加州官方網站
行為健康服務每年擴大至 4,800 人
SACRAMENTO- 1 月23,2025, Health Care Services (DHCS) 和Sierra Vista Child& Family Services慶祝 Stanislaus 縣一家新設施的開幕，以縮小精神健康和藥物使用障礙 (SUD) 治療方面的差距。社區健康與青少年預防中心將提供重要的行為健康服務，包括青少年恢復性司法實踐、心理健康諮詢、懷孕與產後服務、家庭與父母支援服務，以及其他綜合服務。
DHCS awarded Sierra Vista Child & Family Services more than $4.6 million through the Behavioral Health Continuum Infrastructure Program (BHCIP), which works to ensure comprehensive behavioral health care for California’s most vulnerable individuals. The facility is expected to serve 4,800 individuals annually. With approved Proposition 1 bonds, in 2025 and 2026, even more behavioral health treatment facilities will be funded and built.
"DHCS 主任 Michelle Baass 表示：「社區健康與青少年預防中心是加州為農村及服務不足的社區提供高品質、全面性醫療照護的重要一環。「對於在 Stanislaus 縣尋求有尊嚴的整體行為健康服務的人們來說，本中心的開幕改變了遊戲規則」。
"Sierra Vista Child& Family Services 的首席執行官 Andrew Timbie 表示：「鞏固家庭和社區是我們的使命。「我們相信，我們在 Stanislaus 縣中心的社區健康與青少年預防中心（Community Wellness and Youth Prevention Center）的投資和進一步發展中，有效地體現了我們的戰略倡議使命，該中心位於一個脆弱且掙扎的社區」。
SIERRA VISTA CHILD & FAMILY SERVICES: Sierra Vista Child & Family Services offers a diverse array of services, including Enhanced Care Management, mentoring, short-term residential therapeutic programs for foster youth, and perinatal substance use disorder treatment programs.
新的社區健康與青少年預防中心使用 BHCIP 資金建造，為兒童、家庭和整個 Stanislaus 社區的生活創造持久的改變。該中心為來自未獲足夠服務的高風險人口的 25 歲以下兒童和青少年提供服務，包括涉及青少年司法系統的低刑事犯罪者及其家人。服務包括以優勢為基礎的評估、綜合個案管理服務、與當地社區資源的連結、家庭及照顧者教育和福祉支援、心理健康篩檢，以及懷孕和產後服務。
WHY BHCIP IS IMPORTANT: 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 mental health and substance use disorders. BHCIP is addressing historic gaps in the behavioral health care system to meet the growing demand for services and support throughout the lifespan of people in need. Sierra Vista Child & Family Services received BHCIP Round 4: Children and Youth grant funding.
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 Behavioral Health Transformation webpage.
關於 BHCIP 第四輪：兒童和青少年：BHCIP 第 4 輪專注於 25 歲及以下的加州人，包括懷孕和產後婦女及其子女，以及 18-25 歲的過渡年輕人及其家人。透過「加州 兒童與青少年行為健康計畫」 （California' s Children and Youth Behavioral Health Initiative ）的資助，總計 4 億 8,050 萬加元的 52 筆獎金用於新建和擴建多種門診與住宿設施，包括兒童危機住宿計畫、圍產期藥物使用障礙住宿設施、社區健康/青少年預防中心，以及藥物使用障礙門診治療。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
項目為等待或離開住宿治療的人增加十六張新的同伴休息床
SACRAMENTO — On January 29, 2025, the Department of Health Care Services (DHCS) attended Placer County’s opening of a new 16-bed adult peer respite that provides a safe, supportive, and home-like environment for adults awaiting placement in residential treatment programs or exiting such programs to a lower level of care. The facility, dubbed “The Harbor,” will begin welcoming clients on February 3 through a referral-based system managed by Placer County’s substance use team.
DHCS awarded Placer County nearly $400,000 through the Behavioral Health Continuum Infrastructure Program (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.
“Too often, restrictive inpatient settings are the only option available to people experiencing a mental health crisis,” said DHCS Director Michelle Baass. “Community-based, trauma-informed, and resilience-focused centers like The Harbor have the potential to revolutionize California’s approach to behavioral health treatment and recovery.”
THE HARBOR: The new facility will include peer respite designed to complement the Placer County Health and Human Services Drug Medi-Cal Organized Delivery System (DMC-ODS) treatment continuum by providing a structured environment for people leaving residential placements or awaiting placement. Residents will engage in self-help recovery activities while potentially also participating in outpatient care.
Services provided include ongoing needs assessment across the behavioral health and physical health spectrums, case management, crisis management, trauma-informed individual and group therapy, peer-to-peer supportive services, linkage to cultural supports and services, and other necessary referral services for a safe and efficient discharge back into the community. These services are designed to provide less costly and less intrusive care than those offered in a hospital setting.
“The Harbor will offer a compassionate, supportive environment where individuals can regain their strength, heal, and reconnect with their sense of well-being,” said Placer County Behavioral Health Director Amy Ellis. “This facility is part of Placer County’s ongoing efforts to build and expand its behavioral health infrastructure to respond to people in need.”
WHY BHCIP IS IMPORTANT: 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. DHCS holds regular public listening sessions on this effort. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage.
ABOUT BHCIP ROUND 3: LAUNCH READY: BHCIP Round 3 supported preparation activities to plan for the acquisition and expansion of behavioral health infrastructure throughout the state. The 45 awarded facilities were funded a total of $518.5 million. BHCIP applicants were required to demonstrate service expansion for Medi-Cal members and have a valid planning process to ensure projects are ready for implementation.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO - 健康照護服務部 (Department of Health Care Services, DHCS) 透過加州用藥過量預防網路( California Overdose Prevention Network, COPN) 撥款 270 萬美元給 15 個地方聯盟 ，該網路是一個受人尊敬的全州性學習網路，致力於對抗用藥過量流行病。這筆資金將為支持 COPN 使命的聯盟提供持續的支援，以加強社區內的連結，並提供獲得知識、訓練和資源的機會，從而改善實務並創造持久的改變。
「傳統上，阿片類藥物使用障礙的治療是各自為政的，醫療服務提供者與其他組織之間的聯繫有限，導致護理方面出現差距，」 DHCS 主任 Michelle Baass說。“這筆資金將支持 COPN 的工作，幫助協調在加州藥物過量流行前沿工作的聯盟、組織和個人，優先考慮獨特的、本地化的需求，並實施已被證明可以挽救生命的解決方案。”
帶來改變：獲獎的 15 個聯盟將在 1 月1,2025 和 8 月30,2027 之間使用此筆資金，以實施針對用藥過量預防、治療和復原的策略。這些努力包括分發納洛酮、擴大救生資源的使用範圍以及社區教育，所有這些都是為了減少用藥過量死亡的案例，並促進全州的長期康復。
重要原因：2022 年，超過 7,000 名加州人死于阿片類藥物過量。全國每年有超過 83,000 人死於阿片類藥物過量，其中 90% 涉及芬太尼。
San Luis Obispo 阿片安全聯盟協調員 Jenn Rhoads 表示：「獲得這筆撥款後，我們的聯盟將繼續提供社區教育和意識，以減少阿片類藥物的使用，並增加預防用藥過量的機會。「我們也會改善提供者的存取管道，以增加全縣的治療和減輕傷害服務」。
"索拉諾州毒品安全聯盟協調員 Arthur Camargo 表示：「這筆資金將加強聯盟目前的計畫，並擴大我們的工作範圍，讓更多人受惠。"具體來說，這些資金將讓我們能夠擴展減少傷害服務、納洛酮訓練和分發，以及社區教育活動和訓練。這筆資金也將支援我們的聯盟努力更新和散播針對處方者的資源，以更安全地開立阿片類藥物和丁丙諾啡的處方，並使用我們的資料資源來提倡當地阿片類藥物和解基金的最佳使用方式」。
By strengthening connections and providing vital resources, COPN’s network and training give coalitions the tools and support they need to tackle the overdose epidemic effectively.
大圖：本專案由物質濫用與心理健康服務管理局所頒發的「州阿片類藥物回應 IV」補助金資助。該專案是 DHCS 針對物質使用失調（統稱為「加州類鴉片回應專案」）所做的更廣泛努力的一部分，旨在透過提供預防、治療和復原活動，增加 MOUD 的使用、減少未滿足的治療需求，以及減少與類鴉片劑過量相關的死亡。如需詳細資訊，請造訪 DHCS網站。
該州推出了opioids.ca.gov，這是加州人尋求預防和治療資源的一站式工具，以及有關加州如何在這場危機中追究大藥廠和毒品販子責任的資訊。
符合資格的實體可透過 DHCS 的 Naloxone 分銷專案 免費取得 CalRx 品牌 的非處方藥 (OTC) 4 毫克納洛酮鼻腔噴霧劑。CalRx 正在開發一個選項，讓個人可以直接購買 CalRx OTC naloxone 噴鼻劑。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
薩克拉門托—加州衛生保健服務部 (DHCS) 向 91 個組織撥款近 6,540 萬美元，以加強加州中心輻射系統。該系統是一個經過驗證的模式，旨在增加全州範圍內獲得阿片類藥物使用障礙 (MOUD) 服務的機會。這筆資金將加強全州的預防、治療和復健服務，推動對抗鴉片類藥物危機的鬥爭，挽救生命。
「DHCS 主任 Michelle Baass 表示：」克服阿片類藥物的流行需要我們公共衛生系統的每個部分共同努力，以達到治療的目的。「Hub and Spoke System」透過改善全州各社區的服務和資源，強化加州的預防、減少危害、治療和康復提供者網路」。
The Hub and Spoke System consists of a network of Narcotic Treatment Programs (known as Hubs) licensed to dispense methadone and other MOUDs. These Hubs are connected to other MOUD prescribers (known as Spokes), which primarily provide various formulations of buprenorphine—a medication that reduces opioid cravings and withdrawal symptoms—and ongoing opioid use disorder (OUD) and substance use disorder (SUD) care and treatment.
重要原因：2022 年，超過 7,000 名加州人死于阿片類藥物過量。全國每年有超過 83,000 人死於阿片類藥物過量，其中超過 90% 涉及芬太尼。Hub and Spoke System 增加了全州獲得藥物輔助治療 (MAT) 服務的機會，特別是在用藥過量率最高的縣。此計畫是以 佛蒙特州 的 Hub and Spoke 系統 為藍本，該系統成功地在治療基礎設施不多的鄉村地區增加了 MAT 的使用。該專案透過增加開立丁丙諾啡處方的醫師、醫師助理和執業護士總人數，增加 OUD 患者 MAT 的可用性。
Hub and Spoke System（樞紐與輻射系統）繼續改善對 SUD 和 OUD 患者的教育、外展和治療，尤其著重於服務弱勢民眾和增加 MOUD 服務。該系統的設計目的是：
這意味著：91 家機構將獲得獎勵，從 1 月1,2025, 到 9 月29,2027 ，提供 MOUD 服務以實施 Hub and Spoke System。受資助者包括麻醉品治療計畫、聯邦合格健康中心、鄉村健康診所、社區診所、非營利組織和部落實體。
威尼斯家庭診所專案管理主任 Ariel Peterson 表示：「這筆資金讓威尼斯家庭診所能為 SUD 患者提供救生支援，不論他們的保險狀況如何。「這包括治療鴉片類藥物使用障礙的藥物、輔導、個案管理，以及前往戒毒所或住宿照護的交通服務」。
「我們很榮幸獲得這筆撥款，用於支持我們的阿片類藥物使用障礙 (OUD) 藥物輔助治療 (MAT) 項目，使我們能夠繼續為高風險美洲原住民患者提供重要的外展和醫療服務，」 K'ima:w 醫療中心的 MAT 項目經理 Judith Surber說。「MAT 計畫仍然是我們醫療中心和我們所服務的更廣泛社區不可或缺的一部分。這筆資金將有助於發展我們的項目，減少歧視，並降低我們農村部落社區中阿片類藥物過量致死的人數。透過營造結構化的診所環境，我們旨在幫助患者重建生活，成為社會中有生產力的成員，並為他們的家庭和社區做出貢獻。
" Clare|Matrix 的評估總監 Andrea Nee 表示：「有了 Hub and Spoke System 的資金支持，我們的門診、住院和阿片治療計畫就能向社區提供更廣泛的救生 MOUD 外展服務，並讓更多沒有保險和保險不足的病患有平等機會獲得 MAT。"Hub and Spoke System 的資金有助於支援我們的醫療主任、輔導和護理人員，讓他們能夠為更多 OUD 和興奮劑使用障礙患者提供最高品質的治療。我們將能夠提高人們對 MAT 的好處和影響的瞭解和認知，並通過全面的患者教育和參與服務進一步減少成見"。
大圖片：加州推出了opioids.ca.gov，這是加州人尋求預防和治療資源的一站式工具，以及有關加州如何在這場危機中追究大藥廠和毒品販子責任的資訊。
Hub and Spoke System 由 Substance Abuse and Mental Health Services Administration 頒發的 State Opioid Response IV 補助金資助。本專案是 DHCS 針對 SUDs（統稱為「加州類鴉片反應」）所做的更廣泛努力的一部分，旨在透過預防、治療和復原努力，增加 MOUDs 的使用、減少未滿足的治療需求，以及減少與類鴉片劑過量相關的死亡。如需詳細資訊，請造訪California DHCS Opioid Response Overview 網站。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — In response to the Southern California wildfires, the Department of Health Care Services (DHCS) requested and received federal approval from the Biden-Harris administration of several dozen flexibilities to prevent disruptions in health care delivery so Medi-Cal members can continue to receive needed care. 1135 waivers allow the U.S. Department of Health and Human Services (HHS) to waive various administrative requirements to increase access to medical services during a time of national emergency. 1135 waiver approvals remain in effect throughout the duration of the public health emergency declared by former HHS Secretary Xavier Becerra, which is 90 days.
「DHCS致力於幫助加州民眾在這場毀滅性的危機期間以及社區開始復甦之際獲得所需的醫療保健，」州醫療補助主任泰勒·薩德維斯說。"我們的聯邦合作夥伴授予的豁免權將為醫療服務提供者提供必要的彈性，以解決 Medi-Cal 會員的迫切需要。無論是確保在其他場所繼續獲得診所服務，為居家和社區服務提供有針對性的靈活性，還是簡化醫護人員註冊流程，這些措施旨在消除就醫障礙，並在此次緊急情況下以及整個恢復過程中為患者和一線醫護人員提供支持。
Key flexibilities include:
關於靈活性： 根據 1135 豁免，聯邦醫療保險& 聯邦醫療保險服務中心 (CMS) 暫時放寬某些聯邦醫療保險、聯邦醫療保險和兒童健康保險計劃的規定，以協助醫療照護提供者和設施因應緊急狀況或災難。附錄 K 核准針對居家和社區服務計畫提供額外的彈性。這些行動旨在減少行政負擔，並在關鍵時刻提供醫療照護的靈活性。
今天就獲得幫助：加州居民可以瀏覽CA.gov/LAfires，這是一個州政府、地方政府和聯邦政府的資訊和資源中心。
加州健保（Covered California）最近宣布，洛杉磯縣和文圖拉縣的居民將迎來一個特殊的註冊期。本次特別報名期間將持續至三月8 、 2025 。可透過洛杉磯縣和加利福尼亞州獲得相關資源。在加州有 130 萬無保險居民，他們有資格透過加州醫療保險計劃 (Covered California) 獲得補貼或有資格獲得加州醫療補助計劃 (Medi-Cal) 的保障，其中 35.6 萬人居住在南加州。
California developed resources to help guide people through disasters and provide information about the different types of federal, state, and local services available in California:
Through the BenefitsCal portal, Californians can get and manage benefits online. This includes food assistance (CalFresh, formerly food stamps), cash aid (CalWORKs, General Assistance, Cash Assistance Program for Immigrants), and affordable health insurance (Medi-Cal).
Individuals and business owners who sustained losses from the Southern California wildfires can apply for disaster assistance:
如果您使用中繼服務，例如視訊中繼服務、有字幕的電話服務或其他服務，請向 FEMA 提供該服務的電話號碼。
背景：為了應對野火和州長 Gavin Newsom 於 1 月7 發佈的緊急狀態和行政命令，2025 ，DHCS迅速實施了重要的行政彈性措施，以保護該州受災地區的 Medi-Cal 會員。
DHCS 管理 Medi-Cal，即加州版的 Medicaid，為近 1,500 萬人提供醫療保險，包括洛杉磯縣的近 400 萬會員和 Ventura 縣的超過 250,000 名會員。如果 Medi-Cal 會員需要協助，應聯絡他們的醫療服務提供者或計劃。
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov
SACRAMENTO — In response to the devastating Southern California wildfires and Governor Gavin Newsom’s proclaimed State of Emergency and Executive Order issued on January 7, 2025, the Department of Health Care Services (DHCS) swiftly implemented key administrative flexibilities to protect Medi-Cal members in affected regions of the state. These efforts include simplified Medi-Cal enrollment and renewal processes, waived requirements to access prescription medications and medical devices, and other flexibilities to ensure all Medi-Cal members have access to care during this emergency.
Help for Medi-Cal members in Los Angeles County and Ventura County includes:
DHCS understands recovering from these wildfires will be challenging and has developed an online resource to help answer Medi-Cal member questions about accessing services during this emergency.
Current flexibilities for Medi-Cal managed care plans and providers include:
Additionally, DHCS submitted requests to the federal Centers for Medicare & Medicaid Services (CMS) to help Californians covered by Medi-Cal impacted by the Southern California wildfires. Section 1135 of the Social Security Act provides flexibility during national public health emergencies.
“At DHCS, our members are our top priority, and our hearts go out to the families affected by the Southern California wildfires,” said DHCS Director Michelle Baass. “We are working closely with CMS to obtain speedy federal approvals for flexibilities to help our state and Medi-Cal members meet the challenges posed by the wildfires. We will continue to issue guidance to providers so they can quickly take advantage of the new flexibilities to deliver quality, equitable health care to Southern Californian Medi-Cal members.”
Significant additional flexibilities requested by DHCS include:
DHCS is dedicated to safeguarding the health and well-being of Medi-Cal members and communities suffering from the devastating effects of the Southern California wildfires. DHCS’ purpose extends beyond routine health care services, focusing on proactive planning, rapid response, and continuous support in the face of challenges like these wildfires.
通過與州、地方、聯邦和部落合作夥伴的協調努力，DHCS 確保重要的醫療保健服務可供受影響個人獲得和及時。 DHCS 利用其團隊的專業知識和緊急法規的靈活性來滿足南加州社區的獨特需求，從促進獲得醫療護理和行為健康服務到確保藥物和耐用醫療設備的可用性。
BACKGROUND: On January 8, 2025, in response to the catastrophic wildfires in Southern California, President Joseph R. Biden, Jr. declared that a major disaster exists in the State of California in the areas affected by wildfires. On January 10, 2025, U.S. Department of Health & Human Services Secretary Xavier Becerra declared a public health emergency for California, granting CMS additional flexibility to address the health needs of impacted individuals. These measures were made possible through extensive preparedness planning and proactive emergency response protocols. These efforts underscore a strong state and federal partnership, ensuring uninterrupted care and services during this emergency.
DHCS administers Medi-Cal, California’s version of Medicaid, providing health coverage to nearly 15 million people, including nearly 4 million members in Los Angeles County and more than 250,000 members in Ventura County.
DHCS鼓勵所有受影響的居民遵守當地的疏散命令，監測空氣質量，並在需要時在戶外佩戴口罩。如果 Medi-Cal 會員需要幫助，他們應該聯繫他們的醫療保健提供者或計劃。
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聯繫人：
Office of Communications
(916) 440-7660
www.dhcs.ca.gov
SACRAMENTO — The California Department of Health Care Services (DHCS) has been selected by the Centers for Medicare & Medicaid Services (CMS) to implement its Transforming Maternal Health (TMaH) Model, a 10-year Medicaid and Children’s Health Insurance Program (CHIP) delivery and payment model designed to improve maternal health outcomes and reduce health care expenditures through a whole-person approach to pregnancy, childbirth, and postpartum care. California is one of 15 states selected to participate in the TMaH Model.
The TMaH Model will implement evidence-informed interventions within a value-based payment (VBP) framework, reimbursing providers based on patient health outcomes and quality of care, rather than the volume of services provided. By focusing on improving maternal outcomes, reducing costs, and enhancing the quality of care, the model aims to reduce low-risk cesareans, lower severe maternal morbidity, and increase access to maternal providers, such as midwives, doulas, and birth centers, for Medi-Cal members.
This initiative will improve the state’s maternal care system, particularly for pregnant Medi-Cal members and their infants, who traditionally experience disparities in maternal health care access and outcomes. The TMaH Model will focus on areas with the greatest need for intervention and resources. DHCS will implement the TMaH Model in five Central Valley counties: Fresno, Kern, Kings, Madera, and Tulare.
“By targeting these high-need counties, we are taking a strategic step toward improving the health and well-being of pregnant people across California, particularly in areas experiencing the greatest maternal health disparities,” said DHCS Director Michelle Baass. “This model will allow us to test innovative approaches to maternal health care, ensuring that every pregnant Medi-Cal member, regardless of their background or circumstances, receives the care they need to have a healthy pregnancy and delivery. Participation in TMaH will advance DHCS’ ability to achieve its maternal health priorities and continue investing in the future of equitable birthing care.”
“TMaH offers a meaningful opportunity to reduce maternal health disparities by increasing access to doulas and midwives in our communities,” said Shantay R. Davies-Balch, President and Chief Executive Officer of Belonging, Love, Affinity, Community, & Kinship (BLACK) Wellness & Prosperity Center. “These professionals are vital advocates for families, providing personalized care and a holistic approach to both prenatal and postpartum support.”
“The CMS Transforming Maternal Health grant strengthens California’s leadership and innovation while taking a crucial step toward reducing health disparities and ensuring mothers in the Central Valley have access to equitable care,” said California Surgeon General Dr. Diana Ramos. “This initiative aligns with our shared commitment to reducing maternal mortality and morbidity, ensuring healthier futures for families across California.”
WHY THIS IS IMPORTANT: Medi-Cal-members have a higher rate of maternal mortality than individuals with commercial insurance. Poor maternal health outcomes disproportionately impact Black, Indigenous, and People of Color, particularly those in the Southern Central Valley and Northeastern/Northern Central Valley regions of California.
DHCS will implement the TMaH Model in the five counties characterized by some of the highest pregnancy-related mortality rates in California, where C-sections and rates of prenatal and postpartum depression are higher than the statewide average. There is also a greater need for maternity care providers and health-related social services in these regions compared to others in California.
A STEP FORWARD IN HEALTH EQUITY: For pregnant people, particularly those in rural and underserved areas, this initiative represents a significant opportunity to access improved services that support their birthing plan. The TMaH Model is part of California’s broader commitment to addressing racial and ethnic disparities in maternal health and ensuring that all pregnant people, especially people in low-income communities, receive the support they need to safely navigate pregnancy and childbirth. TMaH is a key pillar in DHCS’ strategy to improve outcomes for pregnant and postpartum individuals.
“This is an important step forward in our ongoing efforts to address maternal health disparities in California,” said Palav Babaria, Chief Quality and Medical Officer and Deputy Director of DHCS’ Quality and Population Health Management. “By testing new models of care, California is leading the way in advancing health equity, particularly for communities that have been historically underserved or disadvantaged in accessing timely, effective maternal care.”
BACKGROUND: The TMaH Model will provide $17 million in funding over the program’s course. CMS will award this funding to DHCS in two phases: $8 million during the three-year pre-implementation period (2025-2027) and $9 million during the seven-year implementation period (2028-2035). DHCS will leverage this funding for technical assistance and infrastructure support that will be made available to providers and key implementation partners in the five counties to meet required milestones, including the rollout of a VBP model aimed at rewarding providers for delivering high-quality care.
The TMaH Model will provide valuable insights into the impact of value-based care models on maternal health. It will emphasize improving care coordination, enhancing provider training, and offering holistic support that accounts for social drivers of health, including housing, food security, and transportation.
BIGGER PICTURE: TMaH aligns with and will be complementary to DHCS’ Birthing Care Pathway, a comprehensive policy and care model roadmap to cover the journey of all pregnant and postpartum Medi-Cal members from conception through 12 months postpartum. The Birthing Care Pathway is being developed to be a strategic roadmap for state entities, managed care plans, counties, providers, social service entities, philanthropy, and other key partners in providing services to pregnant and postpartum Medi-Cal members. The roadmap will include a series of policy recommendations that aim to address the physical, behavioral, and health-related social needs of pregnant and postpartum members by improving access to providers, strengthening clinical care and care coordination across the care continuum, providing whole-person care, and modernizing how Medi-Cal pays for maternity care. Additionally, TMaH aligns with DHCS’ Bold Goals 50×2025 initiative, which was launched in 2022 as a focused campaign to improve the quality and equity of care in three focus areas outlined in DHCS’ Comprehensive Quality Strategy: children’s preventive care, behavioral health integration, and maternity care.
DHCS has already implemented several required TMaH Model elements and other initiatives that will contribute to the success of TMaH, such as adding doula, dyadic care, and community health worker benefits; extending Medi-Cal coverage from 60 days to 12 months postpartum; facilitating enrollment of children and newborns eligible for Medi-Cal through expanding the Children’s Presumptive Eligibility Program and establishing the Newborn Gateway; requiring perinatal screenings and assessments to address whole-person needs; implementing health-related social needs Community Supports services (e.g., housing supports, medically tailored meals); and launching a Birth Equity Population of Focus under the Enhanced Care Management benefit that offers high-touch care management to eligible pregnant and postpartum individuals.
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Contact:
Office of Communications
(916) 440-7660
www.dhcs.ca.gov