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DHCS 幫助受南加州野火影響的 Medi-Cal 成員和提供商

為應對南California野火， DHCS申請並獲得了數十項Medicaid第 1135 條豁免和附錄 K 靈活性，以防止醫療保健服務中斷，以便患者能夠繼續獲得所需的護理。 這些措施旨在減輕行政負擔，並在關鍵時期提供靈活的醫療保健服務。California Medicaid計劃第 1135 條豁免條款和附錄 K 彈性條款的關鍵規定包括：

• Medi-Cal 會員的保護：延長公平聽證會要求和福利恢復的時間，為 Medi-Cal 會員提供額外的時間來解決資格或福利問題。 調整家庭健康服務要求，以允許由於目前的限制而導致面對面對面的延遲。
• 提供者註冊的靈活性：加快並簡化供應商註冊，以使提供者更輕鬆地為受影響的會員提供護理。
• 家庭和社區服務的靈活性：延長初始評估、重新評估和護理計劃審查的時間表，以確保因年齡、殘疾或慢性疾病而需要持續支持的個人提供不間斷的照護。 允許在避難所或酒店等替代地點提供長期服務和支持。
• 支援診所：當主要設施受損或無法訪問時，允許診所在其他環境（例如移動診所或臨時地點）提供護理。

DHCS 了解從這些野火中恢復過來將充滿挑戰，並開發了一個線上資源，以幫助解答 Medi-Cal 會員、合作夥伴、醫療服務提供者和健康計劃在此緊急情況下提出的問題。DHCS 仍致力於在這段艱難時期支持社區，並對第一線緊急應變人員和醫護人員表示感謝。注意安全，查看官方更新獲取最新信息，並遵守當地官員發布的疏散命令。

專案更新

Smile, California to Celebrate National Children’s Dental Health Month

2月1日，加州微笑市將推出新的「健康微笑之旅」活動，慶祝全國兒童牙齒健康月（NCDHM）。該活動旨在減輕人們對看牙醫的恐懼，將牙科診所重新構想為“健康微笑樂園”，其中包含氟化物瀑布、密封劑島和 X 光灣等主題景點。這些創意十足的診療站強調預防保健，同時讓家庭感到看牙醫既輕鬆愉快又充滿樂趣。SmileCalifornia.org和SonrieCalifornia.org將推出全新的首頁橫幅廣告以及專門的 NCDHM 網頁（英文和西班牙文）。為會員和供應商提供資源和材料。

加入我們的團隊

DHCS 正在尋找一個有才華和有動力的個人，以作為：

• Assistant Division Chief for the Quality Health Equity Division. The Assistant Division Chief provides strategic leadership to advance quality and health equity for Medi-Cal’s nearly 15 million members. The Assistant Division Chief oversees policy implementation, program operations, budget management, and staff supervision. Responsibilities include leading special projects, driving performance improvement, and fostering collaboration with internal and external stakeholders. Experience in health policy, program management, and equity-focused initiatives is highly desired. Applications must be submitted by January 28.

• Chief of the Pharmacy Benefits Division. The Chief is responsible for overseeing the development and implementation of policy, services, and coverage criteria for outpatient pharmacy services for the state’s Medi-Cal program. This includes providing policy direction for Medi-Cal Rx as well as invoicing and collecting federal and state supplemental drug rebates. The Chief of PBD also leads the development of nutrition, vision care, and medical supply benefits and oversees the administration of the Medi-Cal Pharmacy and Vision Benefit programs. A licensed pharmacist is desired, but not required. Applications must be submitted by February 7.

DHCS is also hiring for its accounting/financing, behavioral health, eligibility, legislative and governmental affairs, 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

報導大使網絡研討會：與正義相關的重新入境倡議和兒童和青少年行為健康倡議

1月30日上午11點至11點45分PST，DHCS 將為 DHCS 保險大使舉辦網路研討會（需事先報名）。本次網路研討會將介紹司法系統涉案人員重返社會計畫和兒童及青少年行為健康計畫 (CYBHI) 的最新進展。它將傳達有關目前或曾經在監獄、青少年教養機構或看守所服刑的涉法人員的信息，這些人比公眾面臨更高的健康風險、受傷風險和死亡風險。它將重點介紹加州為改善即將重返社區的個人的不良健康狀況而採取的重要措施，包括努力確保他們在獲釋後能夠繼續獲得醫療保障。此外，保障大使們還將了解如何透過 CYBHI 擴大早期兒童全方位服務，該機構將為兒童、青少年和家庭提供心理健康服務。了解更多關於DHCS醫保大使的信息，或註冊成為醫保大使。

DHCS 減少危害高峰會

DHCS 與全州各地的社區合作，在加州的藥物濫用障礙治療系統中推廣減少傷害和低門檻、以患者為中心的護理。DHCS 鼓勵藥物濫用障礙治療提供者和工作人員（包括社工、同儕、前台工作人員、個案經理、護士、醫生以及藥物濫用障礙治療機構的所有工作人員）參加並學習如何將減少傷害的原則融入藥物濫用障礙治療中。峰會將在聖地牙哥縣（2月11日）和洛杉磯縣（2月27日）舉行。請在活動網站上註冊。

封閉循環推薦實施指南和全新來網絡研討會

On February 13, from 10 to 11 a.m. PST., DHCS will hold an all-comer webinar (advance registration required) to provide an overview of the Closed-Loop Referral (CLR) Implementation Guidance for managed care plans. The webinar is open to the public and will be of special interest to Medi-Cal managed care plans (MCP), Enhanced Care Management and Community Supports providers, and entities making referrals to the benefit/services. The CLR Implementation Guidance outlines requirements for MCPs in implementing CLRs, including tracking, supporting, and monitoring CLRs. The member’s initial referral loop is completed with a known closure reason, such as the member receiving services. These new requirements will ensure more members are connected to the care they need by identifying and addressing gaps in referral paths. MCPs must implement CLR requirements by July 1, 2025. Requirements will first apply to referrals made to priority Enhanced Care Management and Community Supports services. Please send your questions about the new guidance to PHMSection@dhcs.ca.gov.

利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議

On February 19, from 9:30 a.m. to 3 p.m. PST, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts and helps DHCS further its efforts to provide high-quality, equitable care. BH-SAC provides DHCS with input regarding behavioral health activities and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.

如果你錯過了

現正開放：提供存取和轉型健康（PATH）容量和基礎設施轉型、擴展和開發（CITED）第四輪申請

On January 6, DHCS opened the PATH CITED Round 4 application window, including the Transitional Rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. Nearly $158 million is available for Round 4.

所有有興趣成為過渡性租金社區支持提供者的組織都必須與 Medi-Cal MCP 和其所在縣的行為健康部門合作。為了證明這些合作關係，所有計劃申請過渡性租金社區支持資金的 CITED 申請人必須與其 MCP 和縣行為健康部門合作提交支持信。有關此項要求的更多信息，請參加1月27日上午10點的網路研討會。PST（需提前註冊）並查看過渡性租金支持信指南和過渡性租金支持信範本。

申請 PATH CITED 第 4 輪資助的截止日期為太平洋標準時間 5 月 2、2025 日晚上 11:59。造訪PATH CITED 網頁即可找到指導文件和申請表。請將問題提交至cited@ca-path.com 。

PATH 技術支援 (TA) 市場第五輪供應商申請

On January 1, DHCS opened the PATH TA Marketplace Round 5 vendor application. The deadline to apply is January 31. Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but it will focus on services for the following provider types: rural providers, Tribal and Indian health care providers, maternal and child-serving providers, and transitional rent providers.

DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors. Please visit the TA Marketplace Vendor webpage to access the guidance documents and to apply. Please submit questions to ta-marketplace@ca-path.com.