CalAIM

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

General Information

Learn more about what CalAIM is, who is involved, what it does for our community, and how it is related to homelessness.

For Providers

Discover trainings, resources, and information relevant to you as a current or prospective CalAIM service provider.

For Individuals in Need

Learn how to access services, determine your Managed Care Plan (MCP), and see what is (and is not) offered through CalAIM.

General Information + Resources

CalAIM Overview

The California Advancing & Innovating Medi-Cal (CalAIM) is a broad Medi-Cal transformation effort to create more equitable, coordinated, and person-centered care. Enhanced Care Management (ECM) and Community Supports (CS) are keystone initiatives engaging Medi-Cal enrollees who are experiencing or at risk of homelessness in coordinated community-based care management and access to housing support services. 

 

Through the Housing & Homelessness Incentive Program (HHIP), Sacramento Steps Forward (SSF) is supporting the Sacramento Continuum of Care, City of Sacramento, Sacramento County, and Medi-Cal Managed Care Plans with integrating CalAIM ECM and CS services into the local homeless response system in alignment with our community’s adopted Local Homeless Action Plan.

 

Note: Sacramento Steps Forward (SSF) is not a direct service provider.

 

For more information related to SSF and CalAIM’s partnership, please contact Ayanna McGee.

Provider Information + Resources

CalAIM Provider Newsletter

How to Become a Provider

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

Workgroup Meetings

All CalAIM workgroup meetings are temporarily on hold as valuable feedback from previous meetings is integrated throughout our systems. For any questions during this time, please contact Niomi Del Rio.

 

SSF facilitates two monthly workgroups for CalAIM providers: 

Access and Assessment Workgroups the first Monday of every month and HMIS Workgroups the first Tuesday of every month.

Access & Assessment Workgroup

Second Monday of every month, 10:00–11:00 a.m.

Facilitating connections between providers and HMIS to improve pathways for clients experiencing or at risk of homelessness and form connections to enhanced care management (ECM) and community supports (CS).

Meeting ID: 880 2814 9675 | Passcode: 677056

Join the Meeting

CalAIM HMIS Workshop

Second Tuesday of every month, 12:00–1:00 p.m.

Connecting MCPs to HMIS to provide a space for troubleshooting processes within member matching, population-level data analytics, data-informed coordination of services, and more. 

Meeting ID: 863 9371 7088 | Passcode: 813804

Join the Meeting

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 see the PATH CPI (Collaborative Planning and Implementation) SharePoint hosted by Transform Health. To gain access, register for the Collaborative through PATH’s TPA’s registration site. 

Managed Care Plans

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

Accessing Services

How to Access CalAIM Services

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:  

  1. Call the Department of Human Assistance (DHA) Service Center at (916) 874-3100 
  2. Follow prompts carefully and have one of the three documentation types available when you speak to a live person:
    1. The individual’s county-assigned case number
    2. The individual’s social security number
    3. The individual’s name and date of birth (least preferred) 
  3. Once connected with a live person at DHA, the individual is able to get all plan-related information and ask any other pertinent questions

Learning About Enhanced Care Management

Enhanced Care Management (ECM) is comprised of seven core services, including: 

  • Outreach and engagement. 
  • Comprehensive assessment and care management plan. 
  • Enhanced coordination of care. 
  • Health promotion. 
  • Comprehensive transitional care. 
  • Member and family supports. 
  • Coordination of and referral to community and social support services. 

Services Offered through CalAIM

  • Housing transition navigation services 
  • Housing deposits 
  • Housing tenancy and sustaining 
  • Short-term post-hospitalization housing 
  • Recuperative care (medical respite) 
  • Respite services 
  • Day habilitation programs 
  • Nursing facility transition/diversion to assisted living facilities 
  • Community transition services/NF transition to a home 
  • Personal care and homemaker services 
  • Environmental accessibility adaptations (home modifications) 
  • Meals/medically tailored meals 
  • Sobering centers 
  • Asthma remediation 
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