五月 5, 2025
專案更新
DHCS 發布更新的社區支持政策指南 — 第 1 和第 2 卷
On April 30, DHCS released an updated Community Supports Policy Guide, reorganized into two volumes to provide clearer and more targeted guidance. Volume 1 includes updated service definitions for eight Community Supports that address members’ health-related social needs, including Medically Tailored Meals/Medically Supportive Food, Asthma Remediation, and Transitions from Assisted Living Facilities or Institutional Settings. Volume 2 focuses on housing-related Community Supports, including the new Transitional Rent benefit, and provides guidance on services designed to support members experiencing or at risk of homelessness. Transitional Rent will be optional for managed care plans to offer starting on July 1, 2025, and will become the first mandatory Community Support on January 1, 2026.
為了支援實施，DHCS 將舉辦兩場資訊網路研討會：
- 第二卷（房屋特定）網絡研討會 — 5 月 14 日（星期三），太平洋時間 12 點至下午 1 時 30 分（需要進一步註冊）
- 第一卷網絡研討會 — 5 月 16 日星期五，太平洋時間上午 11 時至下午 12 時 30 分（需提前註冊）
這些更新反映了管理性護理計劃、醫療服務提供者和其他利益相關者的廣泛反饋，與「加強護理管理和社區支援行動計劃」一致。 我們鼓勵利害關係人閱讀更新後的指南，並註冊參加網路研討會。如需詳細資訊，請參閱「加強照護管理和社區支援」網頁和 DHCS 新的Housing for Health 網頁。
DHCS 推出移動視光服務計劃
4 月 17 日，DHCS 推出流動視力服務計劃，在加州學校為 4 至 18 歲的低收入學生提供免費的視力篩檢、檢查、眼鏡和眼鏡配戴服務。DHCS 與 Vision To Learn (VTL) 簽訂合約，提供流動驗光服務，VTL 是一家慈善流動驗光機提供者，目前在灣區、沙加緬度、內陸帝國、橙縣、大洛杉磯地區和聖地牙哥的學校運作。參議院法案 502（2023 年成文法第 487 章）規定該計畫的州匹配資金為慈善事業提供的資金，而非州一般基金。籌款工作正在進行中。隨著資金的募集，VTL 將把計劃擴展到州內其他地區。如需詳細資訊，請發送電子郵件至MOSClinic@dhcs.ca.gov或造訪行動驗光服務計畫網頁。
牙科管理護理過渡
During the week of April 28, DHCS mailed 60-day notices to approximately 350,000 Medi-Cal members in Sacramento and Los Angeles counties to notify them of upcoming changes to their dental service delivery, effective July 1, 2025. The member notices explain what is changing, whether the member needs to make a plan choice, continuity of care protections, and other important information. The mailings also include a Medi-Cal managed care enrollment packet. Members in Sacramento County currently enrolled in Access Dental Plan or dental fee-for-service (FFS) must select a new Dental Managed Care plan, while members in Los Angeles County who do not choose a Dental Managed Care plan will remain in FFS. Members already enrolled with Health Net or Liberty will not be affected by these changes. Changing Dental Managed Care plans will not affect Medi-Cal coverage or benefits. Members will receive another notice 30 days prior to the effective date of the changes.
此外，Medi-Cal Health Care Options (HCO) 將於五月份對會收到 Medi-Cal 管理性護理投保資料包的會員展開外撥電話活動。在這些通話中，HCO 代表將檢討可用的牙科管理性護理計劃選擇，回答任何問題，並協助會員通過 電話加入所選的計劃。牙科過渡會員通知網頁包括會員通知和其他有關牙科管理式保健過渡的資訊。
加利福尼亞州微笑：幼兒園口腔健康評估運動
Watch for updates from Smile, California in May to help promote the Kindergarten Oral Health Assessment (KOHA) and encourage families to use their Medi-Cal dental benefits. Updates will include new homepage banners, email signature banners, social media posts, and newsletter content in both English and Spanish. Partner organizations are welcome to request physical KOHA toolkits to support events and organizational outreach efforts within your communities. You may request a physical toolkit by filling out and submitting the KOHA Toolkit Request Form. For additional information, please see the Smile, California Oral Health and School Readiness webpage.
加入我們的團隊
DHCS 正在尋找一個有才華和有動力的個人，以作為：
- 管理護理品質和監控部（MCQMD）主管：MCQMD 主管領導和監督 Medi-Cal 管理護理計劃的合規相關活動。活動包括開發和實施全州管理的護理計劃政策，流程以及改進和變更管理努力，以及為與計劃相關的審計和合規計劃提供技術幫助並進行風險分析。MCQMD 主管還直接監督即時獲得護理服務、網絡充足以及加利福尼亞促進和創新媒體 Cal（CalAIM）倡議，例如社區支持。申請必須在 5 月 7 日前提交。
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 posts upcoming public meetings on the Calendar of Events.
最後一次杜拉實施工作小組會議
On May 9, from 10 a.m. to 12 p.m., DHCS will host the final Doula Implementation Workgroup meeting, as required by Senate Bill 65 (Chapter 449, Statutes of 2021), to examine implementation of the Medi-Cal doula benefit. The workgroup meeting, which is open to the public, will be held at 1501 Capitol Avenue in Sacramento. DHCS will present highlights from the draft report, including the workgroup’s recommendations. The final report is scheduled to be posted on the DHCS website by July 1, 2025. Please see the Doula Implementation Stakeholder Workgroup webpage for more information.
ECM 最佳實踐網路研討會
On May 16, from 10 to 11 a.m. PDT, DHCS will host a public webinar, “Connecting Services for the ECM Justice-Involved Population of Focus Throughout the Reentry and Post-Release Process” (advance registration required). Guest speakers include HC2 Strategies and Scott Coffin of Serrano Advisors LLC. The webinar will help participants recognize the benefits of utilizing justice-involved referral and billing toolkits, identify strategies to increase justice-involved referrals for ECM and Community Supports providers, and discuss a reentry care plan designed to support linkages and handoffs to community-based organizations, justice-involved agencies, and managed care plans. Please submit any questions to collaborative@ca-path.com.
提案 35：保護獲得醫療保健法案-利害關係人諮詢委員會（SAC）
DHCS 將於美國太平洋標準時間 5 月 19 日上午 10 點至下午 3 點舉行下一次「保護獲得醫療照護法案-SAC」會議。該委員會負責就制定和實施 2024 年「保護獲得醫療照護法案」（第 35 號提案）的組成部分向 DHCS 提供建議。會議資料將於會議日期臨近時公佈。請參閱「保護獲得醫療照護法案-SAC」網頁，以瞭解有關會議的詳細資訊。DHCS發表常見問題，說明加州的管理式保健組織稅以及提案 35 的實施進度。如需一般諮詢，請發送電子郵件至 DHCSPAHCA@dhcs.ca.gov。
利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議
On May 21, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the hybrid SAC/BH-SAC meeting (advance registration required for online and in-person participation) at 1700 K Street (first-floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input and feedback on efforts to provide equitable access to quality health care. BH-SAC provides DHCS with input on behavioral health initiatives and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. The agenda and other meeting materials will be posted as the meeting date approaches. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
報導大使網絡研討會系列：產科護理途徑
DHCS 將於美國太平洋標準時間 5 月 29 日上午 11 點至中午 12 點舉行「承保大使」網路研討會，重點介紹 DHCS 的「分娩照護途徑」倡議（需提前註冊）。該網路研討會將提供有關 Medi-Cal 懷孕及產後會員從受孕到產後 12 個月的產科服務資訊。這項措施有助於確保 Medi-Cal 會員能夠獲得高品質、公平的照護，以改善孕婦健康成果並減少差異。承保大使還將瞭解 DHCS 的社交媒體網頁，該網頁提供相關主題的最新資訊，可使承保大使和 Medi-Cal 會員受益。