Medi-Cal Reports Strong Growth in Enhanced Care Management and Community Supports
3de julio de 2025
La matrícula de niños y jóvenes en la administración de atención mejorada casi se triplicó; Cerca de 1 millón de servicios de apoyo comunitario prestados a los miembros desde su lanzamiento
SACRAMENTO — The Department of Health Care Services (DHCS) today shared new data showing how Enhanced Care Management (ECM) and Community Supports are increasing and helping more people as part of the state’s Medi-Cal transformation under California Advancing and Innovating Medi-Cal (CalAIM).
“The trends reflected in the data demonstrate the real and growing impact of CalAIM in supporting the health and well-being of Medi-Cal members,” said DHCS Director Michelle Baass. “We’re seeing especially strong progress in reaching children and youth, expanding access to critical supports like housing and food, and growing the provider networks needed to deliver these services. Together, these efforts are helping more Californians live healthier, more stable lives.”
WHAT THE NUMBERS SHOW: Since ECM launched in January 2022, more than 326,000 unique Medi-Cal members have enrolled in this benefit that provides comprehensive, person-centered care coordination for members with complex needs. In the last three months of 2024 alone, more than 149,400 members received ECM services, including more than 31,000 children and youth under 21, nearly four times more than when ECM launched for these groups in July 2023.
Los Apoyos Comunitarios también están llegando a más miembros de Medi-Cal. A finales de 2024, aproximadamente 368.400 miembros habían utilizado estos servicios, con más de 920.000 servicios totales prestados. Estos apoyos ofrecen alternativas rentables y basadas en la comunidad a la atención médica tradicional, abordando los factores sociales que afectan la salud. De los que accedieron a los apoyos de la comunidad en el cuarto trimestre de 2024:
- Casi el 60 por ciento accedió a comidas médicamente adaptadas/alimentos de apoyo médico.
- Alrededor del 40 por ciento utilizó uno o más de los servicios del Trío de Vivienda (Servicios de Navegación de Transición de Vivienda, Servicios de Tenencia y Sostenimiento de Vivienda, y Depósitos de Vivienda).
WHY THIS MATTERS: More Medi-Cal members with complex medical and social needs are accessing ECM and Community Supports. Key drivers of growth include:
- Expansión significativa en los servicios para niños y jóvenes, cuya matrícula de ECM aumentó en casi un 160 por ciento con respecto a 2024.
- Crecimiento constante de proveedores para los miembros involucrados en la justicia, con un crecimiento del 14 por ciento por trimestre para los adultos y del 32 por ciento por trimestre para los jóvenes entre finales de 2023 y finales de 2024.
- Increased access and scale of Community Supports, now available in 40 counties, with 91 percent of Medi-Cal members having access to at least 10 services.
PROVIDER NETWORKS ARE GROWING: The number of providers delivering ECM and Community Supports has grown significantly. Managed care plans now hold approximately 2,600 provider contracts for Community Supports alone, up from about 750 in early 2022. This reflects a strong commitment from community-based organizations, housing providers, and local health systems to support CalAIM’s goals.
COMMUNITY SUPPORTS ARE COST-EFFECTIVE: DHCS’ June 2025 cost-effectiveness report shows that Community Supports help reduce overall health care costs by preventing avoidable hospitalizations, emergency room visits, and long-term institutional care, while improving health outcomes.
WHAT’S NEXT: Starting January 1, 2026, Transitional Rent will become a mandatory Community Support and will be available to provide up to six months of rental assistance to members who are experiencing or at risk of homelessness, are experiencing significant behavioral health needs, and meet certain risk factors. This is another important step in making sure Medi-Cal members have the support they need to live healthy, stable lives in their communities.
DHCS will continue to center feedback from Medi-Cal members to ensure ECM and Community Supports are responsive, accessible, and equitable. By listening closely to people who are directly impacted, California aims to enhance the effectiveness of these programs and better support members’ health and well-being.
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Oficina de Comunicaciones
(916) 440-7660
DHCSPress@dhcs.ca.gov