十一月 10, 2025
熱門新聞
增加學生獲得行為健康支援的機會
DHCS 最近宣佈，兒童與青少年行為健康計畫 (CYBHI) 費用表計畫是一項首創的多付款人計畫，旨在補償當地教育機構 (LEA)（即學區和縣教育辦公室）以及公立高等教育機構 (IHE) 向學生提供行為健康支援的費用，該計畫已經展現了積極的成果。
截至15 年 10 月，2025 ，CYBHI 費用表計畫已登記了 500 多所地方教育機構和 IHE，並為 26,000 多項服務索賠支付了 180 多萬美元。此外，還有 5,000 多名學生接受了提交報銷的服務。此外，有 55 家 LEA 和 IHE 透過該計畫提出索賠，代表 32 個管理性照護計劃和其他保險公司。這些早期成果反映出，自費用表計畫推出以來不到兩年的時間內，以及自參與者首次有資格收取服務費用僅一年多的時間內，就取得了重大進展。
為了增加收費表計畫的使用，DHCS 發佈了CYBHI 收費表計畫 LEAs 和 IHEs 指南，為服務提供者的參與提供了全面的指導，並向家長和看護者推出了一個關於該計畫和學生如何受益的公眾認知活動。請造訪CYBHI Fee Schedule 網站瞭解更多資訊。
專案更新
現在開放：管理性護理註冊經紀人採購
On November 5, DHCS released Invitation for Proposal (IFP) 25-007 to entities that may be able to deliver Medi-Cal managed care plan enrollment services. The enrollment broker helps Medi-Cal members enroll in, change, or leave Medi-Cal managed care plans; assists Medi-Cal members with selecting a primary care provider; creates and distributes informational materials; and supports member education and outreach. DHCS will award a single contract to the applicant that meets all qualifications and demonstrates the greatest overall value to the state. The opportunity is open to all eligible applicants, including commercial businesses, nonprofit organizations, state or public universities (including auxiliary organizations), and other entities that meet the proposal requirements. For more information about this procurement, please visit the Procurement and Contract Division webpage.
Medi-Cal Rx 醫生管理藥物政策更新
正如 30 天倒數中所公佈的：10 月 17 日發佈的 Medi-Cal Rx 醫生管理藥物政策變更警示，DHCS 實施了 Medi-Cal Rx 醫生管理藥物 (PAD) 政策變更，對醫療服務提供者和會員使用某些 PAD 有一些意想不到的下游影響。為了減輕這些影響並確保繼續使用，DHCS 暫時撤銷最近的政策更新，並迅速恢復先前的政策。為了提高 警覺性 ，DHCS 於 10 月 30 日在 Medi-Cal Rx 網站上發佈 警示 。
DHCS 即將安排與主要利益相關者（包括藥房提供者、開處方者和管理性護理計劃）舉行會議，以提高透明度，並協助 DHCS 在實施前敲定 PAD 政策變更。這是為了確保政策符合 DHCS 的整體意圖，並有助於持續獲得照護。一旦 PAD 政策通過此程序定稿並決定實施日期，DHCS 將透過正常渠道向藥房提供者、開藥者和管理性護理計劃提供預先通知，以確保整體準備就緒。
加入我們的團隊
DHCS is hiring for its Accounting, Licensing and Certification Division, Quality and Population Health Management program, 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
DHCS 在 DHCS活動日曆上公佈即將舉行的公開會議。DHCS 提供免費的輔助服務，包括語言傳譯、即時字幕和會議資料的替代格式。若要申請服務，請於會議前至少十個工作天，將電子郵件寄到 DHCS 適當的聯絡電子郵件地址。
提案 64 諮詢小組會議
On November 13, from 10 a.m. to 2 p.m. PST, DHCS will host the Proposition 64 Advisory Group meeting. The meeting will be held in hybrid format at the Sierra Health Foundation Center for Health Program Management, 2150 River Plaza Drive, Suite 400, Sacramento. At the meeting, participants will hear presentations from DHCS, the California Natural Resources Agency, the California Departments of Social Services and Public Health, and The Center at Sierra Health Foundation on progress achieved over the last year with their Proposition 64 Youth Education, Prevention, Early Intervention and Treatment (YEPEITA)-funded programs. Meeting information, including the agenda and other materials, will be posted on the Proposition 64 Advisory Group webpage. Please email your questions to DHCSProp64@dhcs.ca.gov.
卡拉伊姆 MLTSS 和雙重整合工作小組會議
於太平洋標準時間 11 月 19 日中午 12 點至下午 1 點 30 分，DHCS 將舉辦加州進步與創新 Medi-Cal (CalAIM) 管理式長期服務與支持 (MLTSS) 及雙重福利整合工作組會議（需提前報名）。該工作小組是 CalAIM MLTSS 和雙重資格會員整合照護的利益相關者合作樞紐。它允許利害關係人就 Medi-Cal 和 Medicare 即將發生的變更提供反饋意見，並分享有關政策、運作和策略的資訊。 會議議程包括 2026 年 Medi-Medi 計劃擴展、專屬對齊投保 (EAE) 雙重合格特殊需求計劃 (D-SNP) 預設投保試點，以及 2026 年 D-SNP 州立 Medicaid 機構合約與政策指南的最新資訊。它也將涵蓋 Medi-Medi 計劃與縣行為健康的協調，以及聯邦醫療保險投保的雙重資料。CalAIM MLTSS 和雙重保險整合工作組網頁 上公佈了更多資訊、背景資料、文字記錄以及之前工作 組會議 的錄影。如有問題或意見，請發送電郵至info@calduals.org 與 DHCS 聯繫。
報導大使網絡研討會系列
On November 20, from 11 a.m. to 12 p.m. PST, DHCS will host a Coverage Ambassador webinar (advanced registration required). DHCS will share overviews of the Medi-Cal adult expansion enrollment freeze and asset limit reinstatement and upcoming changes to the Medi-Cal Rx pharmacy benefit. Coverage Ambassadors help spread the word about Medi-Cal benefits, enrollment information, and new projects focused on creating a healthy California for all. Please visit the Coverage Ambassador website for more information, including how to subscribe to receive regular updates.
如果你錯過了
加州醫療保險家庭和社區為本服務 (HCBS) 1915(c) 加州發展障礙者豁免的建議修正案
DHCS is seeking input from members, providers, and other interested stakeholders on the proposed amendment to the Medi-Cal HCBS 1915(c) Waiver for Californians with Developmental Disabilities (HCBS-DD waiver). DHCS plans to submit the proposed waiver amendment to the federal Centers for Medicare & Medicaid Services (CMS) by November 28, for a proposed effective date of March 1, 2026. Copies of the proposed amendment can be obtained and comments may be submitted by emailing Federal.Programs@dds.ca.gov. Please include “HCBS Waiver” in the subject line or message. To ensure consideration, comments must be received by November 12. While comments submitted after this date will still be accepted, DHCS may not be able to review them before submitting the HCBS-DD waiver amendment to CMS.