DHCS 正在提供有關 DHCS 程序的重要發展的更新。​​ 

熱門新聞​​ 

更正因錯誤發送的加州聯網（CMC）通知​​ 

十一月下旬，DHCS 錯誤地向洛杉磯、河畔、聖伯納迪諾、聖地牙哥和聖塔克拉拉縣的 CMC 會員寄出取消註冊信 (DL) 。 DHCS 可以確認會員並沒有提早退出他們的 CMC 計劃，他們不需要對本通知採取任何行動。會員將繼續留在他們的計劃中，直到 12 月31,2022, 並將於 1 月1,2023 自動加入他們的聯邦醫療保險-Medi-Cal 計劃，而不會有承保空檔。​​ 

DHCS 正透過 Health Care Options 向所有收到信件的會員進行電話外呼活動，通知他們無需理會錯誤寄出的通知，而且他們目前的 CMC 計劃不會中斷。​​   

DHCS 已在Cal MediConnect 的未來網頁上張貼所有會員通知和進一步資訊。 如有任何問題，請發送至info@calduals.org。​​ 

行為健康持續基礎設施計劃（BHCIP）第四輪：兒童和青少年補助​​ 

On December 7, DHCS awarded $480.5 million in funding to 54 behavioral health projects in California serving children, youth, transition-age youth, and pregnant and postpartum women. These awards are being made through the BHCIP Round 4: Children and Youth grants. BHCIP represents the largest provision of resources for mental health and/or substance use disorder infrastructure in the state’s history, and an unprecedented opportunity to address historic gaps and effect meaningful, sustainable change in California’s behavioral health continuum. Additional information about BHCIP Round 4: Children and Youth awardees is available at BHCIP Grant Award Information.​​ 

提供健康獲取和轉型健康（PATH）涉及正義的第二輪申請截止日期延長​​ 

DHCS 已將加州進步與創新 Medi-Cal (CalAIM) PATH 司法介入第二輪資助的申請截止日期延長至 3 月31 ，2023 。PATH 計畫的第三方管理員 (TPA) 正在將 11 月10 發佈的ACWDL 22-27 的申請更新整合到第二輪申請中，2022 。涉及正義的第二輪申請將下線至 1 月25,2023 以完成申請更新。目前正在處理申請的人應等到 1 月 25 日重新開放申請時再提交。我們將儘快提供其他資訊。​​ 

如對第二輪申請延期有任何疑問，請發送電子郵件至justice-involved@ca-path.com。​​ 

Medi-Cal Rx 事先授權 (PA) 要求​​ 

DHCS 已開始與 Medi-Cal Rx 利益相關者（管理護理計劃、藥房提供者、處方人員、醫院以及成員倡導者及其各自的協會）會面，提供有關恢復 PA 要求和退休過渡政策的最後三個階段的信息。​​ 

• 在 2023 年 2 月 24 之前，22 歲及以上接受新開始藥物的成年成人會員將恢復所有 PA 要求。​​ 
• 在 2023 年 6 月 23 之前，22 歲及以上成年人的祖父 PA 的過渡政策將逐步取消。​​ 
• 最後階段將恢復 PA 要求，同時退出適用於 21 歲及以下兒童以及腸道營養產品的過渡政策。​​ 

DHCS has presented the timelines and scope of each phase, including the impact of the policy changes to members of Medi-Cal, California Children’s Services (CCS), Genetically Handicapped Persons Program, and Early and Periodic Screening, Diagnostic, and Treatment. DHCS will continue to engage stakeholders throughout the process.​​ 

遠程醫療：會員信息通知​​ 

DHCS 撰寫了一份會員資訊通知草稿，供公眾意見於 12 月 16 日前。 會員通知將於 2023 年發佈，通知會員有關可用的遠程醫療服務，並通知他們有權：​​ 

• 通過與遠程醫療以外的醫療保健提供者訪問受保障的醫療保健服務。​​  
• 選擇遠程醫療作為一種方式。​​ 
• 接受交通服務到醫療保健預約。​​ 
• 了解使用遠程醫療相關的限制/風險。​​ 
• 提交與遠程醫療相關的投訴。​​ 

意見可以通過電子郵件發送至 Medi-Cal_Telehealth@dhcs.ca.gov。​​ 

專案更新​​ 

長期服務與支援 (LTSS) 儀表板​​ 

On December 12, DHCS will launch the LTSS Data Dashboard, an initiative of the Home and Community-Based Services (HCBS) Spending Plan . The dashboard will track demographic, utilization, quality, and cost data related to LTSS. It will include statewide nursing home and HCBS data, with the goal of increased transparency to make it possible for regulators, policymakers, and the public to be informed while the state continues to expand, enhance, and improve the quality of LTSS in all home, community, and congregate settings.​​ 

LTSS 面板將採用分階段的方式推出，初始資料將包括 38 項以使用為重點的措施。在未來幾個月內，我們將根據流量增加其他措施。儀表板的未來迭代將加強資料可視化能力，並增加有關品質和成本的資料。​​ 

This initial release of the dashboard shows that California continues to have a strong rate of LTSS “rebalancing”, otherwise known as HCBS utilization, compared to overall LTSS use. This is due to the state’s robust array of HCBS programs. In 2021, 85 percent of Medi-Cal members that used LTSS services used HCBS; only about 15 percent of LTSS members stayed in a long-term care (LTC) facility, but did not use HCBS.​​ 

This release also shows an increase in HCBS utilization each year, as well as a decline in average monthly census and overall use of LTC facilities in 2020 and 2021 due to the impact of the COVID-19 pandemic.​​ 

即將推出：接受診所員工穩定保留付款（CWSRP）的申請​​ 

On December 29, DHCS will begin accepting applications for CWSRP. All successfully registered qualified clinics will receive a link to the application for submitting employee information. All requests for payment must be submitted no later than 5 p.m. on January 27, 2023. DHCS encourages early submissions so that all applications can be validated before the final due date. Additional application guidance and templates for submission will be posted on the CWSRP webpage on or before the opening of the application period.​​ 

此外，DHCS 提醒所有符合資格的合格診所註冊 CWSRP，註冊截止日期為 12 月20 ，2022 。已公佈更新的常見問題 (FAQ)。如需指南和註冊連結，請造訪CWSRP 網頁。​​ 

醫院和技術護理設施（SNF）2019 冠狀病毒病勞動保留補助金（WRP）申請截止日期​​ 

DHCS 提醒所有 成功註冊的承保實體 (CE) 、承保服務雇主 ( CSE)、醫師團體 (PGE) 和獨立醫生提交醫院和 SNF WRP 申請。所有付款申請必須在 12 月30 下午 5 點之前提交，2022 。DHCS 鼓勵及早提交申請，以便在申請提交截止日期後不久就能驗證所有申請。如果您是 CE、CSE、PGE 或獨立醫師，且尚未註冊，請造訪WRP 網頁，於 12 月21 前註冊，2022 。​​ 

有關註冊和申請指導，應用程序視頻教程以及所有其他支持信息，請訪問 WRP 網頁。​​ 

CMS 批准加州 HCBS 支出計劃季度報告​​ 

On November 29, CMS approved DHCS’ quarterly reports for California’s HCBS Spending Plan for Quarters 1 and 2 of federal fiscal year 2022-23. California remains in compliance with program requirements, set forth in CMS’ State Medicaid Director Letters #21-003 and #22-002. Under the American Rescue Plan Act of 2021, the HCBS Spending Plan permits California to receive a temporary 10 percentage point increase to the Federal Medical Assistance Percentage for certain Medicaid expenditures for HCBS. The approved quarterly reports and more information are available on the HCBS Spending Plan webpage.​​ 

網上系統入學前篩選和居民審查（PASRR）試驗測試​​ 

On December 1, DHCS began a pilot project to allow general acute care hospitals (GACHs) to test PASRR’s online system. The initial pilot group consists of six GACHs, and testing will be facilitated from December 1, 2022, through January 31, 2023. The remaining GACHs will be enrolled by region from February through April 2023.​​ 

PASRR is a federal and state-mandated program designed to identify evidence of a serious mental illness, intellectual and/or developmental disability, or related condition in all individuals (regardless of insurance type), who are seeking admission to a skilled nursing facility (SNF). To comply with federal regulations, the PASRR process must be completed prior to a beneficiary being admitted to a SNF.​​ 

DHCS is required to be fully compliant with California’s PASRR process by July 1, 2023. To achieve this, all GACHs will be enrolled in PASRR’s online system and must incorporate the PASRR screening protocol in their discharge process. The online system will streamline their efforts to complete the PASRR process before discharging a member to a Medicaid-certified SNF. For more information, visit the PASRR webpage.​​ 

兒童助聽器保障計劃（HACCP）資格擴展​​ 

自 1 月 1 日起，DHCS 歡迎符合其他計劃標準、需要助聽器及相關服務保險的 18 至 20 歲新符合資格的年輕成人申請加入 HACCP。此外，自 1 月 1 日起，未滿 21 歲且符合計劃資格要求的申請人，即使有部分其他健康保險，且助聽器的承保上限為每年 1,500 美元或以下，也可申請加入 HACCP。更多的計劃資訊請參閱HACCP 網頁。家庭可透過 HACCP 的線上申請入口申請投保。​​ 

加入我們的團隊​​ 

DHCS 正在招聘！我們正在尋找三位有使命感、積極進取的人才，擔任品質與人口健康管理計畫的價值支付處處長、品質與健康公平評估與監控處處長，以及品質& 健康公平轉型處處長。這些 I 級公共衛生醫療管理員職位將幫助 DHCS 為最脆弱的加州人提供服務。​​ 

DHCS is also hiring Californians to join our fiscal, human resources, legal, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.​​ 

DHCS 致力於維護和改善所有加州人的整體健康和福祉。DHCS 的使命是為最弱勢的居民提供可負擔、綜合、優質和公平的醫療照護，目前正在改革 Medi-Cal 計畫，以確保它能提供加州人所需的照護，讓他們活得更健康、更快樂。​​ 

即將舉行的利害關係人會議和網絡​​ 

認知認知障礙症照護網絡​​ 

On December 13, from 12 to 1 p.m., DHCS’ Dementia Care Aware will virtually host the “Next Steps in Assessment and Management After a Positive Cognitive Health Assessment (advance registration required)” webinar. The webinar will include an update on next steps in assessment and management after a positive cognitive health assessment.​​  

Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit)  Additional information about the Dementia Care Aware Initiative is available at www.dementiacareaware.org.​​ 

CalAIM 管理長期服務和支持（MLTSS）和雙重整合工作小組十二月會議​​ 

12 月 15 日上午 10 點至中午 12 點，DHCS 將以虛擬方式主持 CalAIM MLTSS 和雙重身份整合工作組會議（需提前註冊）。議程項目包括 2023 年 1 月投保變更摘要、2024 年雙重合格特殊需求計劃 (D-SNP) 緩和療護的照護協調指南概述、長期服務與支援儀表板的最新資訊、最近發佈的 2023 年 CalAIM D-SNPs 政策指南章節的最新資訊，以及 2023 年 1 月專業護理設施長期護理分割過渡的回顧。​​ 

Background materials, transcripts, and video recordings of the previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. Please email your questions to DHCS at info@calduals.org.​​ 

CalAIM 篩查和醫療心理健康服務的護理工具轉換​​ 

12 月 15 日，下午 3 點至 4 點，DHCS 將舉行網絡研討會（需要提前註冊），以便利益相關者了解醫療心理健康服務計劃的篩查和轉換照護工具計劃，該計劃將於 1, 2023, 作為 CalAIM 的一部分。 此計劃專注於為成年人和 21 歲以下的個人開發全州篩查和轉換照護工具，以供縣心理健康計劃（MHP）和 Medi-Cal MCP 使用。 網絡研討會將檢討實施的時間表和期望，重點介紹 MCP 和 MHP 可以採取的步驟來支持成功啟動，並解決常見問題。 如有任何疑問，請發送電子郵件 BHCalAIM@dhcs.ca.gov。​​ 

護理設施融資改革網絡研討會​​ 

12 月 21 日，下午 3 時至 4 時，DHCS 將舉行虛擬利益相關者會議，討論由議會條例草案 186（2022 年第 46 章）批准的勞動力和質量激勵計劃（WQIP）。 本次會議將介紹 WQIP 的最終計劃設計，並為利益相關者提供更多機會。 有關如何參加 12 月 21 日網絡研討會的信息將在會議日期更近的護理設施融資改革 AB 186 網頁上發布。​​ 

已發佈的 COVID-19 信息​​ 

• 更新：中醫新冠肺炎疫苗接種率​​  
• 非處方（OTC）2019 冠狀病毒抗原測試套件​​