強化照護管理與社區支援持續成長
十月 10, 2025
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:
- 38,000 名兒童和青少年接受了 ECM - 比去年同期增加了 120%。
- 為 68,000 名成人和近 13,000 名無家可歸的兒童和青少年提供了服務,分別增加了 86% 和 172%。
- 服務無家可歸青少年的提供者幾乎增加了一倍。
- 超過 429,000 名 Medi-Cal 會員已使用社區支援,迄今已提供超過 110 萬項服務。
"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:
- 幾乎所有 Medi-Cal 會員都可獲得至少 10 項社區支援。
- 大多數人可以使用 14 項社區支援的全套服務。
- 約有 42% 的人使用與住屋相關的服務,例如協助尋找及保留住屋或支付住屋押金。
"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.
To support this expansion, DHCS has awarded more than $1.43 billion through its Providing Access and Transforming Health (PATH) initiatives, including Capacity and Infrastructure Transition, Expansion, and Development (CITED), Collaborative Planning and Implementation, and the Technical Assistance Marketplace. These funds help community-based organizations, clinics, and local agencies grow their capacity to deliver ECM and Community Supports by hiring staff, upgrading systems, and improving care coordination. The final round of CITED funding closed in May 2025, with new awardees to be announced later this year.
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