加州為關鍵行為健康支持獲得前所未有的聯邦資金
新聞發布
州政府獲得聯邦批准 BH-CONNECT 倡議 Medi-Cal 將於 2025 年 7 月提供過渡性租金承保，並涵蓋價值 19 億美元的行為健康人力新倡議。
SACRAMENTO — California has secured federal and state funding to revolutionize behavioral health care for Medi-Cal members. The Department of Health Care Services (DHCS) announced today that the Centers for Medicare & Medicaid Services (CMS) approved the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) demonstration. This transformative initiative establishes a robust continuum of evidence-based community services for people with significant behavioral health needs, including providing up to six months of transitional rent for qualified members, funding new training for providers and counties, and addressing disparities through targeted funding and innovative programs. By expanding community-based services and integrating evidence-based practices, BH-CONNECT aims to reduce costly emergency department visits, hospitalizations, and institutional stays, including in carceral settings.
“The importance of BH-CONNECT cannot be overstated,” said DHCS Director Michelle Baass. “BH-CONNECT equips California with critical resources to partner with counties in strengthening and expanding behavioral health services—making sure that the system will work for Californians that need services and support. In the face of a historic mental health crisis, we are ensuring that Medi-Cal members living with significant behavioral health needs receive equitable, community-based care to thrive where they live.”
BH-CONNECT 的兩個重要組成部分是提供長達六個月的過渡性租金援助和 1.9 億美元的行為健康勞動力倡議。
“BH-CONNECT builds upon California’s unprecedented investments and transformative policies to ensure Medi-Cal members with the greatest behavioral health needs have access to community-based care that promotes recovery, stability, and dignity,” said State Medicaid Director Tyler Sadwith. “BH-CONNECT provides essential stability for Medi-Cal members transitioning from institutional settings or homelessness by offering up to six months of transitional rent assistance. Coupled with our commitment to expanding the continuum of behavioral health care and investing in our workforce, this initiative ensures that individuals receive the comprehensive, community-based care they need to thrive.”
為什麼這很重要：精神疾病是加利福尼亞人面臨的最常見的健康狀況之一，近 26 名居民中有 1 名患有嚴重心理疾病。 2022 年，有三分之二患有精神疾病的成年人沒有接受治療。 歷史上，這些人在離開機構環境或經歷無家可歸的過程中面臨著巨大的挑戰，並通過訪問通過 BH-CONNECT 提供的服務來獲得最大的收益。 這項計劃將幫助具有重大行為健康需求的 Medi-Cal 成員，包括參與兒童福利的兒童和青少年，經歷或存在無家可歸風險的個人和家庭，以及參與司法系統的人士。
BH-CONNECT is a key pillar of Governor Newsom’s Mental Health for All and is strategically aligned with Behavioral Health Transformation efforts underway as part of Proposition 1 to modernize California’s behavioral health system, expand access to evidence-based service models on a statewide basis, and address the housing needs of Californians with significant behavioral health conditions.
TRANSFORMATIVE FEATURES: BH-CONNECT represents a strategic shift in how California addresses behavioral health care. In partnership with county behavioral health plans, BH-CONNECT strengthens California’s behavioral health workforce, incentivizes measurable outcomes, and fills critical service gaps to create a more equitable and effective system of care. Key features include:
- 勞動力投資：支持 1.9 億美元的強大且多樣化的行為健康勞動力計劃，其中包括獎學金，貸款還款計劃，招聘激勵措施，居留和獎學金擴展以及專業發展。 勞動力計劃將由衞生護理取得和信息處管理。
- Transitional Rent Assistance: Provides up to six months of rental support, through a member’s managed care plan, for eligible Medi-Cal members transitioning from institutions, congregate settings, or homelessness. This support is crucial in stabilizing individuals during vulnerable periods, significantly reducing the risk of returning to institutional care or experiencing homelessness. Transitional rent will serve as a bridge to permanent housing for members who need it. For members with significant behavioral health needs, the Behavioral Health Transformation funding dedicated to Housing Interventions will provide permanent rental subsidies and housing following transitional rent, providing seamless continuity and supporting members in achieving long-term housing stability.
- 對兒童和青少年的支持：包括活動基金，以改善參與兒童福利服務接受特殊精神健康服務的青少年的機會和成果。
- 我 縣 政策： 支持 1.9 億美 元的訪問、改革和成果激勵計劃，以獎 勵縣行為健康計劃，以改善接入、減少差異和加強行為健康質量改善的縣行為健康計劃。
- 社區轉型接觸式服務：支持成員從長期機構住宿過渡，以確保護的持續性和成功重新融入社區。
- 短期住院精神病護理：為符合聯邦精神疾病機構標準的住院和住宿治療機構提供的短期精神健康護理提供的聯邦 Medi-Cal 資金提供了新的靈活性。
在根據第 1115 條款示範項目批准授予支出和豁免權的同時，DHCS 正在實施 BH-CONNECT 示範項目的其他功能，這些功能不需要第 1115 條款示範項目授權，包括：
Medi-Cal 涵蓋實證實踐(EBP)，包括（由縣政府決定）：
積極社區治療 (ACT) ，這是一種綜合性的、以社區為基礎的、跨學科的團隊服務模式，旨在幫助患有嚴重精神疾病的個體應對其精神健康狀況的症狀，並發展或恢復在社區中正常生活所需的技能。
法醫行為 一項專為與司法系統有牽連的人員量身定制的ACT計畫。
首發精神病協調專科護理，是一種綜合性的、以社區為基礎的、跨學科的團隊服務模式
旨在幫助患者應對早期精神病症狀並融入社區。個人安置與支持模式（IPS）是一種支持性就業服務，它提供以社區和團隊為基礎的服務，幫助有行為健康問題的個人在社區中過上功能性且富有成效的生活，包括獲得和/或維持有競爭力的就業機會。
社區健康工作者服務，即透過專業行為健康服務體系，由值得信賴的社區成員提供的預防性服務，包括健康教育、倡導和導航服務，以支持成員獲得所需的醫療保健和社區資源，從而解決影響健康的社會因素。
會所服務， 復健計畫提供的服務，為有嚴重行為健康需求的人們提供一個實體場所
讓他們能夠建立人際關係、參與工作和教育活動，並獲得支持性服務。明確 Medi-Cal 對兒童和青少年實證實踐 (EBP) 的承保要求，包括多系統治療、功能性家庭治療、親子互動治療和高保真環繞式服務（在全州範圍內實施） 。透過為這些實證實踐提供更清晰的指導方針和覆蓋範圍要求，BH-
旨在確保加州更多兒童和青少年能夠獲得這些有效的治療。在管理式醫療計劃中設立一名管理層級的縣級兒童福利聯絡員，負責監督和實施強化護理管理，參加兒童和家庭團隊會議，確保管理式醫療服務與其他服務協調一致，並在護理經理遇到運營障礙時作為升級處理點（已在全州範圍內實施）。
卓越中心為行為健康服務系統和提供者提供培訓和技術援助，以支持循證實踐治療和交付的完整性（在全州範圍內實施）。
兒童福利/專業心理健康聯合訪問，當兒童進入福利系統時（全州範圍內實施） 。
“The BH-CONNECT Demonstration will be a transformative step forward in improving Riverside County’s behavioral health system,” said Dr. Matthew Chang, Behavioral Health Director for Riverside University Health System. “By building a more organized and equitable network of community-based services, we can enhance access to timely, comprehensive care for our most vulnerable populations, ensuring they receive support when and where they need it most.”
“Kaiser Permanente supports programs and policies that ensure all individuals have access to affordable, high-quality health care, and we applaud DHCS for its efforts to address health-related social needs for Medi-Cal members. We are excited by the transformative potential of transitional rent and are committed to partnering with DHCS as it develops a transitional rent program that will improve the health and well-being of our most vulnerable members and communities,” said Amanda Flaum, Kaiser Permanente Vice President for Medicaid in California and Hawaii.
In 2022, DHCS commissioned Assessing the Continuum of Care for Behavioral Health Services in California to study and make recommendations about the missing gaps in access and infrastructure needed to create a more seamless, coordinated network of behavioral health care—ensuring that communities that have historically faced barriers to accessing care can navigate a full spectrum of services easily, ultimately improving health outcomes for all members. The BH-CONNECT waiver application, submitted to CMS in October 2023, focused on closing key service gaps along the continuum of behavioral health care, such as increasing evidence-based treatment options for vulnerable populations, including children and youth involved in child welfare, members at risk of or experiencing homelessness, and members with justice system involvement, and increasing equity for Medi-Cal members.
大圖景： BH-CONNECT 以近 150 億美元的州立投資為基礎，並與行 為健康轉型提案 1 、 兒童與青少年行為健康 計畫、行為健康連續基礎設施計畫 、 行為健康過渡住房計畫 、 司法介入者再就業計畫 、 行為健康付款改革 、 Medi-Cal 轉型 、 988 擴展 等 轉型計畫 相結合。
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