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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.

Written comments, questions, or suggestions may be submitted during the hearing in the webinar chat. For those unable to attend, written comments must be submitted by 5 p.m. PDT on June 10 to be considered for publication. When submitting written comments, please ensure that the commenter and organization/association being represented are both identified in the comments. Please submit written comments to DHCSPEDStakeholder@dhcs.ca.gov. Based on the public comments received, DHCS will publish the final bulletin on the Medi-Cal providers and DHCS Provider Enrollment Division websites.

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

On June 24, from 12 to 1:30 p.m. PDT, DHCS will host the What’s New in the 2024 U.S. Centers for Disease Control and Prevention (CDC) Medical Eligibility Criteria (MEC), Selected Practice Recommendations (SPR), and Quality Family Planning (QFP) Guidelines webinar (advance registration required). The webinar will highlight key updates clinicians need to know, including new recommendations for individuals with chronic kidney disease, revised risk categories for depot-medroxyprogesterone acetate users, expanded guidance on intrauterine device-related pain management, and updated contraceptive counseling best practices. The changes will be discussed in detail, and the webinar will review the MEC/SPR app and job aids available from the CDC. If you are unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.

卡拉伊姆 MLTSS 和雙重整合工作小組會議

On June 25, from 11 a.m. to 12:30 p.m. PDT, DHCS will host the California Advancing and Innovating Medi-Cal (CalAIM) Managed Long-Term Services and Supports (MLTSS) and Duals Integration Workgroup meeting (advance registration required). The workgroup is a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members. It allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare. The meeting agenda includes updates on the 2026 Medi-Medi Plan expansion, DHCS’ Dual Eligible Special Needs Plan (D-SNP) initiatives, the D-SNP State Medicaid Agency Contract and Policy Guide, and a duals data spotlight presentation on D-SNP data, dental data, ECM and Community Supports data, and Medicare enrollment data for duals. More information, background materials, transcripts, and video recordings of previous workgroup meetings are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.

加州孕婦健康專責小組啟動

6 月 27 日（太平洋標準時間）上午 11:30 至下午 1:00，加州孕婦優質照護協作組織 (California Maternal Quality Care Collaborative) 和加州孕婦健康創新計劃 (California Maternal Health Innovation Program) 將發起加州孕婦健康專責小組 (California Maternal Health Task Force)。本次會議（需提前註冊）將彙集來自全州的孕婦健康領導者和合作夥伴，以形成改善加州孕婦健康的共同願景。我們鼓勵社區組織、資金提供者、當地衛生部門、孕婦健康工作團隊、臨床專業人員、專業協會、政策與公共衛生利害關係人、學者，以及熱衷於改善加州孕婦健康的人士參加。

Medi-Cal Children’s Health Advisory Panel (MCHAP) Meeting 

On July 10, from 10 a.m. to 2 p.m. PDT, DHCS will host the quarterly MCHAP meeting at 1700 K Street, Sacramento, CA 95811, in the first-floor conference room (17.1014) or via public webinar (advanced registration required). MCHAP advises DHCS on policy and operational issues that affect children in Medi-Cal. The meeting will provide information about improving children’s preventive care outcomes, updates on the California Children’s Services (CCS) Quality Metric Redesign, and details about Medi-Cal vision services. 

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

On May 12, DHCS posted a draft of the 2025 Home and Community-Based Alternatives (HCBA) waiver amendment for a 30-day public comment period, prior to submitting the final version to CMS for reauthorization. The HCBA waiver allows eligible enrollees to receive approved services via the telehealth delivery system. This transition advances California’s efforts to comply with the federal Medicaid Home and Community-Based Settings (HCBS) Final Rule by reinforcing the delivery of services in integrated, community-based settings that support individual choice and autonomy. DHCS invites all interested parties to review the amendments and comment instructions on the DHCS HCBA Waiver webpage under the HCBA Waiver Amendment Application – 30-Day Public Comment from May 12, 2025 – June 12, 2025 heading. All comments must be received by June 12, 2025. If you have any questions, please email hcbspolicy@dhcs.ca.gov.

醫療補助州計劃修訂（SPA）— 30 天公眾評論期 

On May 12, DHCS posted the Intermediate Care Facilities for the Developmentally Disabled – Continuous Nursing (ICF/DD-CN): Transition of Benefit/Setting SPA (SPA #25-0026) for a 30-day public comment period, prior to submitting the final version to CMS for approval. ICF/DD-CNs provide 24-hour personal care, developmental services, and nursing supervision for individuals with developmental disabilities who have continuous needs for skilled nursing care and have been certified by a physician and surgeon as warranting continuous skilled nursing care. This service is currently provided through the HCBA waiver. This SPA will transition the ICF/DD-CN benefit/setting from the HCBA waiver to the Medicaid State Plan as a long-term care setting. This transition advances California’s efforts to comply with the federal HCBS Final Rule by reinforcing the delivery of services in integrated, community-based settings that support individual choice and autonomy. All comments must be received by June 12, 2025. If you have any questions, please email PublicInput@dhcs.ca.gov.