CalAIM Enhanced Care Management, Community Supports, and Incentive Payment Program Initiatives
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Enhanced Care Management (ECM) and Community Supports are foundational components of CalAIM.
Enhanced Care Management
CalAIM will improve Medi-Cal for people with complex needs and who are facing difficult life and health circumstances. It is focused on breaking down the traditional walls of health care – extending beyond hospitals and health care settings into communities.
As a key part of CalAIM, Enhanced Care Management (ECM) is a new statewide Medi-Cal benefit available to select “Populations of Focus" that will address clinical and non-clinical needs of the highest-need enrollees through intensive coordination of health and health-related services. It will meet beneficiaries wherever they are – on the street, in a shelter, in their doctor's office, or at home. Beneficiaries will have a single Lead Care Manager who will coordinate care and services among the physical, behavioral, dental, developmental, and social services delivery systems, making it easier for them to get the right care at the right time.
Download the factsheet about the CalAIM initiative to advance Enhanced Care Management.
Additionally, beneficiaries are being connected to Community Supports to meet their social needs, including medically supportive foods or housing supports. Community Supports are new services provided by Medi-Cal managed care plans as cost effective alternatives to traditional medical services or settings. Community Supports are designed to address social drivers of health (factors in people's lives that influence their health). All Medi-Cal managed care plans are encouraged to offer as many of the 14 pre-approved Community Supports as possible and are available to eligible Medi-Cal members regardless of whether they qualify for Enhanced Care Management services.
Download the factsheet about the CalAIM initiative to advance Community Supports to address social drivers of health.
Community Supports Spotlight Series
The Community Supports Spotlight Series aims to review and reinforce policy guidance on individual Community Supports, identify and amplify best practices and lessons learned from community providers, Whole Person Care pilots, and Managed Care Plans, and respond to emerging questions from the field.
- On May 18, 2022, DHCS held its first CalAIM Community Supports Spotlight webinar featuring Medically Tailored Meals which included presentations by Project Angel Food and SPUR.
- On June 15, 2022, DHCS hosted the second webinar in the CalAIM Community Supports Spotlight Series, focusing on Sobering Centers and Day Habilitation programs, including eligibility requirements, program impact, and pathways to provider enrollment, as well as best practices from the field.
- On July 20, 2022 at 12:00 p.m., DHCS will virtually host the third webinar in the CalAIM
Community Supports Spotlight series. Agenda items include background on CalAIM Community Supports and information about Asthma Remediation and Environmental Accessibility Adaptations (Home Modificationss), including eligibility requirements, program impact, and pathways to provider enrollment, as well as best practices from the field.
Incentive Payment Program
The CalAIM Incentive Payment Program is intended to support the implementation and expansion of ECM and Community Supports by incentivizing managed care plans (MCPs), in accordance with 42 CFR Section 438.6(b), to drive MCP delivery system investment in provider capacity and delivery system infrastructure; bridge current silos across physical and behavioral health care service delivery; reduce health disparities and promote health equity; achieve improvements in quality performance; and encourage take-up of Community Supports.
Providing Access and Transforming Health (PATH)
California's Section 1115 waiver renewal includes expenditure authority for the “Providing Access and Transforming Health" (PATH) initiative to maintain, build, and scale services, capacity and infrastructure necessary to ensure successful implementation of Enhanced Care Management, Community Supports, and Justice Involved services under CalAIM. PATH funding aims to support community level service delivery networks to ensure access to health care services, and improve health outcomes, with particular attention to communities that have been historically under-resourced because of economic or social marginalization due to race, ethnicity, rural geography, or other factors. PATH funding is available for various entities such as providers, counties, former Whole Person Care (WPC) Lead Entities, Community-Based Organizations (CBOs), tribes and others. Learn more about PATH.
This landing page will serve as the centralized repository for the most up-to-date information about ECM, Community Supports and the Incentive Payment Program. Please submit questions about these programs to:
- On Tuesday, June 14, from 11:30 a.m. to 1 p.m. PDT, DHCS will host the second of three webinars on ECM. The ECM and Community Supports in Rural California webinar will provide an overview of ECM and Community Supports intended for providers and community-based organizations located in rural areas. DHCS will be joined by Hill Country Clinic in Shasta County to share their experience on providing ECM and Community Supports. Interested stakeholders are encouraged to submit questions in advance of the webinars to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the webinar. Advanced registration is required.
- On Tuesday, June 21, from 10:00 a.m. to 11:30 a.m. PDT, DHCS will host the final June webinar on ECM. The ECM & Community Supports Intersection webinar will include speakers from Illumination Foundation in California to share their experience about being both an ECM and Community Supports provider. The webinar will also include “myth-busting" on misconceptions between the two programs. Interested stakeholders are encouraged to submit questions in advance of the webinars to CalAIMECMILOS@dhcs.ca.gov. Attendees will also have an opportunity to ask questions during the webinar.
Key ECM & Community Supports Documents
Incentive Payment Program (IPP) Documents
To support stakeholder planning and implementation, DHCS hosts informational webinars to provide ECM and Community Supports and program updates. Meeting materials will be made available here following the webinar.
- ECM and Community Supports in Rural California- June 14, 2022 at 11:30 A.M. PST
- Community Supports Spotlight Webinar featuring Sobering Centers and Day Habilitation- June 15, 2022 at 1 P.M. PST
- ECM & Community Supports Intersection- June 21, 2022 at 10 A.M. PST
- Community Supports Spotlight Webinar featuring Asthma Remediation and Environmental Accessibility Adaptations - July 20, 2022 at 12 P.M. PST
Listed below are additional resources with key information about ECM and Community Supports:
Questions and Comments
Contact DHCS with any questions or comments on the CalAIM Enhanced Care Management and Community Supports initiatives at