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Tsev Xov xwm Kev Tsim Kho Tshiab ntawm Medi-Cal Care ncav cuag ntau tus neeg California dua li yav dhau los​​ 

Kev Tsim Kho Tshiab ntawm Medi-Cal Care ncav cuag ntau tus neeg California dua li yav dhau los​​ 

Cov ntaub ntawv tshiab qhia txog kev loj hlob tseem ceeb hauv Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog​​ 

SACRAMENTO — The Department of Health Care Services (DHCS) today released new data showing continued growth and impact from Enhanced Care Management (ECM) and Community Supports, key components of California’s Medi-Cal transformation under the California Advancing and Innovating Medi-Cal (CalAIM) initiative.​​  

“These services help Medi-Cal members stay healthier and avoid other, costlier care, such as emergency department visits and hospital stays,” said DHCS Director Michelle Baass. “We appreciate the hard work and commitment of Medi-Cal managed care plan providers and partners. Together, we are building a health care delivery system that supports whole-person care for Medi-Cal members.”​​  

Daim ntawv qhia txog peb lub hlis tshiab tshaj plaws suav nrog cov qauv txij li Lub Ib Hlis 2022 thiab cov ntaub ntawv tshiab txij li Lub Plaub Hlis mus txog Lub Rau Hli 2025, uas suav nrog cov ntaub ntawv theem xeev, lub nroog, thiab kev tswj hwm kev npaj kho mob ntawm cov tswv cuab uas tau txais kev pab, kev siv kev pabcuam, thiab cov tes hauj lwm muab kev pabcuam.​​  

ECM REACHES MORE CALIFORNIANS: ECM helps people with complex health and social needs, including homelessness, serious mental illness, or frequent hospital visits, coordinate the care they need, wherever they are. Since its launch in January 2022, ECM has connected more than 451,000 Medi-Cal members to high-touch, person-centered care coordination through a Lead Care Manager who helps navigate physical, behavioral, and social services.​​   

Hauv peb lub hlis thib ob ntawm xyoo 2025, cov neeg sau npe ECM tau nce siab, tshwj xeeb yog cov menyuam yaus thiab cov hluas. Muaj ntau tshaj 47,000 tus menyuam yaus thiab cov hluas tau txais ECM, uas yog 102 feem pua nce ntxiv los ntawm lub sijhawm tib yam xyoo tas los. Yuav luag muaj 3,600 tus neeg laus uas tau hloov los ntawm kev raug kaw thiab ntau dua 16,000 tus menyuam yaus thiab cov hluas uas tsis muaj tsev nyob kuj tau txais ECM, nce ntxiv ntawm 83 feem pua thiab 164 feem pua piv rau lub sijhawm tib yam xyoo tas los, raws li. Yuav kom ua tau raws li qhov kev thov no, cov tes hauj lwm muab kev pabcuam tau nthuav dav heev, nrog rau cov neeg muab kev pabcuam rau cov pej xeem no nce ntau dua 80 feem pua xyoo dhau los.​​  

“Every expansion means more Californians have access to services that keep them stable, healthy, and supported,” said State Medicaid Director Tyler Sadwith. “We’re focused on making these programs even more accessible and responsive to the communities we serve.”​​  

COMMUNITY SUPPORTS GROWTH: Community Supports provide cost-effective, community-based alternatives to traditional medical care, addressing housing, nutrition, and other social drivers of health. Since launching in January 2022, these services have become a cornerstone of whole-person care in Medi-Cal.​​  

Txij li thaum Lub Rau Hli 2025, muaj ntau tshaj 520,000 tus tswv cuab Medi-Cal tau txais kev pabcuam hauv zej zog, nrog rau ntau tshaj 1.3 lab qhov kev pabcuam thoob plaws lub xeev. Kev nkag mus txuas ntxiv nthuav dav, vim tias yuav luag txhua tus tswv cuab Medi-Cal tam sim no muaj kev nkag mus rau tsawg kawg 10 Kev Txhawb Nqa Hauv Zej Zog, thiab feem ntau (94 feem pua) tuaj yeem xaiv los ntawm cov kev pabcuam tag nrho. Cov pluas noj uas kho mob thiab cov kev pab cuam ntsig txog vaj tse tseem yog cov uas siv ntau tshaj plaws.​​  

WHY THIS IS IMPORTANT: The growth of ECM and Community Supports reflects California’s commitment. These services are critical tools in addressing challenges, such as homelessness, behavioral health access, and support for families and youth with complex needs.​​  

Ua ib feem ntawm qhov kev cog lus no los txhim kho cov txiaj ntsig kev noj qab haus huv, California tau nthuav dav Txoj Haujlwm Rov Qab Nkag Mus Rau Kev Ncaj Ncees, uas yuav tsum muaj cov phiaj xwm kev saib xyuas uas tswj hwm los muab kev sib koom tes saib xyuas thiab kev kho mob thiab kev noj qab haus huv txog li 90 hnub ua ntej tso tawm, kom ntseeg tau tias muaj kev saib xyuas txuas ntxiv mus thaum rov qab mus rau hauv zej zog. Qhov kev pib no, uas yog txhawb nqa cov tswv cuab nrog cov kev pabcuam ua ntej tso tawm thiab ua kev sib txuas rau kev saib xyuas txuas ntxiv mus los ntawm ECM tom qab tso tawm, tau pib ua haujlwm thaum Lub Kaum Hli 2024 nrog peb lub nroog, nthuav dav mus rau lub xeev cov tsev loj cuj thaum Lub Ob Hlis 2025, thiab tam sim no ua haujlwm hauv 13 lub nroog. Txhua lub nroog thoob plaws lub xeev yuav tsum muab cov kev pabcuam no thaum Lub Kaum Hli Ntuj xyoo 2026.​​  

INVESTING IN CAPACITY: To support the expansion of ECM and Community Supports, DHCS has awarded more than $1.66 billion through its Providing Access and Transforming Health (PATH) initiatives, including Capacity and Infrastructure Transition, Expansion, and Development (CITED), Collaborative Planning and Implementation, Justice-Involved Capacity Building program, and Technical Assistance Marketplace. These funds help community-based organizations, clinics, and local agencies grow their capacity by hiring staff, upgrading systems, and improving care coordination. The fourth and final round of PATH CITED grant awardees was announced in November 2025.​​  

WHAT’S NEXT: DHCS will continue listening to Medi-Cal members who use ECM and Community Supports. Feedback gathered through surveys, focus groups, and other outreach will guide improvements to make these services easier to access, more effective, and more responsive to California’s diverse communities.​​  

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