二零二四年七月一日
熱門新聞
加利福尼亞慶祝擴展的印度行為健康設施的開創
On July 1, DHCS and ABC Recovery Center celebrated the groundbreaking of a facility expansion that will serve people who need mental health and substance use disorder treatment. DHCS awarded ABC Recovery Center more than $27 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) to build two adult substance use disorder residential units, expanding residential treatment capacity by 120 total beds, in addition to intensive outpatient treatment for substance use disorder projected to serve 400 people annually.
DHCS will distribute roughly $4 billion in BHCIP grants under Proposition 1 bond funds to address historic gaps in the behavioral health care system and meet the growing demand for services and support throughout the lifespan of people in need. More information about Proposition 1 can be found at mentalhealth.ca.gov. DHCS holds regular public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on DHCS’ website to receive monthly updates.
專案更新
DHCS Launches “PATHways to Success” Web Portal
On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing Enhanced Care Management and Community Supports for the Medi-Cal members they serve.
歡迎各機構瀏覽新網站，瞭解 PATH 如何協助機構滿足 Medi-Cal 會員的需求，並提供協調、持續的「加強照護管理」和「社區支援」。請將您的問題電郵至communications@ca-path.com。
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
從 7 月 1 日起，DHCS 將為提供者引入新的在線門戶，以改善新家庭獲得保障和照顧的訪問權限。 通過 CPE，提供者可向符合條件的申請人授予臨時、全面範圍的保障。 此入口網站取代兒童健康和殘疾預防閘道入口網站。 新生兒門戶網站用於在出生後 72 小時或出院後 24 小時內報告與 Medi-Cal 和 Medi-Cal 接入嬰兒計劃有關的出生。 提供者必須完成認證培訓才能使用這些入口網站，並從 7 月 1 日開始註冊合資格的嬰兒參加保險。
On June 25, DHCS hosted the final CPE and Newborn Gateway portal overview webinar. A recording of the webinar is available through the Medi-Cal Learning Portal by searching for course code CNPE104RW.
新的 CMS 指引增強了醫療補助管理護理服務
Over the past decade, Medicaid managed care organizations have increasingly aimed to address members’ health-related social needs, such as housing, food security, and transportation, that affect health outcomes. However, these efforts often remained in pilot stages due to capitation rates not reflecting these services. New guidance from the Centers for Medicare & Medicaid Services (CMS) on in lieu of services (ILOS) is changing this by allowing medically appropriate and cost-effective substitutes for state Medicaid benefits, impacting managed care rates. A new Medicaid policy cheat sheet, published by Center for Health Care Strategies, outlines five key takeaways from CMS’ May 2024 final rule on using ILOS to address health-related social needs. Additionally, a new tool, Designing a Health-Related Social Needs Strategy in Medicaid, presents decision points for states, including a snapshot of how nine states are covering these services through a learning series supported by the Kaiser Permanente National Community Benefit Fund.
加入我們的團隊
DHCS 正在尋找一位技術精湛、積極主動的個人，以擔任：
- 負責行為健康的助理副總監，負責提供管理和支援，以落實行為健康計畫，達成公平的醫療照護成果，並確保能持續獲得高品質的心理健康和藥物使用障礙照護。(最後申報日期：7 月 12 日)
- Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
此職位的薪資範圍為每月 11,435 美元至 13,623 美元。 需要持有醫療執照，但不需要。 為醫生或臨床醫生的候選人提供每月 13,624 美元至 17,855 美元的工資範圍。 （最終申請日期：7 月 3 日）
DHCS is also hiring for its legislative and governmental affairs, 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
行為健康以社區為本的公平護理和治療有組織網絡（BH-CONNECT）示範附錄：第二次公開聽證會
DHCS 將於美國太平洋時間 7 月 2 日下午 3:30 至 4:30，在沙加緬度 K 街 1515 號 204 室舉行 BH-CONNECT 示範附錄的第二次混合現場和虛擬公聽會，並透過 Zoom 進行（需預先登記）。6 月14,2024, DHCS 開始了為期 30 天的BH-CONNECT 示範增補的公眾評論期。加州將提交 BH-CONNECT 示範申請的附錄，以進一步加強行為健康照護的連續性。該附錄將為縣行為健康計劃提供兩種新的承保選項：為長期住院的個人提供社區過渡接觸服務，以及為有嚴重行為健康問題和特定風險因素的個人提供長達六個月的豐富住宿環境食宿服務。如需詳細資訊，請造訪DHCS BH-CONNECT 網頁。
以消費者為中心的利益相關者工作小組（CFSW）
On July 5, from 10 to 11:30 a.m. PDT, DHCS will convene the CFSW, which provides stakeholders an opportunity to review and provide feedback on a variety of consumer messaging materials. The forum focuses on eligibility and enrollment-related activities and strives to offer an open discussion on Medi-Cal policies and functionality. Meeting materials, including the meeting agenda, will be posted to the CFSW webpage by noon on July 3. Please e-mail your questions to DHCSCFSW@dhcs.ca.gov.
California Children’s Services (CCS) Advisory Group Meeting
On July 10, from 1 to 4 p.m. PDT, DHCS will host the CCS Advisory Group quarterly meeting. The CCS Advisory Group and DHCS partner to ensure children in the CCS and Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include updates on WCM expansion, Enhanced Care Management, the CCS Compliance, Monitoring, and Oversight Workgroup, the Child Health and Disability Prevention program, and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are posted on the CCS Advisory Group webpage. Please email your questions and comments to CCSProgram@dhcs.ca.gov.
杜拉利益相關者實施工作小組會議
7 月 12 日，太平洋夏令時上午 10 點至下午 12 點， DHCS將主辦導樂利益相關者實施工作小組會議，根據參議院第65 號法案（2021 年法規第449 章）審查加州醫療補助健康保健計劃導樂福利的實施）以及《福利與機構法》第 14132.24 條。
The meeting will be held via Zoom, with an in-person option at 1501 Capitol Avenue, Sacramento, CA 95814, Room 71.4003. The meeting is open to the public. The link to attend the meeting virtually and an agenda will be 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.
卡拉伊姆行為健康工作小組會議
7 月 15 日下午 3 點至 5 點（太平洋標準時間），DHCS 將召開 CalAIM 行為健康工作組會議（需提前註冊），提供有關提供者整合專案和 BH-CONNECT 的最新資訊。工作組成員可就實施和運作方面的考慮提供反饋意見。詳情請參閱議程。此會議對公眾開放。請將您的問題電郵至BHCalAIM@dhcs.ca.gov。
目標提供商率提高
太平洋標準時間 7 月 17 日下午 3 點至 4 點 30 分，DHCS 將舉辦一個醫療服務提供者網路研討會（需提前註冊），回答有關 2024 日曆年目標醫療服務提供者費率調漲的問題。醫療服務提供者希望解決的所有問題必須在 7 月 8 日之前發送至 DHCS，電子郵件地址為targetedrateincreases@dhcs.ca.gov。
On June 20, DHCS published requirements, through All Plan Letter 24-007, necessary for Medi-Cal managed care plans to implement targeted provider rate increases in calendar year 2024. For additional information, please see the DHCS Medi-Cal Targeted Provider Rate Increases and Investments website.
如果你錯過了
國家揭示減少歧視運動的積極影響
在《Unshame CA》公共衛生意識運動開始接近一年，旨在消除成癮的歧視，並提高加利福尼亞人對治療可用性的意識，評估數據顯示，人們在看到並參與受到藥物使用障礙影響的個人的同情心、社區驅動故事後，更有可能更改他們對成癮的觀點。
Unshame CA 是 DHCS 和Shatterproof的合作項目，旨在建立對藥物使用障礙的瞭解，並將其視為可治療的醫療狀況。該活動採用實證為基礎的公共衛生方法，利用社交媒體進行教育和推廣，並將加州人與有生活經驗的人聯繫起來。