Tsev CalAIM: Hloov Medi-Cal Cov peev txheej​​ 

Cov peev txheej​​ 

CalAIM: Hloov Medi-Cal​​ 

CalAIM Concept Paper​​ 

DHCS is hosting a 30-day public comment period from July 23 to August 22, 2025, to solicit feedback on the Continuing the Transformation of Medi-Cal Concept Paper. This concept paper focuses on California’s Medi-Cal transformation efforts to date and highlights DHCS’ vision and goals for the five years, starting in 2027, after key federal waivers that authorize California Advancing and Innovating Medi-Cal (CalAIM) expire in December 2026.​​ 

DHCS thov kom cov neeg muaj feem cuam tshuam xa cov lus tawm tswv yim ntawm Daim Ntawv Pom Zoo no ua ntej hnub Thursday, Lub Yim Hli 21, 2025, mus rau 1115Waiver@dhcs.ca.gov. DHCS tseem yuav zoo siab txais tos cov lus tawm tswv yim thaum lub rooj sib tham muaj feem cuam tshuam nrog rau cov rooj sib tham uas yuav muaj nyob rau lub caij ntuj sov.​​ 

CalAIM ASCMI Pilot​​ 

CalAIM Initiative Nplooj ntawv​​ 

CalAIM Hloov Kho Cov Lus Qhia​​ 

DHCS tau tshaj tawm tsab ntawv thov CalAIM hloov kho thaum Lub Ib Hlis 8, 2021:​​ 

DHCS tau tshaj tawm tsab ntawv thov CalAIM thaum Lub Kaum Hli 29, 2019, ntawm Pawg Neeg Tawm Tswv Yim Pab Koom Tes (SAC) thiab Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv (BH-SAC) cov rooj sib tham. Thaum lub Kaum Ib Hlis 2019 txog Lub Ob Hlis 2020, DHCS tau ua ntau yam kev koom tes nrog cov neeg koom nrog CalAIM thiab kev rov ua dua tshiab ntawm tsoomfwv cov cai uas Medi-Cal ua haujlwm (piv txwv li 1115 thiab 1915b zam).​​ 

DHCS tau ncua sijhawm qhov kev npaj ua raws li CalAIM teg num, thawj zaug tau teem rau Lub Ib Hlis 1, 2021 kom DHCS thiab tag nrho peb cov neeg koom tes tuaj yeem tsom lawv cov peev txheej tsawg ntawm cov kev xav tau tshwm sim los ntawm kev noj qab haus huv rau pej xeem xwm txheej ceev vim yog COVID-19.​​ 

DHCS tau tuav lub webinar los muab cov ntsiab lus ntawm 2021 CalAIM Proposal thaum Lub Ib Hlis 2021 los tshuaj xyuas cov khoom ntawm cov lus pom zoo, suav nrog kev hloov pauv rau thawj qhov kev pom zoo raws li cov neeg muaj feem cuam tshuam.​​ 

Waiver Resources​​ 

CalAIM Workgroups​​  

In 2019, DHCS established topic-specific stakeholder workgroups to explore specific sections of the CalAIM proposal. While these workgroups concluded in February 2020, several new workgroups continue to meet to share feedback and learn more about CalAIM initiatives. For information about upcoming meetings, visit CalAIM News & Updates.​​ 

Cwj Pwm Kev Noj Qab Haus Huv Pab Pawg​​ 

Thaum Lub Ib Hlis 20, 2022, DHCS tau tuav lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv los tshuaj xyuas qhov kev nce qib ntawm CalAIM Behavioral Health teg num uas tau mus nyob rau lub Ib Hlis 2022 thiab dhau mus, thiab xav txog kev nqis tes ua thiab kev txiav txim siab ua haujlwm ntsig txog CalAIM Behavioral Health teg num.​​  

Visit the CalAIM Behavioral Health webpage to access materials from past meetings. Send any questions regarding the Behavioral Health Workgroup to calaimbh@dhcs.ca.gov.​​ 

Foster Care Model of Care Workgroup​​ 

In consultation with key stakeholders, DHCS and the California Department of Social Services (CDSS) launched the Foster Care Model of Care workgroup in June 2020. Send any questions regarding the Foster Care Workgroup to CalAIMFoster@dhcs.ca.gov.​​ 

Kev Ncaj Ncees-Involved Advisory Group​​  

Pawg Neeg Pab Tswv Yim Txog Kev Ncaj Ncees yog ib lub koom haum dav dav los thov cov tswv yim los ntawm cov neeg koom nrog txog txoj cai thiab kev siv txoj haujlwm CalAIM Justice-Involved. Mus saib nplooj ntawv web CalAIM Justice-Involved kom nkag mus saib cov ntaub ntawv los ntawm txhua lub rooj sib tham ntawm Pawg Neeg Saib Xyuas Kev Ncaj Ncees yav dhau los. Xa cov lus nug txog Pawg Neeg Pab Tswv Yim Txog Kev Ncaj Ncees mus rau CalAIMPusticeAdvisoryGroup@dhcs.ca.gov.​​ 

Txhawm rau kom tau txais cov xov xwm tshiab txog cov rooj sib tham ntawm Pawg Neeg Qhia Txog Kev Ncaj Ncees, sau npe rau DHCS Stakeholder Announcements.​​ 

Tswj Kev Pabcuam Sijhawm Ntev thiab Kev Txhawb Nqa thiab Duals Integration Workgroup​​ 

Hauv kev sab laj nrog cov neeg muaj feem tseem ceeb, thiab koom tes nrog Tus Thawj Kav Tebchaws Txoj Kev Npaj rau Kev Laus, DHCS tau tsim Cov Kev Pabcuam Sijhawm Ntev thiab Kev Pabcuam (MLTSS) thiab Duals Integration workgroup thaum Lub Ob Hlis 2021. Lub hom phiaj ntawm pawg neeg ua haujlwm yog koom tes nrog cov neeg muaj feem cuam tshuam txog kev hloov pauv ntawm Cal MediConnect (CMC) mus rau ib lub xeev MLTSS thiab Dual Eligible Special Needs Plan (D-SNP) ua raws cov qauv sau npe. Txoj cai no yog npaj los pab ua kom tau raws li lub hom phiaj thoob plaws lub xeev ntawm kev txhim kho kev sib koom ua ke ntawm kev saib xyuas thiab kev saib xyuas tib neeg, raws li CalAIM thiab California Master Plan for Aging.​​ 

Send any questions regarding this workgroup to info@calduals.org.​​  

Population Health Management (PHM) Advisory Group​​  

Launched in 2022, the PHM Advisory Group is comprised of cross-sector stakeholders who provide feedback and recommendations on many aspects of the CalAIM PHM program and the PHM Service. Members include a diverse set of leaders from across the state with representation from health plans, providers, counties, state departments, consumer organizations, and other groups. Specific topics for discussion will vary by meeting and will include screening and assessments, risk stratification and tiering, basic population health management, including wellness and prevention, care management, and patient engagement. While the PHM Advisory Group will be open to the public, active participation will be limited to Advisory Group members. The group will meet periodically through 2022.​​  

  • Cov ntaub ntawv nthuav qhia los ntawm Lub Plaub Hlis 26, 2022 PHM Pawg Kws Pab Tswv Yim yuav tshaj tawm sai sai.​​ 
  • View presentation materials from the March 18, 2022 PHM Advisory Group.​​  

Mus saib nplooj ntawv web ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv ntawm Cov Neeg kom nkag mus rau cov ntaub ntawv thiab cov ntaub ntawv ntawm pawg neeg PHM Advisory Group lub rooj sib tham yav dhau los. Cov lus nug txog PHM Advisory Group tuaj yeem xa mus rau PHMSection@dhcs.ca.gov. Yog xav tau cov xov xwm tshiab txog cov rooj sib tham ntawm PHM Advisory Group, sau npe rau DHCS Stakeholder Announcements.​​ 

Cov pawg neeg ua haujlwm teev hauv qab no tau ntsib txij lub Kaum Ib Hlis 2019 txog Lub Ob Hlis 2020:​​ 

Medi-Cal Strategy los txhawb kev noj qab haus huv thiab lub sijhawm rau menyuam yaus thiab tsev neeg​​  

DHCS tau tshaj tawm thaum Lub Peb Hlis 2, 2022, ib lub tswv yim rau cov tsev neeg cuv npe hauv Medi-Cal uas sib koom ua ke ntawm cov xov xwm uas twb muaj lawm thiab cov kev npaj tshiab rau menyuam yaus thiab tsev neeg kev noj qab haus huv thiab ntxiv dag zog rau DHCS txoj kev lav phib xaub thiab saib xyuas cov kev pabcuam menyuam yaus. DHCS tab tom ntxiv dag zog rau nws txoj kev tsom mus rau cov menyuam yaus thiab cov tsev neeg tau kawm hauv Medi-Cal, suav nrog kev txhim kho kev tiv thaiv thiab EPSDT lub hauv paus, hais txog kev noj qab haus huv tsis sib xws hauv kev saib xyuas menyuam yaus thiab cov txiaj ntsig, koom nrog tsev neeg kom zoo dua suav nrog cov neeg sau npe lub suab hauv kev txiav txim siab, thiab hais txog kev coj cwj pwm ntawm cov hluas. kev noj qab haus huv.​​ 

Lwm Lub Rooj Sib Tham​​ 

Mandatory Managed Care Enrollment Initiative​​ 

Kev hloov ntawm CMC thiab CCI mus rau ib lub xeev MLTSS thiab D-SNP qauv​​