2024 年 10 月 7 日 - 利益相關者最新消息
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SB 525（醫療保健最低工資增加）
10 月 1 日，DHCS 主任 Michelle Baass通知聯合立法預算委員會，DHCS 開始進行必要的數據檢索，以實施自 1 月開始的計劃期間增加醫院質量保證費收入1 ，2025 。除非指定較後的生效日期，否則醫療保健最低工資的調漲將在通知日期後 15 天，即 10 月 16 日生效。如需更多關於醫療保健員最低工資上調的資訊，包括按設施類型劃分的生效日期，請參閱勞資關係部的常見問題。
微笑，加州移動牙科車訪問三一縣
The Smile, California mobile dental van is hitting the road again and will be in Trinity County from October 9-12. In partnership with the California Department of Public Health (CDPH), Trinity County, and the California Dental Association, this Medi-Cal dental initiative is just one effort underway to enhance member use of essential dental care and improve oral health outcomes in rural communities. The mobile dental van tour will provide preventive and treatment services to residents of Trinity County, including Medi-Cal members.
Services performed onsite can include exams, X-rays, treatment planning, cleanings, fillings, root canals, fluoride applications, and more. DHCS and its partners are dedicated to advancing preventive dental services for children and adults living in areas throughout California with limited access to dental care.
The Smile, California dental van tours are part of DHCS’ policy to increase member access to mobile dental services and ensure that members, especially those in rural communities, have access to equitable, quality care. Medi-Cal members interested in attending this event may register by calling (888) 585-3368, and members can find a dentist online.
專案更新
加州醫療補助健康保健計劃報名要求和程序
Effective November 25, community-based organization (CBO) enrollment applications may include community health workers (CHW) offering justice-involved services and licensed/unlicensed individuals rendering care management services. This option will be available to both first-time CBO applicants and currently enrolled CBO providers submitting a supplemental application. Additionally, county children and families commissions that provide CHW and asthma preventive services will be eligible to apply to enroll in the Medi-Cal program.
10 月 8 日上午 10:00 至 11:30。PDT, DHCS 將透過網路研討會 （需預先登記）舉行 公眾利害關係 人 聽證會 ，討論法規提供者公告，題為 「更新的 Medi-Cal 註冊要求和程序，適用於社區組織、地方健康管轄區和縣兒童與家庭委員會」。書面意見、問題或建議可於聽證會期間在網路聊天中提交。無法出席者，必須在太平洋標準時間 10 月 8 日下午 5 點之前提交書面意見，我們才會考慮予以公佈。提交書面意見時，請確保意見中同時註明意見人和所代表的組織/協會。書面意見應提交至DHCSPEDStakeholder@dhcs.ca.gov。根據收到的公眾意見，DHCS 將在Medi-Cal提供者和DHCS 提供者註冊處網站上發佈最終公告。
熟練護理機構勞動力標準 專案
10 月 1 日，DHCS 啟動了專業護理設施（SNF）勞動力標準計劃（WSP）的選擇加入程序。本計畫將為維護集體談判協定、參與全州多雇主勞工管理委員會或符合 DHCS 所定基本工資與福利標準的 SNF，提供增加的勞動力費率調整。SNF WSP 每年提供超過 5 億美元，使 SNF 能夠招募並留住一支為 Medi-Cal 會員提供優質長期護理的工作隊伍。
WSP 將要求 SNF 負責為約 100,000 名長期照護工作者提供公平的報酬和福利。WSP 是眾議院第 186 號法案（2022 年成文法第 46 章）所頒佈的更廣泛的一籃子護理設施融資改革措施的一部分，其中還包括勞動力& 品質獎勵計劃和問責制裁計劃。希望在 2024 和 2025 日曆年參與 WSP 的 SNF 必須在 12 月之前提交所需的選擇加入材料，1 ，2024 。如需詳細資訊，請造訪SNF WSP 網頁。
Additionally, on November 6, from 10 to 11 a.m. PST, DHCS will host a provider webinar (advance registration required) to provide an overview of the WSP opt-in process. Providers can send questions they would like answered during the webinar to SNFWSP@dhcs.ca.gov by October 30.
2024 年人口健康管理（PHM）策略交付項目-模板鏈接現已可用
2024 年 6 月，DHCS 發佈 Medi-Cal 管理性護理計劃 (MCP) 完成 2024 年 PHM 策略交付的指示。交付品的可填寫 PDF 範本，包括「提交說明」、 「第 1 部分範本」和「第 2 部分範本」，現可在PHM 網頁上取得。最初的交付日期為 10 月 31 日，但因 MCP 需要更多時間，截止日期延長至 11 月 22 日。
The purpose of this annual deliverable is to provide DHCS with updates on MCPs’ PHM programs, including progress in meaningful participation in the Community Health Assessments (CHA)/Community Health Improvement Plans (CHIP) led by Local Health Jurisdictions (LHJ) in the service areas where MCPs operate. The MCP-LHJ collaboration on the CHA/CHIP will support MCPs’ ability to identify needs and strengths within members’ communities as well as reduce siloed approaches to PHM. This collaboration will allow MCPs and their community partners to improve the lives of members more effectively.
更新：股權與實務轉型（EPT）付款專案
DHCS 的EPT是一項定向付款計劃，旨在獎勵參與 Medi-Cal 合約的基層醫療實務，以配合 DHCS 的全面品質策略，致力於改善品質、人口健康和健康公平的活動。在 7 月 17 日的一週內，DHCS 向所有參與的利益相關者宣布了 EPT 計劃的更新和 2024-25 財政年度最終預算批准後的變更，該預算將 EPT 資金減少了 80%。預算需要重組計劃，以確保計劃的實用性和成功性。所有原來的主要執業醫師都有資格留在新改組的計畫中。但是，執業所能賺取的最高潛在付款額已經縮減。此外，活動和里程碑的數量也進行了調整和減少。請參閱新活動和里程碑。DHCS 沒有第二批 EPT 學生的計劃。
DHCS 和人口健康學習中心在 7 月 22 日當週為執業醫師、MCP 和協會舉辦了網路研討會，提供計畫重新設計的概述。如果該計畫不符合執業者目前的目標和策略計畫，執業者將獲得如何退出該計畫的詳細資訊和指示。針對實務的技術協助網路研討會已於 8 月 12 日開始。
加入我們的團隊
DHCS 正在尋找高技能、積極主動的個人來擔任：
- 提供者註冊部門 (PED) 主管，領導與提供者註冊相關的政策、流程和服務的製定和實施，包括篩選、註冊和重新認證加州醫療補助健康保健計劃提供者。 此外，PED 首席負責開發和實施對業務需求的法規和流程更改以及提供者申請和註冊驗證系統的增強功能。 （最終申請日期：十月十四日）
- 地方政府融資司司長，提供組織領導並制定政策，以支持加州醫療補助健康保健計劃行為健康和地方教育機構服務專案以及其他地方和縣政府聯邦報銷和融資監督活動。 （最終申請日期：十月十八日）
DHCS 也正在為其網站、審計、健康政策、資訊技術和其他團隊進行招聘。如需詳細資訊，請造訪CalCareers網站。
即將舉行的利害關係人會議和網絡
行為健康轉型品質和公平諮詢委員會會議
美國太平洋標準時間 10 月 8 日上午 10 點至中午 12 點，DHCS 將舉辦行為健康轉型品質與公平諮詢委員會的首次會議（需提前註冊）。該委員會是提案 1 行為健康轉型的非官方規定部分，支持制定行為健康的品質與公平策略。該委員會與 DHCS 合作，就衡量和評估行為健康服務的要求提供反饋意見。會議對公眾開放，公眾將有機會提出意見。請造訪「行為健康轉型」網頁以獲得更多資訊，或將問題電郵至BHTInfo@dhcs.ca.gov。
改善獲得增強護理管理 (ECM) 網路研討會
DHCS released updated policies that will allow members to access ECM more quickly and will standardize administrative practices across MCPs. DHCS worked extensively with stakeholders to develop an updated ECM presumptive authorization policy in the ECM Policy Guide (page 107), which allows qualified ECM providers to offer services immediately upon meeting a member for up to 30 days while a formal referral is made. In addition, DHCS released statewide ECM Referral Standards that will require streamlined, uniform practices across MCPs, including new guidance prohibiting certain types of information collection that could delay the timely receipt of ECM services. The policy and standards take effect on January 1, 2025, and MCPs are currently operationalizing the new guidance.
On October 9, from 11 a.m. to 12 p.m. PDT, DHCS will host an all-comer webinar to share details on the policy and standards. Advance webinar registration is required. This webinar is open to all and will be of special interest to MCPs, providers, community partners, and organizations referring members to ECM. Stakeholders may also direct questions about the new guidance to CalAIMECMILOS@dhcs.ca.gov.
更新的綜合核心實踐模式 (ICPM) 指南和綜合培訓指南 (ITG) 網路研討會
On October 9, from 11 a.m. to 12:30 p.m. PDT, the University of California, Davis will host an informational webinar (advance registration required) to support the launch of the new ICPM Guide and ITG. These resources will help managers, service coordinators, social workers, foster youth liaisons, youth probation officers, and others who support the local System of Care for Children and Youth in enhancing and improving sustainable safety, permanency, and well-being for children and families across California.
網路研討會將提供更新版 ICPM 指南和 ITG 以及實務層級內容的一般概述。之前於 9 月 18 日舉辦的網路研討會為當地機構間領導團隊的成員提供了最新 ICPM 指南和 ITG、領導行為和執行的概覽。
California Children’s Services Advisory Group Meeting
On October 9, DHCS will host the quarterly meeting of the California Children’s Services (CCS) Advisory Group. DHCS and the CCS Advisory Group partner to ensure children in the CCS/Whole Child Model (WCM) program receive appropriate and timely access to quality care. Agenda topics include a post-transition update on the Kaiser Permanente January 1, 2024, WCM implementation and the WCM January 2025 expansion progress, as well as updates from Blue Shield Promise Health Care Plan on childhood lead poisoning prevention services; the CCS Compliance, Monitoring, and Oversight Workgroup; and the CCS Redesign Performance Measure Quality Subcommittee. Additional information and meeting details are available on the CCS Advisory Group webpage.
行為健康專責小組（BHTF）網絡研討會
On October 15, from 12 to 1:30 p.m. PDT, the BHTF will hold a webinar on population-based prevention (advanced registration is required). Participants include Dr. Tomás Aragón, MD, DrPH, Director of CDPH and State Public Health Officer, and Julie Nagasako, Deputy Director of the Office of Policy and Planning at CDPH. This webinar will help prepare attendees for an in-depth discussion at the November 13 BHTF quarterly meeting. The webinar will be recorded and posted on the BHTF website. For questions, comments, or to join the BHTF listserv, please email BehavioralHealthTaskForce@chhs.ca.gov.
利害關係人諮詢委員會（SAC）/行為健康（BH）-SAC 會議
On October 16, from 9:30 a.m. to 3 p.m. PDT, DHCS will host the SAC/BH-SAC meeting (advance registration required) at 1700 K Street (first floor conference room 17.1014), Sacramento. SAC provides DHCS with valuable input on ongoing California Advancing and Innovating Medi-Cal (CalAIM) implementation efforts and helps DHCS further its efforts to provide high-quality, equitable care. BH-SAC provides DHCS with input regarding behavioral health activities and was created as part of the ongoing effort to integrate behavioral health with the greater health care system. It incorporates existing groups that have advised DHCS on behavioral health topics. For more information, please email SACinquiries@dhcs.ca.gov or BehavioralHealthSAC@dhcs.ca.gov.
DHCS 減少危害高峰會
Registration is currently open for the first two DHCS Harm Reduction Summits in Shasta County (October 24) and San Mateo County (November 19). Through these convenings, DHCS aims to collaborate with communities across the state to promote harm reduction within California’s substance use disorder (SUD) treatment system and create low-barrier, patient-centered care. DHCS encourages SUD treatment providers and staff (including social workers, peers, front desk staff, case managers, nurses, physicians, and all staff in SUD treatment settings) to attend and learn about best practices for incorporating the tenets of harm reduction into SUD treatment. Additional summits will be held in Fresno County, Los Angeles County, and San Diego County in winter 2025. Register on the event website.
選擇家庭網絡研討會：跨性別和性別多元人的避孕
On October 29, from 10 a.m. to 11:30 a.m. PDT, DHCS and the California Prevention Training Center will host the Chosen Family: Contraception for Transgender and Gender Diverse People webinar (advanced registration required). Transgender and gender diverse (TGD) people represent a growing subset of patient populations, yet many continue to report a lack of provider knowledge when it comes to TGD health. This webinar will build upon TGD health terminology and competency essentials by reviewing evidence-based recommendations for contraceptive counseling. For those unable to attend the live webinar, a transcript and recording of the webinar, along with additional resources, will be available on the Family PACT website at a later date.
兒童助聽器覆蓋專案 (HACCP) 醫療服務提供者和聽力專業人員的網路研討會
On November 12, from 12 to 1 p.m. PST, DHCS will host the quarterly HACCP webinar for medical providers and hearing professionals. For more information and to register, please visit DHCS’ HACCP webpage.
適用於家庭和社區合作夥伴的 HACCP 網絡研討會
DHCS 將於美國太平洋標準時間 12 月 3 日上午 11 點至下午 12 點舉辦網路研討會，與家庭和社區合作夥伴分享有關申請助聽器承保及加入後最大化 HACCP 福利的指導。如需詳細資訊及預先報名，請造訪HACCP 網頁。
如果你錯過了
可以擴展行為健康服務的關鍵資金機會
On July 17, DHCS released the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Request for Applications. Eligible organizations can apply for funding to construct, acquire, and rehabilitate properties for behavioral health services for Medi-Cal members. Interested parties can find application instructions on the BHCIP website and must sign up for a pre-application consultation by October 15 in order to be eligible. Applications must be submitted by December 13. This initiative, part of Proposition 1, seeks to transform California’s mental health and substance use disorder systems, providing more comprehensive care for the state’s most vulnerable populations. For more information, contact DHCS at BHTinfo@dhcs.ca.gov.