​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​CalAIM Providing Access and Transforming Health ​Initiative​​​

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​Providing Access and Transforming Health (PATH) is a five-year, $1.85 billion initiative to build up the capacity and infrastructure of on-the-ground partners, such as community-based organizations (CBOs), public hospitals, county agencies, tribes, and others, to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management and Community Supports and Justice Involved services under CalAIM. Drawing upon the success and lessons learned from the Whole Person Care and Health Homes Pilots, PATH funding will address the gaps in local organizational capacity and infrastructure that exist statewide, enabling these local partners to scale up the services they provide to Medi-Cal beneficiaries. With resources funded by PATH—such as additional staff, billing systems, and data exchange capabilities—community partners will successfully contract with managed care organizations, bringing their wealth of expertise in community needs to the Medi-Cal delivery system. As PATH funds serve to strengthen capacity statewide, particularly among providers and CBOs that have historically been under-resourced, the initiative will help California advance health equity, address social drivers of health, and move towards an equitable, coordinated, and accessible Medi-Cal system.

Authorized under California's Section 1115 waiver, PATH refers to the following aligned programs and initiaitives: 

• Support for Implementation of Enhanced Care Management and Community Supports. PATH will support the expansion of the capacity and infrastructure needed to implement Enhanced Care Management and Community Supports, and increase access to services statewide. This involves four integrated initiatives:
• Whole Person Care Services and Transition to Managed Care Mitigation Initiative: PATH funds services provided by former Whole Person Care Pilot Lead Entities until the services transition to managed care coverage under CalAIM. This funding will end by January 1, 2024.
• Technical Assistance Initiative: PATH provides a virtual “marketplace" that offers hands-on technical support and off-the-shelf resources from vendors to establish the infrastructure needed to implement Enhanced Care Management and Community Supports.
  
• Collaborative Planning and Implementation Initiative: PATH funds regional collaborative planning and implementation efforts among managed care plans, providers, CBOs, county agencies, public hospitals, tribes, and others to promote readiness for Enhanced Care Management and Community Supports.
• Capacity and Infrastructure Transition, Expansion, and Development (CITED) Initiative: PATH funds provide direct funding to support the delivery of Enhanced Care Management and Community Supports services. Entities, such as providers, CBOs, county agencies, hospitals, tribes, and others that are contracted or plan to contract with a managed care plan can apply to receive funding for specific capacity needs to support the transition, expansion, and development of these specific services.
  
• Justice-Involved Capacity Building Program. Starting in 2023, PATH provides funding to support the implementation of statewide CalAIM justice-involved initiatives. This includes support for the implementation of pre-release Medi-Cal enrollment and suspension processes, as well as the delivery of Medi-Cal services in the 90 days prior to release. This includes:
• Collaborative planning: PATH funding supports correctional agencies, county social services departments, county behavioral health agencies, managed care plans, and others so they can jointly design, modify, and launch new processes aimed at increasing enrollment in Medi-Cal and continuous access to care for justice-involved youths and adults.
• Capacity and Infrastructure: PATH funding supports correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes and the delivery of Medi-Cal services in the 90 days prior to release.
  

Important Updates​​​

• On July 22, 2024, DHCS awarded $37 million to 49 clinics providing Enhanced Care Management and Community Supports services to Medi-Cal members. Awards are being made as part of the PATH CITED initiative's work to help build, maintain, and scale clinics' capacity to participate in the Medi-Cal delivery system.​​
  

• ​On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the PATH initiative. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing successful ECM and Community Supports services linkages for the Medi-Cal members they serve.  
  

• ​​​Submit your PATH success story by filling out this form.​​

• ​On January 8, 2024, DHCS released the PATH CPI fact sheet to help pr​oviders at all stages of Enhanced Care Management (ECM) and Community Supports implementation who are interested in learning more about participating in the initiative. The fact sheet provides a comprehensive overview of participant eligibility, examples of local successes, priority gaps and challenges, and more. More information is available on the PATH CPI webpage.  ​
  

• On January 2, 2024, DHCS released the PATH Technical Assistance (TA) Marketplace fact sheet​ to help eligible entities learn how free TA services can build organizational capacity to implement Enhanced Care Management (ECM) and Community Supports. The fact sheet provides a comprehensive overview of TA Recipient eligibility, service offering examples, and how to register to receive free TA. Access the fact sheet by visiting the PATH TA Marketplace webpage​.
  

• ​On December 7, 2023, DHCS hosted a statewide webinar, entitled Relationship Building with Organizations in the California Advancing and Innovating Medi-Cal (CalAIM) Environment. The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing Enhanced Care Management (ECM) and Community Supports, increasing providers' successful participation in CalAIM, and improving collaboration with managed care plans (MCP), state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. Webinar recordings and resources can be accessed on the PATH CPI webpage. 
  
• ​ ​​​On October 30, 2023, DHCS awarded Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative Round 2​ funding to help providers implement and deliver successful Enhanced Care Management and Community Supports services to Medi-Cal members. Learn more at ca-path.com/CITED.​​
  
• On February 27, 2023, DHCS opened the PATH Technical Assistance (TA) Marketplace Project Eligibility Application window. Medi-Cal service providers who have submitted a Recipient Registration Form and have been approved as a TA recipient may now shop and apply for TA services and receive assistance building and delivering successful Enhanced Care Management and Community Supports services. The application window is open and ongoing. Learn more about the PATH TA Marketplace, including how to submit a Recipient Registration Form.​​​