十月 13, 2025
熱門新聞
最新的「加強照護管理與社區支援」季度報告可供索取
On October 10, DHCS released the latest Enhanced Care Management (ECM) and Community Supports quarterly report, covering data from January 2022 through March 2025. These services help Medi-Cal members stay healthier and avoid more costly health care services, such as emergency department visits and hospital stays. Key highlights from Q1 2025 include:
- 與 2024 年第 1 季相比，ECM 投保人數增加 61%，共為 177,527 名會員提供服務。
- 兒童和青少年的 ECM 報名人數增加了一倍多。
- 社區支援服務覆蓋超過 429,000 名會員，提供超過 110 萬項服務。
- 近 94% 的 Medi-Cal 會員可獲得至少 10 項社區支援。
- 最常使用的服務包括為醫療量身訂做的膳食和與住房相關的支援。
此外，為支持 ECM 和社區支援的擴展，DHCS 已通過以下方式撥款超過 14.3 億美元 提供就醫機會與改變健康 (PATH) 倡議，包括能力與基礎設施轉換、擴展與發展 (CITED)、合作規劃與實施 (CPI) 以及技術援助市場。這些工作幫助加州人過著更健康、更安定的生活。
醫療保險公開註冊期間提供的醫療保險計劃
在 10 月 15 日至 12 月 7 日的聯邦醫療保險公開投保期間，符合資格的加州人可投保 中醫計劃 , a type of Medicare Advantage plan that combines Medicare and Medi-Cal benefits into one coordinated plan. In 2026, these plans will be available in 41 counties, up from 12 counties in 2025. Medi-Medi Plans currently serve approximately 330,000 members. Starting in 2026, nine new Medi-Medi Plans will launch, and three existing Medi-Medi Plans will expand, to serve 461,000 potential members in 29 additional counties. Medi-Medi Plans simplify care with one member identification card, one care team, and integrated services across medical, behavioral health, and long-term services and supports. They also include wraparound Medi-Cal services and specialized care coordination. Joining a Medi-Medi Plan is voluntary. To join one, members can call Medicare at 1-800-MEDICARE or call Medi-Cal’s Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). If already enrolled in a Medi-Cal health plan, members may call the plan directly and ask about their Medi-Medi Plan option. For more information, visit the DHCS Medi-Medi 計劃網頁 。
專案更新
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 現正徵求會員、服務提供者及其他有興趣的利害關係人，對加州醫療卡 HCBS 1915(c) 加州發展障礙者豁免（Medi-Cal HCBS 1915(c)Waiver）的建議修訂提出意見。 HCBS-DD 豁 免 ). Under the Lanterman Act administered by the Department of Developmental Services (DDS), people with developmental disabilities are eligible to receive services and supports that meet their individual needs and choices. DDS, under DHCS oversight, ensures that the HCBS-DD waiver is implemented by Regional Centers in accordance with Medicaid law and the State’s approved waiver application. Regional centers coordinate, provide, arrange, and/or purchase the services and supports available under the HCBS-DD waiver.
DHCS 計劃在 11 月 28 日之前向聯邦醫療保險& 聯邦醫療補助服務中心 (CMS) 提交建議的豁免修正案，建議的生效日期為 3 月1 ，2026 。您可透過下列電子郵件取得修訂提案的副本並提出意見 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.
新的 allcove 青少年活動中心在 San Juan Capistrano 開幕
On October 9, DHCS announced the opening of a new allcove youth drop-in center in San Juan Capistrano, funded through the Children and Youth Behavioral Health Initiative (CYBHI) and in partnership with the Behavioral Health Services Oversight and Accountability Commission. The centers are designed with and for youth, expanding access to evidence-based, youth-driven behavioral health services for people aged 12-25 in Orange County. The center offers mental health support, physical health, peer services, substance use support, and education and employment resources in one welcoming, stigma-free space. This investment is a part of CYBHI’s broader effort to transform California’s behavioral health system by reducing barriers to care, supporting community connections, and building a youth-centered, coordinated system of support across California. For more information about site details and access, please visit allcove San Juan Capistrano.
加入我們的團隊
DHCS 正在尋找有才華和有動力的人，以作為：
- 醫療照護整合系統部門主管。該主管領導全州醫療照護系統的交付、合規性和監控活動，服務對象為符合 Medi-Cal 及其他州醫療照護計劃和服務資格的弱勢族群。申請必須在 10 月 14 日前提交。
- Chief, CA-MMIS Operations Division. The Chief leads the administration, oversight, and monitoring of DHCS’ Fiscal Intermediary (FI) Business Operations and FI-Maintenance and Operations (M&O) contracts for the Medi-Cal program. In this role, the Chief also provides oversight of the FI-M&O vendor and related systems used to assist with the processing of approximately $21 billion annually in Medi-Cal claim payments. Applications must be submitted by October 16.
DHCS is also hiring for its Audits and Investigations, Fiscal, Strategic Planning and Workforce Development, 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。
California Children’s Services (CCS) Advisory Group Meeting
On October 15, from 1 to 3 p.m. PDT, DHCS will hold the quarterly California Children’s Services Advisory Group meeting. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model program receive appropriate and timely access to quality care. Agenda topics include updates on 2025 priorities and Medi-Cal Rx pharmacy benefits. Additional information and meeting details are available on the CCS Advisory Group webpage. Please email CCSProgram@dhcs.ca.gov if you have any questions.
全面的宮內避孕器 (IUD) 和避孕植入訓練
On October 15-17, DHCS’ Office of Family Planning will host the Comprehensive IUD and Contraceptive Implant Placement Training series. Participants may choose between IUD and Implant Placement training on October 15-16, from 7:15 a.m. to 5 p.m. (advance registration required), with both days covering the same content. This training is designed for both new and experienced providers who want to build or refine their skills in IUD placement and removal. The agenda covers patient counseling and consent, method selection, instrument use, and step-by-step instruction for all U.S. Food and Drug Administration-approved IUDs. Participants will receive hands-on practice with pelvic models and computer simulators under the guidance of family planning experts. Advanced topics include managing side effects, pain control, troubleshooting difficult placements, and creating clinic flow for same-day IUD services.
Alternatively, participants may select the Implant-Only Placement on October 17, from 10 a.m. to 1:45 p.m. (advance registration required). Participants will receive hands-on training for NEXPLANON® placement and removal procedures as well as implant localization techniques. For more IUD resources, visit IUD & Implant Resources.
行為健康轉型社區規劃程序：網路研討會
On October 16, from 2 to 3 p.m. PDT, DHCS will host a public informational webinar on engaging in the Behavioral Health Services Act Community Planning Process. This process represents the local stakeholder and partner engagement requirement for each county’s Integrated Plan under the Behavioral Health Services Act. During the session, participants will learn how to become involved in the Community Planning Process, how DHCS evaluates meaningful stakeholder engagement in the Integrated Plan, and about resources available to help foster engagement efforts. Individuals must register to participate virtually. Visit the Behavioral Health Transformation webpage for more information and resources.
行為健康轉型品質與公平諮詢委員會：網路研討會
On October 21, from 11 a.m. to 1 p.m. PDT, DHCS will host the eighth Behavioral Health Transformation Quality and Equity Advisory Committee (QEAC) public webinar (advance registration required). During the meeting, committee members will collaborate and provide feedback on DHCS’ work to measure and evaluate the quality and efficacy of behavioral health services and programs in California. Attendees can provide direct input to DHCS using the Q&A feature. Visit the Behavioral Health Transformation Stakeholder Engagement webpage for more information about the QEAC webinars and additional resources. Please send any questions related to Behavioral Health Transformation and/or the QEAC webinars to BHTinfo@dhcs.ca.gov.
ACES 認知學習中心網路研討會
On October 23, from 12 to 1 p.m. PDT., DHCS’ ACEs Aware initiative will hold a webinar, California Providers: Support Youth Behavioral Health with These Free Digital Tools (advance registration required). As part of the Implementation with Intention series, the ACES Aware Learning Center will feature the Behavioral Health Virtual Services Platforms developed through the CYBHI, which include Mirror, Soluna, and BrightLife Kids. The presentations will include insights on how these platforms can be integrated into care pathways, enhance engagement with young populations, and extend the reach of behavioral health services across diverse communities.
加強與兒童和青少年的聯繫最佳實踐：網路研討會
On October 24, from 10 to 11 a.m. PDT, DHCS will host a public webinar, Strengthening Connections with Children and Youth Providers (advance registration required). The webinar is part of a series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increase providers’ successful participation in California Advancing and Innovating Medi-Cal (CalAIM), and improve collaboration with Medi-Cal health plans, state and local government agencies, and others to build and deliver quality benefits and services to Medi-Cal members. The webinar will demonstrate how First 5 programs across California are working with ECM and Community Supports services and providers and explain how schools and school districts help connect children and families with local organizations, youth programs, and health plans. All webinar recordings and best practices resources will be made available at ca-path.com/collaborative under the “Best Practices and Resources” section. For questions, please email collaborative@ca-path.com.
利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議
On October 29, 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.
如果你錯過了
微笑，加州：流動牙科車活動（伊尼約縣）
On October 16-18, from 8 a.m. to 5 p.m. PDT, mobile dental van events will be held in Inyo County to provide free dental services. The van will be located at 1360 N Main Street in Bishop. Smile, California will support the events with a custom flyer, social media posts, and a Smile Alert to notify members and partners of the event. Visitors are encouraged to call 1-888-585-3368 to pre-register and complete the consent forms before the event.
過渡性租金支付方法
On October 3, DHCS released the final Transitional Rent Payment Methodology. This document includes the maximum reimbursable amount (“reimbursable ceilings”) and administrative fees associated with Transitional Rent—the newest Community Supports service designed to provide up to six months of rental assistance for Medi-Cal members who are experiencing or at risk of homelessness and meet additional eligibility criteria. As outlined in the Community Supports Policy Guide Volume 2, Medi-Cal managed care plans must cover Transitional Rent for the behavioral health population as the first mandatory Community Supports service beginning on January 1, 2026. To provide more information about the Transitional Rent Payment Methodology, DHCS will host a webinar on October 31, from 10 to 11 a.m. DHCS also encourages partners and stakeholders to visit the ECM and Community Supports webpage for more information and the new DHCS Housing for Health webpage for updates on various DHCS-led housing-focused initiatives.