Medi-Cal 護理創新比以往惠及更多加州人
一月 29, 2026
新數據顯示強化照護管理和社區支援有顯著的成長
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, key components of California’s Medi-Cal transformation under the California Advancing and Innovating Medi-Cal (CalAIM) initiative.
“These services help Medi-Cal members stay healthier and avoid other, costlier care, such as emergency department visits and hospital stays,” said DHCS Director Michelle Baass. “We appreciate the hard work and commitment of Medi-Cal managed care plan providers and partners. Together, we are building a health care delivery system that supports whole-person care for Medi-Cal members.”
最新的季度報告包括自 2022 年 1 月以來的趨勢,以及 2025 年 4 月至 6 月的新資料,涵蓋州、縣及管理式保健計劃層級的會員服務、服務使用及提供者網路資訊。
ECM REACHES MORE CALIFORNIANS: ECM helps people with complex health and social needs, including homelessness, serious mental illness, or frequent hospital visits, coordinate the care they need, wherever they are. Since its launch in January 2022, ECM has connected more than 451,000 Medi-Cal members to high-touch, person-centered care coordination through a Lead Care Manager who helps navigate physical, behavioral, and social services.
2025 年第二季,ECM 的註冊人數增加,尤其是兒童和青少年。超過 47,000 名兒童及青少年接受了 ECM,較去年同期增加 102%。近 3,600 名從監獄過渡的成人和超過 16,000 名無家可歸的兒童和青少年也接受了 ECM,與去年同期相比分別增加了 83% 和 164%。為了滿足這項需求,醫療服務提供者網路大幅擴張,服務這些族群的醫療服務提供者年比增加超過 80%。
“Every expansion means more Californians have access to services that keep them stable, healthy, and supported,” said State Medicaid Director Tyler Sadwith. “We’re focused on making these programs even more accessible and responsive to the communities we serve.”
COMMUNITY SUPPORTS GROWTH: Community Supports provide cost-effective, community-based alternatives to traditional medical care, addressing housing, nutrition, and other social drivers of health. Since launching in January 2022, these services have become a cornerstone of whole-person care in Medi-Cal.
截至 2025 年 6 月,已有超過 52 萬名 Medi-Cal 會員使用社區支援服務,全州共提供超過 130 萬項服務。服務範圍持續擴大,幾乎所有 Medi-Cal 會員現在都可獲得至少 10 項社區支援服務,而且大多數(94%)會員都可選擇全套服務。醫療量身訂做的膳食和住房相關服務仍然是使用率最高的服務之一。
WHY THIS IS IMPORTANT: The growth of ECM and Community Supports reflects California’s commitment. These services are critical tools in addressing challenges, such as homelessness, behavioral health access, and support for families and youth with complex needs.
作為改善健康成果承諾的一部份,加州擴大了「涉案司法人員重返社區行動」(Justice-Involved Reentry Initiative),要求管理式照護計劃在釋放前 90 天內提供照護協調以及醫療和行為健康服務,以確保重返社區期間照護的連續性。這項計畫透過釋放前服務為會員提供支援,並透過釋放後 ECM 連繫持續照護,於 2024 年 10 月在三個縣啟用,並於 2025 年 2 月擴展至州立監獄,目前已在 13 個縣投入運作。全州所有縣都必須在 2026 年 10 月前提供這些服務。
INVESTING IN CAPACITY: To support the expansion of ECM and Community Supports, DHCS has awarded more than $1.66 billion through its Providing Access and Transforming Health (PATH) initiatives, including Capacity and Infrastructure Transition, Expansion, and Development (CITED), Collaborative Planning and Implementation, Justice-Involved Capacity Building program, and Technical Assistance Marketplace. These funds help community-based organizations, clinics, and local agencies grow their capacity by hiring staff, upgrading systems, and improving care coordination. The fourth and final round of PATH CITED grant awardees was announced in November 2025.
WHAT’S NEXT: DHCS will continue listening to Medi-Cal members who use ECM and Community Supports. Feedback gathered through surveys, focus groups, and other outreach will guide improvements to make these services easier to access, more effective, and more responsive to California’s diverse communities.
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