熱門新聞​​ 

泰勒·薩德維斯獲選為醫療補助途徑計劃​​ 

醫療照護策略中心 (Center for Health Care Strategies, CHCS) 本週宣佈，DHCS 行為健康 計畫 副主任 Tyler Sadwith 是全國 20 位新晉 Medicaid 機構領導人之一，經過競爭選拔，將參加 Medicaid Pathways 計畫 的第三期課程。Tyler 負責領導 DHCS 雄心勃勃的議程，以確保 Medi-Cal 及其他公共計畫中提供高品質、可獲得的專業心理健康和藥物使用障礙服務。他帶領該部門的行為健康團隊制定並實施旨在加強行為健康照護的可及性、品質、公平性，以及為 1550 萬 Medi-Cal 會員和通過公共計劃接受服務的加州人提供服務的措施。​​ 

專案更新​​ 

2024 年醫療管理護理計劃（MCP）過渡政策指南​​ 

On September 29, DHCS released a revised version of the 2024 MCP Transition Policy Guide that includes DHCS policy and MCP requirements related to member transitions of Medi-Cal MCPs that take effect on January 1, 2024. The latest version includes a new MCP transition monitoring and oversight policy and transition-related requirements for incentive programs, as well as updates to all other sections. The policy guide will be updated regularly to keep MCPs informed of new and developing guidance.​​ 

提供醫療服務和促進健康 (PATH) 技術援助 (TA) 市場 - 經修訂的 TA 受援者准入政策​​ 

On September 29, DHCS announced the revised policy for accessing free TA resources available through the PATH TA Marketplace. Effective immediately, all approved TA recipients may now access both off-the-shelf TA projects and hands-on TA projects in all seven TA domains, regardless of if they are contracted with a MCP or other eligible entity to provide Enhanced Care Management (ECM) and/or Community Supports. Learn how free TA services offered through the PATH TA Marketplace can strengthen your organization’s ability to build and deliver quality ECM and Community Supports by visiting the PATH TA Marketplace webpage. Please submit any questions regarding the revised access policy to ta-marketplace@ca-path.com.​​ 

PATH TA 市場第三輪供應商申請​​ 

On October 1, DHCS will open the PATH TA Marketplace Round 3 vendor application window. The PATH TA Marketplace is a virtual marketplace for TA services, a one-stop-shop website where entities can access free TA resources from curated and approved vendors to help build their capacity to transform Medi-Cal. Organizations must apply to qualify as a TA Marketplace vendor before the October 31 deadline. Visit the TA Marketplace vendor webpage for more information and to apply. For questions, please email ta-marketplace@ca-path.com.​​ 

加州醫療補助健康保健計劃 Rx​​ 

On September 27 and 28, DHCS delivered the first presentations to update stakeholders on DHCS’ plans to advance Medi-Cal Rx. DHCS presented to the Pharmacy Directors meeting and the California Association of Medical Product Suppliers meeting. Also, on September 22, Reinstatement Phase 4, Lift 2 was successfully implemented. Drug cost ceiling and prior authorization for enteral nutrition and specific standard therapeutic classes for members 22 years of age and older have been reinstated. Additionally, as of September 22, the new COVID-19 vaccines appropriately reimburse the cost of the commercial vaccines (in addition to a $40 incentive fee).​​ 

加入我們的團隊​​ 

DHCS 正在招聘我們的財政、人力資源、法律、審計、健康政策和資訊科技團隊。 有關更多信息，請訪問 CalCareers 網站。​​ 

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS’ goals and objectives reflect DHCS’ tremendous work to transform the state’s health care system and strengthen organizational excellence.​​ 

即將舉行的利害關係人會議和網絡​​ 

以消費者為中心的利益相關者工作小組（CFSW）會議​​ 

10 月 6 日上午 10 點至 11 點 30 分，DHCS 將主辦 CFSW 會議。CFSW 的目的是讓利害關係人有機會審閱各種消費者訊息資料，並提供反饋意見。該論壇將著重於資格審核和入會相關活動，並提供有關 Medi-Cal 政策和功能的公開討論。CFSW 的參與者包括消費者保護團體的倡導者、提供者協會的代表以及醫療照護領域的專家。如有任何問題，請電郵至DHCSCFSW@dhcs.ca.gov。所有會議材料將不遲於 10 月 4 日發佈在DHCS CFSW 網頁上。​​ 

卡拉艾姆 ICF/DD 加入有前瞻性實踐網絡研討會​​ 

On October 6, from 9:30 to 11 a.m., DHCS will virtually host the third in a series of educational webinars (advance registration required) on the California Advancing and Innovating Medi-Cal (CalAIM) intermediate care facility for the developmentally disabled (ICF/DD) carve-in. The goal of these webinars is to provide stakeholders with an understanding of the ICF/DD carve-in policy requirements and how to support members when all Medi-Cal MCPs will be required to cover and coordinate institutional long-term care for members residing in an ICF/DD beginning on January 1, 2024. The webinar will focus on promising practices that MCPs, ICF/DD homes, and Regional Centers can consider as they prepare for the ICF/DD carve-in to take effect. Webinars are open to the public.​​ 

有關即將舉行的網路研討會的其他詳細資訊，請參閱CalAIM ICF/DD Long-Term Care Carve-In 過渡網頁。請將問題或意見電郵至LTCtransition@dhcs.ca.gov。​​ 

加州的聯邦醫療保險保險選擇：網絡研討會​​ 

On October 11 at 1 p.m., DHCS and the California Department of Aging will jointly host a webinar entitled, “Navigating Medicare Coverage Choices in California, Including Medicare Advantage Supplemental Benefits” (advance registration required). Presenters will include Stephanie Fajuri from the Center for Health Care Rights, an expert in Medicare choices for consumers, and Nils Franco from ATI Advisory, a lead analyst for the review of Medicare Advantage Plan supplemental benefits in California.​​  

The webinar will share helpful information for consumers, families, health care providers, and the public policy community. It will include a presentation and question and answer session on Medicare coverage choices for consumers during the Medicare Open Enrollment period from October 15 to December 7, as well as highlight a newly released DHCS chartbook on supplemental benefits in Medicare Advantage Plans in California for contract year 2023. The chartbook is part of a series of chartbooks available on the DHCS Office of Medicare Innovation and Integration webpage. For questions or comments, please email OMII@dhcs.ca.gov.​​ 

利害關係人諮詢委員會（SAC）和行為健康-SAC（BH-SAC）會議​​ 

On October 19, from 9:30 a.m. to 3:30 p.m., DHCS will host the next SAC and BH-SAC hybrid meeting (advance registration required). It will open as a joint meeting, with topics shared by SAC and BH-SAC. A BH-SAC-only meeting will be held after the joint meeting; there is no SAC-only meeting. Participants may attend in person at The California Endowment, located at 1414 K Street in downtown Sacramento, or virtually. For more information, please visit the SAC and BH-SAC webpages.​​ 

如果你錯過了​​ 

聯邦醫療保險醫療保險計劃：持份者的信息​​ 

9 月 22 日，DHCS 在 聯邦醫療 保險 Medi-Cal 計劃 網頁 上張貼了 英文 、 西班牙文 、 苗文 、 越南 文、繁體中文/ 粵語 、 俄文 和 高棉文/柬 埔寨文的 聯邦醫療 保險 Medi-Cal 計劃 簡介。​​  

The 2024 Medicare open enrollment period is from October 15 to December 7, with plan coverage taking effect on January 1, 2024. Californians in 12 counties will be eligible to enroll in Medicare-Medi-Cal Plans, a type of Medicare Advantage plan in California only available to dual eligible members. Medicare Medi-Cal Plans provide more comprehensive care, and benefits in both programs are coordinated by one managed care plan. In 2024, Medicare Medi-Cal Plans will be available in the following counties: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, and Tulare. Please contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org.​​