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 initiatives:
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 will fund 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 will provide 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 will fund 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 will provide direct funding to support the delivery of Enhanced Care Management and Community Supports services. Entities, such as providers, CBOs, county agencies, public hospitals, tribes, and other, 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 will provide funding to support the implementation of statewide CalAIM justice-involved initiatives. This includes support for 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 will support 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 will support correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes.
Download the factsheet
about the CalAIM initiative Providing Access and Transforming Health.
- In March 2022, DHCS released the Whole Person Care (WPC) Services and Transition to Managed Care Mitigation Registration Form. Former WPC Lead Entities must fill out this form within 30 days of release to receive PATH reimbursement for eligible services. For additional information on what services are eligible and the invoicing process, see the
PATH WPC Services and Transition to Managed Care Mitigation Guidance Memo.
- In early 2022, DHCS hosted a public webinar to share an overview of the PATH initiatives: Technical Assistance, Collaborative Planning and Implementation, and Capacity and Infrastructure Transition, Expansion and Development (CITED). Find webinar meeting materials linked below.
WPC Services and Transition to Managed Care Mitigation
Collaborative Planning and Implementation
To support stakeholder planning and implementation, DHCS hosts informational webinars to provide PATH program updates; meeting materials will be made available here following the event.
- Detailed Update on PATH Program Design –
January 28, 2022
- PATH and Incentive Payment Programs –
December 17, 2021
Listed below are additional resources with key information PATH:
Questions and Comments
Contact DHCS with any questions or comments on the CalAIM PATH initiatives at