熱門新聞​​ 

加州推進和創新加州醫療補助健康保健計劃 (CalAIM) 儀表板更新​​ 

On August 9, DHCS posted an update to the public-facing CalAIM dashboards that promote transparency and demonstrate the impact, progress, and key opportunity areas of CalAIM. This update includes a new dental initiative dashboard that highlights CalAIM initiatives to improve oral health outcomes. It also refreshes data and enhances features in existing dashboards, including Behavioral Health, Community Supports, Enhanced Care Management, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health, and Bold Goals initiative. The dashboards will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.​​ 

專案更新​​ 

家居和社區服務（HCBS）1915（C）發展殘疾人士豁免和 1915（一）州計劃修訂-30 天公眾意見期​​ 

On August 2, the Department of Developmental Services (DDS), in partnership with DHCS, posted a proposed amendment to the HCBS 1915(c) waiver and the HCBS 1915(i) State Plan Amendment (SPA) for a 30-day public comment period, prior to submitting the final versions to the Centers for Medicare & Medicaid Services for approval.​​ 

The HCBS 1915(c) waiver amendment and 1915(i) SPA would implement the next round of rate increases associated with rate reform effective on January 1, 2025. Additionally, the waiver amendment and SPA would add a new service (person-centered future planning) along with a corresponding provider type and payment methodology, increase rates for financial management service providers, and include new provider personal assistance to community living arrangement services with the opportunity for participants to manage their own services.​​  

All comments must be received by September 1, 2024. DDS and DHCS invite all interested parties to review the amendment and comment instructions on the DDS HCBS Programs webpage. If you have any questions, or to comment on the waiver amendment and/or SPA, please email federal.programs@dds.ca.gov.​​  

CalAIM 最佳實踐網絡研討會材料現已上載​​ 

DHCS hosted a public webinar, “Tools to Better Engage Eligible Members in CalAIM,” in June as part of a series of Providing Access and Transforming Health (PATH) Collaborative Planning and Implementation webinars. The webinars are designed to highlight best practices for implementing Enhanced Care Management and Community Supports, increase providers’ successful participation in CalAIM, and improve collaboration with Medi-Cal managed care plans, state and local government agencies, and others to develop and deliver quality, equitable services to Medi-Cal members.​​  

Organizations may now access and share the webinar recording and other supporting materials by visiting the “Best Practices & Resources” library on the PATH webpage. Please submit your questions to collaborative@ca-path.com.​​ 

加入我們的團隊​​ 

DHCS 正在尋找一位技能高超、積極主動的個人來擔任：​​  

• Assistant Deputy Director for Health Care Financing to assist in leading the planning, implementation, coordination, evaluation, and management of DHCS’ health care financing programs and policies. (Final filing date: August 21)​​ 

DHCS is also hiring for its 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​​ 

兒童助聽器覆蓋專案 (HACCP) 醫療服務提供者和聽力專業人員的網路研討會​​ 

On August 15, from 12 to 1 p.m. PDT, DHCS will host its quarterly HACCP webinar for medical providers and hearing professionals. For more information and to pre-register, please visit DHCS’ HACCP webpage.​​  

人口健康管理網路研討會：支持加州醫療補助健康保健計劃會員的Long-Term Services and Supports ( LTSS ) 需求​​ 

DHCS 將於美國太平洋標準時間 8 月 21 日中午 12 點至下午 1 點舉辦網路研討會，討論如何改善有 LTSS 需求的會員在經歷照護轉換（例如從醫院搬到專業護理設施或從設施搬到住家）過程中所獲得的服務與支援（需預先登記）。根據 CalAIM 人口健康管理計畫，管理性護理計畫負責提供過渡性照護服務，以確保會員從出院規劃程序開始到過渡期間都能獲得支援，直到他們成功連接到所有需要的服務和支援。鑑於 Medi-Cal 為 LTSS 人群提供的服務種類繁多且複雜，利益相關者要求提供技術協助，以確保成功過渡至限制最少的照護層級。雖然所有有興趣的人都可以報名，但這場網路研討會對管理性照護計劃和醫療照護機構負責有 LTSS 需求的會員照護管理的員工尤其有益。​​ 

此網路研討會將著重於社區支援、加強照護管理和過渡性照護服務如何能在過渡期間和過渡之後為會員提供最佳支援。Partners in Care Foundation 的 LTSS 副總裁 Anwar Zouehid 和 Health Plan of San Mateo 的首席醫療官 Chris Esguerra 將與 DHCS 一起作為演講嘉賓進行爐邊對談，分享這些會員成功過渡的可行做法。網路研討會將重點介紹新的資源，包括「加強照護管理長期照護焦點人群」（Enhanced Care Management Long-Term Care Population of Focus Spotlight），以及即將推出的針對有長期護理服務需求會員的過渡性照護服務技術協助資源指南。​​  

CalAIM 與正義相關的倡議學習合作系列​​ 

DHCS 將於美國太平洋標準時間 8 月 22 日上午 10 點至中午 12 點，針對司法介入計畫實施合作夥伴推出新的虛擬學習合作系列，以討論 CalAIM 豁免要求、分享最佳實務與經驗教訓，並確保所有合作夥伴都走在正確的軌道上。會議註冊連結將以電子郵件發送給各縣的執行夥伴。會議將被錄音，並發佈在DHCS 司法介入倡議的網頁上。​​  

會議將著重於縣級準備和實施策略，並將包括司法介入篩檢入口網站、短期照護模式、承保服務、帳單和索賠、加強照護管理、溫暖交接、自動分配和藥房政策等主題。該會議將為懲教機構、縣級合作夥伴和 Medi-Cal 管理性照護計劃提供分組討論的便利，以便就地區實施工作進行合作。在每次會議之後的一週，DHCS 將舉辦辦公時間，提供公開論壇，並回答前一週尚未回答的問題。​​  

The primary learning collaborative audience is county adult jails (Sheriff’s Office staff and correctional health care services partners); county youth correctional facilities (probation staff and associated correctional health care services providers); managed care plans; county behavioral health agencies; and the California Department of Corrections and Rehabilitation. DHCS also encourages county partners to invite Enhanced Care Management providers and reentry providers, as well as any other key implementation partners, to the sessions. For more information, email DHCS at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.​​ 

CalAIM 託管 LTSS 和 Duals 整合工作小組會議​​ 

On August 29 at 12 p.m. PDT, DHCS will host the virtual CalAIM Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advanced registration required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.​​  

Agenda topics include updates on Medicare enrollment data for dual eligible members, the Dual Eligible Special Needs Plan (D-SNP) dashboard, D-SNP State Medicaid Agency Contract and Policy Guide, D-SNP Default Enrollment Pilot, Medi-Cal Matching Plan Policy for dual eligible members, and Enhanced Care Management and Community Supports resources, and a presentation on dental care coordination for dual eligible members.​​  

前一個工作組會議的背景資料，成績單和視頻錄像，以及有關工作組的其他信息，都張貼在 CalAIM MLTSS 和 Duals 整合工作組網頁上。 如有任何問題或意見，請電子郵件 info@calduals.org。​​ 

DHCS 減少危害高峰會​​ 

Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). The DHCS Harm Reduction Summits aim to reduce stigma and educate substance use disorder treatment providers about harm reduction approaches to treatment services. DHCS encourages substance use disorder treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in substance use disorder treatment settings) to attend and learn about best practices for incorporating harm reduction into substance use disorder treatment settings. The remaining summits will be in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.​​ 

如果你錯過了​​ 

加州醫療補助健康保健計劃成人擴展數據集​​ 

On August 1, DHCS published age 26-49 adult expansion population datasets for the January 2024, February 2024, March 2024, and April 2024 months of eligibility on the California Health & Human Services Agency Open Data Portal. The datasets include the monthly count of individuals 26-49 years of age, by county, receiving full scope Medi-Cal benefits because of the age 26-49 adult expansion. The counts reflect the total number of eligible individuals enrolled during the month. The datasets also include total counts for ethnicity, written language, and spoken language, by county, reported by members. DHCS will publish ongoing datasets monthly.​​  

可以擴展行為健康服務的關鍵資金機會​​ 

On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications (RFA). Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award up to $3.3 billion in grants to projects that expand community-based behavioral health facilities and services.​​  

This funding aims to address significant treatment gaps by improving access to behavioral health care. Interested parties can find application instructions on the BHCIP website and submit their applications by December 13, 2024. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.​​