance use disorders. Bond BHCIP funding is estimated to create 6,800 residential treatment beds and 26,700 outpatient treatment slots for behavioral health and will build upon other major behavioral health initiatives in California. This investment will help address the behavioral health bed shortfall.
WHAT COMES NEXT: Today’s announcement represents the first of two Bond BHCIP funding rounds. The second round, Bond BHCIP Round 2: Unmet Needs, will provide over $800 million in competitive funding awards for behavioral health treatment facilities and is open to all entities. Interested entities are encouraged to apply after the Round 2 Request for Applications goes live as soon as later this month.
Additionally, the Department of Housing and Community Development (HCD) will oversee up to $2 billion in Proposition 1 funds to build permanent supportive housing for veterans and others who are homeless or at risk of homelessness and have mental health or substance use disorder challenges.
LEARN MORE: For more information about Bond BHCIP Round 1: Launch Ready, please visit the BHCIP website. Additional guidance on Bond BHCIP Round 1: Launch Ready and Round 2: Unmet Needs is available here. Visit the Behavioral Health Transformation webpage for updates and resources, including recordings of regular public listening sessions.
Here is a list of today’s awardees.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
項目每年將為 3,760 個人提供服務
薩克拉門托——隨著加州繼續努力加強其行為健康護理系統，4 月 18 日，衛生保健服務部 (DHCS) 和馬克·吐溫醫療保健區在卡拉韋拉斯縣舉行了新的危機和健康中心的剪綵儀式。該中心獲得了行為健康連續體基礎設施計劃(BHCIP) 第 5 輪：危機和行為健康連續體的 330 多萬美元資助，將提供緊急心理健康護理、藥物濫用障礙治療和早期幹預，每年為 3760 名居民提供服務。
「投資行為健康基礎設施是確保每個加州人——無論他們住在哪裡——都能獲得及時、公平和高品質的護理的關鍵一步，」 DHCS 主任 Michelle Baass說。「我們很高興能夠支持馬克吐溫醫療保健區，因為它正在擴展重要的服務，這將加強社區健康，並支持個人走上康復之路。將醫療服務送到家附近有助於
危機升級
並加強人們賴以生存的當地支持網絡。馬克吐溫醫療保健區：擴建後的危機和健康中心預計每年可為 3,760 人提供服務。該中心將提供門診行為健康治療，包括心理治療、藥物管理和精神科急診護理。此外，該計畫還將與青年組織合作
提供早期介入服務
旨在預防失業、無家可歸、藥物濫用和監禁。「卡拉韋拉斯縣的患者得不到應有的服務，經常被限制行動或監禁，即使他們完成了學業，也經常與司法部門有牽連，」馬克·吐溫醫療保健區首席執行官蘭迪·斯馬特說。「我們的社區認識到這些後果是可以預防和治療的，但迫切需要更多資源。我們縣有決心、有領導力、有遠見，致力於建立一個門診危機中心和預防中心，這將是滿足行為健康護理需求的關鍵一步。 」
WHY THIS IS IMPORTANT: BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS will distribute up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026.
Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure, helping communities meet rising demand and close historic service gaps. These investments are especially critical in rural communities, ensuring people can access timely, life-saving care without having to travel long distances.
關於 BHCIP 第 5 輪：危機和行為健康連續： BHCIP 第 5 輪：危機和行為健康連續體，部分是透過全州範圍的需求評估制定的，該評估確定了現有危機服務的重大差距。這項評估表明，需要建立更好的危機照護系統，以減少急診、住院和監禁次數。這 33 項獎項，總額達 4.3 億美元，將用於在全州範圍內建設和擴建危機護理和行為健康設施，並將為包括 Medi-Cal 會員在內的所有年齡段的加州人提供服務。請造訪BHCIP 網站，以了解有關資助對象的更多資訊以及所有 BHCIP 資助輪次的更多詳細資訊。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
項目將擴大容量 40 張床，每年為近 1,000 名兒童和個人提供服務
SACRAMENTO — On April 4, 2025, the Department of Health Care Services (DHCS) and Kedren celebrated the groundbreaking of Kedren South-Psychiatric Acute Care Hospital & Children’s Village to serve the South Los Angeles community. This transformative project will provide a comprehensive system of care and support for children and youth experiencing significant mental health challenges—all in one location. It is funded by DHCS’ Behavioral Health Continuum Infrastructure Program (BHCIP) Round 4: Children and Youth and will serve as an integrated “Village Care” model designed for children and their families to receive their services.
DHCS awarded Kedren more than $57 million through BHCIP, which is part of California’s ongoing commitment to expand behavioral health services for all Californians. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026.
“The Kedren Children’s Village represents a critical resource in ensuring the well-being and future of our state’s most at-risk children. By prioritizing funding for this campus, California has reinforced its commitment to being a leader in providing high-quality, compassionate care that supports the mental and physical health of children in need,” said DHCS Director Michelle Baass. “Kedren’s comprehensive approach to mental and physical health care aligns with our vision for a healthier, more resilient future for all children in California. It is an investment not just in their lives, but in the strength and prosperity of our communities.”
Kedren South-Psychiatric Acute Care Hospital & Children’s Village: This project was awarded more than $57 million through BHCIP. The facility will provide life-changing care for children and youth suffering from mental illness, trauma, and other behavioral health challenges. The BHCIP-funded portion of the new campus will consist of an acute psychiatric hospital with 24 beds (will serve more than 520 individuals annually), a children’s crisis residential program with 8 beds (will serve nearly 300 children annually), and a psychiatric health facility with another 8 beds (will serve nearly 100 individuals annually). In addition to the BHCIP grant, part of the campus will have two buildings – funded with Mental Health Services Act funds – to include children’s outpatient services and provide transitional housing for children experiencing mental difficulties and their families for up to 18 months.
“For nearly 60 years, Kedren has been committed to eliminating health disparities in South Los Angeles by expanding access to care,“ said Kedren CEO Gregory Polk. “The Children’s Village will be the first of its kind in the nation, providing a full continuum of mental health care for children and youth on one campus. We are looking forward to providing these needed and valuable resources for our community.”
Kedren will offer a myriad of evidence-based therapies, including individual, group, family, recreational, occupational, and play. Staff will tailor treatments for each child with a mix of individual psychotherapy, behavioral modification, family counseling, and psychotropic medications. Kedren will also provide specialized assessments, such as psychological testing and occupational therapy assessments.
“The challenges we face in behavioral health are significant, but today, we demonstrate our collective commitment to building a strong, comprehensive system of care that will improve lives for years to come,” said Baass.
“Thanks to BHCIP, trusted community providers like Kedren will finally have the facilities and resources to provide essential services across the continuum of care, enabling individuals to receive the right care at the right time in the right setting with providers they trust.”
WHY THIS IS IMPORTANT: BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure to further expand the range of community-based behavioral health treatment options for people with co-occurring mental health treatment needs and substance use disorders. BHCIP is addressing historic gaps in the behavioral health care system to meet the growing demand for services and supports throughout the lifespan of people in need.
DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS will distribute up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1.
ABOUT BHCIP ROUND 4: CHILDREN AND YOUTH:BHCIP Round 4, part of the Children and Youth Behavioral Health Initiative, focuses on Californians ages 25 and younger, including pregnant and postpartum women and their children and transition-age youth ages 18-25, along with their families. The 52 awards totaling $480.5 million allow for new construction and expansion of multiple outpatient and residential facility types, including children’s crisis residential programs, perinatal residential substance use disorder facilities, community wellness/youth prevention centers, and outpatient treatment for substance use disorder.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
獎項將支持斯坦尼斯勞斯和文圖拉縣的當地緊急醫療服務機構
SACRAMENTO — The Department of Health Care Services (DHCS) awarded $800,000 to two Local Emergency Medical Service Agencies to foster low-barrier access to clinically proven opioid use disorder (OUD) treatment for patients in an emergency medical services (EMS) setting who are at risk of overdose and often do not have access to services in other settings.
“This is an innovative and lifesaving approach to address the opioid crisis. By equipping emergency medical service providers to render treatment in the field, we are meeting patients where they are and connecting them with ongoing care. This program has the potential to reduce opioid-related deaths and improve long-term health outcomes for some of California’s most vulnerable people,” said DHCS Director Michelle Baass.
The grants—awarded through the Emergency Medical Services Buprenorphine Use Pilot Program (EMSBUP) to the Stanislaus County EMS Agency and Ventura County EMS Agency—will enable these two agencies to address substance use disorder as a treatable emergency condition, utilizing paramedics to identify and treat patients who would benefit from medications for addiction treatment (MAT). MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in treating OUDs and helping some people sustain recovery.
WHY THIS IS IMPORTANT: The EMSBUP has pioneered a cutting-edge approach for delivering MAT through EMS. The population served by EMS has a high risk of death from overdose. In a study of 12,000 patients who received naloxone from EMS, 10 percent died within the following year. Another study found that one-third of all patients who died from unintentional overdose had contact with EMS in the year preceding their death. With an estimated 26,000 911 calls for overdose in California, EMS is a critical and underutilized intervention point for expanding access to MAT, delivering harm reduction, and connecting patients with care.
GRANT AWARDS: This program will assist EMS providers in coordinating with navigators to provide linkages to care options for EMS patients with an OUD and provide a system for patients who sign out against medical advice to have access to outpatient treatment options. The project will run from April 1, 2025, through March 31, 2027. It will also collect de-identified data for research and monthly performance metrics to evaluate the effectiveness of this treatment model.
Additionally, resources will be provided to Local Emergency Medicine Service Agencies to support the initiation and sustainability of this treatment model, which includes a naloxone distribution program, EMS-initiated first dose of buprenorphine, and substance use navigation.
GRANTS MAKING A DIFFERENCE: Through State Opioid Response (SOR) grant funding, EMSBUP builds upon an initial SOR-funded project in Contra Costa County in 2020 in which 260 paramedics were trained to identify and treat OUD from an ambulance, more than 2,000 patients were screened for OUD, 120 received buprenorphine in the field, and 55 were connected to ongoing MAT. The results of this work encouraged other counties to adopt the model. To date, this model has been extended to 11 LEMSAs covering 13 counties to train 1,300 paramedics.
“Buprenorphine administration by EMS provides a high-risk population with access to buprenorphine at a critical and ideal time to receive buprenorphine – post overdose, when patients are in withdrawal and may be more inclined to accept treatment. EMS-administered buprenorphine brings treatment to patients versus patients having to seek out treatment, which has the potential to reduce fatal overdose, reduce crime rates, and save lives. With the right teams in place, patients can start buprenorphine in the field, get connected to emergency services, start feeling better within a few hours. and continue buprenorphine treatment through MAT programs after being discharged from the emergency department,” said Phoebe Blaschak Oliveira, RN, PHN, BSN, Public Health Nurse Program Manager, Contra Costa Regional Medical Center and Choosing Change Clinic.
BIGGER PICTURE: In 2023, Governor Newsom launched his Master Plan for Tackling the Fentanyl and Opioid Crisis, which provides a comprehensive framework to address the opioid and fentanyl crisis, including aggressive steps to support overdose prevention efforts, hold the opioid pharmaceutical industry accountable, crack down on drug trafficking, and raise awareness about the dangers of opioids, including fentanyl.
The EMSBUP is funded by the Substance Abuse and Mental Health Services Administration and is part of DHCS’ broader efforts to address substance use disorders, collectively known as the California DHCS Opioid Response, to increase access to MAT, reduce unmet treatment need, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities. The California DHCS Opioid Response focuses on populations with limited MAT access, including youth, people in rural areas, and American Indian and Alaska Native Tribal communities. For more information, please visit the DHCS website.
DHCS also created the Naloxone Distribution Project (NDP) to combat opioid overdose-related deaths throughout California. The NDP aims to reduce opioid overdose deaths through the provision of free naloxone. For more information about the state’s opioid response, visit opioids.ca.gov.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — The Department of Health Care Services (DHCS), under the direction of Governor Gavin Newsom, this month applied to the Center for Medicaid and Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS) to participate in the groundbreaking Cell and Gene Therapy (CGT) Access Model. If approved, this multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent.
“California’s application to participate in this federal model reflects our commitment to expanding access to groundbreaking treatments for Medi-Cal members with sickle cell disease,” said State Medicaid Director Tyler Sadwith. “These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.”
WHY THIS MATTERS: More than 50 percent of individuals with SCD are covered by Medicaid in the United States. By participating in the CGT Access Model, California will:
「透過擴大這些具變革性療法的可及性，加州正引領潮流，致力解決健康不平等問題、提高預期壽命，並確保罹患鐮狀細胞貧血症的Medi-Cal參保人能獲得最佳的醫療照護，」薩德威斯表示。
關於 CGT 治療模式：基因療法是治療鐮狀細胞貧血症的一種突破性方法。該療法透過修改患者自身的造血幹細胞，協助身體產生健康的紅血球。研究顯示，這項單次治療能減少嚴重疼痛發作的次數，並有望預防併發症，同時改善鐳射細胞性貧血患者的生活品質。
However, these therapies come with extraordinary costs, making access difficult for patients and Medicaid programs, including Medi-Cal. The CGT Access Model addresses this challenge by using a negotiated rebate system that ties payments for these treatments to patient outcomes. If the therapy does not meet expected health improvements, drug manufacturers will provide rebates to Medicaid programs, helping ensure financial sustainability while expanding access to care.
Initially, the model will focus on gene therapies for SCD, a condition affecting more than 100,000 individuals nationwide, including more than 8,000 Medi-Cal/Children’s Health Insurance Program (CHIP) members in California.
If California is approved, eligible Medi-Cal members will have access to gene therapy treatment, case management, travel assistance, behavioral health support, and fertility preservation services, as the treatment process involves chemotherapy, which can impact fertility. CMS anticipates testing the model over an 11-year performance period, beginning on January 1, 2025.
BIGGER PICTURE: In addition to applying for the CGT Access Model, California was selected earlier this year for the Transforming Maternal Health (TMaH) Model, which aims to improve maternal health outcomes and reduce costs, and is transforming Medi-Cal through its California Advancing and Innovating Medi-Cal (CalAIM) waiver, which focuses on whole-person care, care management, and addressing social drivers of health—strengthening efforts to create a more inclusive and effective health system.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
計劃預計每年為近 2,000 人服務
SACRAMENTO — The Department of Health Care Services (DHCS) and Mentis are expanding outpatient services for people with mental health needs in Napa County. Just eight months ago, DHCS and Mentis broke ground on the Napa Valley Youth Wellness Campus, supported by Behavioral Health Continuum Infrastructure Program funding totaling more than $4.7 million.
On March 5, DHCS and Mentis celebrated the ribbon cutting of the new outpatient community mental health clinic and community wellness/youth prevention center, which opened for services and includes 121 new treatment slots and will serve nearly 2,000 people annually.
“DHCS is committed to working with partners like Mentis to rapidly expand mental health and substance use disorder treatment services for California youth,” said DHCS Director Michelle Baass. “BHCIP continues to address historic gaps in the behavioral health care system to meet the growing demand for services and supports throughout the lifespan of people in need.”
納帕谷青年健康校園項目剪帶
NAPA VALLEY YOUTH WELLNESS CAMPUS: This project will serve the behavioral, mental, and emotional needs of children and youth in Napa Valley and their families. The project involves rehabilitating an existing private middle school campus building to incorporate a supportive art studio, community space, and therapy rooms. Services include children and youth wellness prevention activities, mental health treatment, group therapy and/or family activities, and individual therapy sessions. Programs are offered in English and Spanish and are free and accessible for all. Located within walking distance of three high schools, the campus’ continuum of care is intended to attract a diverse youth population, including youth of color and LGBTQIA+ and justice-involved youth.
“Our community clinic and youth wellness campus will provide much-needed support to youth who continue to struggle with life’s stresses,” said Mentis Executive Director Rob Weiss. “We are eager to expand our continuum of care to serve children and youth with a wide spectrum of needs, and we are grateful to DHCS for making this vision possible.”
WHY THIS IS IMPORTANT: BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. With the passage of Proposition 1, even more behavioral health treatment facilities will be funded and built in 2025 and 2026. Through BHCIP, DHCS awards eligible entities funding to construct, acquire, and expand properties and invest in mobile crisis infrastructure to further expand the range of community-based behavioral health treatment options for people with co-occurring mental health treatment needs and substance use disorders.
DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS will distribute up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1. DHCS holds regular public listening sessions on this effort. Updates and recordings of the sessions are available on the online.
ABOUT BHCIP ROUND 4: CHILDREN AND YOUTH:BHCIP Round 4 focused on Californians ages 25 and younger, including pregnant and postpartum women and their children and youth ages 16-25, along with their families. Through funding made possible by California’s Children and Youth Behavioral Health Initiative, the 52 awards totaling $480.5 million allowed for new construction and expansion of multiple outpatient and residential facility types, including children’s crisis residential programs, perinatal residential substance use disorder facilities, community wellness/youth prevention centers, and outpatient treatment for substance use disorders. Please see the BHCIP website for more information about grant recipients and additional details about all BHCIP funding rounds.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov