四月 14, 2025
熱門新聞
DHCS 獲批准參與 Medi-Cal 細胞和基因治療訪問模型
The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. 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. 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.
Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.
專案更新
California’s 1115 Waiver Approvals Remain Unaffected
DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.
This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.
DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.
加入我們的團隊
DHCS 正在尋找有才華和有動力的人，以作為：
- Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.
- Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.
DHCS 還正在招聘其會計、行為健康和其他團隊。有關更多信息，請訪問 CalCareers 網站。
即將舉行的利害關係人會議和網絡
DHCS 在活動日曆上發布即將到來的公開會議。
傳統醫療保健實踐福利實施
On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.
DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
選擇家庭，第二部分：跨性別和性別多元人的避孕和生育能力
五月五日，上午十時至十一時三十分PDT，DHCS 將舉辦「選擇家庭」，第 2 部分：跨性別和性別多元人的避孕和生育網絡研討會（需要進階註冊）。跨性別和性別多樣性（TGD）人代表患者人群日益增長的子組，但許多人繼續報告提供者對 TGD 健康方面缺乏知識。本會議將基於本網絡研討會系列第 1 部分中所介紹的 TGD 健康術語和能力基本要素，通過審閱有關避孕、生育和家庭建設諮詢的基於實證的建議。如果您無法參加實時網絡研討會，稍後將在 Family PACT 網站上提供網絡研討會的成績單和記錄以及其他資源。
利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議
5 月 21 日，太平洋標準時間上午 9 時 30 分至下午 3 時，DHCS 將在薩克拉門托 1700 K 街（一樓會議室 17.1014）舉辦混合 SAC/BH-SAC 會議（需提前註冊才能在線和親身參加）。SAC 為 DHCS 提供有價值的意見和反饋，以提供公平獲取優質醫療保健的努力。BH-SAC 為 DHCS 提供有關行為健康計劃的意見，這是作為將行為健康與更大的醫療保健系統整合在一起努力的一部分創建的一部分。會議議程和其他會議材料將隨著會議日期臨近發布。有關更多信息，請發送電子郵件 SACinquiries@dhcs.ca.gov 或 BehavioralHealthSAC@dhcs.ca.gov。
如果你錯過了
提案 35：保護獲得醫療保健法例-SAC
Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
現正開放：提供存取和轉型健康（PATH）容量和基礎設施轉型、擴展和開發（CITED）第四輪申請
On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.
申請 PATH CITED 第四輪資助的截止日期為台灣時間 2 月 2025 (台灣時間) 晚上 11 時 59 分。指引文件和應用程序可在 PATH CITED 網頁上找到。如有任何疑問，請發送至 cited@ca-path.com。