As 2024 comes to a close, we want to express our deepest gratitude for your partnership, advocacy, and collaboration. Together, we’ve made remarkable strides in transforming California’s health care system, advancing innovative programs, and ensuring that equitable, quality, and person-centered care reaches Californians who need it most.​​ 

今年是大膽行動的一年，從歷史性通過 1 號提案（這項提案正在改變我們的行為健康照護系統），到持續擴展加州進步與創新 Medi-Cal (CalAIM) 的「加強照護管理」(ECM) 和「社區支援」。這些新服務超越醫療需求，解決影響健康的重要社會因素，例如住房、食物安全和交通，並確保為我們的服務對象提供更全面的照護。​​ 

A key focus for DHCS this year has been on building new systems of care that reflect urgency, accountability, and innovation. Through the Behavioral Health Continuum Infrastructure Program (BHCIP), we are addressing long-standing gaps in behavioral health service treatment sites. The importance of funding and opening new behavioral health facilities and launching new bond-funded projects cannot be overstated. These new facilities, beds, and services are vital for meeting the needs of Californians facing mental health and substance use disorder challenges. Moving quickly and efficiently is not just a goal; it’s a necessity.​​ 

We also emphasized accountability across all initiatives to ensure resources are used effectively and outcomes improve. Whether through publishing quality ratings and imposing quality-related sanctions for Medi-Cal managed care plans (MCP) or implementing new initiatives like the Health Equity Roadmap, our focus remains on delivering quality care that is innovative, effective, and equitable.​​ 

Additionally, we completed a two-year public awareness campaign to educate diverse communities across the state about Medi-Cal enrollment and renewal, while highlighting the new and improved benefits and services available. This multi-faceted effort spanned across several counties, media markets, and formats to educate California’s historically hard-to-reach and underserved communities.​​ 

以下，我們很榮幸與您分享2024 年的十大亮點，展現我們今年共同取得的重要成就。這些里程碑不僅反映出合作的力量，也反映出當我們共同努力實現共同願景時所能產生的影響力。​​ 

1. P​​ 職位 1/行為健康轉型​​ 

California made history with the passage of Proposition 1, a landmark initiative that paves the way for a massive overhaul of California’s behavioral health system. The measure, championed by Governor Gavin Newsom, also allocates $4.4 billion in bond funding to DHCS to create new treatment beds and outpatient facilities. Together these investments will expand services for individuals with severe mental health and substance use disorders, including people experiencing homelessness, at risk of incarceration, and youth in foster care.​​ 

自該提案於 2024 年 3 月通過後，DHCS 開始了這些新債券資金的第一次申請徵求 (RFA)，稱為提案 1 BHCIP 債券第一輪：啟動準備，提供高達 33 億美元的競爭性補助金資金，以擴展全州的關鍵基礎設施。包括市、縣、部落實體和非營利組織在內的受資助者反應熱烈，計劃使用這些資金來建設和修復設施，為社區提供急需的服務。DHCS 還推出了 行為健康轉型政策手冊模組 ，該 模組 一旦完成，將為各縣提供互動式指導，以便根據公眾反饋建立和實施綜合行為健康計劃。這些努力強調問責性和透明度，確保提案 1 在照護方面帶來可衡量的改善。這些計畫加上當地合作夥伴的重要貢獻，為所有加州人建立一個更公平、更方便、更適應的行為健康照護系統奠定了基礎。​​ 

二.BHCIP 突破和絲帶切割​​   

今年是擴展行為健康基礎設施的里程碑，DHCS 和當地合作夥伴慶祝了由BHCIP 補助金資助的多個治療設施的破土動工。最初的 BHCIP 專案由 2021 年授權的 17 億美元資金所支持，可解決該州在提供精神健康和藥物使用障礙治療能力方面的重大缺口。從莫德斯托 (Modesto) 和奧克蘭 (Oakland) 到洛杉磯 (Los Angeles) 和因迪奥 (Indio)，這些設施正在破土動工，並開始為加州人民服務。有了提案 1 的資金挹注，將有更多設施開始興建，擴大獲得照護的機會，並為整個加州的行為健康服務建立更堅實的基礎。​​ 

三.與正義相關的重新入境倡議​​ 

California became the first state in the nation to implement a federally approved CalAIM Justice-Involved Reentry Initiative, providing essential Medi-Cal services to individuals in jails and correctional facilities during the 90 days before their release. This groundbreaking program aims to ensure smoother transitions back into the community while addressing significant health equity gaps. As of October 1, three counties—Inyo, Santa Clara, and Yuba—began delivering these services, with all counties required to implement the initiative by 2026. By focusing on preventive care and continuity of services, the program helps reduce recidivism and supports better health outcomes for justice-involved individuals.​​ 

4.光明生活兒童和索盧納應用程序發布​​ 

To address youth mental health needs, Governor Newsom called for virtual platforms to ensure young people and their caregivers could more easily access mental health supports. In response, DHCS introduced two innovative apps: BrightLife Kids for children ages 0–12 and Soluna for teens and young adults ages 13–25. These apps provide a vital new way for families to access professional mental health support, offering services in English, Spanish, and other Medi-Cal threshold languages. The apps deliver coaching and resources tailored to the needs of young people and their caregivers, empowering families with tools to navigate mental health challenges and improve overall well-being.​​ 

5.加強護理管理（ECM）和社區支持​​ 

作為 CalAIM 的一部分，ECM和社區支援服務正在改變 Medi-Cal 為有複雜需求的會員提供護理的方式。這些福利和服務透過解決健康的醫療和社會驅動因素 (例如住房、交通和營養)，提供以人為本的方法，改善整體的健康成果。自 2022 年 1 月推出以來，已有 244,750 位會員獲得 ECM 福利，與 2023 年 4 月至 6 月相比，2024 年 4 月至 6 月（127,024 位會員）增加了 50%。此外，約有 239,500 名會員使用社區支援服務，較 2023 年 4 月至 6 月增加 120%。在 2024 年，DHCS 將這些服務擴展至更多的縣，並將 ECM 資格擴展至兩個新的重點人群：孕婦和產後個人以及涉及司法的人士。​​ 

六.P​​ 推動存取和轉型健康（PATH）能力和基礎設施、過渡、擴展和發展（CITED）補助金​​ 

PATH-CITED倡議為 133 個組織提供1.466 億美元，標誌著 Medi-Cal 服務系統的里程碑。這些補助金專注於人力發展、技術和基礎設施，讓新的和現有的醫療服務提供者有能力實現 CalAIM 協調、以人為中心的照護承諾。迄今為止，DHCS 已為全州 300 多家機構提供了超過 3.9 億美元的獎金，增強了這些機構提供全人照護的能力。最後一輪資金將於 2025 年初開放，重申加州對擴大基本照護服務的承諾。​​ 

七.中卡 MCP 品質評級​​ 

DHCS continues to hold MCPs accountable for performance. In 2024, DHCS published the third annual quality ratings for MCPs and, for the first time, county behavioral health plans. DHCS imposed monetary sanctions on underperforming MCPs while also offering support to help them improve performance. These measures built on the new MCP standardized contract, effective January 1, 2024, which set goals for plans to meet or exceed national quality standards and enhanced health equity requirements. The ratings and sanctions are part of DHCS’ Bold Goals 50×2025 initiative, which aims to improve health outcomes in areas such as child health, behavioral health integration, and preventive care.​​ 

八.健康公平路線圖倡議之旅​​ 

In partnership with the California Health Care Foundation, DHCS launched the Health Equity Roadmap to address health disparities among Medi-Cal members, particularly Black, Indigenous, and other communities of color. This initiative began with a statewide listening tour, during which DHCS experts heard directly from Medi-Cal members about their experiences and challenges with accessing care. The information gleaned during the listening tour will inform the design of a final Health Equity Roadmap, which will lay out specific, actionable items aimed at rooting out systemic racism and eliminating health inequities and disparities. By incorporating community feedback, the roadmap will prioritize culturally appropriate, patient-centered solutions, ultimately building a stronger, more inclusive health care system for all Californians.​​ 

九.T​​ 放射治療師和天然助手​​ 

Medi-Cal 現在已涵蓋由傳統治療師和自然助手提供的以文化為中心的藥物使用障礙治療服務，這是一個歷史性的里程碑。這項具有里程碑意義的政策變更，使加州成為僅有的四個為傳統醫療照護實務提供 Medicaid 報銷的州之一。美國印第安人和阿拉斯加原住民社區將受益於透過部落健康診所、城市印第安人組織和其他提供者擴大的文化型護理服務。這項改變標誌著將傳統做法融入現代醫療體系的新篇章。​​ 

十.行為健康以社區為本的公平護理和治療有組織網絡（BH-CONNECT）​​ 

Last but not least, DHCS wrapped up the year with federal approval of the BH-CONNECT initiative, reinforcing California’s effort to build a stronger, community-focused network of behavioral health care. BH-CONNECT fills critical service gaps, provides transitional rent to stabilize those with severe mental health and substance use needs, strengthens access to evidence-based services, rewards counties for expanding care and improving outcomes, and invests $1.9 billion to grow the behavioral health workforce. These reforms are key pillars of the broader behavioral health transformation, ensuring more Californians receive the right care, in the right place, at the right time.​​ 

所有這些成就只有透過 DHCS 團隊的奉獻和努力工作才能實現 —— 超過 4,000 個人致力於服務加利福尼亞人的人。 在我們反思這些成就時，我們期待在 2025 年繼續共同努力，為所有人帶來健康的加利福尼亞。 感謝您的合作夥伴關係和對改變生活的持續承諾。​​