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校本行為健康費表公佈 

DHCS 公佈了兒童和青少年行為健康計劃 (CYBHI) 全州多方付費收費標準。作為紐森州長兒童心理健康總體規劃和兒童青少年行為健康倡議(CYBHI) 的一部分，DHCS 與管理醫療保健部和加州保險部合作，正在擴大學生獲得校內（或與學校相關的）門診行為健康服務的機會。 

收費標準規定了 Medi-Cal 管理式醫療計劃 (MCP) 必須向地方教育機構 (LEA) 和學校附屬機構支付的最低費率，用於向學校場所 26 歲以下的學生提供行為健康服務。學校場所可以包括校內、校外和移動診所地點。收費標準概述了 CYBHI 收費標準計劃中每項可計費服務類型的相應計費代碼、費率和提供者類型。注意：收費標準尚待聯邦醫療保險和醫療補助服務中心 (CMS) 批准州計劃修正案，可能會有所變更。 

DHCS is phasing in the fee schedule starting in January 2024, when the first cohort of 47 LEAs (announced on December 1, 2023) will go live. The second cohort will go-live in July 2024 and the third cohort in January 2025. Under state law, Medi-Cal MCPs, Medi-Cal Fee-for-Service (FFS), commercial health plans, and disability insurers (collectively referred to as MCPs) are obligated to reimburse eligible school-linked providers, including LEAs and community-based providers contracted by or affiliated with designated by the LEA. 

請造訪CYBHI 收費標準網頁以了解更多資訊。

專案更新

通過 Medi-Cal 目標提供者利率增加 

On December 19, 2023, CMS approved State Plan Amendment (SPA) 23-0035, authorizing DHCS to provide targeted rate increases for primary/general care, obstetric, doula, and non-specialty mental health services effective January 1, 2024. Pursuant to Assembly Bill (AB) 118 (Chapter 42, Statutes of 2023), DHCS increased rates for targeted services to no less than 87.5 percent of the Medicare rate, inclusive of eliminating AB 97 provider payment reductions and incorporating applicable Proposition 56 supplemental payments into the base rate. 

For more information, including the 2024 Targeted Rate Increase Fee Schedule and approved SPA 23-0035, please visit the Medi-Cal Targeted Provider Rate Increase webpage. 

醫院質素保證費（HQAF）計劃 VIII 獲批 

On December 15, 2023, and December 19, 2023, CMS approved the HQAF SPA 23-0007, SPA 23-0008, and broad-based and uniformity tax waiver letter, respectively, authorizing the HQAF VIII program supplemental payments to be made to California private hospitals up to the aggregate upper payment limit for the period of January 1, 2023, through December 31, 2024. 

The HQAF program was established in 2009 with the aim of improving hospital reimbursement for services provided to Medi-Cal members. For services provided during calendar years 2023 and 2024, the HQAF program is estimated to provide private hospitals with approximately $21 billion in federally matched supplemental payments for inpatient and outpatient services and increased capitation payments to managed care plans. In addition, the program generates funding for children’s health care coverage and public hospital grants.  

DHCS 將在其網站上發布與 HQAF VIII 計劃相關的訊息，包括 SPA、費用和支付模式以及其他相關資訊。HQAF VIII 將繼續提供急需的資金，並提高加州 Medi-Cal 受益人獲得醫療保健的機會。要了解該計劃的更多信息，請訪問HQAF 網站，如有疑問，請發送電子郵件至HQAF@dhcs.ca.gov 。 

醫療醫療計劃外展新資源 

DHCS released two new Sign-Language YouTube videos for members dually eligible for Medicare and Medi-Cal. Both videos are sign language interpretations: “Joining a Medi-Medi Plan” is in American Sign Language and “Inscibirse a un Plan de Medi-Medi” is in Mexican Sign Language. 

加州十二個縣的居民有資格參加 Medicare-Medi-Cal 計劃（Medi-Medi 計劃），這是加州的一種 Medicare Advantage 計劃，僅適用於符合雙重資格的成員。Medi-Medi 計劃為同時符合 Medicare 和 Medi-Cal 資格的個人提供更全面的護理，這兩個計劃的福利由一個管理式醫療機構 (MCO) 協調。2024 年，以下各縣將提供 Medi-Medi 計畫：弗雷斯諾縣、金斯縣、洛杉磯縣、馬德拉縣、橘郡、河濱縣、薩克拉門託縣、聖貝納迪諾縣、聖地牙哥縣、聖馬刁縣、聖克拉拉縣和圖萊裡縣。  

更多資訊請造訪DHCS Medi-Medi計畫網頁。 

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）第三輪申請即將推出 

1 月15日、 2024 ，DHCS 計畫開放 PATH CITED 第三輪申請窗口。PATH CITED 計劃為提供資金，以增強基層合作夥伴的能力和基礎設施，從而提供 Medi-Cal增強護理管理 (ECM) 福利和社區支持服務。CITED 第三輪資助的申請截止日期目前定於 2 月15 、 2024 。 

12月18 2023 ，DHCS發布了PATH CITED第三輪申請大綱，以幫助未來的申請人準備完成申請所需的資源和資訊。CITED 第三輪申請窗口預計將於 1 月15 、 2024開放，為期 30 天。第三輪符合資格的實體包括社區組織；縣、市或地方政府機構；聯邦合格的醫療中心；Medi-Cal 部落和印第安人健康計劃指定機構；醫療服務提供者；以及經 DHCS 批准的其他機構。請造訪 PATH CITED 網站以了解更多資訊。 

加入我們的團隊

DHCS 正在招聘。 DHCS 具有以下機會： 

• 專案營運助理副主任協助領導、規劃、組織和指導專案運營，該專案運營包括加州醫療補助管理資訊系統運營、臨床保證、提供者註冊以及第三方責任和追償部門。（最終申報截止日期為12月29日）  
• Chief of Capitated Rates Development within Health Care Financing serves as the principal policymaker for all rate-setting activities to ensure high-quality and cost-efficient health care through DHCS’ contracted Medi-Cal MCPs. (FFD extended to December 26)  
• 健康照護融資的付費服務費率發展主管負責制定、解釋和發佈加州醫療保險付費服務 (FFS) 非住院和長期照護服務及醫療服務提供者付費計劃的加州醫療保險補償方法政策。(FFD延長至12月26日) 

DHCS 還招聘我們的人力資源，審計，健康政策，信息技術和其他團隊。 有關更多信息，請訪問 CalCareers 網站。

如果你錯過了

更正的鏈接：DHCS 2023 年立法總結報告  

On December 15, DHCS released the 2023 Legislative Summary report. This report provides a summary of chaptered and vetoed legislation for all significant bills the Department analyzed and engaged with during the first year of the 2023-2024 legislative session. Please note, this report does not represent a complete listing of bills the Department followed, nor any bills that did not make it to the Governor’s desk. 

DHCS 頒發 150 億美元支持青少年和青少年精神健康計劃 

On December 21, DHCS awarded $150 million to 262 organizations to support wellness and build resilience of children, youth, and young adults. 

這些獎項由CYBHI循證實踐 (EBP) 和社區定義循證實踐 (CDEP) 資助計劃提供資金，重點關注公平，並將工作重心放在青少年和青年人的聲音、優勢、需求、優先事項和經驗上，尤其是那些處境最危險的青少年和青年人。他們也推動變革性的系統變革，並將持續學習作為改變和改善兒童和青少年福祉的基礎。DHCS 公佈了第二輪「創傷知情計畫和實踐」和第四輪「青年主導計畫」的完整受助者名單。   

二零二四年一月醫療通訊系統轉型

As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members transitioning to a new MCP received notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.