七月 28, 2025
熱門新聞
導航聯邦剪裁：使用 CalHHS 的演示文稿
在最近簽署 H.R. 1 成為法律之後，加州繼續其保護所有加州人健康和福祉的使命。查看有關這些變化將如何影響加州人的重要演示，演示者包括 DHCS 主任 Michelle Baass、加州健康與人類服務署 (CalHHS) 秘書 Kim Johnson、加州社會服務部主任 Jennifer Troia 以及 Covered California 執行主任 Jessica Altman。
DHCS 發布卡拉伊姆概念文件並開始公開評論期
7 月 23 日，DHCS 發表了「 Continuing the Transformation of Medi-Cal Concept Paper 」( 持續 Medi-Cal 轉型概念文件)，概述了 DHCS 在授權 California Advancing and Innovating Medi-Cal (CalAIM) 的主要聯邦豁免於 2026 年 12 月到期後，自 2027 年起五年內的願景和目標。該概念文件概述了最近的進展、目前的優先事項，以及該部門的長期願景，以加強和維持 Medi-Cal 作為一個以人為中心、公平驅動的系統。
與加州醫療保險會員、社區組織、加州醫療保險管理性護理計劃、縣行為健康計劃、部落和服務提供者之間的強大利益相關者夥伴關係和跨部門合作，是 CalAIM 取得成功的動力。DHCS 仍致力於繼續和維持 CalAIM 計畫，並提出符合 DHCS Medi-Cal 轉型原則和目標的目標性改進建議。DHCS 的方法繼續反映 CalAIM 的精神：以會員為中心，支持合作夥伴提供全人照護。為期 30 天的公眾評論期為 7 月 23 日至 8 月 22 日，並接受透過電子郵件提出意見，電子郵件地址為1115Waiver@dhcs.ca.gov。
專案更新
適用於受管理護理計劃的最新人口健康管理政策指南
DHCS 發布了針對受管理護理計劃的更新的人口健康管理（PHM）政策指南。該指南建立了一種統一的全州範圍的方法，確保 Medi-Cal 成員可以使用全面、優質的健康計劃，從而導致更長、更健康和更快樂的生活、改善健康結果和健康公平。PHM 政策指南概述了執行 PHM 計劃要求時對受管理護理計劃的要求。這些要求將有助於確保所有成員可以根據他們的需求和喜好在持續護理中獲得一套全面的服務。有關 PHM 政策指南的更多信息，請訪問 CalAIM 人口健康管理倡議網頁。
更新的縣辦公室定位工具現在可用
DHCS launched an enhanced version of the online Medi-Cal County Office Locator tool to improve the user experience for Medi-Cal members and stakeholders. The updated tool replaces the previous list of county offices with an interactive map. Users can now search for their local Medi-Cal county office by entering a zip code or county name or by enabling location services. Search results include office address, phone number, direct links to official county websites, and a “Get Directions” link for easy navigation. We invite you to explore the new County Office Locator and share this resource with those who may benefit from a quicker, more accessible connection to their local Medi-Cal office.
細胞和基因治療訪問模型政策更新
DHCS 最近發布了 Medi-Cal 提供者手冊中的新細胞和基因治療（CGT）訪問模型部分。CGT 訪問模式包括以下治療方法：由 Vertex 製藥股份有限公司提供的 CASGEVY，暫定生效於 1 月 2025，可能會更改並最終獲得醫療保險 & 醫療補助服務（CMS）批准；藍鳥生物公司的 LYFGENIA，由 CMS 批准的 1、2025 年生效。更多信息可在 CGT 訪問模型網站和最近更新的常見問題解答中獲得。此外，DHCS 在 Medi-Cal 提供者手冊中發布了一個新的廣泛基礎 CGT 部分。在本新部分中，於 7 月 1, 2025 或之後的服務日期生效，目前程序術語（CPT）代碼 38228（基敏抗原受體 T 細胞 [CAR-T] 療法；CAR-T 細胞的自體治療）現在可以根據指定的情況下獲得補償。有關 CGT 訪問模式和其他政策更新的更多信息，請參閱醫療提供者刊物。請將您的問題發送至 dhcscgt@dhcs.ca.gov。
2024 年加利福尼亞青年（EYC）年報
DHCS 與塞拉衛生基金會：計劃管理中心合作發布了 2024 年 EYC 年報。EYC 是一個全州的一個全州計劃，通過投資青年領導和公民參與，為白人和 2S/LGBTQIA+（2S/LGBTQIA+ = 雙精、女同性戀、同性戀、雙性戀、雙性戀、跨性別、同性戀和質疑）青年，生活在受毒品戰爭不比例影響的社區中的青年。本報告涵蓋從 2023 年 11 月至 2024 年 12 月期間的 EYC 資助合作夥伴的第三輪、第四輪和第五輪的數據。如有關健康教育會的問題，請參閱教育會 網頁或 電子郵件 elevateyouthca@shfcenter.org。
加入我們的團隊
DHCS 正在尋找有才華和有動力的人，以作為：
- Chief, Quality and Health Equity Division (QHED). The Chief of QHED, within Quality and Population Health Management, leads DHCS’ health care clinical quality and health equity initiatives, evaluations, assurance, and improvement efforts. The Chief of QHED is also responsible for developing and implementing policies and processes related to clinical quality and health equity improvement and assurance (compliance/monitoring) activities. Applications must be submitted by August 15.
- Senior Assistant Chief Counsel (ACC), Fiscal, Financing, and Privacy Branch. The Senior ACC, within the Office of Legal Services, oversees the development and application of legal advice and policy to support DHCS’ fiscal, financial, and privacy-related matters. This Senior ACC also provides legal advice and direction related to financing, rate setting, and third-party collections for the state’s Medi-Cal program. Applications must be submitted by August 15.
DHCS 還正在招聘其會計、行為健康、受管理護理和其他團隊。有關更多信息，請訪問 CalCareers 網站。
即將舉行的利害關係人會議和網絡
DHCS 在活動日曆上發布即將到來的公開會議。DHCS 提供免費的輔助服務，包括語言翻譯、即時字幕和會議材料的替代格式化。如要要求服務，請至少在會議前十個工作天通過適當的聯繫電子郵件地址向 DHCS 發送電子郵件。
全新成功 ASCMI 和 DSAG 住宅/重新進入工具包網絡研討會
On July 29, from 3 to 3:50 p.m. PDT, DHCS will host an All-Comer Webinar to announce the release of the Authorization to Share Confidential Member Information (ASCMI) Form and provide an overview of the previously released Data Sharing Authorization Guidance (DSAG) Toolkits focused on Medi-Cal Housing Support Services and the Medi-Cal Justice-Involved Reentry Initiative. The ASCMI Form is a release of information form that Medi-Cal partners, including counties, agencies, providers, health plans, community-based organizations, and others, may use to obtain their clients’ consent to exchange their sensitive health and social services information. DHCS piloted the ASCMI Form in 2023 and is pleased to publish a revised version for Medi-Cal partners’ use when seeking to exchange their members’ sensitive information to coordinate their care. DSAG Toolkits illustrate real-world scenarios that will help Medi-Cal partners navigate complex data sharing and privacy laws and understand when consent is or is not needed to share information to support care coordination across sectors.
請造訪「資料交換與分享」網頁，以取得更多有關 DHCS 資料交換工具、指導方針及計畫的資訊。如對這些及其他 DHCS 資料分享資源有任何疑問，請寄電子郵件至 DHCSDataSharing@dhcs.ca.gov。
報導大使網路研討會
On July 31, from 11 a.m. to 12 p.m. PDT, DHCS’ Coverage Ambassador webinar (advance registration required) will include an overview of how the 2025-26 budget will impact the Medi-Cal program and new resources available. The session will also provide information about California Achieving a Better Life Experience (CalABLE), California’s tax-advantaged savings and investment plan for individuals with disabilities. Coverage Ambassadors are encouraged to ask questions or share comments during the webinar.
行為健康轉型公眾聆聽會
7 月 31 日，太平洋標準時間下午 12 點至 1 點，DHCS 將舉辦公眾聽證會，主題為「行為健康服務法案」下的監督與監管以及早期干預循證實踐 (EBP) 清單（需提前報名）。監督和監測是 DHCS 對行為健康服務提供方式的系統監督和評估。所編輯的早期介入 EBP 清單已經過科學驗證，證明對行為健康的早期介入有效。在會議期間，公眾人士可以就數個主題提出意見，包括合規性審查、執行政策以及立法規定的早期介入 EBP 清單。請造訪「行為健康轉型」網頁，以瞭解更多關於公眾聽證會和其他資源的資訊。請將與行為健康轉型和/或公眾聽證會相關的問題寄到BHTinfo@dhcs.ca.gov。此外，我們鼓勵您註冊以獲取行為健康轉型的最新資訊。
行為健康轉型品質和公平諮詢委員會網絡研討會
On August 12, from 11 a.m. to 1 p.m. PDT, DHCS will host the sixth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members can collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Once registered, you will receive a confirmation email with the webinar link and additional details. Attendees will be able to provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.
卡拉伊姆行為健康工作小組會議
8 月 13 日上午 10 點至 11 點PDT，DHCS 將主辦 CalAIM 和 BH-CONNECT 行為健康工作組會議（需提前註冊）。會議將提供有關 High Fidelity Wraparound 服務的最新資訊。詳情請參閱議程。歡迎工作組成員在對公眾開放的會議中提供反饋意見。如有問題或意見，請發送電子郵件至 bhcalaim@dhcs.ca.gov。
行為健康專責小組會議
On August 13 at 10 a.m. PDT, the CalHHS Behavioral Health Task Force will hold its August meeting (advance registration required for virtual attendance). The agenda includes a panel discussion on the theme “Transforming Behavioral Health – Housing is Health,” featuring leading experts in medicine, housing policy, and county-level behavioral health services. The meeting will also include a discussion on the implementation of Proposition 1 and the Behavioral Health Services Act, followed by updates and public comment. This meeting is open to the public and will be held at the Clifford L. Allenby building, 1215 O Street, Sacramento, in conference rooms 110A and 110B. For questions or comments, please email BehavioralHealthTaskForce@chhs.ca.gov.
如果你錯過了
DHCS 財政年度 2025-26 財政年度預算摘要，會員需要知道的內容以及更新的項目上線信息發布
DHCS’ FY 2025-26 budget totals $202.7 billion to support DHCS programs and services. DHCS’ budget reflects the Newsom Administration’s ongoing commitment to invest in the health of all Californians within a responsible budgetary structure. The budget enables DHCS to continue transforming Medi-Cal into a more coordinated, person-centered, and equitable health system that works for Medi-Cal’s millions of members and California as a whole. The budget also continues to modernize the behavioral health delivery system, including the implementation of Proposition 1, improve accountability and transparency, and strengthen the continuum of community-based behavioral health care for all Californians. In addition, DHCS released the new What Medi-Cal Members Need to Know document to help Medi-Cal members and the providers and organizations that work with them understand the impact of budget changes. Finally, DHCS posted an updated DHCS Major Program Initiatives – Go-Live Dates document that includes detailed schedules for the rollout of new policies and services. We encourage all stakeholders to stay informed by regularly checking DHCS communications and participating in upcoming stakeholder meetings.
行為健康學生貸款還款
The California Department of Health Care Access and Information opened the application period for the Medi-Cal Behavioral Health Student Loan Repayment Program, which offers financial relief to behavioral health professionals who commit to serving Medi-Cal patients in underserved areas. This program is available for behavioral health professionals with educational debt, including licensed prescribing behavioral health practitioners, non-prescribing licensed or associate level pre-licensure practitioners, and non-licensed non-prescribing practitioners, including substance use disorder counselors, community health workers, peer support specialists, and wellness coaches. The program is part of the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) initiative’s workforce development funding opportunities. A webinar recording will soon be posted that provides information on eligibility and the application process. The application cycle closes on August 15, 2025.