2023 年綜合撥款法
Please Note: This page is currently being updated by DHCS for conformity with the Americans with Disabilities Act (ADA). In the meantime, some links and/or forms may be inactive or unavailable. Please send a request for needed forms to the CCT mailbox at California.CommunityTransitions@dhcs.ca.gov.
在 29，2022 年 12 月，總統簽署了 2023 年合併撥款法（CAA）成為法律。 該法案授權延長《金錢跟隨人》（MFP）示範（稱為加州社區轉型（CCT）），並為 2024 年至 2027 年撥出額外資金。 因此，CCT 轉換已獲授權持續至十二月 31, 2027。
加州社區過渡計劃
In January 2007, the California Department of Health Care Services (DHCS) was awarded special federal grant number 1LICMS300149 to implement a Money Follows the Person (MFP) Rebalancing Demonstration, known as “California Community Transitions” (CCT).
DHCS works with designated CCT Lead Organizations (LOs) to implement the CCT program. Facility stays for short-term rehabilitation services reimbursed by Medicare are not counted toward the 60-day required period. Individuals are eligible for this program if they have a physical and/or mental disability and have resided in a state-licensed health care facility for a period of 60 consecutive days or longer (e.g., with at least 1-day of Medi-Cal covered services). There is no age restriction for this program.
NOTE: Facility stays for short-term rehabilitation services reimbursed by Medicare are not counted toward the 60-day required period.
CCT LOO 服務
- Employ or contract with transition coordinators who work directly with willing and eligible individuals, support networks, and providers to facilitate and monitor beneficiaries’ transitions from facilities to the community settings of their choice.
- Conduct assessments to determine the participant’s level of care.
- 實施以人為中心的支持服務。
- 致力於識別和協調來自多個交付系統的參與者可提供的服務，以確保參與者在家中和社區安全，並提供轉介給其他支持服務（視需要）。
請參閱下面的鏈接以獲取當前 CCT LO 及其服務範圍的清單。
State Funded California Community Transitions – Like Program – Last Day to Enroll Participants Using this Criteria is December 31, 2025
27 年 7 月 2021，《議會條例草案》（AB）133 章已成為法例。
AB 133 的批准允許推出國家資助的類似 CCT 的計劃，該計劃由於聯邦修正《金錢跟隨人（MFP）示範（MFP）示範授權法例》而無效。AB 133 通過將住院設施所需的居住期從 90 天縮短為 60 天，將州法規與修改後的聯邦法令相符。政府資助的 CCT 類似計劃允許 CCT 領導組織為尚未滿足聯邦 MFP 居留資格標準的 Medi-Cal 受益人提供過渡服務，以幫助減少受益人在 COVID-19 公共衛生緊急情況期間留在機構所需的時間。在醫療設施進行 24 小時至 60 天的醫療設施，該個人必須獲得國家資助 CCT 的資格。
根據加州福利和機構守則（WIC）第 14196.2 (c) 條，由 1 年 1 月 2026 開始，衞生護理服務部（DHCS）將停止註冊以前符合國家資助 CCT 類計劃資格的 Medi-Cal 受益人。此外，由 1 月 2027 開始，DHCS 將停止為國家資助的 CCT 類計劃提供服務。
Given this policy change, the last date an LO should enroll Medi-Cal beneficiaries under the State-Funded CCT-Like Program requirements is December 31, 2025.
For more information, contact the Integrated Systems of Care Division at California.CommunityTransitions@dhcs.ca.gov.
CCT LO 申請流程
DHCS 正在改變檢閱新 CCT LO 應用程序的過程。該部門正在收到來自有興趣的提供商的大量申請，州的某些地區比其他地區更有興趣。為確保在整個州內滿足受益人的照護協調需求，DHCS 正在優先考慮為服務州當前服務不足的地區感興趣的提供商的申請。
DHCS 對此發展可能造成的任何不便感到抱歉，並期待將來與您的組織合作。
If you are interested in becoming an approved CCT LO, please submit an email with your interest to California.CommunityTransitions@dhcs.ca.gov. The email shall include but not limited to the following information:
- CCT LO 名稱
- 羅 CCT 的位置（城市和縣）
- CCT LO 擬服務的覆蓋範圍（城市和縣）
- 聯絡人
Once the inquiry is reviewed and it is identified that a CCT LO is needed in a particular geographic area, the DHCS team will inform you of the next steps. All application questions can be sent to California.CommunityTransitions@dhcs.ca.gov.
社區支援
Community Supports are services that Medi-Cal managed care plans (MCPs) utilize to address Medi-Cal members ‘ health-related social needs, help them live healthier, and avoid higher, costlier levels of care. These include:
- 護理設施（NF）輔助生活設施的轉移 ／ 轉移
- 社區過渡服務/護理設施轉換為家庭
- 各種其他以社區為本的服務
資格：
- 會員可以同時獲得 CCT 計劃和護理設施轉換/轉移社區支持的資格。
- 會員不能同時接收兩者。
CCT’s Relationship to Community Transition Services/Nursing Facility Transition to a Home:
- 會員可以同時獲得 CCT 計劃和社區過渡社區支持的資格，但不能同時獲得兩者。
For additional information regarding Community Supports, please visit Enhanced Care Management and Community Supports Webpage.