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Sáng kiến Cung cấp Quyền Tiếp cận và Chuyển đổi Y tế (PATH) là một chương trình kéo dài 5 năm, trị giá 1,85 tỷ đô la, nhằm xây dựng năng lực và cơ sở hạ tầng của các đối tác tại chỗ, chẳng hạn như các tổ chức cộng đồng (CBO), bệnh viện, cơ quan cấp quận, các bộ lạc và những tổ chức khác, để tham gia thành công vào hệ thống cung cấp dịch vụ Medi-Cal khi California triển khai rộng rãi Quản lý Chăm sóc Nâng cao và các dịch vụ Hỗ trợ Cộng đồng và Liên quan đến Tư pháp theo chương trình CalAIM. Dựa trên thành công và những bài học kinh nghiệm từ các chương trình thí điểm Chăm sóc Toàn diện và Mô hình Nhà ở Y tế, nguồn tài trợ của PATH sẽ giải quyết những thiếu hụt về năng lực tổ chức và cơ sở hạ tầng địa phương hiện có trên toàn tiểu bang, cho phép các đối tác địa phương này mở rộng quy mô các dịch vụ mà họ cung cấp cho người thụ hưởng Medi-Cal. Với các nguồn lực được PATH tài trợ—chẳng hạn như nhân viên bổ sung, hệ thống thanh toán và khả năng trao đổi dữ liệu—các đối tác cộng đồng sẽ ký kết hợp đồng thành công với các tổ chức quản lý chăm sóc sức khỏe, mang đến nguồn kiến thức chuyên môn phong phú về nhu cầu cộng đồng cho hệ thống cung cấp dịch vụ Medi-Cal. Quỹ PATH được sử dụng để tăng cường năng lực trên toàn tiểu bang, đặc biệt là đối với các nhà cung cấp dịch vụ và các tổ chức cộng đồng vốn thường thiếu nguồn lực, từ đó giúp California thúc đẩy công bằng về y tế, giải quyết các yếu tố xã hội ảnh hưởng đến sức khỏe và hướng tới một hệ thống Medi-Cal công bằng, phối hợp và dễ tiếp cận.
Được ủy quyền theo điều khoản miễn trừ Mục 1115 của California, PATH đề cập đến các chương trình và sáng kiến liên kết sau:
- Support for Implementation of Enhanced Care Management and Community Supports. PATH will support the expansion of the capacity and infrastructure needed to implement Enhanced Care Management and Community Supports, and increase access to services statewide. This involves four integrated initiatives:
- Whole Person Care Services and Transition to Managed Care Mitigation Initiative: PATH funds services provided by former Whole Person Care Pilot Lead Entities until the services transition to managed care coverage under CalAIM. This funding will end by January 1, 2024.
- Technical Assistance Initiative: PATH provides a virtual “marketplace” that offers hands-on technical support and off-the-shelf resources from vendors to establish the infrastructure needed to implement Enhanced Care Management and Community Supports.
- Sáng kiến lập kế hoạch và thực hiện hợp tác: PATH tài trợ cho các nỗ lực lập kế hoạch và thực hiện hợp tác cấp khu vực giữa các kế hoạch chăm sóc được quản lý, nhà cung cấp, CBO, cơ quan quận, bệnh viện, bộ lạc và các bên khác để thúc đẩy sự sẵn sàng cho Quản lý chăm sóc nâng cao và Hỗ trợ cộng đồng.
- Chuyển đổi, Mở rộng và Phát triển Năng lực và Cơ sở hạ tầng (CITED ) Initiative: PATH funds provide direct funding to support the delivery of Enhanced Care Management and Community Supports services. Entities, such as providers, CBOs, county agencies, hospitals, tribes, and others that are contracted or plan to contract with a managed care plan can apply to receive funding for specific capacity needs to support the transition, expansion, and development of these specific services.
- Justice-Involved Capacity Building Program. Starting in 2023, PATH provides funding to support the implementation of statewide CalAIM justice-involved initiatives. This includes support for the implementation of pre-release Medi-Cal enrollment and suspension processes, as well as the delivery of Medi-Cal services in the 90 days prior to release. This includes:
- Collaborative planning: PATH funding supports correctional agencies, county social services departments, county behavioral health agencies, managed care plans, and others so they can jointly design, modify, and launch new processes aimed at increasing enrollment in Medi-Cal and continuous access to care for justice-involved youths and adults.
- Capacity and Infrastructure: PATH funding supports correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes and the delivery of Medi-Cal services in the 90 days prior to release.
Cập nhật quan trọng
On October 30, 2026, from 10 to 11 a.m. PDT, DHCS will host a public webinar, “Practical Applications of the CalAIM Best Practices and Sustainability Toolkits” (advance registration required). The webinar will walk participants through practical ways to use the Best Practices and Sustainability Toolkits in real-world settings. Topics include strategies related to funding, change management, staffing, and work environments, along with provider examples and common mistakes to avoid. Guest speakers include HC2 Strategies, in partnership with the Kings Tulare Homeless Alliance and the Public Health Institute. Visit the CPI webpage, to learn more, and send questions to collaborative@ca-path.com.
On April 17, 2026, DHCS hosted a public webinar: “Accelerating Improvement with the California Advancing and Innovating Medi-Cal (CalAIM) Collaborative Planning and Implementation (CPI) Best Practices and Sustainability Toolkits”.
The webinar introduced the CalAIM Best Practices and Sustainability Toolkits, showed how they can strengthen partnerships, workflows, and referral networks, and outlined clear, actionable steps organizations can take to support long‑term sustainability after PATH.
Guest speakers included Camden Coalition, BluePath Health, Institute for Healthcare Improvement, and HC2 Strategies.
Learn more by visiting the CPI webpage, and submit questions to collaborative@ca-path.com.
DHCS is pleased to announce that 139 organizations across all California counties have completed their projects under Round 1 of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative. Awardees used funding to ;strengthen their capacity to deliver Enhanced Care Management and Community Supports under CalAIM, expanding access to whole-person, community-based care. Examples include:
Training hundreds of new staff, including care managers, outreach workers, and billing coordinators
Investing in electronic health records, billing systems, and data dashboards to improve care coordination.
Developing peer-led outreach models, hosting hundreds of community events, and building trust with traditionally underserved populations.
Sự thành công của PATH CITED Vòng 1 cho thấy khi các tổ chức địa phương được cung cấp các công cụ và nguồn lực mà họ cần, họ có thể vươn lên để đáp ứng thời điểm này, cung cấp dịch vụ chăm sóc không chỉ dễ tiếp cận hơn mà còn từ bi, phối hợp và hiệu quả hơn. Tìm hiểu thêm về sáng kiến PATH CITED.
On November 18, 2025, DHCS announced awards totaling $145.5 million to 153 organizations providing Enhanced Care Management (ECM) and Community Supports.
Awards are being made as part of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative’s work to help build, maintain, and scale providers’ capacity to participate in the Medi-Cal delivery system and serve the whole person.
On October 24, 2025, DHCS hosted a public webinar: “Strengthening Connections with Children and Youth Providers”.
The webinar:
Demonstrated how First 5 programs across California are working with Enhanced Care Management (ECM) and Community Supports services and providers.
Explained how schools and school districts help connect children and families with local organizations, youth programs, and health plans. Guest speakers included HC2 Strategies and Intrepid Ascent.
Learn more by visiting the Collaborative Planning and Implementation webpage, and submit questions to collaborative@ca-path.com.
DHCS is pleased to share the updated Community Supports Policy Guide, released on April 30, 2025. To accommodate new policies related to Transitional Rent and other Community Supports for Members experiencing or at risk of homelessness, DHCS has reorganized the guide into two separate volumes:
Volume 1 contains the service definitions for eight of the Community Supports that address Members’ health-related social needs, including four Community Supports previously updated by DHCS in February 2025: Medically Tailored Meals/Medically Supportive Food, Asthma Remediation, Assisted Living Facility Transitions and Community or Home Transition Services.
Volume 2 contains the service definitions for the remaining seven Community Supports, including Transitional Rent, that pertain to housing or have a room and board component and is specifically designed to support Members experiencing or at risk of homelessness.
We encourage you to review both volumes of the guide and to visit the Medi-Cal ECM and Community Supports webpage for regular updates and the new DHCS Housing for Health webpage for housing-related updates from various DHCS initiatives both within and outside Medi-Cal.
On May 16, 2025, DHCS hosted a public webinar, “Connecting Services for the Enhanced Care Management (ECM) Justice-Involved (JI) Population of Focus Throughout the Reentry and Post-Release Process.”
The webinar recording, slide deck, and Q&A document are now available on the PATH Collaborative Planning and Implementation (CPI) webpage under “Best Practices and Resources Library”.
The webinar:
Recognized the benefits of utilizing justice-involved referral and billing toolkits.
Shared ideas to increase referrals for justice-involved individuals to access ECM and Community Supports providers.
Discussed a justice-involved reentry care plan designed to support linkages and handoffs to community-based organizations, justice-involved agencies, and MCPs.
Please submit questions to collaborative@ca-path.com.
In Spring 2025, it is anticipated that Providing Access and Transforming Health (PATH) Technical Assistance (TA) Marketplace vendors will be available to TA Recipients to support the Transitional Rent Community Support service. Please review the updates below to successfully submit a TA project supporting Transitional Rent Community Support services.
Round 5 will be a targeted procurement for new and existing hands-on service offerings that address TA Marketplace gaps. The Round 5 procurement will seek TA vendor applications for all seven TA domains, but will focus on services for the following provider types: rural providers, Tribes and Indian health care providers, maternal and child-serving providers, and transitional rent providers.
TA Marketplace recipients seeking TA for Transitional Rent from vendors in this procurement will be required to submit a Letter of Support in collaboration with the County Behavioral Health Department.
DHCS will not accept submissions for new off-the-shelf projects or changes to existing off-the-shelf projects during the Round 5 procurement period. Instead, the Round 5 application will solicit on-demand resources from existing TA vendors.
Visit the TA Marketplace Vendor webpage to access the guidance documents and to apply. Please submit questions to ta-marketplace@ca-path.com.
On December 6, 2024, DHCS hosted a public webinar, “Hospital Engagement in California Advancing and Innovating Medi-Cal (CalAIM): Supporting Connection to Enhanced Care Management (ECM) Services Among Eligible Medi-Cal Members.”
The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing ECM and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with managed care plans, state and local government agencies, and others to build and deliver quality support services to Medi-Cal members.
The webinar recording and resources, including past event recordings, are available under the “Best Practices and Resources” section on the PATH CPI webpage.
On August 30, 2024, DHCS awarded $146.6 million to 133 organizations providing Enhanced Care Management (ECM) and Community Supports services to Medi-Cal members. Awards are being made as part of the Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative’s work to help build, maintain, and scale providers’ capacity to participate in the Medi-Cal delivery system and serve the whole person.
CITED Round 3 Awardee Summary
On July 22, 2024, DHCS awarded $37 million to 49 clinics providing Enhanced Care Management and Community Supports services to Medi-Cal members. Awards are being made as part of the PATH CITED initiative’s work to help build, maintain, and scale clinics’ capacity to participate in the Medi-Cal delivery system.
On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the PATH initiative. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing successful ECM and Community Supports services linkages for the Medi-Cal members they serve.
Submit your PATH success story by emailing communications@ca-path.com.
On January 8, 2024, DHCS released the PATH CPI fact sheet to help providers at all stages of Enhanced Care Management (ECM) and Community Supports implementation who are interested in learning more about participating in the initiative. The fact sheet provides a comprehensive overview of participant eligibility, examples of local successes, priority gaps and challenges, and more. More information is available on the PATH CPI webpage.
On January 2, 2024, DHCS released the PATH Technical Assistance (TA) Marketplace fact sheet to help eligible entities learn how free TA services can build organizational capacity to implement Enhanced Care Management (ECM) and Community Supports. The fact sheet provides a comprehensive overview of TA Recipient eligibility, service offering examples, and how to register to receive free TA. Access the fact sheet by visiting the PATH TA Marketplace webpage.
On December 7, 2023, DHCS hosted a statewide webinar, entitled Relationship Building with Organizations in the California Advancing and Innovating Medi-Cal (CalAIM) Environment.
The webinar is part of a biannual series of PATH CPI webinars designed to highlight best practices for implementing Enhanced Care Management (ECM) and Community Supports, increasing providers’ successful participation in CalAIM, and improving collaboration with managed care plans (MCP), state and local government agencies, and others to build and deliver quality support services to Medi-Cal members. Webinar recordings and resources can be accessed on the PATH CPI webpage.
On October 30, 2023, DHCS awarded Providing Access and Transforming Health (PATH) Capacity and Infrastructure, Transition, Expansion, and Development (CITED) initiative Round 2 funding to help providers implement and deliver successful Enhanced Care Management and Community Supports services to Medi-Cal members. Learn more at ca-path.com/CITED.
On February 27, 2023, DHCS opened the PATH Technical Assistance (TA) Marketplace Project Eligibility Application window. Medi-Cal service providers who have submitted a Recipient Registration Form and have been approved as a TA recipient may now shop and apply for TA services and receive assistance building and delivering successful Enhanced Care Management and Community Supports services. The application window is open and ongoing. Learn more about the PATH TA Marketplace, including how to submit a Recipient Registration Form.
Tài liệu chính
Dịch vụ WPC và Chuyển đổi sang Giảm thiểu Chăm sóc được Quản lý
- Bản ghi nhớ hướng dẫn giảm thiểu dịch vụ WPC và chuyển đổi sang dịch vụ chăm sóc được quản lý của PATH
- Biểu mẫu đăng ký dịch vụ WPC PATH và chuyển đổi sang dịch vụ chăm sóc được quản lý
Lập kế hoạch và thực hiện hợp tác
- Bản ghi nhớ hướng dẫn lập kế hoạch và thực hiện hợp tác PATH (tháng 5 năm 2023)
Chuyển đổi, mở rộng và phát triển năng lực và cơ sở hạ tầng (CITED)
- Hướng dẫn Chuyển đổi, Mở rộng và Phát triển Năng lực và Cơ sở hạ tầng PATH (CITED)(Vòng 3 - Tháng 12 năm 2023)
Thị trường hỗ trợ kỹ thuật
Hội thảo trên web thông tin
Hướng dẫn và Hỏi & Đáp Ứng dụng PATH TA Marketplace – 18 tháng 10 , 2022
Bản ghi âm
Hướng dẫn ứng dụng PATH CITED và Hỏi & Đáp – ngày 8tháng 9, 2022
Trang trình bày
Bản ghi âm
Cập nhật chi tiết về thiết kế chương trình PATH - ngày 29tháng 6, 2022
Trang trình bày
Bản ghi âm
Cập nhật chi tiết về thiết kế chương trình PATH – ngày 28tháng 1, 2022
Trang trình bày
Bản ghi âm
Chương trình PATH và Thanh toán Khuyến khích – ngày 17tháng 12, 2021
Trang trình bày
Bản ghi âm
Tài nguyên bổ sung
Dưới đây là danh sách các tài nguyên bổ sung có thông tin chính về PATH:
Những câu hỏi và những nhận xét
Contact DHCS with any questions or comments on the CalAIM PATH initiatives at 1115path@dhcs.ca.gov.