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DHCS 推出健康公平藍圖倡議

DHCS publicly launched the Health Equity Roadmap initiative, an ongoing effort to inform and advance DHCS’ work to eliminate health disparities and advance health equity for Medi-Cal members. The Health Equity Roadmap initiative represents a phased process co-designed with Medi-Cal members to create a more equitable Medi-Cal system that puts member needs first. The first step in this process was a statewide listening tour, during which DHCS leaders and community partners listened to Medi-Cal members’ experiences with Medi-Cal. The information gathered from these sessions will inform the development of the DHCS Health Equity Roadmap that will guide the development and implementation of future DHCS programs to advance health equity. 

After the listening sessions, DHCS will begin to identify common themes heard from members throughout the state. DHCS will work closely with Medi-Cal members, experts, advocates, providers, and stakeholders to ensure all relevant voices and experiences are included in the conversation. The Health Equity Roadmap, developed during the co-design phase, will incorporate the ideas and suggestions members shared with us to transform Medi-Cal into a more equitable health care delivery system. 

For inquiries related to the Health Equity Roadmap initiative, or for ideas on how DHCS can make Medi-Cal more equitable, please email HealthEquityRoadmap@dhcs.ca.gov.

遠程醫療：互動使用率儀表板和報告

As part of an overall initiative aimed at monitoring telehealth utilization within Medi-Cal, DHCS released the first phase of its public-facing interactive Medi-Cal Telehealth Utilization Dashboard and companion Biennial Telehealth Utilization Report. Both the dashboard and report will help DHCS take a data-driven approach to evaluating telehealth policy. DHCS’ objective is to consistently provide a range of telehealth metrics and articulate telehealth data in a public-facing format that is easy to access and understand. 

DHCS anticipates publishing the dashboard and report in two phases. Phase one includes eight measure sets of medical services data related to telehealth utilization. Phase two will expand the dashboard to include data sets related to mental health, the Drug Medi-Cal Organized Delivery System, and dental care. The dashboard is anticipated to be completed with all data sets in summer 2024 and will be updated annually thereafter. 

To complement the dashboard, DHCS created the report, which provides an executive summary of Medi-Cal telehealth utilization, trends, and key takeaways. The report includes telehealth utilization data from 2019 to 2022. For more information, please visit the Medi-Cal & Telehealth webpage. Please email your questions to Medi-Cal_telehealth@dhcs.ca.gov.

專案更新 

兒童健康和殘疾預防（CHDP）計劃過渡

參議院條例草案 184（2022 年第 47 章章）授權 DHCS 在 2024 七月 1 之前逐步取消 CHDP 計劃並將服務轉換為其他 Medi-Cal 傳遞系統。 這項過渡簡化和簡化為 21 歲以下兒童和青少年提供服務，符合加利福尼亞促進和創新媒體（CalAIM）倡議的目標。 CalAim 通過在 Medi-Cal 託管護理計劃（MCP）中整合兒童和青少年的照顧責任來增加 Medi-Cal 的照護標準化。

CHDP 過渡計劃是與 CHDP 計劃過渡工作組合制定的，並獲得全州 CHDP 利益相關者的反饋。 此過渡保留了目前通過 CHDP 閘道提供的假設資格註冊，CHDP 兒童鉛中毒預防計劃的活動以及寄養兒童醫療保健計劃中提供的假設資格註冊。 根據《健康和安全守則》第 124024 條，DHCS 在其網站上發布一份聲明，證明成功過渡所需的所有活動都在 27, 2024 之前完成。

加州醫療補助健康保健計劃 Rx

3 月 29 日發布了一份為期 30 天的倒數計時公告，宣布對 22 歲及以上會員實施「代碼 1 診斷要求 - 拒絕代碼 80索賠利用管理 (UM) 編輯」。自 4 月30 、 2024起，Medi-Cal Rx 將使用會員 Medi-Cal 醫療記錄中的診斷代碼來滿足代碼 I 診斷限制。如果在醫療記錄中找不到可接受的診斷代碼，或者在理賠審核時未包含該診斷代碼，則提交給 Medi-Cal Rx 的理賠申請將被拒絕，拒絕代碼為 80。處方文件要求適用於 I 類診斷限制藥物。
醫師和藥局服務提供者必須記錄治療診斷
並妥善保存該資訊以備審計之用。

加入我們的團隊 

DHCS is hiring for communications, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.

即將舉行的利害關係人會議和網絡 

CalAIM 提供訪問和轉型健康（PATH）技術支持（TA）市場

On April 9 and 25, from 9 to 10:30 a.m., DHCS will host virtual CalAIM PATH TA Marketplace Vendor Fairs, where vendors pitch their organization and services to potential TA Recipients and encourage utilization of the TA Marketplace. Approved TA Recipients and organizations currently contracted with or planning to contract with a Medi-Cal MCP or other eligible entity to provide Enhanced Care Management (ECM)/Community Supports are encouraged to attend. The PATH TA Marketplace is a one-stop-shop website where entities can access free TA services from curated and approved vendors. Vendor services help eligible ECM/Community Supports providers build their data capacity, strengthen cross-sector partnerships, train existing and new staff, implement linguistically responsive services, and more. 

The April 9 Vendor Fair features vendors providing services in Domain 2: Community Supports and Domain 7: Workforce. Domain 2 includes TA vendors with expertise in designing, implementing, and improving one or more Medi-Cal Community Supports services. Domain 7 includes TA vendors with expertise in recruiting and retaining a well-prepared, high-performing workforce, with a particular focus on members of the frontline, clinical, and/or “lived experience” workforces.  

The April 25 Vendor Fair features vendors providing services in Domain 5: Promoting Health Equity and Domain 6: Supporting Cross-Sector Partnerships. Domain 5 includes TA vendors with expertise to help TA recipients advance health equity through their implementation of ECM/Community Supports and in their work with Medi-Cal members. Domain 6 includes TA vendors with the expertise to help TA recipients successfully engage in cross-sector partnerships, including partnerships between Medi-Cal MCPs and counties. 

Additionally, on April 1, DHCS opened the CalAIM PATH TA Marketplace Round 4 vendor application. Organizations interested in applying to qualify as a TA vendor can apply on the PATH TA Marketplace webpage. Applications must be submitted by 5 p.m. PDT on April 30. Approved vendors will receive PATH-funded reimbursements for TA services they provide in the TA Marketplace. For more information, please review the guidance document. 

California Children’s Services (CCS) Advisory Group Meeting

4 月 10 日下午 1 時至 4 時，DHCS 將主持 CCS 諮詢小組季度會議。 CCS 諮詢小組和 DHCS 合作，確保 CCS 和整個兒童模式（WCM）計劃中的兒童獲得適當及時獲得優質的照護。 議程主題包括有關 WCM 過渡後監控和擴展的更新、CCS 合規、監控和監督工作組、兒童健康和殘疾預防計劃以及 CCS 重新設計績效測量品質小組委員會。 更多資訊可瀏覽 CCS 諮詢小組網頁。 請將您的問題發送至 CCSProgram@dhcs.ca.gov。

杜拉利益相關者實施工作小組會議

4 月 12 日上午 10 點至中午 12 點，DHCS 將舉辦下一屆助產士利害關係人實施工作小組會議，以審查 Medi-Cal 助產士福利的實施情況，該福利符合參議院第 65 號法案和福利與機構法典第 14132.24 條的規定。會議將透過 Zoom 舉行，也可選擇在加州薩克拉門托市國會大道 1501 號 71.4003 室現場參加。參加線上會議的連結和會議議程可在「助產服務作為 Medi-Cal 福利」網頁上找到。您 問題寄至 DoulaBenefit@dhcs.ca.gov 。

如果你錯過了 

DHCS 發布關於 ECM 和社區支持的季度實施報告

On April 4, DHCS released the latest ECM and Community Supports Quarterly Implementation Report that includes data from January 2022 through September 2023. This data release adds third quarter 2023 utilization data at the state, county, and Medi-Cal MCP levels and demographics, including ethnicity, primary language spoken, age, and sex. 

The data report demonstrates the uptick in both the availability and use of Community Supports, showing significant growth in the number of counties offering these services. As of January 2024, 23 counties across California offered all 14 Community Supports, and all counties offered at least seven Community Supports. This marks a significant increase from the end of 2022, when only three counties offered all 14 Community Supports. Overall, approximately 103,000 unique Medi-Cal members used Community Supports in the first 21 months of the program, with more than 186,000 total services delivered. Additionally, the number of members served by ECM each quarter is up; in Q3 2023, approximately 86,000 members received ECM, up 28 percent from Q4 2022. The Q3 2023 total includes 6,300 members under age 21, many of whom were newly eligible for ECM in July 2023. Altogether, more than 160,000 unique Medi-Cal members across the state received ECM in the first 21 months of the benefit. 

ECM and Community Supports aim to improve Medi-Cal members’ overall health and well-being by addressing both medical and social factors that can impact a person’s health, including housing assistance, meal programs, job training, and centralized coordination of care. For inquiries related to the report or to provide feedback on the data, please email CalAIMECMILOS@dhcs.ca.gov. 

移動醫療專用牙科車之旅

On April 4, DHCS kicked off the second mobile dental van tour in Fresno with a press event. DHCS’ Smile, California campaign informs Medi-Cal members about preventive dental services to children and youth to enhance utilization of essential dental care and improve oral health, particularly for underserved groups. In addition to Fresno, the mobile dental van visited Pixley (April 5) and will make future stops in Hollister (April 11), Avenal (April 12), and Huntington Park (May 4). 

Medi-Cal 會員、醫療和牙科服務提供者以及社區組織可以透過造訪 Smile, California 網站（英文版： SmileCalifornia.org ，西班牙文版： SonrieCalifornia.org ）了解更多關於 Medi-Cal 涵蓋的牙科服務的資訊。該網站包含有用的資源，例如資訊傳單、影片、情況說明書以及用於尋找牙醫的「尋找牙醫」工具。