專案更新​​ 

更新增加護理管理 (ECM) 和社區支持數據​​ 

1 月 29 日，DHCS 將公佈 Medi-Cal 管理性護理計劃 (MCP) 的新 ECM 和社區支援資料。新報告提供更新的互動式報告，透過提供至 2023 年第 2 季的州、縣及 MCP 級詳細資料，強化 2022 年的實施報告。下一次季度更新將包括 2023 年第 3 季度的實施數據，計劃於 2024 年第 1 季度末發佈。​​ 

醫療補充活動重新整理​​ 

In early February, DHCS will refresh messaging for the Medi-Cal renewal campaign. New ads will prepare people for the return of annual Medi-Cal renewals. The ads will run on digital, television, radio, print, and out-of-home platforms. The content will be distributed through existing partnerships with Univision and Telemundo for Spanish-language television and a new partnership with CrossingsTV for Mandarin, Cantonese, Vietnamese, Punjabi, Korean, and Hmong programming. Select videos will also be updated to include voiceovers to increase accessibility and exposure to more audiences, such as the visually impaired and those who cannot read. Voiceover videos will be available in all threshold languages. New awareness and renewal outreach materials will be available on the Keep Your Community Covered resources hub for download and sharing in all 19 threshold languages.​​ 

DHCS 還使用可用的數據重新定位續訂率較低的社區，特別是因為會員沒有提供要求的文書或信息而導致的取消註冊率高。​​ 

兒童和青少年行為健康倡議（CYBHI）費用表指引​​ 

1 月 25 日，DHCS 發布了 CYBHI 費用表指南草稿，以供公眾意見。 指導文檔草案概述了通過全州的多付款學校相關費用表（CYBHI 費用表）擴展與學校相關行為健康服務的訪問權限的初步政策和程序，並包括針對當地教育機構，指定從業人員，Medi-Cal MCP 和其他保險公司的指導。​​ 

DHCS is accepting feedback and public comment until February 7 at 5 p.m. Feedback and questions can be submitted to DHCS.SBS@dhcs.ca.gov. For more information, please visit the CYBHI webpage.​​ 

綜合育產科服務計劃 (CPSP) 服務計費擴展​​ 

2 月 1 日，DHCS 將實施必要的系統更改，以允許註冊為加州公共衛生部（CDPH）註冊為 CPSP 提供者的持牌助產士，可為提供給 Medi-Cal 服務費（FFS）成員的 CPSP 服務計費。 如果您對通過 CDPH 註冊 CPSP 有任何疑問，請發送電子郵件 CPSPProviderEnrollment@cdph.ca.gov。​​ 

加入我們的團隊​​ 

DHCS 正在招聘：​​ 

• Chief of Capitated Rates Development Division within Health Care Financing to serve as the principal policymaker for all rate-setting activities to ensure high-quality and cost-efficient health care through DHCS’ contracted Medi-Cal MCPs. (Final filing date is January 30)​​ 

DHCS is also 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​​ 

公開聽證會：持續報導兒童修正《卡拉伊姆示範》​​ 

1 月 29 日下午 1 點至 2 點，DHCS 將舉行一場公聽會（需提前報名），徵求利益相關者對加州進步與創新 Medi-Cal (CalAIM) 第 1115 節示範計劃中與兒童連續承保相關的修訂提案的意見。​​ 

DHCS is seeking approval from the Centers for Medicare & Medicaid Services (CMS) to include expenditure authority under Section 1115(a)(2) to receive federal matching funds to provide continuous coverage for children through the end of the month in which their 5th birthday falls, regardless of when they first enroll in Medi-Cal or the Children’s Health Insurance Program and any changes in circumstances that would otherwise cause a loss of eligibility. Implementation of this policy is contingent upon a state determination of available General Fund resources in 2024-2025 and subsequent fiscal years and CMS approval. Additional information is available on the DHCS CalAIM 1115 Demonstration and 1915(b) Waiver webpage.​​ 

杜拉利益相關者實施工作小組會議​​ 

根據參議院條例草案第 65 條（2021 年法規第 449 章）及《福利及機構守則》第 14132.24 條第 14132.24 條，DHCS 將於一月三十一日下午二時至下午四時舉辦杜拉利益相關人實施工作小組會議，以研究醫療法例的實施情況。​​ 

The meeting will be held via Zoom, with an in-person option at 1700 K Street, Room 1014, Sacramento, CA 95811. The meeting is open to the public. The link to attend the meeting virtually and the agenda are posted on the Doula Services as a Medi-Cal Benefit webpage. The workgroup will discuss how to ensure doula services are available to Medi-Cal members and make recommendations on outreach efforts. Please email DoulaBenefit@dhcs.ca.gov with any questions.​​ 

以消費者為中心的利益相關者工作小組（CFSW）虛擬會議​​ 

On February 2, beginning at 10 a.m., DHCS will hold the next CFSW meeting. The agenda, meeting materials, and instructions on how to join the meeting will be posted on the DHCS CFSW webpage by noon on January 31.​​ 

ECM 出生平等人口網路研討會​​ 

2 月 2 日下午 1:30 至 3:00，DHCS 將舉辦「針對出生公平人口啟動 ECM」的網路研討會（需提前報名），以檢視針對出生公平重點人口 (POF) 的 ECM 遠景，以及實施的初期情況。DHCS 與 Medi-Cal MCP 及全州的醫療服務提供者合作，於 1 月 1 日針對出生公平 POF 推出 ECM。本網路研討會將概述出生公平 POF 的設計與作業指引；提供醫療服務提供者的觀點，說明他們如何為推出出生公平 POF 的 ECM 作好準備，以及提供 ECM 的量身訂做方法；並為 MCP、縣和醫療服務提供者提供指引，說明如何簽約和準備提供 ECM 福利，以解決高產婦發病率和死亡率的種族和民族群體在健康和出生結果方面的已知差異。​​ 

網絡研討會對所有人開放，但 MCP 和與出生平等人群合作的提供商將特別感興趣，包括縣和社區組織。 有興趣了解有關出生公平 POF 的 ECM 或有關推薦會員的更多信息的提供者也可以參加。邀請參加者於一月二十九日前提交問題至 CalAIMECMILOS@dhcs.ca.gov。 與會者將可以在網絡研討會期間提出問題。​​  

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.​​ 

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.​​ 

持續覆蓋解除數據 90 天刷新​​ 

12 月 29 日，DHCS 向 CMS 提交了對 2023 年 6 月至 8 月的聯邦解散數據的強制更新。 由於程序原因而停止使用 Medi-Cal 的個人有 90 天時間向縣提交必要的信息以完成續約。 由於提交解散資料的時間需要，先前的提交內容並不包括在 90 天的重新審議期間恢復 Medi-Cal 的個人。 此更新包括重新整理先前提交的數據，包括 90 天重新考慮期間的個人的結果。​​ 

The updated data is accessible on the Medi-Cal Enrollment and Renewal Data webpage under the “Medi-Cal Continuous Coverage Unwinding Dashboards” section. Additionally, the California Health & Human Services Agency posted on its Medium page a piece by DHCS Director Michelle Baass about the 90-day data refresh.​​ 

二零二四年一月醫療通訊系統轉型​​ 

On January 1, DHCS achieved a significant milestone in its transformation of Medi-Cal with the launch of the new managed care contract and the MCP transition, under which approximately 1.2 million members gained new health plan options and/or transitioned to new MCPs (note: changing MCPs does not affect Medi-Cal member coverage or benefits). To facilitate a smooth transition between MCPs for members, DHCS created Continuity of Care protections to minimize disruptions to members’ care.​​ 

DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the MCP Transition Member webpage with a county “lookup” tool, links to the member notices sent by Medi-Cal about MCP changes, member frequently asked questions in all threshold languages, and a Contact Us page for members to learn more about health plan changes. There are also transition resources for providers, MCPs, and stakeholders. More information about the transition is available in the 2024 MCP Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.​​ 

The MCP Transition Member webpage includes resources and information to support members’ transition. Members unable to resolve issues or questions after working with their MCP may contact DHCS’ Office of the Ombudsman at toll-free (888) 452-8609 or by emailing MMCDOmbudsmanOffice@dhcs.ca.gov.​​