DHCS Stakeholder News Update – May 6, 2022
尊敬的利益相關者，
衞生護理服務部（DHCS）正在提供有關 DHCS 計劃的重要發展的更新，以及與 COVID-19 公共衛生緊急情況有關的指導。
DHCS 行政人員變更
5 月 31 日，行為健康副署長 Kelly Pfeifer 將退休國家服務，以追求其他努力。 近三年來，Kelly 一直領導了轉型、歷史悠久的心理健康和藥物使用障礙服務計劃和倡議的開發和實施，包括加利福尼亞進和創新 Medi-Cal（CalAIM）倡議、行為健康持續基礎設施計劃（BHCIP）和行為健康現代化項目。
負責行為健康的助理副主任 Tyler Sadwith 將在 Kelly 離任後擔任代理副主任。
BHCIP 和社區關懷擴展計劃更新
The 2021-22 California State Budget provided once-in-a-generation investments in infrastructure funding alongside significant new state and federal resources to address homelessness, support health care delivery reform, and strengthen the social safety net. Together these commitments will address historic gaps in the behavioral health continuum to meet growing demand for services and supports. Infrastructure resources, led by DHCS and the California Department of Social Services, will ensure care can be provided in the least-restrictive settings by creating a wide range of options, including outpatient alternatives, urgent care, peer respite, wellness centers, social rehabilitation models, and licensed community care facilities. A variety of care placements can provide a vital off-ramp from intensive behavioral health service settings and transition the most vulnerable Californians to community living, as well as provide housing options for older adults and people with disabilities. For more information about these programs, please visit the BHCIP webpage.
Medi-Cal Rx 180 天過渡政策
When Medi-Cal Rx launched, a 180-day transition policy was implemented to reduce the impact of the transition on Medi-Cal beneficiaries by extending their previously approved prescriptions, with or without previously approved prior authorizations (PA), through July 1, 2022. Medi-Cal Rx will continue to use historical PA and claims data for the transition policy beyond July 1, 2022. DHCS and Magellan Medicaid Administration are evaluating the appropriate time to terminate this transition policy. Detailed information will be provided in the coming weeks. Stakeholders will be given 90 days’ notice prior to the end of the 180-day transition policy.
人口健康管理 (PHM) 供應商合同
On May 9, DHCS will release an Invitation for Proposal (IFP) for a PHM Service vendor, as part of the CalAIM initiative. DHCS intends to award the resulting contract by July 2022. This procurement solicits applications for the development, operation, and eventual turnover to DHCS of the PHM Service.
PHM 服務旨在改變全人員的照護服務給 Medi-Cal 受益人，同時管理風險並解決醫療保健和社會驅動因素的差距。 PHM 服務將為商業合作夥伴（州部門和機構、當地縣合作夥伴等）；醫療保健提供合作夥伴（醫院，熟練護理設施等）；以及管理照護組織（縣 Drug Medi-Cal，Medicare Advantage 等）支持以受益者為中心的觀點，以獲取可用於幫助提高護理質量的臨床和程序化數據。
DHCS anticipates that implementation of the PHM Service will contribute to the overall CalAIM goal of improving beneficiaries’ quality of life and health outcomes, aligned with Medi-Cal initiatives outlined in Assembly Bill 133 (Chapter 143, Statutes of 2021). More information about the PHM Service is available in the draft PHM Program and Service Roadmap. For questions or comments, please email CalAIM@dhcs.ca.gov.