August 19, 2024 – Stakeholder Update
專案更新
兒童和青少年行為健康倡議(CYBHI)— 返校
On August 22, from 3 to 5 p.m. PDT, DHCS, in partnership with the Sacramento County Office of Education, will host a public webinar about school-based workstreams as part of the CYBHI. This webinar will cover important decisions and updates across multiple school-based programs, including the CYBHI Fee Schedule program and School-Linked Partnership and Capacity Grant Program.
此外,加州衛生與公共服務局 (CalHHS) 發布了返校月合作夥伴工具包,其中包括社交媒體文案、圖片和視頻,以幫助學校宣傳信息和資源,從而支持青少年在返校季的心理健康。鼓勵學校在返校過渡期間使用該工具包,宣傳DHCS的兩個行為健康虛擬服務平台,這兩個平台為年輕人及其家庭提供免費、安全和保密的心理健康支持: BrightLife Kids面向0-12歲的兒童及其父母或監護人, Soluna面向13-25歲的年輕人。如需了解更多信息,請發送電子郵件至 CYBHI@dhcs.ca.gov 。
加州醫療補助健康保健計劃 Reimbursements for Vaccines for Children (VFC) 專案
Medi-Cal 將向 VFC 計畫下的註冊藥局提供者報銷自 1 月1 、 2023以來為 18 歲及以下符合資格的 Medi-Cal 會員提供的 VFC 資助疫苗的費用。已加入 Medi-Cal 的藥房供應商必須加入 VFC 計劃,才能透過 Medi-Cal 獲得 VFC 資助的疫苗報銷,用於 18 歲及以下會員的疫苗。由於疫苗是根據VFC計劃免費提供的,因此疫苗費用將不予報銷。藥局供應商可以收取三種不同的服務費用以獲得報銷:疫苗管理費、專業配藥費和藥劑師服務費(諮詢和評估[疫苗接種啟動]費)。
如果向 Medi-Cal Rx 提交索賠的處方醫生的國家提供者識別碼已註冊為 Medi-Cal 提供者,則未註冊為 Medi-Cal 訂購、提供和處方 (ORP) 提供者的藥劑師可以收取疫苗管理費。要收取藥劑師服務費,藥劑師必須是已註冊的 Medi-Cal ORP 提供者。
For more detailed guidance, please refer to Medi-Cal Reimbursement of VFC-Enrolled Pharmacy Providers and for VFC and Non-VFC Vaccines – Frequently Asked Questions (FAQs) or the Medi-Cal Rx Alert, Coming Soon: Medi-Cal Reimbursement for VFC-Enrolled Providers.
加入我們的團隊
DHCS 正在尋找一位技術精湛、積極主動的個人,以擔任:
- 醫療保健融資助理副主任,協助領導DHCS醫療保健融資計劃和政策的規劃、實施、協調、評估和管理。(最終提交日期:8月21日)
- 計劃生育辦公室主管,負責領導家庭計劃、接觸、照顧和治療(FPACT)計劃,該計劃為低收入個人和家庭提供計劃生育服務。 主管還在 Medi-Cal 計劃中制定和實施與 FPACT,計劃生育以及性和生殖健康服務有關的複雜和敏感的政策。 (最終申請日期:9 月 4 日)
DHCS is also hiring for its legislative and governmental affairs, 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
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
8 月 21 日,太平洋時間中午 12 點至下午 1 點,DHCS 將舉辦一場網路研討會,討論如何改善長期護理服務 (LTSS) 需求成員在護理過渡期間的服務和支持,例如從醫院轉移到專業護理機構或從機構轉移到家中(需要提前註冊)。管理式醫療計劃負責確保會員從出院計劃流程開始,一直到與所有需要的服務和支援建立聯繫,從而獲得支援。鑑於 Medi-Cal 為長期照護服務 (LTSS) 人群提供的服務種類繁多且複雜,利害關係人請求技術援助,以確保成功過渡到限制性最小的照護等級。
This webinar will focus on how Community Supports, Enhanced Care Management, and transitional care services can best support members during and after periods of transition. Guest speakers Anwar Zouehid, Vice President of LTSS at Partners in Care Foundation, and Chris Esguerra, Chief Medical Officer of Health Plan of San Mateo, will share promising practices and discuss new resources, including the Enhanced Care Management Long-Term Care Population of Focus Spotlight and the forthcoming transitional care services technical assistance resource guide for members with LTSS needs.
CalAIM 與正義相關的倡議學習合作系列
8 月 22 日上午 10 點至中午 12 點(太平洋夏令時),DHCS 將為參與實施加州推進和創新 Medi-Cal (CalAIM) 司法相關計劃的合作夥伴推出虛擬學習協作系列活動。本系列講座將涵蓋豁免要求、最佳實踐和實施策略。實施夥伴將透過電子郵件收到註冊鏈接,會議將被錄製下來,以便將來在DHCS 司法介入計劃網頁上訪問。
主題包括司法系統相關篩檢入口網站、短期護理模式、計費和索賠、強化護理管理、無縫交接、自動分配和藥房政策。將安排由專人主持的分組討論,討論對象包括懲教機構、縣級合作夥伴和 Medi-Cal 醫療管理計劃。DHCS將在每期課程結束後的一周內安排辦公時間。
此系列叢書適用於縣監獄(警長辦公室工作人員和懲教醫療保健服務合作夥伴);青少年懲教機構(緩刑工作人員和相關懲教醫療保健服務提供者);管理式醫療計劃;縣行為健康機構;以及加州懲教和康復部。DHCS 也鼓勵縣級合作夥伴邀請強化護理管理提供者和重返社會提供者,以及任何其他重要的實施合作夥伴。如需了解更多信息,請發送電子郵件至 DHCS,郵箱地址為CalAIMJusticeAdvisoryGroup@dhcs.ca.gov 。
部落與印地安人健康專案代表會議
On August 26, from 9:30 a.m. to 4:30 p.m. PDT, DHCS will host the quarterly tribal and Indian health program representatives’ meeting in Sacramento. The meeting offers tribal and Indian health program representatives an open forum to provide feedback on DHCS initiatives that have a specific impact on tribes, Indian health programs, and American Indian Medi-Cal members. The invitation and agenda are posted on the Indian Health Program webpage. Other meeting materials will be posted as they become available.
行為健康服務法收入和穩定性工作組會議
8 月 27 日下午 1 點至 3 點(太平洋夏令時),DHCS 將在薩克拉門托國會大道 1500 號 72.168 室的 DHCS 舉辦行為健康服務法案收入和穩定性工作組會議,或透過網路研討會參加。會議的目的是評估《行為健康服務法》帶來的稅收收入的年度波動情況,因為需要製定可靠的短期和長期財政穩定策略。歡迎民眾發表意見。了解更多關於DHCS行為健康轉型的資訊。
CalAIM 託管 LTSS 和 Duals 整合工作小組會議
8 月 29 日下午 12 點(太平洋夏令時),DHCS 將舉辦 CalAIM 管理的長期服務和支援 (MLTSS) 和雙重身分整合工作小組虛擬會議(需要提前註冊)。該工作小組作為 CalAIM MLTSS 和雙重資格成員綜合護理的利益相關者協作中心,允許利益相關者就 Medi-Cal 和 Medicare 即將發生的變化提供反饋和分享政策、運營和戰略信息。
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。
SB 770 – 醫療保健融資 – 公眾意見徵詢會
On August 30, from 9 a.m. to 1 p.m. PDT, CalHHS and UCLA Center for Health Policy Research will host a public webinar on SB 770 (Chapter 412, Statutes of 2023), which requires CalHHS to develop a federal waiver framework for and submit a report on a unified health care financing system in California, in consultation with stakeholders. CalHHS contracted with the UCLA Center for Health Policy Research to research and draft an interim report. UCLA will present its initial research and key design issues. Participants will be able to comment on the interim report. Additional public feedback may be provided by emailing SB770publiccomment@chhs.ca.gov.
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). Through these convenings, DHCS hopes to collaborate with communities across the state to change the culture around the concept of harm reduction within California’s substance use disorder treatment system and to create low-barrier, patient-centered care. 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 the tenets of 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
卡拉伊姆儀表板更新
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, which will continue to be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as more data become available.
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.
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. 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.