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DHCS 覆蓋大使
DHCS 已在全州發起了一項全州的努力，以幫助 Medi-Cal 受益人保持他們的 Medi-Cal 保障或註冊其他保障。
In the largest effort of its kind, across the country, Medicaid (e.g., Medi-Cal) and the Children’s Health Insurance Program will soon begin the process of redetermining eligibility for about 85 million people who use these programs to access the health care they need. This large, complex effort will be triggered by the official end of the COVID-19 public health emergency (PHE) and the end of the federal Medicaid continuous coverage requirement that was implemented as part of the Families First Coronavirus Response Act.
由於加利福尼亞計劃恢復正常的 Medi-Cal 資格運作，大約 14500 萬受益人將需要重新確定其保障資格。 在綜合資助計劃結束時，各縣將根據其下一年續期的日期重新確定所有受益人的 Medi-Cal 資格（按循環進行，而不是一次全部進行）。 由於該程序，兩至三百萬受益人將無法再獲得 Medi-Cal 的資格。
DHCS has been actively preparing for this unprecedented event for many months, and has implemented a two-phased communication campaign to reach beneficiaries with messages across multiple channels using trusted partners called DHCS Coverage Ambassadors. DHCS encourages its partners, including local county social services agencies, managed care plans (MCPs), health enrollment navigators, clinics, providers, and community stakeholders, to sign up to serve as DHCS Coverage Ambassadors.
For Phase 1 of the campaign, DHCS recently launched a customizable Medi-Cal Continuous Coverage toolkit and webpage to help trusted entities and individuals act as DHCS Coverage Ambassadors to provide critical information to beneficiaries and to help preserve health coverage for millions. The toolkit includes social media, call scripts, noticing, and website banners. During Phase 1, trusted entities and individuals encourage beneficiaries to update their contact information with their local county offices, if they have not done so already. Beneficiaries need to know what to expect and what they can do to keep their Medi-Cal health coverage. Those no longer eligible for Medi-Cal may qualify for tax subsidies that allow them to buy affordable Covered California coverage.
第二階段計劃於 COVID-19 PHE 結束前大約 60 天推出，旨在鼓勵受益人更新聯繫信息並向當地縣政府報告任何情況的變化，並檢查其郵件是否即將到來的續訂包。 隨著額外的工具包或資源可用，DHCS 將通過電子郵件發送重要更新，以通知 DHCS 覆蓋大使，以便他們可以傳播信息。
DHCS 知道分享信息並聽到您的反饋非常重要，因為我們共同採取措施以超越 COVID-19 PHE。 我們所有人都需要合作，才能幫助受益人知道他們必須做什麼以及何時才能維持或轉換他們的健康保障。 感謝您持續的合作夥伴關係。
中醫新冠肺炎疫苗接種激勵計劃
DHCS 從 9 月1,2021, 到 2 月28,2022 撥出高達 3.5 億美元獎勵 Medi-Cal 管理性照護服務系統的 COVID-19 疫苗接種工作。Medi-Cal MCP 有資格賺取獎勵金，用於旨在縮小其登記會員的疫苗接種差距，以及解決特定年齡和種族/族裔群體的疫苗接種差距。本計畫的第二個成果確定期於 1 月 2 日結束。從 11 月 1 日到 1 月 2 日，總疫苗接種率在所有報告的指標上都有改善。全州的目標（59.2在提高 MCP 網絡中在診所接種 COVID-19 疫苗的基層醫療服務提供者比例方面，超過了 (61.4%)。1 月 2 日，所有疫苗結果措施的目標目標增加至縮窄 Medi-Cal 與縣級比率之間三分之二的差距，這是計劃要達成的挑戰。三個受益人子群（12-25 歲、非裔美國人和美國印地安人/阿拉斯加原住民）在此時點成功縮小了三分之一以上的差距，而另外三個群體（12 歲以上、50-64 歲和 65 歲以上的整體群體）則在 2% 以內，縮小了三分之一的差距。高效能水池計劃的規格已發放給 MCP。如需詳細資訊，請參閱 All Plan Letter (APL)21-010，附錄 A。
老年人擴展
自 5 月 1 日起，加州將擴大州資全範圍 Medi-Cal 福利的涵蓋範圍至 50 歲或以上的個人，不論其公民身份或移民身份為何。此承保範圍的擴大包括約 185,000 名 50 歲或以上目前已加入限制範圍 Medi-Cal 的個人。 在此承保範圍擴大下，符合資格的個人將可透過 Medi-Cal 計畫下的有組織提供系統，獲得 Medi-Cal 受益人可享有的全方位福利，包括無費用／低費用的優質健康、行為健康、藥物使用失調服務和牙科服務。在限制範圍 Medi-Cal 登記並符合此擴展資格的個人，將收到郵寄的 My Medi-Cal Choice資料包，以便他們可以加入 Medi-Cal 管理性護理計劃，以獲得協調、綜合的醫療必需服務。加入計劃後，他們可以在計劃網絡內選擇主治醫師。如需詳細資訊，請造訪 DHCS 網站。
55 歲及以上加利福尼亞人的醫療保健調查
In April, DHCS will release the results from a survey of California adults ages 55 and older on health care needs, services, and coverage, including Medicare, Medi-Cal, and other health coverage. The survey included questions about respondents’ medical needs, coordination of and access to health care services, caregiver experiences, and the need for and access to in-home care and services. Interviews for this survey were conducted between January 25 and February 10, 2022. A total of 1,540 individuals completed the survey. It was administered by NORC at the University of Chicago, with funding from The SCAN Foundation and oversight from DHCS’ Office of Medicare Innovation and Integration. The survey results will be posted on the DHCS website.