CalAIM Skilled Nursing Facility Long-Term Care Carve-In
Return to CalAIM Long-Term Care Carve-in Homepage
California is transforming Medi-Cal through several initiatives to continue to drive quality of care improvements, streamline and reduce complexity, and build upon equity-focused, data-driven, and whole-person care. The Skilled Nursing Facility (SNF) Carve-In to Medi-Cal managed care standardizes SNF services covered under managed care statewide in order to advance a more consistent and integrated system of managed care and increase access to comprehensive care coordination, care management, and a broad array of services for Medi-Cal members in SNFs.
What the Carve-In means for Californians
On January 1, 2023, all managed care plans (MCPs) became responsible for covering the long-term care (LTC) services provided in SNFs, including both freestanding and hospital-based SNFs.
MCPs coordinate the care members require both within SNFs as well as from other providers. MCPs provide members with a network of health care providers and care coordination services to help manage member care.
More information for members can be found on the
LTC Carve-In Member Information webpage. Key Carve-In Documents
Policy Guidance
Additional Carve-In Resources
Managed Care Resources for LTC Providers
Informational Webinars
Department of Health Care Services (DHCS) hosted educational webinars to support stakeholders with the Carve-In implementation. Details and materials for the webinars can be found at the following link:
Additional Resources
Questions
Contact DHCS with any questions about the SNF LTC Carve-In at LTCTransition@dhcs.ca.gov.
