June 17, 2024 – Stakeholder Update
熱門新聞
BH-CONNECT 示範附錄:公眾意見與公開聽證會
DHCS began a 30-day public comment period on June 14 for a new addendum to the pending Section 1115 Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Demonstration. The addendum aims to strengthen the continuum of care for Medi-Cal members with significant behavioral health conditions. California proposes enabling county behavioral health plans to opt into one or two new opportunities: Community transition in-reach services for individuals with long-term institutional stays, and room and board in enriched residential settings with 16 beds or less for up to six months for adults with significant behavioral health conditions and specified risk factors.
DHCS 將舉辦公開聽證會,徵求利益相關者的意見,並提供現場出席、線上視訊和電話會議等方式,以便全州民眾都能參與。第一次聽證會將於 6 月25 、 2024下午 3:30 至 4:30(太平洋夏令時)在加州薩克拉門托市 K 街 1700 號 1014 室舉行,郵編 95814。參與者可以註冊 Zoom 會議,也可以撥打 (833) 548-0276(免費電話)或 (915) 1321 2168(接入碼 062524)加入會議。
第二次聽證會將於7月2 、 2024下午3:30至4:30(太平洋夏令時)在加州薩克拉門托市K街1515號204室舉行,郵編95814。參與者可以註冊 Zoom 會議,也可以撥打 (833) 928-4608(免費電話)或 (924) 713-3204(接入碼 070224)加入會議。
All public comment materials are posted on the DHCS BH-CONNECT webpage, which DHCS will update throughout the public comment period and application process. Please email comments and/or questions to 1115Waiver@dhcs.ca.gov.
加州慶祝新行為健康設施的突破
6 月 10 日,DHCS 和人類服務中心慶祝了莫德斯託一家新的門診行為健康中心的破土動工,該中心將為兒童、青少年及其家庭提供服務。DHCS 向人類服務中心撥款 500 多萬美元,用於建造一個安全場所,以解決心理健康和藥物濫用障礙治療方面的不足。這將使人類服務中心每年能夠為超過 1425 名新的社區成員提供關鍵資源。
Also, on June 12, DHCS and Riverside University Health System celebrated the groundbreaking of a new behavioral health and physical health care campus called the Wellness Village that will serve individuals who need mental health and substance use disorder treatment. DHCS awarded Riverside University Health System more than $80 million to build a safe space to address gaps in behavioral health treatment. The portions of the campus funded through this effort will enable Riverside University Health System to provide critical resources to more than 20,900 community members annually.
DHCS 將根據 1 號提案債券資金,撥出約 40 億美元的行為健康連續體基礎設施計劃 (BHCIP ) 撥款,以解決行為健康保健系統的歷史性缺口,並滿足有需要的人們在其一生中對服務和支持日益增長的需求。有關第 1 號提案的更多信息,請訪問mentalhealth.ca.gov 。DHCS每月舉行一次公眾聽證會。會議的最新進展和錄影可在行為健康轉型網頁上查看。請在我們的網站上註冊,以接收每月更新資訊。
專案更新
針對焦點長期護理人群 (POF) 的加強護理管理 (ECM)
DHCS 最近發布了長期照護 POF Spotlight 的 ECM ,旨在幫助為長期照護(LTC) 環境中的成年人或有進入長期照護(LTC) 環境的成年人提供服務的合約和潛在ECM 提供者開發和增強其ECM 模型。 焦點介紹了提供者可以提供 ECM 的方式,並匯集相關社區支持服務的方式,以最佳照顧高需要的成員並幫助他們轉換到社區。 這項新資源面向Medi-Cal Managed Care計劃、ECM 提供者、利害關係人以及為接受 LTC 服務的個人提供服務的倡導者。 焦點包括:
- LTC POF 的主要 ECM 政策摘要,其中包括擁有長期服務的會員提供的支持,並支持需求和 ECM 與這些模型相交的方式。
- 兩個詳細的成員細節,說明為 LTC POF 提供 ECM 的方法。 這些小說包括如何為註冊 ECM 的成員提供過渡性護理服務的示例,以及整合社區支持的策略,以最佳為個人和其照顧者提供服務。
- 關於潛在 ECM 供應商如何開始使用的指導,以集合關鍵資源和融資機會。
DHCS致力於為加州不斷壯大的ECM服務提供者網路提供技術援助和支援。這是 DHCS 發布的 ECM 系列專題報告中的第三篇,旨在幫助利害關係人了解提供者如何客製化 ECM 以滿足不同 POF 的需求。若要存取 ECM LTC POF Spotlight 和其他亮點,請造訪 DHCS ECM 和社群支援網頁。
DHCS推出「成功之路」網路門戶
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 ECM, Community Supports, and justice-involved services under CalAIM. 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 ECM and Community Supports for the Medi-Cal members they serve.
Entities are invited to explore the new site and learn how PATH is helping organizations meet the needs of Medi-Cal members and provide coordinated, ongoing ECM and Community Supports. Please email your questions to communications@ca-path.com.
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:
- 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.
The salary range for this position is $11,435 to $13,623 per month. Possession of a medical license is desired, but not required. A salary range of $13,624 to $17,855 per month is available for candidates who are medical doctors or clinicians. (Final filing date: June 26)
DHCS is also hiring for 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
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
On June 25 at 10 a.m. PDT, DHCS will host the final CPE and Newborn Gateway portal overview webinar. Registration is available through the Medi-Cal Learning Portal. Additionally, a recording of the webinar will be available by searching for course code CNPE104RW.
Starting July 1, DHCS will introduce new online portals for providers to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full-scope coverage to eligible applicants. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. The Newborn Gateway portal is for reporting births with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours of birth or 24 hours after discharge. Providers must complete certification training to use these portals and enroll eligible infants into coverage starting on July 1.
卡拉艾姆 PATH 最佳實踐網絡研討會
6 月 27 日上午 11 點至中午 12 點(太平洋夏令時),DHCS 將舉辦網路研討會「更好地讓符合條件的成員參與 CalAIM 的工具」(需要提前註冊)。本次網路研討會是 PATH 合作規劃與實施 (CPI) 半年一次的一系列網路研討會的一部分,旨在重點介紹實施 ECM 和社區支援的最佳實踐,提高醫療服務提供者成功參與 CalAIM 的程度,並改善與 Medi-Cal 管理式醫療計劃、州和地方政府機構以及其他機構的合作,從而為 Medi-Cal 會員建立和提供高品質的支援服務。如需了解更多信息,包括過去的網路研討會資源和錄像,請訪問PATH CPI 網頁。