熱門新聞​​ 

CMS 選擇 DHCS 進行創新轉型孕婦健康模式​​ 

On January 6, the federal Centers for Medicare & Medicaid Services (CMS) approved California’s participation in its Center for Medicare and Medicaid Innovation’s Transforming Maternal Health (TMaH) Model, a ten-year Medicaid and Children’s Health Insurance Program (CHIP) delivery and payment model designed to test whether effective implementation of evidence-informed interventions, sustained by a value-based payment (VBP) model, can improve maternal outcomes and reduce program expenditures for Medicaid and CHIP.​​ 

DHCS 將在五個縣實施 TMaH 模式：Fresno、Kern、Kings、Madera 和 Tulare。這個地區的特點是與懷孕有關的死亡率在加州最高，剖腹產以及產前和產後抑鬱症的比率也高於全州平均值。與加州其他地區相比，該地區對產科照護提供者和健康相關社會服務的需求也更大。​​ 

TMaH Model 是加州更廣泛承諾的一部分，旨在解決孕產婦健康方面的種族和民族差異，並確保所有孕婦，尤其是低收入社區的孕婦，獲得安全渡過懷孕和分娩期間所需的支援。​​ 

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​​ 

1 月 6 日，DHCS 開放PATH CITED第 4 輪申請窗口。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、醫院、縣級機構、部落及其他，以成功參與 Medi-Cal。第 4 輪資助有近 1.58 億美元。申請 PATH CITED 第 4 輪資助的截止時間為太平洋標準時間 3 月7 下午 11:59 ，2025 。請造訪PATH CITED 網頁，即可找到指南文件和申請表。 請將問題提交至cited@ca-path.com。​​ 

專案更新​​ 

BH-CONNECT 實證實務政策指南​​ 

DHCS 現正徵求對行為健康資訊通知 (BHIN) 25-XXX 涵蓋行為健康社區為基礎的公平照護和治療組織網路 (BH-CONNECT) 循證實踐和 DRAFT BH-CONNECT 循證實踐政策指南的反饋意見。請於太平洋標準時間 1 月 10 日晚上 11:59 之前將您的意見提交至BH-CONNECT@dhcs.ca.gov。​​ 

根據 BH-CONNECT 倡議，DHCS 將擴大 Medi-Cal 提供的循證實踐 (EBP) 的涵蓋範圍，包括自願社區治療 (ACT)、法醫 ACT、首次發作精神病的協調專科照護、輔助就業的個人安置和支援模式、加強型社區保健員服務和會所服務。​​ 

The draft BHIN describes how county behavioral health plans, inclusive of mental health plans and Drug Medi-Cal Organized Delivery System (DMC-ODS) plans, and DMC programs can opt in to cover one or more BH-CONNECT EBPs and provides guidance on billing and claiming requirements for BH-CONNECT EBPs. The draft BH-CONNECT EBP Policy Guide provides operational guidance to support implementation of the BH-CONNECT EBPs, including an overview of the evidence base for each EBP and best practices for staffing teams, delivering covered services, and coordinating with other services and supports. For more information, please visit the BH-CONNECT webpage.​​ 

轉換至新家庭協定入口網站​​ 

On January 13, DHCS’ Family Planning, Access, Care and Treatment (PACT) program’s client eligibility and enrollment transaction services will transition from the Health Access Programs Client Eligibility System to a new Family PACT portal. To support Family PACT providers during this transition, Family PACT providers will have access to comprehensive training materials and webinars through the Family PACT Online Training Center Learning Management System. These resources will ensure that providers are equipped to use the Family PACT portal effectively before its launch.​​ 

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.​​ 

PATH 協作規劃和實施 (CPI) 最佳實踐網絡研討會記錄和材料​​ 

12 月6,2024, DHCS 舉辦了一個公開網路研討會，題為「醫院參與加州進步與創新 Medi-Cal (CalAIM)」：支持符合資格的 Medi-Cal 會員獲得加強護理管理 (ECM) 服務。網路研討會討論了醫院與其區域內 CalAIM 提供者合作的價值、改善出院規劃合作的機會，以及醫院員工與 ECM 提供者之間熱情交接的機會。網路研討會錄音和輔助資料可在PATH CPI 網頁的「最佳實務與資源」部份取得。請將問題提交至collaborative@ca-path.com。​​ 

加入我們的團隊​​ 

DHCS is hiring for its accounting, program accountability, contracts, behavioral health, managed care quality and monitoring, provider services, 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​​ 

California Children’s Services (CCS) Advisory Group Meeting​​ 

1 月 8 日，太平洋標準時間下午 1 點至 4 點，DHCS 將舉行CCS 顧問小組季度會議。DHCS 與 CCS 顧問小組合作，以確保 CCS/Whole Child Model (WCM) 計劃中的兒童獲得適當且及時的優質護理。議程主題包括重溫加州兒童服務 2024 年的優先事項和展望 2025 年，以及 WCM 擴展、加強護理管理、 Medi-Cal Rx 和加州兒童服務重新設計績效衡量品質小組委員會的最新情況。更多相關資訊和會議詳情請參閱CCS 顧問團網頁。​​ 

行為健康轉型品質和公平諮詢委員會網絡研討會​​ 

1 月 9 日上午 9 點至 11 點PST, DHCS 將舉辦第二場行為健康轉型品質與公平諮詢委員會網路研討會。1 月 15 日上午 9 點至 11 點PST, DHCS 將舉辦第三場行為健康轉型品質與公平諮詢委員會網路研討會。註冊後，您會收到一封確認電子郵件，內含網路研討會連結和其他詳細資訊。DHCS 很高興能繼續其合作努力，以衡量和評估行為健康服務和計劃的品質和功效。這些公開網路研討會為參加者提供了提供意見供 DHCS 考慮的機會。 請造訪「行為健康轉型利益相關者參與」網頁，以取得更多關於網路研討會和其他資源的資訊。請將行為健康轉型和/或網路研討會相關的問題寄到BHTinfo@dhcs.ca.gov。​​ 

杜拉實施利益相關者工作小組會議​​ 

1 月 10 日，太平洋標準時間上午 10 點至下午 12 點，DHCS 將根據參議院第 65 號法案（2021 年成文法第 449 章）的規定舉行Doula 實施利益相關者工作組會議。該工作小組確保符合資格且希望獲得竇拉服務的 Medi-Cal 成員可獲得竇拉服務，將支付 Medi-Cal 竇拉或補償 Medi-Cal 成員竇拉服務的障礙和延遲減至最低，對外展工作提出建議，以便所有符合竇拉服務資格的 Medi-Cal 成員瞭解使用竇拉服務的選擇，並協助 DHCS 向立法機關報告有關 Medi-Cal 成員使用竇拉服務的資料，以及減少任何已識別的竇拉服務障礙的建議。​​ 

As required by Welfare and Institutions Code section 14131.24, the workgroup will make recommendations to DHCS in a report to be published on the DHCS website by July 1, 2025. For more information about the workgroup, please visit the Doula Implementation Stakeholder Workgroup webpage.​​ 

DHCS 減少危害高峰會​​ 

DHCS 與全州各社區合作，在加州的藥物使用障礙治療系統中推廣減少傷害和低障礙、以患者為中心的護理。DHCS 鼓勵物質使用障礙治療提供者和工作人員（包括社會工作者、同儕、前臺工作人員、個案經理、護士、醫生以及物質使用障礙治療場所的所有工作人員）參加並學習將減少危害原則融入物質使用障礙治療的最佳實踐。高峰會將在弗雷斯諾縣（1 月 23 日）、聖地牙哥縣（2 月 11 日）和洛杉磯縣（2 月 27 日）舉行。在活動網站上註冊。​​ 

報導大使網絡研討會系列：與正義相關的重新入境計劃和兒童和青少年行為健康倡議更新​​ 

On January 30, from 11 to 11:45 a.m. PST, DHCS will host a webinar for DHCS Coverage Ambassadors. The topics will include updates on the Justice-Involved Reentry Initiative and Children Youth Behavioral Health Initiative (CYBHI) advance registration required. This session will provide detailed information on justice-involved individuals who are now, or have spent time, in jails, youth correctional facilities, or prisons and who are at higher risk for poor health outcomes, injury, and death than the public. The session will also focus on significant steps California is taking to improve poor health outcomes for individuals as they prepare to reenter their communities by working to ensure they have continuity of coverage upon their release. Additionally, Coverage Ambassadors will learn how early childhood wraparound services will be expanded through the CYBHI, which will provide mental health services to children, youth, and families. Find out more about DHCS Coverage Ambassadors, or sign up to become a Coverage Ambassador.​​ 

如果你錯過了​​ 

DHCS 推出 Cal-Map 以加強青少年精神健康護理​​ 

On December 27, 2024, DHCS, in collaboration with the University of California San Francisco, launched the Child and Adolescent Mental Health Access Portal (Cal-MAP), a key component of the Children and Youth Behavioral Health Initiative (CYBHI), which is reimagining the systems that support behavioral health for all California children, youth, and their families. Cal-MAP supports California’s primary care providers (PCP) by offering free consultations, training, and resources to help them care for youth ages 0-25 with mental health and substance use issues.​​ 

Cal-MAP 是一個兒科心理健康護理接入計劃，旨在增加加加利福尼亞州各地的青少年及時獲得心理健康護理服務，尤其是在歷史上面臨著獲取護理障礙的社區中。 該計劃擴大公平的獲取高質量、適合文化的青少年精神健康護理服務，在較低污名、以早期介入為中心的基層醫療機構。​​ 

Cal-MAP’s interprofessional team of psychiatrists, psychologists, and clinical social workers provides no-cost consultation, education, and resource navigation directly to PCPs. This multi-pronged approach supports the ability of providers to manage common mild-moderate behavioral health conditions within primary care, thereby promoting the integration of pediatric primary and behavioral health care and increasing access to child psychiatry for more complex presentations. PCPs are strongly encouraged to explore resources and opportunities through Cal-MAP. PCPs may contact the Cal-MAP team via phone at 800-253-2103 or email at info@cal-map.org for any questions about registration or services provided.
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