Medi-Cal Reports Strong Growth in Enhanced Care Management and Community Supports
ກໍລະກົດ 3, 2025
ການລົງທະບຽນເດັກນ້ອຍ ແລະໄວໜຸ່ມໃນການຄຸ້ມຄອງການດູແລທີ່ດີຂຶ້ນເກືອບສາມເທົ່າ; ເກືອບ 1 ລ້ານການບໍລິການຊ່ວຍເຫຼືອຊຸມຊົນທີ່ສົ່ງໃຫ້ສະມາຊິກນັບຕັ້ງແຕ່ການເປີດຕົວ
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.
ການຊ່ວຍເຫຼືອຂອງຊຸມຊົນຍັງເຂົ້າເຖິງສະມາຊິກ Medi-Cal ຫຼາຍຂຶ້ນ. ມາຮອດທ້າຍປີ 2024, ມີສະມາຊິກປະມານ 368,400 ຄົນໄດ້ໃຊ້ບໍລິການເຫຼົ່ານີ້, ໂດຍມີການບໍລິການທັງໝົດ 920,000 ກວ່າແຫ່ງ. ການສະຫນັບສະຫນູນເຫຼົ່ານີ້ສະເຫນີທາງເລືອກທີ່ມີຄ່າໃຊ້ຈ່າຍໃນຊຸມຊົນເພື່ອການດູແລທາງການແພດແບບດັ້ງເດີມ, ແກ້ໄຂປັດໃຈທາງສັງຄົມທີ່ມີຜົນກະທົບຕໍ່ສຸຂະພາບ. ຂອງຜູ້ທີ່ໄດ້ເຂົ້າເຖິງການຊ່ວຍເຫຼືອຊຸມຊົນໃນ Q4 2024:
- ເກືອບ 60 ເປີເຊັນໄດ້ເຂົ້າເຖິງອາຫານທີ່ປັບແຕ່ງທາງການແພດ/ອາຫານການແພດ.
- ປະມານ 40 ເປີເຊັນໄດ້ນໍາໃຊ້ຫນຶ່ງຫຼືຫຼາຍກວ່າການບໍລິການທີ່ຢູ່ອາໄສ Trio (ການບໍລິການນໍາທາງການເຄື່ອນຍ້າຍທີ່ຢູ່ອາໄສ, ການເຊົ່າທີ່ຢູ່ອາໄສແລະການບໍລິການແບບຍືນຍົງ, ແລະເງິນຝາກທີ່ຢູ່ອາໄສ).
WHY THIS MATTERS: More Medi-Cal members with complex medical and social needs are accessing ECM and Community Supports. Key drivers of growth include:
- ການຂະຫຍາຍຕົວຢ່າງຫຼວງຫຼາຍໃນການບໍລິການສໍາລັບເດັກນ້ອຍແລະໄວຫນຸ່ມ, ເຊິ່ງການລົງທະບຽນ ECM ເພີ່ມຂຶ້ນເກືອບ 160 ສ່ວນຮ້ອຍໃນໄລຍະ 2024.
- ການຂະຫຍາຍຕົວຂອງຜູ້ໃຫ້ບໍລິການຢ່າງຕໍ່ເນື່ອງສໍາລັບສະມາຊິກທີ່ກ່ຽວຂ້ອງກັບຄວາມຍຸຕິທໍາ, ຜູ້ໃຫ້ບໍລິການ ECM ທີ່ມີສັນຍາເພີ່ມຂຶ້ນ 14 ສ່ວນຮ້ອຍຕໍ່ໄຕມາດສໍາລັບຜູ້ໃຫຍ່ແລະ 32 ສ່ວນຮ້ອຍຕໍ່ໄຕມາດສໍາລັບໄວຫນຸ່ມລະຫວ່າງທ້າຍປີ 2023 ຫາທ້າຍປີ 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.
###
ຫ້ອງການສື່ສານ
(916) 440-7660
DHCSPress@dhcs.ca.gov