Managed Care Plans and Behavioral Health Plans/Counties
California’s Data Exchange Framework
- California Data Exchange Framework
- CalHHS Center for Data Insights and Innovation Data Exchange Framework Guiding Principles
- CalHHS Data Exchange Framework Executive Summary
- CalHHS Data Exchange Framework Single Data Sharing Agreement
- CalHHS State Health Information Guidance (SHIG) Documents
CalAIM Data Sharing Authorization Guidance
The final CalAIM Data Sharing Authorization Guidance Medi-Cal Housing Support Services and Reentry Initiative Toolkits were published in April 2025, and the final ASCMI Form was published in July 2025. Please refer to the ASCMI Initiative page for access to the form and FAQ. For additional information, please see the links below:
All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar (July 2025)
All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar Presentation Slides (July 2025)
The CalAIM Data Sharing Authorization Guidance Version 2.0 updates the previous version that was released in March 2022 and was published in October 2023. For additional information, Please See the links below:
CalAIM DSAG All-Comer Webinar (October 2023)
CalAIM DSAG All Comer webinar Presentation Slides (October 2023)
Consent Forms and Consent Management
- The Authorization to Share Confidential Member Information (ASCMI) Initiative is a statewide effort to promote and standardize the exchange of Clients’ sensitive information, including certain physical health, behavioral health, and social services information (HSSI), among Care Partners such as providers, health plans, county agencies, and social services organizations. The ASCMI Form is a standardized tool designed to overcome persistent barriers that limit broad and secure access to sensitive information. Please see the ASCMI Initiative page for more information.
Webinars
CalAIM Consent Management Pilot Webinar – November 2, 2022
- Slides
- CalAIM Repository of Data Sharing Forms and Agreements
- Consent Form Requirements: Please reference Section 4 of the Data Sharing Authorization Guidance for consent form requirements.
Data Submission Requirements
- Managed Care Encounter Data Reporting
- Medi-Cal Managed Care Letters
- Medi-Cal Managed Care Boilerplate Contracts
- Joint statement on Medi-Cal Managed Care Contracts
State Laws, Regulations, and Guidance
This section provides you with state and federal guidance documents that outline the importance of data sharing.
- AB 133 is a law that was passed in July 2021 and changed California state law to promote data exchange and care coordination for people receiving services under CalAIM (see section 3 that describes AB 133 in the Data Sharing Authorization Guidance 2.0). Specifically, AB 133 allows data sharing even in situations where state privacy laws may not allow data sharing without signed consent. This was done for the purpose of helping people get access to care.
No Wrong Door for Mental Health Services Policy
- BHIN 22-011 No Wrong Door for Mental Health Services Policy (March 2022)
- APL 22-005 No Wrong Door for Mental Health Services Policy (March 2022)
- No Wrong Door for Mental Health Services Policy FAQ (Feb 2023)
Data Privacy, Data Sharing, and Interoperability
- BHIN 22-068: Interoperability and Patient Access Final Rule (December 2022)
- BHIN 23-032: Interoperability and Patient Access Final Rule Compliance Monitoring Process (July 2023)
- APL 22-026 Interoperability and Patient Access Final Rule (November 2022)
- ACWDL 19-16 2019 Medi-Cal Privacy and Security Agreement (June 2019)
Federal Regulations
Information Blocking
- Information Blocking
- CURES Act Final Rule: Information Blocking Exceptions
- 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program Final Rule
- 45 Code of Federal Regulations Part 71
Data Privacy, Data Sharing, and Interoperability
- CMS Interoperability and Prior Authorization Final Rule
- Interoperability Final Rule Fact Sheet
- Interoperability Final Rule FAQs
HIPAA
Substance Use Disorder and 42 CFR Part 2
- Substance Abuse Confidentiality Regulations
- Disclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me?
- FAQs: Applying the Substance Use Confidentiality Regulations to Health Information Exchange
- 42 CFR Part 2 Revised Rule Fact Sheet
- Care Provision, Coordination, and Patient Privacy
CalAIM Population Health Management
CalAIM’s Population Health Management program helps members like you access a comprehensive set of services based on your needs and preferences, which leads to improved health outcomes and health equity.
Supporting the Population Health Management roll out, DHCS will be launching a statewide Population Health Management Service for Medi-Cal members. The Population Health Management Service will provide a wide range of Medi-Cal care teams with data access and availability for Medi-Cal members’ health history, needs, and risks, including historical administrative, medical, behavioral, dental, social service data, and other program information from current disparate sources. The Population Health Management Service will improve data accuracy and improve DHCS’ ability to understand population health trends and the efficacy of various Population Health Management interventions and strengthen oversight.
Please see the Population Health Management initiative page for general information on Population Health Management and the PHM Service.
Key Policy and Guidance Documents
- APL 21-009 Collecting Social Determinants of Health Data (February 2022)
Webinars
PHM Service All Comer Webinar – May 23, 2022
Enhanced Care Management (ECM) and Community Supports
Medi-Cal managed care plans provide a new benefit called Enhanced Care Management (ECM). This benefit addresses your clinical and non-clinical needs, if you qualify for the program. The program includes access to a single Lead Care Manager who coordinates all of your health and health-related services.
You may also get access to Community Supports to meet your social needs. Community Supports are services that support your medical needs and that help you stay healthy, including medically tailored meals or support to secure and maintain housing. Medi-Cal managed care plans offer Community Supports services as a cheaper alternative to traditional medical services or settings.
Please see the Enhanced Care Management and Community Support initiative page for general information on the initiative.
Key Policy and Guidance Documents
Community Supports Policy Guide (Updated July 2023)
ECM Policy Guide (Updated July 2023)
Current Quarterly Implementation Monitoring Report Guidance (for 2022 and Q1 & Q2 2023 Submissions) Quarterly Implementation Monitoring Report Guidance (Original Released in 2022; Updated in April 2023)
Upcoming Quarterly Implementation Monitoring Report Guidance (for Q3 2023 and beyond) Quarterly Implementation Monitoring Report Guidance (Updated April 2023)
ECM and Community Supports Billing and Invoicing Guidance (Updated April 2023)
Coding Options for ECM and Community Supports (March 2022)
CalAIM ECM and Community Supports Repository of Data Sharing Authorization Forms and Agreements (November 2021)
Member-Level Information Sharing Between MCPs and ECM Providers (Updated April 2023)
Community Supports Member Information Sharing Guidance (April 2023)
Overview of April 2023 Updates to Community Supports and ECM Data Guidance Documents (April 2023)
CalAIM ECM and ILOS Data Exchange Guidance Overview (2021)
Webinars
CalAIM Webinar: Data Sharing and Billing for Enhanced Care Management and Community Supports – November 10, 2022
Overview of Data Exchange and Reporting Requirements for Enhanced Care Management and Community Supports – August 4, 2022
Members should contact their provider or their Managed Care Plan for information on how to revoke a Release of Information (ROI) and/or access their health information.
To learn more about information shared with other stakeholders, visit: