CalAIM Initiatives
CalAIM: Transforming Medi-Cal
Medi-Cal is working to build a more coordinated, person-centered, and equitable health system that works for everyone.
Members will have access to new and improved services and receive well-rounded care that goes beyond the doctor’s office or hospital and addresses all of their physical and mental health needs. These bold changes include initiatives that are part of the CalAIM waiver.
Attention Stakeholders
Visit each initiative for training, webinars, detailed application instructions and presentation materials.
Initiatives
Behavioral Health Initiative
Medi-Cal is strengthening mental health and substance use disorder services and better integrating them with physical health care.
Community Supports
New services as part of the transformation of Medi-Cal help members address unmet basic needs that can impact their health, whether they’re clinical or non-clinical. These include support to secure and maintain housing, and access to medically tailored meals to support short term recovery.
Dental Initiative
Medi-Cal is expanding dental benefits for children and those with conditions that are more likely to lead to dental disease.
Enhanced Care Management
Medi-Cal is providing high-need members with in-person care where they live.
Incentive Payment Program
Medi-Cal is supporting the implementation and expansion of Enhanced Care Management, Community Supports and other initiatives by providing incentives to Medi-Cal managed care plans to invest in improving the quality of care, reducing health disparities, and promoting health equity.
Integrated Care for Dual Eligible Members
Medi-Cal is providing high-need members with in-person care where they live.
Justice-Involved Reentry Initiative
Medi-Cal is providing services to justice-involved adults and youth while they are incarcerated, and as they re-enter their communities.
Population Health Management
Medi-Cal is requiring managed care plans to use a concentrated holistic approach to improving the health outcomes of a group of individuals.
Providing Access and Transforming Health (PATH)
PATH funds are an investment in the capacity and infrastructure of local community-based organizations to provide services to Medi-Cal members in their communities.
Statewide Managed Long-Term Care
Medi-Cal is introducing a better way to coordinate care for those with very complex or long-term care needs.
Supporting Health and Opportunity for Children and Families
Medi-Cal is improving the health of children in California, supporting their families, reducing disparities in care, and strengthening accountability and oversight of children’s services.
Delivery System Transformation
Medi-Cal is standardizing benefits across the state so that Californians have access to the same services no matter where they live, by:
- Introducing (or piloting) a streamlined universal release of information consent process
- Adding trained health educators and other community-based health workers who can provide services such as care coordination, referrals, and connection to health and social services
- And more.