熱門新聞​​ 

DHCS 2019 冠狀病毒病公共衛生緊急情況（PHE）運營解決計劃更新​​ 

10 月 27 日，衞生防護中心更新了醫療新型冠狀病毒肺炎疫情運作解散計劃。 該更新的計劃反映了由醫療保險中心 & Medicaid 服務（CMS）批准的兩種新靈活性，從 10 月 18 日起實施，以進一步減輕 Medi-Cal 成員，託管護理計劃（MCP）和當地縣辦事處在更新成員聯繫信息時對 Medi-Cal 成員的行政負擔。 這些靈活性將在 COVID-19 PHE 結束後 14 個月繼續生效，因為各縣在 COVID-19 PHE 解散期間處理 Medi-Cal 重新確定，這將非常重要和有幫助。 其他批准的靈活性包括：​​ 

• 與國家地址更改（NCOA）數據庫和美國郵政服務（USPS）州內轉發地址合作以更新成員聯繫信息。DHCS 將暫時允許從 NCOA 數據庫和 USPS 州內轉發地址接受更新的州內註冊人聯繫信息，而無需個人進行額外確認。 根據此權限，加利福尼亞將將由 NCOA 數據庫確認並收到的更新的州內聯繫信息或帶有轉發地址的 USPS 退回郵件視為可靠，並使用新聯繫信息更新成員記錄，而不必先向該州提交的成員地址發送通知。​​  

• 與全包護老人計劃（PACE）組織合作，更新受益人聯繫信息。 加州將暫時允許接受來自 PACE 組織的更新的州內註冊人聯繫信息，而無需該個人進行額外確認。 根據此權限，該州將將與州 Medicaid 機構簽約的 PACE 組織確認並收到的更新的州內聯繫信息視為可靠，並使用新聯繫信息更新受益人記錄，而無需先向該州提交的受益人地址發送通知。​​  

有關 Medi-Cal 資產限制變更的 CMS 外展​​ 

On November 9, CMS will send an outreach email to all California Medicare beneficiaries with email addresses on file, up to one million individuals, to share information about Medicare Savings Programs (MSPs) and the impact the change in asset limits California implemented this year has on MSP program eligibility.​​  

This email will inform Medicare beneficiaries that they can obtain financial assistance through MSPs for their Medicare Part B premiums, copayments, and deductibles, and includes information about the July 1, 2022, asset limits change for MSPs which could allow for more individuals to be eligible for MSPs. The email also includes information on Medi-Cal eligibility, income limits for both programs, and pathways to apply for MSPs and Medi-Cal.​​   

MSPs are for individuals with limited income and resources to help pay some or all of their Medicare Part A and B Premiums, deductibles, copayments, and coinsurance. Individuals enrolled in MSPs may also get extra help that pays for Medicare prescription drug costs. Income limits for MSPs are similar to Medi-Cal, and eligibility for MSPs is determined concurrently with Medi-Cal eligibility by county eligibility offices. Currently, approximately 814,000 individuals in California are receiving MSPs.​​ 

專案更新​​ 

診所員工穩定保留支付（CWSRP）​​ 

DHCS today issued general process guidance to help qualified clinics prepare for the upcoming CWSRP registration and application submission.​​ 

Beginning on November 15, 2022, qualified clinics are required to register with DHCS in order to participate in CWSRP. Once registered and approved, qualified clinics will be provided a link to apply for retention payments on behalf of eligible employees starting on December 29. DHCS encourages early submissions so all applications can be validated prior to the final due date. DHCS anticipates issuing payments to qualified clinics in late February 2023, and clinics receiving funding must issue payments to qualified employees within 60 days of receipt of funds.​​ 

如欲查閱有關 CWSRP 的註冊和申請遞交流程的新資訊，請瀏覽 CW SRP 網頁。 註冊 CWSRP 利益相關者公告，隨時了解最新發展。​​ 

兒童健康專案及措施簡報​​ 

On November 4, DHCS released a comprehensive set of presentation slides to help describe the numerous programs and initiatives that will improve Medi-Cal for California’s children and families. These slides cover significant Medi-Cal efforts including the California Advancing and Innovating Medi-Cal (CalAIM) initiative, improvements to Medi-Cal eligibility policy, new physical and behavioral health policies and benefits, and the Children and Youth Behavioral Health Initiative. This resource will provide stakeholders with greater insight into Medi-Cal’s strategy to support children and youth, and other aligned efforts.​​  

加勒海姆第 1115 條示範及 1915 (b) 條豁免​​ 

On November 4, DHCS submitted requests to CMS to amend the CalAIM Section 1115 demonstration and Section 1915(b) waiver. DHCS is seeking approvals to implement county-based plan model changes in the Medi-Cal managed care program. Through the Section 1915(b) waiver amendment, DHCS also plans to add or update language on policies or programs included in the approved waiver, including to reflect proposed direct contracts with the Kaiser Foundation Health Plan to enroll certain Medi-Cal beneficiaries in select counties.​​ 

DHCS hosted 30-day public comment and Tribal public comment periods to solicit feedback on the proposed amendments. Additional information about the CalAIM Section 1115 demonstration application and the Section 1915(b) overview is available on the CalAIM 1115 Demonstration & 1915(b) Waiver webpage.​​ 

支持尤羅克部落地區健康中心的資金​​ 

11 月 1 日，DHCS 向尤洛克部落發出 15 萬美元，以協助建立區域健康中心。 參議院條例草案 154（2022 年第 43 章法規）中包含了一次性一般資金，以支持設立區域健康中心，該中心將成為部落專屬毒品、酒精和精神健康服務中心。 這支持 DHCS 綜合質量策略目標，通過幫助確保美國印第安人可以獲得文化合適的行為健康服務，包括藥物使用障礙服務、住宿治療、過渡性住房和後護理。​​ 

加入我們的團隊​​ 

DHCS is hiring! On December 20 and 21, DHCS is hosting a virtual hiring event to recruit Associate Governmental Program Analysts and Staff Services Analysts. Candidates must complete an exam and submit applications  by November 14 to be considered. For more information, please email Recruit@dhcs.ca.gov, or visit DHCS’ Facebook page.​​  

For other opportunities to join our fiscal, human resources, legal, auditing, health policy, and information technology teams, along with other professions, visit the CalCareers website.​​ 

DHCS is dedicated to preserving and improving the overall health and well-being of all Californians. DHCS’ mission is to provide the most vulnerable residents with access to affordable, integrated, high-quality, and equitable health care, and is currently transforming the Medi-Cal program to make sure it provides the care Californians need to live healthier, happier lives.​​ 

即將舉行的利害關係人會議和網絡​​ 

CalAIM 增強護理管理（ECM）和社區支持數據共享網絡研討會​​ 

On November 10, from 1:30 to 3 p.m., DHCS will virtually host an all-comers webinar on how CalAIM organizations are sharing data for ECM and Community Supports (advance registration required). Participants may submit questions to CalAIMECMILOS@dhcs.ca.gov by November 7, and attendees will be able to ask questions during the webinar. An additional “Office Hours” event will be held on December 1, from 2 to 3 p.m., for attendees to ask additional questions which were not covered during the webinar. For information about upcoming webinars and links to previous sessions, please see DHCS’ Technical Assistance Events.​​ 

行為健康利益相關者諮詢委員會（BH-SAC）特別網絡研討會，以徵求對醫療補助第 1115 節概念文件的反饋​​ 

On November 15, from 11:30 a.m. to 12:30 p.m., DHCS will virtually host a special public stakeholder meeting (join webinar at scheduled time) to solicit stakeholder feedback for an upcoming concept paper on DHCS’ intent to apply for a new Medicaid Section 1115 demonstration. This demonstration will expand access to and strengthen the continuum of community-based mental health services for Medi-Cal members living with serious emotional disturbance or mental illness. It will also amplify California’s ongoing behavioral health initiatives, and be informed by findings from DHCS’ 2022 Assessing the Continuum of Care for Behavioral Health Services in California. Meeting materials for the November 15 meeting will be posted to the BH-SAC webpage as they become available. Questions about the BH-SAC may be directed to BehavioralHealthSAC@dhcs.ca.gov.​​ 

兒童助聽器保障計劃（HACCP）家庭網絡研討會​​ 

On November 15, DHCS will hold two sessions for the next quarterly HACCP Webinar for Families: 10 to 10:50 a.m. and 6 to 6:50 p.m. The purpose of this webinar is to provide information about HACCP’s eligibility criteria, enrollment process, and covered benefits to interested families, as well as those with children already enrolled in HACCP. Additional program information is available on DHCS’ HACCP webpage. Webinar details are available on HACCP’s Resources for Families webpage.​​ 

公開聽證會討論杜拉斯的醫療註冊要求和程序​​ 

On November 17, from 1 to 3 p.m., DHCS will virtually host a public stakeholder meeting (advance registration required) to discuss the regulatory provider bulletin entitled, “Medi-Cal Enrollment Requirements and Procedures for Doulas.” The bulletin was created to implement the reporting requirements and procedures of doula providers to enroll in the Medi-Cal fee-for-service program. Stakeholders may submit questions and suggestions during the hearing; written comments will be accepted on the day of the hearing until 5 pm. Based on the public comments received, DHCS will publish the final bulletin on the Medi-Cal and DHCS websites. The changes will become effective 30 days after publication.​​ 

CalAim 辦公時間：新實施 ECM 和社區支持的縣的 Q & A​​ 

On November 17, from 2 to 3 p.m., DHCS will virtually host an “Office Hours” discussion (advance registration required) for counties newly implementing ECM and Community Supports. Participants may submit questions by November 14 to CalAIMECMILOS@dhcs.ca.gov, and attendees may ask questions during the session.​​ 

加利福尼亞州微笑醫療牙科服務活動​​ 

11 月 17 日和 21 日，Smile, California將為 Medi-Cal 會員舉辦兩場 Facebook Live 簡報，一場以英文進行，另一場以西班牙文進行。英文 簡報會將於 11 月 17 日下午 5:30 舉行，西班牙文簡報會將於 11 月 21 日下午 5:30 舉行。 Smile, California 會員外展代表將發表Smile, Your Medi-Cal Benefits Include Dental! 簡報會和：​​ 

• 討論中醫藥牙科計劃。​​ 
• 通知觀眾有關所有年齡段的會員提供的涵蓋牙科服務。​​ 
• 回答有關 Medi-Cal 牙科福利的問題。​​ 

護理設施融資改革網絡研討會​​ 

11 月 18 日，下午 2 時至 3 時，DHCS 將舉行虛擬利益相關者會議，討論大會條例草案 186（2022 年第 46 章）授權的勞動力和質量激勵計劃（WQIP）。 本次會議將繼續討論先前在 10 月 25 日虛擬利益相關者會議上呈現的 WQIP 計劃設計，並提供更多利益相關者反饋的機會。 有關如何參加 11 月 18 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。​​ 

CalAIM 早期和定期篩查、診斷和治療服務（EPSDT）報名材料網絡研討會​​ 

On November 18, from 11 a.m. to 12 p.m., DHCS will host a webinar focused on the EPSDT Outreach & Education Toolkit’s enrollee-facing materials (advance registration required). The federal and state requirement for children’s services, known as EPSDT, gives children and youth under age 21 access to preventive and medically necessary treatment services. DHCS is developing materials through an EPSDT Outreach & Education Toolkit to promote understanding of and access to EPSDT covered services.​​ 

Proposed materials include: two enrollee-facing brochures (a child version and a teen/young adult version), a “Know Your Medi-Cal Rights” letter, and a rebranding of the EPSDT name. The brochures provide an overview of EPSDT, including covered services, how to access those services, and the importance of preventive care. The “Know Your Medi-Cal Rights” letter provides information on what to do if Medi-Cal care is denied, reduced, or stopped. The draft materials will be posted on the DHCS CalAIM News & Updates webpage before webinar. All interested members, providers, plans, counties, health systems, advocates, and other stakeholders are invited to attend.​​ 

認知障礙症護理網絡研討會系列 — 第四次網​​ 

On November 18, from 12 to 1 p.m., Dementia Care Aware will virtually host The Cognitive Health Assessment via Video or Phone (advance registration required) webinar. Jennifer Schlesinger, Vice President of Healthcare Services & Community Education at Alzheimer’s Los Angeles, and Elena Tsoy, PhD, Clinical Neuropsychologist and Assistant Professor at UCSF, will speak about ways to conduct cognitive health assessments via phone or video. Participants of the live webinar are eligible to receive 1 Continuing Medical Education (CME) and California Marriage and Family Therapists (CAMFT) credit. Additional information is available on the Dementia Care Aware Initiative website. Providers are also encouraged to take the cognitive health assessment training (1.5 CME/CAMFT credit).​​