Medi-Cal Reports Strong Growth in Enhanced Care Management and Community Supports
Июль 3, 2025
Число детей и подростков, зачисленных в программу расширенного ухода, почти утроилось; с момента запуска программы членам было оказано около 1 миллиона услуг поддержки сообщества
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.
Поддержка сообщества также охватывает большее число участников Medi-Cal. К концу 2024 года этими услугами воспользовались около 368 400 участников, а общее количество оказанных услуг превысило 920 000. Эти виды поддержки предлагают экономически эффективные альтернативы традиционной медицинской помощи на уровне местного сообщества, учитывающие социальные факторы, влияющие на здоровье. Из тех, кто воспользовался услугами поддержки сообщества в четвертом квартале 2024 года:
- Почти 60 процентов получали питание, адаптированное с медицинской точки зрения/лечебно-поддерживающие продукты питания.
- Около 40 процентов воспользовались одной или несколькими услугами жилищного трио (услуги навигации по жилищному переходу, услуги по аренде и поддержанию жилья, а также жилищные депозиты).
WHY THIS MATTERS: More Medi-Cal members with complex medical and social needs are accessing ECM and Community Supports. Key drivers of growth include:
- Значительное расширение услуг для детей и молодежи, охват которых услугами ДМСП увеличился почти на 160 процентов по сравнению с 2024 годом.
- Устойчивый рост числа поставщиков услуг в сфере правосудия: число поставщиков услуг ЕСМ, работающих по контракту, в период с конца 2023 года по конец 2024 года увеличивалось на 14 процентов в квартал для взрослых и на 32 процента в квартал для молодежи.
- 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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Офис коммуникаций
(916) 440-7660
DHCSPress@dhcs.ca.gov