CalAIM Resources

Community partnerships to create more equitable, coordinated, and person-centered care.

For Individuals in Need

If you are in need of CalAIM services or are working with a client in need of CalAIM services, but do not know which managed care plan you or your client are enrolled with, please use the following steps:

Call the Department of Human Assistance (DHA) Service Center at (800) 560-0976
Follow prompts carefully and have one of the three documentation types available when you speak to a live person:
- The individual’s county-assigned case number
- The individual’s social security number
- The individual’s name and date of birth (least preferred)
Once connected with a live person at DHA, the individual is able to get all plan-related information and ask any other pertinent questions

How to Become a Provider

To become a provider, please use the information explained within the resources linked below.

New Provider Resources

ITUP Engaging with CalAIM: Quicklinks for CBOs
Camden Coalition CalAIM Budget Estimator Tool
- This Excel-based template by Camden Coalition is for organizations to estimate costs and potential revenue associated with providing CalAIM ECM and CS services.

For Providers

Managed Care Plans

Please see each Managed Care Plan’s (MCP) CalAIM webpage for dedicated information and resources specific to each plan,

Transform Health Trainings and Resources

For information on how to make CalAIM ECM (Enhanced Care Management) and Community Supports referrals, how to access the CalAIM provider directory, and other service questions, please  join the Sacramento PATH Collaborative, hosted by Transform Health by registering through PATH’s TPA’s registration site.  To gain access, register for the Collaborative through PATH’s TPA’s registration site.

By joining the collaborative, you can access the Sacramento PATH CPI (Collaborative Planning and Implementation) SharePoint site, which houses many CalAIM resources for the Sacramento region. *Registration is required for access. 

Claims and Billing

ECM and CS Claims Guide for Sacramento County Providers 

Developed in collaboration between NHHA and the Sacramento Managed Care Plans, this guide provides helpful tips for submitting successful ECM and CS claims.

ECM and CS HCPCS Coding Guidance 

Updated in January 2024, this document contains the DHCS-established HCPCS codes that must be used for documenting the rendering of ECM and CS services in MCPs encounters.

ECM and CS Billing and Invoice Guidance 

This document outlines the standards for providers and MCPs related to billing and invoicing ECM/CS claims. The purpose of this guidance is to standardize invoicing to mitigate provider burden and promote data quality.

25 DHCS Priority SDOH Codes – All Plan Letter 21-009 