六月 9, 2025
熱門新聞
梅迪卡爾聲音與願景委員會
DHCS 現正接受加入Medi-Cal Voices and Vision 委員會的申請。這個新的利害關係人團體為 Medi-Cal 成員和利害關係人提供了一個專門的空間，讓他們可以討論 Medi-Cal 的相關事宜，並向 DHCS 領導層提供有關 Medi-Cal 計劃的直接、知情和有意義的回饋。該委員會加強了成員在加州醫療保健服務部 (DHCS) 利益相關者參與工作中的代表性，並有助於確保加州醫療補助計劃具有響應性、公平性和包容性。直接聽取 Medi-Cal 會員和為 Medi-Cal 會員服務的利害關係人的意見是 Medi-Cal 轉型的重要組成部分。成員和利益相關者的參與也有助於實現加州醫療保健服務部 (DHCS) 的綜合品質策略中概述的目標，該策略的重點是改善所有加州人的健康。如需了解更多信息，請訪問 Medi-Cal Voices and Vision Council網頁。
行為健康護理設施在奧克蘭開設
As California continues to strengthen its behavioral health care system, on June 6, DHCS and Safe Passages celebrated the ribbon cutting of a new Community Wellness and Youth Prevention Wellness Center in Oakland. Funded by almost $9 million through the Behavioral Health Continuum Infrastructure Program (BHCIP) Round 4: Children and Youth, the center will offer community-derived models of mental health services to a projected 7,600 individuals annually in an outpatient setting. BHCIP is part of California’s ongoing commitment to expand behavioral health services for all Californians. DHCS has awarded $1.7 billion in BHCIP competitive grants. In addition, DHCS is distributing up to $4.4 billion in competitive Bond BHCIP funding, including $3.3 billion for Round 1: Launch Ready grants as part of Behavioral Health Transformation, DHCS’ work to implement Proposition 1.
專案更新
PATH 合作規劃和實施 (CPI) 最佳實踐網絡研討會記錄和材料現已上載
On May 16, DHCS hosted a public webinar, “Connecting Services for the Enhanced Care Management (ECM) Justice-Involved Population of Focus throughout the Reentry and Post-Release Process.” The webinar discussed the benefits of using referral and billing toolkits to support justice-involved individuals, shared ways to increase referrals for Medi-Cal members to access ECM and Community Supports, and explained how a justice-involved reentry care plan can connect people leaving jail or prison with community-based organizations, justice programs, and managed care plans. The webinar recording and supporting materials are available under the “Best Practices and Resources” section on the Providing Access and Transforming Health (PATH) CPI webpage. Please submit questions to collaborative@ca-path.com.
加入我們的團隊
DHCS 正在為其 Medi-Cal 管理式醫療、行為健康、會計、財務和其他團隊招募人員。欲了解更多信息，請訪問CalCareers 網站。
即將舉行的利害關係人會議和網絡
DHCS posts upcoming public meetings on the Calendar of Events. DHCS provides free assistive services, including language interpretation, real-time captioning, and alternate formatting of meeting materials. To request services, please email DHCS at the appropriate contact email address at least ten working days before the meeting.
藥房提供者的 Medi-Cal 註冊要求和程序
On June 10, from 10 to 11 a.m. PDT, DHCS will hold a public hearing via webinar (advance registration required) to discuss the draft regulatory provider bulletin, “Medi-Cal Enrollment Requirements and Procedures for Pharmacy Providers that Hold a Clinical Laboratory Improvement Amendments (CLIA) Certificate of Waiver.” Effective August 1, 2025, pharmacy providers who hold a valid CLIA Certificate of Waiver and current Certificate of California Clinical Laboratory Registration may bill for CLIA-waived tests provided within the pharmacist’s scope of practice as defined by the California State Board of Pharmacy and authorized in Business and Professions Code Section 4052.4. Pharmacy providers must apply to enroll in the Medi-Cal program by submitting a Medi-Cal provider enrollment online application, along with all supporting documentation.
聽證會期間，可透過網路研討會聊天提交書面意見、問題或建議。無法到場的人士，請於太平洋時間 6 月 10 日下午 5 點前提交書面意見，以便考慮發表。提交書面評論時，請確保評論者及其所代表的組織/協會均在評論中註明。請將書面意見提交至DHCSPEDStakeholder@dhcs.ca.gov 。根據收到的公眾意見，DHCS 將在Medi-Cal提供者和DHCS 提供者註冊部門網站上發布最終公告。
債券 BHCIP 第二輪：未滿足申請需求（RFA）信息網絡研討會
On May 30, DHCS released the Proposition 1 Bond BHCIP Round 2: Unmet Needs RFA. Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. DHCS will award more than $800 million in grants to projects that expand community-based behavioral health facilities and services. This is the anticipated final funding round through the Behavioral Health Infrastructure Bond Act and is open to all eligible entities. Interested parties can attend an informational webinar on June 23 from 1-2 p.m. PDT to learn more about the application process. There will also be a second webinar for Tribal entities on June 24 from 2 to 3 p.m. PDT. For more information, visit the BHCIP website or email BHTInfo@dhcs.ca.gov.
CDC 指南網路研討會
6 月 24 日，太平洋時間下午 12 點至 1 點 30 分，DHCS 將舉辦「2024 年美國疾病管制與預防中心 (CDC) 醫療資格標準 (MEC)、精選實踐建議 (SPR) 和優質計劃生育 (QFP) 指南的新內容」網路研討會（需要提前註冊）。本次網路研討會將重點介紹臨床醫生需要了解的關鍵更新，包括針對慢性腎臟病患者的新建議、醋酸甲羥孕酮注射使用者的修訂風險類別、關於子宮內避孕器相關疼痛管理的擴展指南以及更新的避孕諮詢最佳實踐。我們將詳細討論這些變化，網路研討會將回顧美國疾病管制與預防中心提供的 MEC/SPR 應用程式和工作AIDS 。 如果您無法參加現場網路研討會，研討會的文字稿和錄影以及其他資源將在稍後日期在Family PACT 網站上提供。
卡拉伊姆 MLTSS 和雙重整合工作小組會議
6 月 25 日上午 11 點至下午 12 點 30 分（太平洋夏令時）， DHCS將舉辦California推進和創新Medi-Cal ( CalAIM ) 管理Long-Term Services and Supports (MLTSS) 以及雙重身分融合工作小組會議（需要提前註冊）。 該工作小組是 CalAIM MLTSS 和雙重資格成員綜合護理的利益相關者協作中心。它允許利益相關者就 Medi-Cal 和 Medicare 即將發生的政策、營運和策略變化提供回饋和分享資訊。會議議程包括 2026 年 Medi-Medi 計劃擴展的最新進展、 DHCS的「雙重資格特殊需求計劃 (D-SNP) 倡議」、D-SNP 州Medicaid機構合約和政策指南，以及關於 D-SNP 數據、牙科數據、ECM 和社區支持數據以及雙重資格人群Medicare登記數據的雙重資格數據介紹。 更多資訊、背景資料、文字記錄和先前工作小組會議的視訊錄影都發佈在CalAIM MLTSS 和 Duals 融合工作小組網頁上。如有任何疑問或意見，請發送電子郵件至info@calduals.org聯繫DHCS。
加州孕婦健康專責小組啟動
6 月 27 日上午 11:30 至下午 1 點（太平洋夏令時）， California孕產婦品質照護合作組織和California孕產婦健康創新Program將啟動California孕產婦健康工作小組。 本次會議（需提前註冊）將匯集來自全州的孕產婦健康領導者和合作夥伴，共同製定改善California孕產婦健康的共同願景。 我們鼓勵社區組織、資助者、地方衛生部門、孕產婦保健工作者、臨床專業人員、專業協會、政策和公共衛生利益相關者、學者以及熱衷於改善California孕產婦健康的人士。
Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting
7 月 10 日上午 10 點至下午 2 點（太平洋夏令時）， DHCS將在Sacramento K 街 1700 號（郵編 95811）一樓會議室 (17.1014) 或透過公開網路研討會（需提前註冊）舉辦季度 MCHAP 會議。 MCHAP 就影響 Medi-Cal 兒童的政策和營運問題向 DHCS 提供建議。會議將提供有關改善兒童預防保健結果的資訊、 California Children's Services ( CCS ) 品質指標重新設計的最新進展以及Medi-Cal視力服務的詳細資訊。
利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議
7 月 23 日上午 9:30 至下午 3 點（太平洋標準時間），DHCS 將在薩克拉門托 K 街 1700 號（一樓會議室 17.1014）舉辦混合式SAC/BH-SAC 會議（線上和線下參與均需提前註冊）。SAC 為 DHCS 提供如何公平獲得優質醫療保健的寶貴意見和回饋。BH-SAC 為 DHCS 提供行為健康計劃方面的意見，其成立是將行為健康與更廣泛的醫療保健系統相結合的持續努力的一部分。隨著會議日期的臨近，會議議程和其他會議資料將會公佈。如需了解更多信息，請發送電子郵件至SACinquiries@dhcs.ca.gov或BehavioralHealthSAC@dhcs.ca.gov 。
如果你錯過了
社區支持在滿足 Medi-Cal 會員需求的同時展現早期成本效益
DHCS recently submitted to the Centers for Medicare & Medicaid Services (CMS) its Community Supports, or In Lieu of Services (ILOS), Annual Report, which reviews the progress and impact of Medi-Cal Community Supports in 2024. For the first time, the report also includes a cost-effectiveness analysis for 2023. The report highlights key achievements, such as reduced emergency room visits, hospitalizations, and long-term care use, pointing to early evidence of both improved health outcomes and reduced costs when compared to the services they are replacing, such as inpatient, emergency department, and long-term care services. Of the 12 Community Supports studied, nine are already proving cost-effective, and the remaining three are expected to prove to be cost-effective over time. While progress has been significant, the report also identifies ongoing challenges and opportunities for further improvement, ensuring these services continue to evolve to meet the needs of Medi-Cal members.
現正開放：PATH 正義涉及第四輪申請
On May 12, DHCS opened the PATH Justice-Involved Round 4 application window. The deadline to apply for Round 4 funding is July 11, 2025. Only PATH Justice-Involved Round 3 awardees are eligible for the Justice-Involved Round 4 funding opportunity, and applications must be submitted on behalf of county sheriff’s offices, county probation offices, the California Department of Corrections and Rehabilitation, and county behavioral health agencies. Eligible agencies will receive email communications with instructions on how to apply. For more information about PATH Justice-Involved Round 4, please visit the PATH Justice-Involved webpage. All resources are available under “Reference Materials.” Please submit questions to justice-involved@ca-path.com.
靈活房屋補助池 RFA
On May 7, DHCS announced the Flexible Housing Subsidy Pools (“Flex Pools”) RFA. DHCS will select up to 10 local teams to participate in the Flex Pools Technical Assistance (TA) Academy and receive Flex Pools planning grants of approximately $150,000. The launch of Medi-Cal Transitional Rent and Behavioral Health Services Act (BHSA) Housing Interventions creates an unprecedented opportunity to help people achieve better health outcomes through housing stability.
To allow participation by both Tribal entities and county behavioral health agencies in one Flex Pools TA team, DHCS amended the RFA to allow the award of two planning grants, one to a county behavioral health agency and one to a Tribal entity, if the applicants are part of the same Flex Pools TA Academy recipient team and otherwise meet scoring criteria. Only one Flex Pools TA Academy recipient team will be allowed per locality. Additionally, DHCS clarified the use of Flex Pools Planning Grants for reserves. All eligible uses for Flex Pools Planning Grants are detailed on pages 11-12 of the RFA. DHCS envisions “one-time startup funds to support Flex Pool launch or expansion” to include legal fees, procurement costs, the development of initial IT infrastructure, and training costs. Planning grants may not be used to fund rental subsidies, even to mitigate cash flow issues while the Flex Pool waits for reimbursement (i.e., creation of “reserves”).
Flex Pools are intended to help counties and Tribal entities improve housing stability for individuals experiencing or at risk of homelessness. They are a locally designed model to coordinate rental assistance and make the best use of available housing supports, aligning the work of managed care plans, county behavioral health agencies, and other key partners in the homeless services and rehousing systems. Applications are due to DHCS by 5 p.m. PDT on June 13, 2025. Organizations selected will be notified in July 2025. To learn more and apply, please visit the DHCS Housing for Health website. Please email questions to FlexPools@dhcs.ca.gov.
HCBA 豁免修訂申請 — 30 天公眾意見期
5 月 12 日，DHCS 發布了 2025 年居家和社區替代方案 (HCBA) 豁免修正案草案，進行為期 30 天的公眾評議，之後將最終版本提交給 CMS 進行重新授權。HCBA豁免允許符合資格的參保人透過Telehealth醫療服務系統獲得批准的服務。 這項轉變推進了California遵守聯邦Medicaid居家和社區服務（HCBS）最終規則的努力，加強了在綜合的社區環境中提供服務，從而支持個人選擇和自主權。 DHCS 邀請所有有興趣的當事人在DHCS HCBA 豁免網頁的「HCBA 豁免修正案申請 - 5 月12 、 2025至 6 月12 、 2025 30 天公眾評議」標題下查看修正案和評論說明。所有意見必須在六月12、2025之前收到。如有任何疑問，請發送電子郵件至 hcbspolicy@dhcs.ca.gov 。
醫療補助州計劃修訂（SPA）— 30 天公眾評論期
5 月 12 日，DHCS 發布了《發育障礙人士中級護理機構 - 持續護理 (ICF/DD-CN)：福利/環境過渡 SPA ( SPA #25-0026 )》，進行為期 30 天的公眾評議，之後將最終版本提交給 CMS 批准。ICF/DD-CN 為有發展障礙且需要持續專業護理的個人提供 24 小時個人護理、發展服務和護理監督，這些個人已由醫生和外科醫生證明需要持續的專業護理。這項服務目前透過 HCBA 豁免計劃提供。該特別行政區劃將把 ICF/DD-CN 福利/場所從 HCBA 豁免過渡到 Medicaid 州計劃，作為長期照護場所。這項轉變推進了California遵守聯邦 HCBS 最終規則的努力，加強了在綜合的、以社區為基礎的環境中提供服務，從而支持個人選擇和自主權。 所有意見必須在六月12、2025之前收到。如有任何疑問，請發送電子郵件至 PublicInput@dhcs.ca.gov 。