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 will host public hearings to solicit stakeholder comments, offering in-person attendance and online video and telephone conference capabilities for statewide accessibility. The first hearing is on June 25, 2024, from 3:30 to 4:30 p.m. PDT at 1700 K Street, Room 1014, Sacramento, CA 95814. Participants may register for the Zoom conference or call in at (833) 548-0276 (toll-free) or (915) 1321 2168 (access code 062524).
The second hearing is on July 2, 2024, from 3:30 to 4:30 p.m. PDT at 1515 K Street, Room 204, Sacramento, CA 95814. Participants may register for the Zoom conference or call in at (833) 928-4608 (toll-free) or (924) 713-3204 (access code 070224).
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
On June 10, DHCS and Center for Human Services celebrated the groundbreaking of a new outpatient behavioral health center in Modesto to serve children, youth, and their families. DHCS awarded Center for Human Services more than $5 million to build a safe space to address gaps in mental health and substance use disorder treatment. This will enable Center for Human Services to serve more than 1,425 new community members with critical resources annually.
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 will distribute roughly $4 billion in Behavioral Health Continuum Infrastructure Program (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 monthly public listening sessions. Updates and recordings of the sessions are available on the Behavioral Health Transformation webpage. Please sign up on our website to receive monthly updates.
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 is committed to providing technical assistance and support to California’s growing network of ECM providers. This is the third in a series of ECM spotlights released by DHCS to support stakeholders seeking more details on how providers can tailor ECM to meet the needs of different POFs. To access the ECM LTC POF Spotlight and other spotlights, please visit the DHCS ECM and Community Supports webpage.
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 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
On June 27, from 11 a.m. to 12 p.m. PDT, DHCS will host a webinar, Tools to Better Engage Eligible Members in CalAIM (advance registration required). The webinar is part of a biannual series of PATH Collaborative Planning and Implementation (CPI) webinars designed to highlight best practices for implementing ECM and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with Medi-Cal managed care plans, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, including past webinar resources and recordings, please visit the PATH CPI webpage.