Incentive Payment Program
Medi-Cal Transformation
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California is transforming Medi-Cal by offering new and improved services to ensure Californians get the care they need to lead healthier lives. The CalAIM Incentive Payment Program (IPP) supports the implementation and expansion of Enhanced Care Management (ECM), Community Supports, and other CalAIM initiatives by providing incentives to Medi-Cal managed care plans (MCPs). IPP incentives are oriented around four primary goals:
- Member engagement and service delivery, including reaching new members
- Building sustainable infrastructure and capacity, including health information technology, workforce, and provider networks
- Promoting program quality, with measurable impacts on utilization
- Creating equitable access for ECM Populations of Focus (PoFs), including those newly becoming eligible for services in 2023 and 2024
What does this change mean for Californians?
Medi-Cal is committed to improving the quality and delivery of services to members. IPP provides meaningful incentives to Medi-Cal MCPs to meet key targets in their implementation and delivery of transformative programs and services. To earn these IPP funds, plans are evaluated against new measures and must demonstrate strong performance and improvement over time. MCPs are encouraged to invest these funds into future improvements to the services they offer to Medi-Cal members.
News
For all remaining upcoming IPP submissions, reporting will be completed via Nintex, an online submission platform. This is a submission platform change only, the contents of the submissions will not change. The Nintex form includes fillable fields, drop downs, and calculations that give live feedback for each measure. Another feature of Nintex is data from the previous submission (Submission 3), is prepopulated based on an MCPs prior submission. Nintex Automate also allows for better control of what is entered into the reporting fields. Overall, this effort improves the submission data quality. DHCS is requesting confirmation of the Plan’s contact information (First Name, Last Name, Email Address) to use as access to the Nintex Survey. Without the requested contact information, the Plan will
NOT be able to submit the Nintex Survey for IPP Submission 4.
Submission 4, for the measurement period of July 1, 2023 through December 31, 2023, is due on March 1, 2024.
Documents and Other Resources
General Program Materials
Program Years 2 and 3 Materials
Managed Care Plan (MCP) Submissions
Other Resources
Program Year 1 Materials
Additional Resources
Webinars & Meetings
- CalAIM Incentive Payment Program Webinar (December 2022)
- Incentive Payment Program Stakeholder Webinar (May 2022)
- PATH and Incentive Payment Programs Overview (December 2021)
- CalAIM ECM and ILOS Performance Incentive Payments Webinar (June 2021)
Contact Us
Contact DHCS with any questions or comments on the Incentive Payment Program at
CalAIMECMILOS@dhcs.ca.gov.
