專案更新

新的加州醫療保險會員行為健康手冊 

DHCS is pleased to announce the release of a new brochure, “Your Guide to Medi-Cal Behavioral Health Services: What’s Covered and How to Get Care,” which is now available in both English and Spanish. This comprehensive, easy-to-read resource is designed to help Medi-Cal members understand and access behavioral health services available to them, including mental health and substance use disorder services, for both youth and adults. Key features include an overview of non-specialty mental health services for mild conditions like anxiety and stress, specialty mental health services for more serious conditions like schizophrenia and bipolar disorder, and substance use disorder services, including counseling, withdrawal management, medications, and recovery services, for both mild and more serious conditions. 

The brochure also includes information specific to providing culturally responsive care for American Indian/Alaska Native members, as well as helpful tools, such as crisis lines, mobile apps, and contact information to enable Medi-Cal members to connect with support more easily. Please email Medi.Cal.Benefits@dhcs.ca.gov if you have any questions.

郵寄加州醫療保險通知給某些成年移民

11 月 7 日，DHCS 將開始向沒有移民身份或移民身份未經核實的 Medi-Cal 會員，或某些持有非移民簽證且正在享受全面 Medi-Cal 福利的人員郵寄一般信息通知和常見問題解答 (FAQ)。該通知的目的是告知會員影響該族群的保險範圍的變化，包括取消牙科服務，自 7 月 1、2026 日起生效。會員將收到以其首選語言和替代格式（如適用）提供的《一般資訊通知》和《常見問題》。Medi-Cal 會員如有任何疑問，可撥打電話服務中心電話 (800) 541-5555 聯繫。

Effective January 1, 2026, Medi-Cal members who enrolled in full-scope Medi-Cal due to the Medi-Cal adult expansion will retain their full-scope coverage; however, new applicants who do not have satisfactory immigration status and are aged 19 and older and not pregnant or within the one-year postpartum will only be eligible for restricted-scope Medi-Cal. Applicants and members must provide proof of their immigration status to ensure the correct scope of Medi-Cal coverage is granted. Copies of the notices are available in Medi-Cal Eligibility Division Information Letter I 25-22.

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：

• 管理式醫療品質與監控處處長。主管負責領導和監督 Medi-Cal MCP 的合規相關活動。活動包括（但不限於）與醫療照護專業人員合作，共同制定並執行全州的 MCP 政策、流程和變革管理工作，以及提供技術協助，並針對與 MCP 相關的稽核與合規方案進行風險分析。執照醫師的薪資範圍較高。申請必須在 11 月 7 日之前提交。

DHCS is also hiring for its Accounting, Health Care Financing, 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。

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

On November 6, from 10 a.m. to 2 p.m. PST, DHCS will host the quarterly MCHAP meeting at 1700 K Street, Sacramento, in the first floor conference room (17.1014) or via public webinar. MCHAP advises DHCS on policy and operational issues that affect children enrolled in Medi-Cal. The meeting will provide information on several key topics, including improving preventive care services through Medi-Cal for Kids & Teens; Drug Medi-Cal and Drug Medi-Cal-Organized Delivery System: Penetration rate data and discussion; and the California Child and Adolescent Mental Health Access Portal (Cal-MAP). For more information, please email MCHAP@dhcs.ca.gov.

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 the California Natural Resources Agency, California Department of Social Services (CDSS), California Department of 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. DHCS will also provide an overview of the 2025 YEPEITA Legislative Report. 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

已發佈 CalHHS Connect 網路研討會：聯邦政策變更如何影響全民健康加州

今年早些時候，國會中的共和黨多數派和川普總統頒布了 HR 1 法案。10 月 27 日，加州衛生與公共服務局 (CalHHS) 領導層分享了為應對 HR 1 對加州社會安全計畫的影響而採取的最新措施。會議介紹了該州申請農村衛生轉型計劃的最新進展，該計劃旨在加強農村社區的醫療保健服務、品質和成果，並探討了DHCS如何準備在Medi-Cal計劃中實施工作要求。發言者包括加州衛生與公共服務部部長金·約翰遜、加州醫療保健服務部主任米歇爾·巴斯、加州社會服務部主任詹妮弗·特羅亞以及加州醫療保健服務獲取與資訊部主任伊麗莎白·蘭茨伯格。

微笑，加州流動牙科車活動（莫多克縣）

11月6日至8日，太平洋標準時間上午8點至下午5點， Modoc縣將舉辦流動牙科車活動，提供免費牙科服務。 貨車將停放在 Alturas 北大街 701 號 6 號套房。Smile, California將透過客製化傳單、社群媒體貼文和 Smile Alert 來支持此次活動，以通知會員和合作夥伴即將舉行的活動。我們鼓勵訪客在活動開始前撥打 1-888-585-3368 進行預先註冊並填寫同意書。

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.