CalAIM ASCMI Initiative
Overview
The Authorization to Share Confidential Member Information (ASCMI) Initiative is a statewide effort to promote and standardize the exchange of Clients’ sensitive information, including certain physical health, behavioral health, and social services information (HSSI), among Care Partners such as providers, health plans, county agencies, and social services organizations.
The ASCMI Form is a standardized tool designed to overcome persistent barriers that limit broad and secure access to sensitive information. These include complex privacy rules governing consent and data exchange, outdated technology and paper-based processes, and a fragmented, incomplete information-sharing ecosystem. By addressing these challenges, the ASCMI Form helps lay the groundwork for a more connected and person-centered system of care.
Under the ASCMI approach, Care Partners may use the ASCMI Form to obtain an individual’s consent for real-time data sharing between Care Partners and to support care coordination. Although the ASCMI Form is initially being implemented for Medi-Cal Members, it is designed for use by all individuals in California.
To support real-time access to client consent preferences for protected information, DHCS is launching a Consent Management Portal (CMP). The CMP will be a secure, statewide tool for collecting, maintaining, and sharing Clients’ consent preferences captured through the ASCMI Form. It provides Care Partners with a single, trusted source to confirm whether a Client has agreed to share specified protected information, including substance use disorder information protected by 42 C.F.R. Part 2. The CMP is designed to reduce administrative burden on providers, reduce the need for Clients to complete duplicate consent forms for the same purpose, and streamline consent management processes to support real time data exchange, timely care coordination, and health care operations. The CMP will be available through two modalities: an Application Programming Interface (API) integrated with organizations’ existing electronic health record and other documentation systems, or access through the Web-Based Service.
The ASCMI Initiative presents the opportunity to invest in and strengthen inter-system interoperability, reduce administrative burden across the state, and support key CalAIM programs such as Enhanced Care Management and Community Supports, helping to break down the traditional walls of health care and foster integrated, person-centered care.
Important Updates
In July 2026, DHCS launched the CMP with an Early Adopter Cohort (EAC) that included Orange, Placer, Riverside, and Stanislaus counties and select partner Medi-Cal managed care plans. The goal of the EAC is to test the CMP to inform its statewide rollout. A date for statewide availability has not yet been set and DHCS will share updates on this page as they become available. If you are interested in learning more about how to onboard to the CMP, please complete the CMP Onboarding Interest Form.
Additional refinements to the ASCMI Form, addressing FERPA, consent laws for minors, and individuals under conservatorship are planned for release in 2027.
Key Documents
ASCMI Form: The ASCMI Form is a standardized consent form used by Care Partners to obtain authorization to share sensitive information from their Clients.
- ASCMI Form: AB 133
- ASCMI Form: Non-AB 133
- ASCMI Revocation Form
- ASCMI FAQs (Client Facing & Care Partner): These documents include a list of Frequently Asked Questions (FAQs) for Clients signing the ASCMI Form and a list of FAQs for Care Partners administering the ASCMI Form. ASCMI FAQs
- ASCMI Pilot Evaluation White Paper: Evaluation of the 2023 ASCMI pilot, including a summary of the preliminary ASCMI design, pilot implementation process, and key findings. ASCMI White Paper
Informational Webinars
All-Comer ASCMI & DSAG Housing/Reentry Toolkit Webinar – July 29, 2025
- Slides (Note: Some color formats from the original presentation have been changed due to DHCS requirements.)
- Transcript
- Recording
CalAIM Consent Management Pilot Webinar – November 2, 2022
Additional Resources
CalAIM Data Sharing Authorization Guidance
California Data Exchange Framework
Questions and Comments
Contact DHCS with questions or comments on the ASCMI Initiative at DHCSDataSharing@dhcs.ca.gov