DHCS Stakeholder News – August 19, 2022
尊敬的利益相關者，
衛生護理服務部（DHCS）正在提供有關 DHCS 計劃的重要發展的更新。
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Governor Unveils California’s Strategy to Support Youth Mental Health; Children and Youth Behavioral Health Initiative (CYBHI) is a Key Component
On August 18 in Fresno, Governor Gavin Newsom discussed California’s Master Plan for Kids’ Mental Health. He said, “Mental and behavioral health is one of the greatest challenges of our time…The Master Plan for Kids’ Mental Health is premised on a very simple belief: every single kid deserves to have their mental health supported.”
One of the key components of the Master Plan is CYBHI, a multiyear, multi-department package of investments that reimagines the systems that support behavioral health for all California’s children, youth, and their families. Efforts focus on promoting social and emotional well-being, preventing behavioral health challenges, and providing equitable, appropriate, timely, and accessible services for emerging and existing behavioral health needs for children and youth ages 0-25.
The $4.7 billion investment of state General Funds for CYBHI will improve access to behavioral health services for all children and youth in California, regardless of payer. Moreover, it will have significant implications for the Medi-Cal program since 5.4 million (approximately 54 percent) children and youth are enrolled in Medi-Cal. CYBHI will improve and change the way Medi-Cal’s children and youth access behavioral health service—virtually, through their communities and schools, and through their existing relationships with Medi-Cal managed care plans (MCP) and County Behavioral Health Plans.
As a component of CYBHI, DHCS will build and drive adoption of the Behavioral Health Virtual Services Platform for all children, youth, and families in California, regardless of payer. The platform will support the delivery of equitable, appropriate, and timely behavioral health services from prevention to treatment to recovery, and provide an e-Consult platform for pediatric and primary care providers to connect with BH providers.
CYBHI also includes statewide efforts that will make it easier for children, youth, and young adults to access behavioral health services in California’s schools. By January 1, 2024, DHCS, in collaboration with the California Department of Managed Health Care (DHMC), will develop and maintain:
- 學校相關的全州費用表，以補償在學校場地或附近為 25 歲或以下的學生提供的門診心理健康和物質使用障礙服務；
- 一個與學校相關的全州提供者網絡，由學校現場行為健康顧問組成。
與學校相關 BH 服務的全州全支付者費表將為商業健康計劃和 Medi-Cal 遞送系統提供具體範圍的福利和費率要求，這些計劃將需要按固定的費率向提供者提供服務以向學生提供服務的賠償。 建立收費表將簡化和促進校本行為健康服務的補償，從而擴大學校園地點或附近的學生提供行為健康服務的範圍，並改善兒童、青少年和青少年獲得服務和成果的機會。
DHCS 正在領導以下額外努力，以擴大學校相關行為健康服務的訪問權限：
- 學生行為健康激勵計劃（SBHIP）在三年期間（1 月 2022 至 12 月 31，2024）提供獎勵補助金，總額為 3 億 9 億美元，以便在 MCP、地方教育機構（LEA）和縣之間建立可持續合作夥伴關係和基礎設施，以：
- 改善學生行為健康服務的協調；
- 為過渡幼稚園至 12 年級學生提供預防及早期干預防性健康服務；
- 在學校園附近增加非專業精神健康服務；
- 增加在學校校園附近和/或通過與學校相關的 BH 提供者提供者獲得 BH 服務的訪問權限。
- DHCS 將提供直接與學校相關的合作夥伴關係和能力補助，為 25 歲以下的學校、學校提供者、學校附屬社區組織（CBO）或學校健康中心的人士支持新服務。 通過提高能力，合作夥伴關係和基礎設施，DHCS 將繼續為學生擴大學校本服務的訪問權限。 該補助金將旨在支持在 2024 年實施全州全部付款人費表。
- 通過其 CalHope 計劃，DHCS 正在為學校環境中的兒童和青少年投資社交和情感學習（SEL）環境。 該部門正與薩克拉門托縣教育辦公室（COE）簽訂合同，該局與全州所有其他 57 個 COE 簽訂了諒解備忘錄，以領導實施工作，包括建立全州 SEL 實踐社區。 每個 COE 正在制定需求評估和行動計劃，以擴展 SEL 策略。
Effective January 2023, Medi-Cal will cover integrated physical and behavioral health screenings and services for the whole family, not just the child who is the identified patient. This expansion is especially important for families in which the child is enrolled in Medi-Cal but the parent or caregiver is uninsured, and yet there is a need for dyadic treatment. Dyadic services involve simultaneous treatment for the child and parent/caregiver, with studies showing significant improvements in child behavior issues and increases in positive parent/child attachment. These services will include a number of screening, assessment, evaluation, and case management, in addition to integrated BH services, tobacco cessation counseling, and alcohol and/or drug use Screening, Brief Interventions and Referral to Treatment.
In addition, with input from stakeholders, DHCS will select a limited number of evidence-based practices (EBPs) and community-defined practices (CDPs) to scale throughout the state based on robust evidence for effectiveness, impact on racial equity, and sustainability. Medi-Cal MCPs, county BH plans, Medi-Cal providers and Indian Health programs would then be eligible to receive funding for scaling up these practices. By scaling EBPs and CDPs throughout the state, DHCS aims to improve access to critical BH interventions, including those focused on prevention, early intervention and resiliency/recovery, for children and youth, specifically focused on children and youth from Black, Indigenous, and people of color and lesbian, gay, bisexual, transgender, queer and intersex+ communities.
To provide comments, make recommendations, or obtain additional information about the CYBHI, please email CYBHI@dhcs.ca.gov.
應變管理（CM）提案申請（RFP）
On August 19, 2022, DHCS issued a RFP to support implementation of the California Advancing and Innovating Medi-Cal (CalAIM) CM pilot program. Through the pilot, DHCS is committed to expanding access to evidence-based behavioral treatment to address the stimulant use disorder crisis that persists in California. CM, which provides motivational incentives to reduce the use of stimulants, is the only treatment that has demonstrated strongly positive outcomes for individuals with stimulant use disorder, including a reduction in or cessation of drug use and longer retention in treatment.
DHCS will implement the CM pilot program using an incentive manager vendor. The RFP seeks a vendor that would support the, management, tracking, and distribution of incentives. The pilot was scheduled to begin on July 1, 2022, but the inability to procure an incentive manager delayed implementation. Therefore, the new incentive manager vendor will likely onboard in November, and the anticipated CM pilot program start date will be in December or January 2023.
有關更多信息，請訪問 DHCS CM 計劃網頁。
專案更新
為與正義相關（PATH JI）能力建設計劃提供獲取和轉型醫療資金
On August 9, DHCS launched an online application for round two of the PATH JI Capacity Building Program to support activities focused on pre-release Medi-Cal eligibility and enrollment for justice involved Californians.
PATH JI Capacity Building Program funding supports collaborative planning as well as information technology (IT) system modifications necessary to implement pre-release Medi-Cal application and suspension processes. This program is providing a total of $151 million for correctional agencies and institutions and county social service departments, including sheriff’s offices, county probation departments, and the California Department of Corrections and Rehabilitation. Applications for round two must be submitted through the online application portal no later than December 31, 2022.
Visit the CalAIM PATH webpage for more information on PATH and the JI initiative. Please email justice-involved@ca-path.com with any questions about the application process.
家庭 PACT 提供者申請和註冊驗證 (PAVE) 入口網站
On August 15, DHCS launched the PAVE portal for Family PACT (Planning, Access, Care, and Treatment) providers. The PAVE portal is a web-based application designed to simplify and accelerate enrollment processes, it is a new mode for submitting Family PACT provider enrollment applications and required documentation to DHCS. Beginning January 1, 2023, DHCS will no longer accept paper applications from providers seeking to enroll as a Family PACT provider.
CMS 批准三項國家計劃修訂（SPA）以獲得福利
- On August 5, CMS approved SPA 22-0044 to allow “licensed practitioners” to prescribe physical therapy. This revision allows physician assistants and nurse practitioners to prescribe physician therapy, in addition to physicians, dentists, and podiatrists.
- 8 月 10 日，CMS 批准了 SPA 22-0003，增加哮喘預防服務。 這項新福利授權未經授權的哮喘預防服務提供商和持牌從業人員提供哮喘教育和家庭評估。
- 8 月 12 日，CMS 批准了 SPA 22-0017，根據 2021 年綜合撥款法的要求，授權臨床試驗的例行患者費用。 此前，Medi-Cal 僅為癌症臨床試驗的參與者承擔臨床試驗的常規費用。
已發佈的 COVID-19 信息
- 更新：中醫新冠肺炎疫苗接種率
即將舉行的利害關係人會議和網絡
卡拉艾姆豁免修正案公開聽證會
On August 22, DHCS is hosting a virtual public hearing to encourage and solicit stakeholder feedback on proposed waiver amendments regarding implementation of county-based model changes in the Medi-Cal Managed Care (MCMC) program. Advance registration for the CalAIM public hearing is required.
有關卡拉艾姆第 1115 條示範申請及《1915 (b) 條概述》的其他資料，請瀏覽《加拉艾姆 1115 示範 & 1915 (b) 豁免》網頁。 30 天的公眾評論期將於 12 月 2022 結束。
PATH 容量和基礎設施轉型、擴展和發展 (CITED) 倡議更新
8 月 23 日下午 12 點，DHCS 將虛擬主辦一場資訊性網路研討會，以支持合資格實體提供 CITED 申請。 DHCS 將於 9 月 8 日下午 2:30 舉辦另一個資訊網路研討會。 網絡研討會將提供有關 CITED 資金和申請流程的詳細信息。
有關更多信息，請訪問 https://www.ca-path.com/cited。 有關 CITED 計劃和申請程序的問題可以提交至 cited@ca-path.com。 DHCS 將在網路研討會和後續通訊中回應提交的問題。
CalAIM 網絡研討會：ECM 和社區支持成員參與
On August 25 at 1:30 p.m., DHCS will virtually host a webinar on CalAIM ECM and Community Supports member engagement. Topics for this session will include provider and member communications, referrals, outreach, and enrollment.
CalAIM Member Engagement webinar advance registration is required. Participants are invited to submit questions by August 22 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have the opportunity to ask questions during the session. An additional “Office Hours” event will be held on September 1 at 2 p.m. for attendees to ask questions not covered during the webinar.
CYBHI 每月公開網絡研討會
On August 29 at 3 p.m., DHCS will virtually host a public webinar to keep stakeholders apprised of DHCS’ progress in implementing various work streams for the CYBHI. Key attendees include, but are not limited to, youth, parents, family members, behavioral health providers, Medi-Cal managed care plans, county behavioral health departments, and commercial health plans, as well as education and other cross-sector partners. Advance registration for this CYBHI webinar is required.
CalAIM “Office Hours”: ECM and Community Supports Member Engagement
On September 1 at 2 p.m., DHCS will virtually host an “Office Hours” discussion on CalAIM ECM and Community Supports member engagement. As a follow-up to the August 25 webinar on this topic, this Q&A session will cover provider and member communications, referrals, outreach, and enrollment. Advance registration is required. Participants are invited to submit questions by August 29 to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the session.
CalAIM 網絡研討會：ECM 長期護理重點群體
9 月 8 日下午 1:30，DHCS 將虛擬主持一場有關 CalAIM ECM 長期護理人群的全體研討會。 需提前註冊。 邀請參加者於 9 月 5 日前提交問題至 CalAIMECMILOS@dhcs.ca.gov。 參加者還將有機會在會議期間提出問題。