首頁新聞室 - 通訊辦公室十一月17,2023 - 利益相關者新聞

11 月17,2023 - 利益相關者新聞

專案更新

指導改善認知障礙症體驗（GUIDE）模型和網絡研討會

為了幫助滿足患有阿茲海默症和相關失智症的 Medicare 受益人（包括同時符合 Medicare 和 Medi-Cal 資格的人）的需求，Medicare 和 Medicaid 服務中心 (CMS) 發布了GUIDE 模型的申請請求 (RFA) 。該模式旨在透過幫助患有失智症的人及其無償照顧者進行照顧協調和管理、基礎設施建設以及提高照顧品質，來支持他們。有興趣的申請人應於1月30 、 2024透過網路入口網站提交申請。

GUIDE 模型於 7 月1 、 2024開始，並將持續八年。此模式的目標是提高生活質量，減輕失智症患者無償照顧者的負擔和壓力，並預防或延緩長期入住安養院。此護理服務方法是一種以人為中心的計劃，它規範了一系列服務，擁有跨學科的護理團隊，並包括對護理團隊的培訓要求，以提高護理協調能力，從而滿足癡呆症患者的行為和功能需求。原聯邦醫療保險提供者可以申請參與。由於許多患有失智症的 Medicare 受益人也同時符合 Medi-Cal 的資格，DHCS 強烈鼓勵加州 Medicare 提供者參與 GUIDE 模式。更多信息，請訪問CMS 指南網頁。

Also, on December 8, from 11 a.m. to 12 p.m., DHCS, in partnership with the University of California, San Francisco and DHCS’ Dementia Care Aware initiative, will host a webinar on the GUIDE model in California (advance registration required). This webinar will offer Medicare providers and community-based organizations information about what is required to participate in GUIDE, examples of a successful partnership in California that follows the GUIDE model, and resources to help California applicants apply for the GUIDE model. For more information, please visit the Dementia Care Aware webpage.

注意：DHCS 下週不會發佈利益相關者的每週更新。下次更新將於 12 月 1 日（星期五）發佈。

加入我們的團隊

DHCS 正在招聘！ DHCS 具有以下機會：

企業技術服務副總監兼資訊長，負責領導和管理整個部門的 IT 服務（FFD 為 12 月 8 日）。負責管理所有 IT 服務、資訊安全、企業專案和策略性創新工作。

Behavioral Health Policy Medical Consultant II within Behavioral Health (FFD is November 27). This position provides clinical expertise and strategic advice to DHCS Behavioral Health leadership on the development and implementation of policy and initiatives designed to strengthen behavioral health care access, quality, and service delivery.

綜合照護系統副醫療總監（FFD 為 11 月 29 日）。此職位負責為加州重要的公共衛生計劃提供技術性醫療諮詢，並將為醫療上脆弱的個人提供醫療上必要的服務建議和指導。

Senior Assistant Chief Counsel for Fiscal and Financing within the Office of Legal Services (FFD is November 28). This position is responsible for complex legal counsel and litigation strategy formulation regarding DHCS fiscal, financial management, and health care policy.

法律服務辦公室醫療保健提供系統高級助理首席顧問（FFD 為 11 月 30 日）。該職位負責對醫療保健提供系統各方面的複雜法律顧問和訴訟策略制定。

DHCS is also hiring for our human resources, auditing, health policy, and information technology teams. For more information, please visit the CalCareers website.

即將舉行的利害關係人會議和網絡

兒童助聽器保障計劃（HACCP）家庭和社區合作夥伴網絡研討會

11 月 28 日，從上午 11 點到下午 12 點，DHCS 將舉辦 HACCP 網絡研討會（需要提前註冊），以與家庭和社區分享有關申請助聽器保障並幫助兒童最大限度地發揮 HACCP 福利的指導。 DHCS 歡迎新感興趣的家庭、目前參與 HACCP 的家庭以及支持家庭和兒童的社區合作夥伴加入此網絡研討會，以獲取計劃更新、提示和問答會。有關更多信息，請訪問 www.dh cs.ca.gov/haccp。

Medi-Cal 資產消除網路研討會

11 月 29 日，下午 1 時 30 分至下午 2 時 30 分，DHCS 將為社區合作夥伴（包括倡導者、提供商、MCP 等）舉行網絡研討會，關於消除非修改調整後的總收入（非 Magi）Medi-Cal 計劃資產的資產，將於 1 月 2024 生效。當實施後，此計劃將消除所有非 Magi 計劃的資產測試，包括長期護理和聯邦醫療保險儲蓄計劃。網絡研討會將提供有關資產消除，實施計劃，程序變更和外展材料的背景信息。更多資訊請參閱非 Magi Medi-Cal 資產限額變更網頁。

CalAIM：急性護理設施嵌入帳單和付款網絡研討會

11 月 29 日下午 3 點至 4 點，DHCS 將在線上舉辦第三場教育網路研討會，主題為加州推廣和創新 Medi-Cal (CalAIM) 長期照護 (LTC) 將亞急性照護機構納入 Medi-Cal 管理式醫療體系。這些網路研討會的目標是讓亞急性照護機構和 Medi-Cal MCP 了解納入新福利的流程，包括服務範圍和相關政策，為 1 月1 、 2024日的納入做好準備。

該網路研討會對大眾開放，將著重於提供對付款政策要求的瞭解，以及有關 MCP 和亞急性照護設施計費的可行做法。CalAIM Subacute Care Facility LTC Carve-In 過渡網頁提供有關 Subacute Care Facility Carve-In 的其他詳細資訊。

CalAIM：託管長期服務和支持（MLTSS）和雙重整合工作組虛擬會議

On November 30 at 10 a.m., DHCS will virtually host the CalAIM MLTSS and Duals Integration Workgroup meeting (advance registration required). The workgroup serves as a stakeholder collaboration hub for CalAIM MLTSS and integrated care for dual eligible members, and allows stakeholders to provide feedback and share information about policy, operations, and strategy for upcoming changes to Medi-Cal and Medicare.

Agenda topics will include reminders about the 2024 Medi-Cal transitions and noticing timelines, updates on Medi-Medi Plan outreach and the 2024 Dual Eligible Special Needs Plan Policy Guide development, July 2023 duals enrollment data, a spotlight presentation on the CalAIM recuperative care Community Support, and a presentation on the continuous coverage unwinding.

Background materials, transcripts, and video recordings of previous workgroup meetings, along with additional information about the workgroup, are posted on the CalAIM MLTSS and Duals Integration Workgroup webpage. For questions or comments, please email DHCS at info@calduals.org.

CalAIM：行為健康工作小組會議

12 月 1 日，DHCS 將以虛擬方式召開 CalAIM 行為健康工作小組會議，介紹並討論加州行為健康社區公平護理和治療組織網絡 (BH-CONNECT) 和 CalAIM 行為健康文件重新設計計劃的最新進展。工作組成員可以就實施和操作方面的考慮提供回饋意見。會議向公眾開放。如有任何疑問，請發送電子郵件至BHCalAIM@dhcs.ca.gov 。

Medi-Cal 成人擴展網路研討會

12 月 4 日上午 11 點至中午 12 點，DHCS 將為社區組織、MCP、醫療服務提供者及其他有興趣的利害關係人，包括代表消費者、移民、健康照護、法律援助及成人移民的人士，舉辦有關Medi-Cal 成人擴展的網路研討會（需事先報名）。DHCS 依據參議院第 184 號法案 (2022 年法令第 47 章) 於 1 月1,2024 實施此擴展計劃。擴展計劃實施後，只要符合 Medi-Cal 的所有其他資格標準，26-49 歲的個人，不論其公民身份或移民身份，均可享有 Medi-Cal 的全面福利。

The webinar, which will be live interpreted in Spanish, will provide background information about the expansion, implementation planning, noticing, outreach, and more. Individuals may also submit questions or request to register for the webinar by sending an email to AdultExpansion@dhcs.ca.gov.

提供存取與轉型健康狀況 (PATH) 協作規劃與實作 (CPI) 最佳實踐網路研討會

On December 7, from 12:30 to 1:30 p.m., DHCS will host a statewide webinar, Relationship Building with Organizations in the CalAIM Environment (advance registration required) for community-based organizations, county, city, and local government agencies, federally qualified health centers, MCPs, Medi-Cal tribal and designees of Indian Health Programs, and providers. The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with MCPs, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. For more information, please visit the PATH CPI webpage.

適用於醫療提供者和聽力專業人員的 HACCP 網絡研討會

On December 19, from 12 to 1 p.m., DHCS will host a HACCP webinar (advance registration required) to share information with providers to help pediatric patients and their families maximize HACCP benefits. The training session will address program requirements for families to apply for coverage and the claims submission process for audiologists, otolaryngologists, physicians, and their office staff. For more information, please visit www.dhcs.ca.gov/haccp.

如果你錯過了

加州繼續邁向以人為中心，以公平為中心的醫療轉型

11 月 15 日，DHCS 發布新聞稿，介紹該部門如何改革 Medi-Cal，以確保加州人能夠獲得所需的醫療保健，從而過上更健康的生活。由於新的 Medi-Cal 管理式醫療合同，Medi-Cal 會員將能夠獲得新的、改進的服務，從而獲得以人為本、全面的護理，這種護理超越了醫生辦公室或醫院的範疇，並能滿足他們的身心健康以及與醫療保健相關的社會需求。

第 1115 條示範：BH-CONNECT 和卡拉伊姆過渡性租金修訂

10 月 20 日，DHCS 向 CMS 提交了新的 1115 條示範要求 - BH-CONNECT 示範 - 以及與過渡性租金服務相關的 CalAIM 1115 條示範修正提案。此外，BH-CONNECT 和CalAIM 過渡性租金服務的聯邦公眾評論期將於 10 月 27 日至 11 月 26 日開放。

二零二四年一月醫療通訊系統轉型

As part of Medi-Cal transformation, some MCPs are changing on January 1, 2024, and approximately 1.2 million members will have new health plan options and/or will need to transition to new MCPs. Changing MCPs will not affect Medi-Cal member coverage or benefits. Members who transition to a new MCP are receiving notices about the transition. DHCS developed several resources to support members, providers, and other stakeholders with the transition, including the Managed Care Plan Transition Member webpage with a county “lookup” tool, links to member notices sent by Medi-Cal about MCP changes, frequently asked questions, and a Contact Us page for members to learn more about health plans and provider choices. There are also transition resources for providers and MCPs and stakeholders. More information about the transition is available in the 2024 Managed Care Plan Transition Policy Guide and Medi-Cal Eligibility Division Information Letter Number I 23-54.