​​​​​CalAIM ASCMI Initiative 

​Overvie​​w

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. These include complex privacy rules governing consent and data exchange, outdated technology and paper-based processes, and a fragmented, incomplete information-sharing ecosystem. By addressing these challenges, the ASCMI Form helps lay the groundwork for a more connected and person-centered system of care.

Under the ASCMI approach, Care Partners may use the ASCMI Form to obtain an individual’s consent for real-time data sharing between Care Partners and to support care coordination. Although the ASCMI Form is initially being implemented for Medi-Cal Members, it is designed for use by all individuals in California. 

The ASCMI Initiative presents the opportunity to invest in and strengthen inter-system interoperability, reduce administrative burden across the state, and support key CalAIM programs such as Enhanced Care Management and Community Supports, helping to break down the traditional walls of health care and foster integrated, person-centered care.

Important Updates

Building on the success of the 2023 ASCMI Pilot Program, DHCS is releasing the final ASCMI Form, which outlines the information a Client agrees or does not agree to share, as well as how it may be shared and used with other partners. The form has been refined in language, structure, and formatting based on robust stakeholder feedback, ensuring compliance with applicable state and federal law. To support care coordination both within and outside of the CalAIM context, DHCS developed two versions of the ASCMI Form, one aligned with AB 133 and one for broader use; a revocation form is also included.

Additional refinements to the ASCMI Form, addressing FERPA, consent laws for minors and individuals under conservatorship, and expanded use cases are planned for release in 2026. 

• ​ASCMI Form: The ASCMI Form is a standardized consent form used by Care Partners to obtain authorization to share sensitive information from their Clients. ASCMI Form (Word)
  
• ASCMI FAQs (Client Facing & Care Partner): These documents include a list of Frequently Asked Questions (FAQs) for Clients signing the ASCMI Form and a list of FAQs for Care Partners administering the ASCMI Form. ASCMI FAQs​
  
• ASCMI Pilot Evaluation White Paper: Evaluation of the 2023 ASCMI pilot, including a summary of the preliminary ASCMI design, pilot implementation process, and key findings. ASCMI White Paper​
  

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