Dear Stakeholders,

The Department of Health Care Services (DHCS) is providing this update of significant developments regarding DHCS programs.​​ 

授出牙科合同​​ 

On July 1, 2022, DHCS issued a Notice of Intent to Award for the Fiscal Intermediary-Dental Business Operations (FI-DBO) contract, which will provide services to support California’s Medi-Cal fee-for-service dental benefit. Following a competitive procurement process, the successful bidder is Gainwell Technologies LLC.

Over the next year, the incumbent vendor, Delta Dental of California, will transition operations to the new vendor, Gainwell. The anticipated date for Gainwell to assume responsibility for dental business operations is October 1, 2023. DHCS’ goal is for this transition to be seamless for Medi-Cal members and providers, with no reduction in or delay of services.​​ 

提案 56 貸款還款計劃 — 健康護理​​ 

DHCS announced its commitment to pay $64.9 million toward student loans for 222 physicians and 35 dentists under CalHealthCares to expand access to care for Medi-Cal patients under a fourth cohort of awardees. Of the 257 awardees, 62 percent are persons of color, and 79 percent speak a language other than English. The physicians represent 67 specialties and serve 33 counties. The dentists represent four specialties and serve 19 counties. The awardees have agreed to maintain a caseload of at least 30 percent Medi-Cal patients, with more than 57 percent of awardees committing to maintaining a caseload of 65 percent or higher. A fifth cohort is scheduled for 2023. For more information, visit the CalHealthCares website.​​ 

增強護理管理（ECM）和社區支持福利更新​​ 

從 7 月 1 日開始，ECM 福利在所有加利福尼亞州各縣適用於符合條件的 Medi-Cal 管理護理計劃 (MCP) 成員，適用於以下重點群體：無家可歸的個人和家庭，以及患有嚴重精神疾病（SMI）/藥物使用障礙（SUD）的成年人。 自 7 月 1 日新實施 ECM 的縣包括阿爾卑斯、阿馬多爾、布特、卡拉維拉斯、科盧薩、德爾諾、埃爾多拉多、弗雷斯諾、格倫、洪堡、伊尼奧、萊克、拉森、馬德拉、馬里波薩、默塞爾、莫多克、莫多克、內華達州、普盧馬斯、聖貝尼托、聖路易斯奧比斯波、聖巴巴拉、塞拉、西斯基尤、索洛斯、斯坦拉諾薩特、特哈馬、特里尼、圖洛姆尼、尤洛和尤巴。​​ 

此外，截至 7 月 1 日，MCP 正在實施額外 266 個社群支援，從而將這些獨特產品的服務可用性擴大到所有 58 個加利福尼亞州縣。重大的服務擴展包括與房屋相關的社區支持服務，MCP 推出 35 個新的住房過渡導航服務，44 個新房屋存款和 36 個新房屋租賃和持續服務，以及休息服務（34 個新產品）和個人護理和家庭服務（31 個新產品）。自 1 月 1 日初始實施計劃以來，已有 518 個社區支持服務，現在在加利福尼亞州所有 58 個縣提供 784 種不同的社區支持服務。DHCS 創建了一個公開可用的社區支持地圖，顯示根據縣和實施日期在 2022 年將上線的 14 個預先批准的社區支持的數量。還提供社區支持選舉圖表，詳細說明每個縣的每個 MCP 下都可用的內容，並預測未來預期的服務提供。​​  

社區衛生工作者 (CHW) 福利​​ 

On July 1, the CHW benefit went live in both the Medi-Cal fee-for-service (FFS) and managed care delivery systems. The State Plan Amendment (SPA) for CHWs was submitted to the Centers for Medicare & Medicaid Services (CMS) on April 29, 2022, and is pending approval. DHCS published the final CHW policy on June 29 to assist providers with rolling out this new benefit. DHCS shared a draft of the Provider Manual pages for CHW services, as well as a new Provider Manual section for asthma preventive services, with stakeholders prior to finalizing them for publication. The Provider Manual pages are scheduled to be published on July 15. In addition, DHCS shared a draft All Plan Letter (APL) for CHW services with its managed care health plan partners on June 28 for comments prior to issuing the APL. Comments on the APL are due by July 12. More information about the Department’s development of the CHW benefit, including the pending SPA that was submitted to CMS, is available on CHW webpage.

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