熱門新聞​​ 

冬季風暴健康檢查​​ 

California has experienced a series of winter storms, with severe weather continuing over the next few days. During inclement weather, our priority is to ensure people’s safety and make it easier for them to access shelter, services, and other resources. We recommend that our community partners proactively check on older individuals with disabilities, are unhoused, and/or have chronic health conditions that may put them at risk. Reach out to them to check on how they’re doing and to connect them to resources as needed. We also encourage you to work with your local county and California Governor’s Office of Emergency Services (CalOES) to aid your communities, and we recommend that you become familiar with local resources you can offer to those in need, including shelters or warming centers.

To assist stakeholders with wellness checks, the California Health & Human Services Agency (CalHHS) developed an Emergency Resource Guide, and Appendix I: Universal Wellness Checks Questionnaire can be used when conducting wellness checks. Additional resources include the Listos California’s Severe Storm Safety Toolkit and the California Department of Public Health’s Winter Storm Preparedness Toolkit.​​ 

加強護理管理（ECM）和社區支持季度實施報告​​ 

DHCS 公佈了 2023 年第 2 季的 ECM 和社區支援季度實施報告。本報告歸納了 ECM 和「社區支援」計畫前 18 個月的實施趨勢和資料，橫跨 2022 年 1 月至 2023 年 6 月。與去年八月發佈的 2022 年第一年度實施報告相似，本報告提供州、縣及 Medi-Cal 管理性護理計劃 (MCP) 層級的深入資料。

在最初的 18 個月中，140,886 位 MCP 會員獲得 ECM 福利，75,834 位會員獲得 167,960 項社區支援服務。隨著加州持續推動 Medi-Cal 轉型，ECM 和社區支援在支援有複雜醫療和健康相關社會需求的 Medi-Cal 會員的全人照護方面扮演重要角色。DHCS 預期在未來幾個月和幾年內，隨著更多的重點人群符合 ECM 資格，以及在更多的縣提供額外的社區支援服務，這兩個計劃的入會人數都會有更多的增長。DHCS 始終致力於通過計劃監控、設計改進和標準化來支持和維持這一增長。​​ 

卡拉伊姆儀表板​​ 

DHCS today posted the first iteration of a public-facing California Advancing and Innovating Medi-Cal (CalAIM) dashboard to demonstrate the impact, progress, and key opportunity areas of CalAIM. The dashboard includes individual initiative pages for Behavioral Health, Community Supports, ECM, Incentive Payment Program, Integrated Care for Dual Eligible Members, Population Health Management, Providing Access and Transforming Health (PATH), Statewide Managed Long-Term Care, and Bold Goals: 50×2025 as outlined in DHCS’ Comprehensive Quality Strategy. This dashboard provides baseline data and highlights milestones in the Medi-Cal transformation. The data will be updated regularly and will expand to include additional quality measures, demographic data, and initiatives as the data become available.​​ 

專案更新​​ 

2024 年 1 月中醫醫計劃報名更新​​ 

Enrollment in Medicare Medi-Cal (Medi-Medi) Plans continues to increase as part of the CalAIM initiative to offer integrated care for members who are dually eligible for Medicare and Medi-Cal. As of January 2024, enrollment in Medi-Medi Plans is approximately 293,000 members, according to data published by the federal Centers for Medicare & Medicaid Services (CMS). This represents an increase of approximately 48,000 members over Medi-Medi Plan enrollment in October 2023. Integrated care is also available through the SCAN Connections Health Plan and the Program of All-Inclusive Care for the Elderly. Please visit the Medicare Advantage Options for Dual Eligible Beneficiaries webpage to view quarterly enrollment reports for dual eligible members by Medicare delivery system.​​ 

PATH 容量和基礎設施轉換、擴展和發展（CITED）第三輪申請​​ 

申請 PATH CITED 第 3 輪資助的截止日期為 2 月 15 日。PATH CITED 倡議提供資金以建立實地合作夥伴的能力和基礎設施，包括社區組織、公立醫院、縣級機構、部落及其他，以成功參與 Medi-Cal。到 2 月 12 日為止，每週都會舉辦辦公室活動（請在 PATH CITED 網站上註冊），以協助有意申請的人士。​​ 

RFI：加利福尼亞行為健康以社區為基礎的公平護理和治療有組織網絡（BH-CONNECT）倡議卓越中心（COE）​​ 

On January 31, DHCS released a Request for Information (RFI) to solicit input from interested parties to establish one or more COEs that will offer training and technical assistance to Medi-Cal specialty behavioral health providers and county behavioral health plans. This opportunity is to support fidelity implementation of a set of evidence-based practices (EBPs), including Assertive Community Treatment (ACT), Forensic Assertive Community Treatment (FACT), Coordinated Specialty Care for First Episode Psychosis (CSC for FEP), Individual Placement and Support (IPS) model of Supported Employment, Clubhouse Services, and additional EBPs for children and youth. Please review RFI #23-070 for more information about the specific functions of COEs and the included EBPs. The deadline for questions is February 14, and the deadline for responses to the RFI is March 1. Please submit your questions about this RFI to PCDRFI3@dhcs.ca.gov.​​ 

加利福尼亞州微笑醫療牙科服務活動​​ 

Smile, California 今天在社交媒體網站（包括 Facebook 和 Instagram）以英語和西班牙語推廣全國兒童牙齒健康月 (NCDHM)。該活動的目標是增加 Medi-Cal 會員對幾種口腔護理做法的認識。該活動教育個人在嬰兒長出第一顆牙之前優先進行牙科檢查、強調牙齒密封劑的重要性、維持每年兩次的牙科檢查、接受氟化物治療、鼓勵避免進食含糖食物和飲料，以及確保兒童正確使用牙膏。最後，該活動提供 Medi-Cal 承保的牙科福利的詳細資訊。​​ 

加入我們的團隊​​ 

以下考試開放：​​ 

• 印度衛生協調員，除其他角色外，將擔任印度衛生的首席專業顧問，為 DHCS 提供印度健康計劃的規劃，開發，實施，協調，運行和評估方面為 DHCS 提供服務。 （最終申請日期為 2 月 16 日）​​ 

Also, DHCS is hiring for our communications, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.​​ 

即將舉行的利害關係人會議和網絡​​ 

卡拉伊姆人口健康管理 (PHM) 諮詢小組會議​​ 

2 月 12 日上午 10:30 至中午 12:00，DHCS 將舉行 PHM 顧問小組會議。本次會議將關注過渡性護理服務 (TCS) 政策，包括於 1 月1,2024 對所有會員生效的 TCS 政策更新摘要。 PHM 諮詢小組成員將有機會就 DHCS 在 2024 年實施 TCS 的優先事項提出意見，包括將會員與基層護理連接、確保過渡至專業護理和長期護理設施或離開專業護理和長期護理設施者的順利過渡，以及為分娩者提供過渡性護理服務。此外，成員將討論如何利用 TCS 來改善將符合資格的個人轉介至出院後的 ECM、社區支援及其他服務。此外，DHCS 歡迎會員就改善出院設施、MCP 和出院後醫療服務提供者之間及時、徹底和準確的資料/資訊傳輸提出建議。

DHCS 成立 PHM 顧問小組，提供意見以支援 PHM 計畫和服務的設計與實施。 諮詢小組成員包括醫療計劃、醫療服務提供者、縣、州政府部門、消費者組織及其他團體的代表。 會議對公眾開放，會議資訊和材料將在DHCS 網站上提供。我們鼓勵利害關係人在網路研討會前將問題提交至PHMSection@dhcs.ca.gov。​​ 

兒童助聽器覆蓋專案 (HACCP) 醫療服務提供者和聽力專業人員的網路研討會​​ 

On February 13, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will outline program requirements for families to apply for coverage. It will also outline the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.​​ 

卡拉伊姆急性護理設施嵌入虛擬辦公時間​​ 

On February 14, from 2:30 to 3:30 p.m., DHCS will host an office hours session as part of an educational webinar series on the CalAIM subacute care facility long-term care (LTC) carve-in. The office hours provide a dedicated forum for DHCS to engage with subacute care facilities, Medi-Cal MCP representatives, and other stakeholders to address questions related to the subacute care facility carve-in policy requirements and implementation of the transition to managed care that took effect on January 1, 2024. 

Participants are encouraged to submit questions in advance when registering for the office hours session or by emailing them to LTCtransition@dhcs.ca.gov. Additional details about past webinars are available on the CalAIM Subacute Care Facility LTC Carve-In transition webpage.​​   

PATH 技術支援 (TA) 市場虛擬供應商博覽會​​ 

On February 29, from 9 to 10:30 a.m., DHCS will host the first PATH TA Marketplace virtual Vendor Fair. TA Vendor Fairs are an opportunity for vendors to pitch their organization and services to potential TA recipients and encourage utilization of the TA Marketplace. TA recipients and organizations interested in learning more about the TA Marketplace, including how to apply to receive free services, are invited to attend. This is the first in a series of upcoming Vendor Fairs and will focus on presentations from vendors providing services in Domain 3 of the PATH TA Marketplace: “Engaging in CalAIM through Medi-Cal Managed Care”.​​ 

如果你錯過了​​ 

中卡目標利率增加 (TRI)​​ 

Pursuant to Assembly Bill (AB) 118 (Chapter 42, Statutes of 2023), DHCS published, as part of the proposed 2024–25 Governor’s Budget, a plan for targeted increases to Medi-Cal payments or other investments, effective in 2025, across primary care, maternal care, behavioral health care, specialty care, women’s health services, public hospital services, community and hospital outpatient services, emergency services, and other domains. The proposed investments will be supported with funding from the Managed Care Organization (MCO) Tax, authorized by AB 119 (Chapter 13 , Statutes of 2023), and are designed to advance access, quality, and equity for Medi-Cal members and promote provider participation in the Medi-Cal program. These proposed investments are subject to obtaining all necessary legislative and federal approvals, as applicable. For more information, please visit the Medi-Cal Targeted Provider Rate Increases and Investments webpage and view the Medi-Cal TRI policy paper and MCO Tax-funded investments.​​ 

CalAIM 持續通報兒童民眾意見​​ 

CalAIM 第 1115 節「兒童連續承保」修訂申請的 30 天公開評論期為 1 月 12 日至 2 月 12 日。為確保在提交 CMS 之前得到考慮，意見必須在太平洋標準時間 2 月 12 日晚上 11:59 之前收到。DHCS 歡迎所有公眾意見。

DHCS 要求修訂 CalAIM 第 1115 條示範，以包括第 1115(a)(2)條下的支出權限，以獲得聯邦配對資金，為兒童提供連續承保，直至他們 5 歲生日所在月份的月底，不論他們何時首次加入 Medi-Cal 或兒童健康保險計劃，以及任何會導致喪失資格的情況變化。本政策的實施取決於州政府對 2024-2025 年及其後財政年度可用普通基金資源的確定以及 CMS 的批准。其他資訊請參閱DHCS CalAIM 1115 Demonstration and 1915(b) Waiver 網頁。​​ 

醫療保險行為健康服務的保障​​ 

1 月 30 日，DHCS 和加州老化部為醫療服務提供者出版了一份有關聯邦醫療保險行為健康福利的資料說明書，包括 2024 年聯邦醫療保險提供的擴展服務和醫療服務提供者類型的重點。 自1 年 1 月起，2024 ，聯邦醫療保險對於行為健康的承保範圍和政策已擴大至涵蓋心理健康服務以及婚姻與家庭治療師和心理健康顧問的門診，涵蓋特定環境下的密集門診服務，並加強對聯邦醫療保險優良計劃協調行為健康照護的要求。​​  

該資料表涵蓋了聯邦醫療保險涵蓋的行為健康服務、如何註冊為聯邦醫療保險提供者並參與聯邦醫療保險，提供者如何幫助聯邦醫療保險受益人獲得護理，以及 2024 年聯邦醫療保險的行為健康變化。 行為健康服務包括心理健康和藥物使用障礙治療。 在美國醫療保險受益人中，兩者在加利福尼亞州都被利用 2021 年，只有 8.8％ 的 65 歲及以上的加利福尼亞人就心理健康或藥物使用障礙看到醫療保健專業人員。 接受 Medicare 保障治療的障礙包括缺乏認識聯邦醫療保險涵蓋行為健康服務，需要增加註冊聯邦醫療保險的行為健康提供者的數量，以及與尋求治療有關的歧視。​​