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Launching CalAIM: 10 observations about enhanced care management and community supports so far
Launching CalAIM: 10 observations about enhanced care management and community supports so far
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (California HealthCare Foundation)
- Author(s):
- Crumley, Diana, author
Brykman, Kelsey, author
Ralls, Matthew, author - Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- [Oakland, California] : California Health Care Foundation, May 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services
Community Support
Medicaid
Patient Care Management
California - Genre(s):
- Technical Report
- Abstract:
- CalAIM (California Advancing and Innovating Medi-Cal) is a multiyear care delivery and payment reform initiative led by the California Department of Health Care Services (DHCS). CalAIM focuses on improving health equity and quality of care and well-being for California Medicaid (Medi-Cal) enrollees by enhancing population health; expanding access to coordinated, whole-person care; and addressing health-related social needs. Launched in 2022 and rolling out over multiple years, two key components of CalAIM include (1) Enhanced Care Management (ECM) and (2) Community Supports (also known as In Lieu of Services). DHCS designed these two initiatives to support people with complex health and social needs and to sustain and expand person-centered, whole-person care coordination in the state’s Whole Person Care (WPC) pilots and Health Home Program (HHP), especially for those experiencing homelessness and those transitioning from incarceration. DHCS seeks to advance ECM and Community Supports initiatives with significant incentives for managed care plans (hereinafter called “plans”) to invest in the capacity of community-based organizations and other providers. Specifically, the Incentive Payment Program (IPP) will reward plans $1.5 billion between 2022 and 2025 for meeting capacity-building milestones relating to delivery system infrastructure, equity, and workforce capacity, and building upon a needs assessment and gap-filling plan submitted in December 2021. While DHCS will pay IPP incentives to plans, and will not direct how that money should be spent, DHCS anticipates that plans will make significant investments in ECM and Community Supports provider organizations to achieve IPP milestones. These incentives are not the only resources supporting capacity development and CalAIM initiatives. ECM and Community Supports providers will be able to access funding and technical assistance directly through the Providing Access and Transforming Health (PATH) program. Additional sources of funding include the Housing and Homelessness Incentive Program (HHIP) and the Behavioral Health Quality Improvement Program (BHQIP). These incentives are not the only resources supporting capacity development and CalAIM initiatives. ECM and Community Supports providers will be able to access funding and technical assistance directly through the Providing Access and Transforming Health (PATH) program. Additional sources of funding include the Housing and Homelessness Incentive Program (HHIP) and the Behavioral Health Quality Improvement Program (BHQIP).
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (14 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918557473906676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918557473906676