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California Health Care Foundation
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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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Homelessness & Health Care

Medi-Cal and Homelessness

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In January 2022, the California Department of Health Care Services launched CalAIM (California Advancing and Innovating Medi-Cal). This major reform has the potential to improve outcomes for the millions of people enrolled in Medi-Cal, including people experiencing homelessness. Of special note are two new programs.

Housing-Related Community Supports Covered in CalAIM
  • Housing transition navigation services
  • Housing deposits
  • Housing tenancy and sustaining services
  • Short-term posthospitalization housing
  • Medical respite
  • Sobering centers
  • Day habilitation


Enhanced Care Management is a benefit available to people with complex needs, including those experiencing homelessness, to coordinate their care, which includes connecting them to treatment for any physical or mental health conditions and substance use disorder, and to social services.

Community Supports are a new set of 14 services not traditionally covered by Medi-Cal, including housing deposits and services to help people remain stably housed. Medi-Cal managed care plans have the option to offer these services to their members. (See box.)

Explore the resources below to learn more about implementing CalAIM reforms to meet the needs of people experiencing homelessness. You may also wish to visit CHCF’s CalAIM resource center filled with tools and resources explicitly for organizations implementing CalAIM programs.

Featured Resources

New housing under construction.
Issue Spotlight

CalAIM’s Trio of Housing Community Supports – Policy at a Glance

This fact sheet offers an overview of the three CalAIM Housing Community Supports.

March 20, 2025
CalAIM, Homelessness, Medi-Cal
CalAIM Housing Supports Briefing

Sacramento Briefing: CalAIM Housing Community Supports

March 12, 2025
CalAIM, Homelessness
Medical practitioner reaches out to person experiencing homelesness.

Improving Medi-Cal Renewals for People Experiencing Homelessness

August 22, 2024
Homelessness, Medi-Cal
Illustration showing people joining together to protect the vulnerable

Medi-Cal Renewal for People Experiencing Homelessness: Toolkit

September 14, 2023
Homelessness

Medi-Cal Academy for Homeless Service Providers

May 31, 2023
CalAIM, Homelessness, Medi-Cal
A man works at a computer while his co-worker looks on
Toolkit

CalAIM Billing Guide for Housing-Related Community Supports Providers

This updated guide outlines the five main steps of the health care billing cycle, with detailed instructions on how homeless services providers and community organizations can approach each activity.

April 19, 2024
CalAIM, Homelessness, Medi-Cal, Medi-Cal Payment and Financing

Recommendations to Improve Implementation of ECM & Community Supports for People Experiencing Homelessness

September 21, 2023
Homelessness

Making CalAIM Work for Older Adults Experiencing Homelessness

July 17, 2023
CalAIM, Medi-Cal, Older Adults
man and woman moving boxes together

Housing-Related Community Supports

January 20, 2023
CalAIM, Medi-Cal

Building on CalAIM’s Housing Supports: Strengthening Medi-Cal for People Experiencing Homelessness

August 10, 2023
CalAIM, Homelessness, Medi-Cal, Medi-Cal Payment and Financing
Illustration of Latinx family (mother, daughter, father)
Issue Spotlight

CalAIM Explained: A Five-Year Plan to Transform Medi-Cal

California Advancing and Innovating Medi-Cal (CalAIM) is a far-reaching, multiyear plan to transform California’s Medi-Cal program and to make it integrate more seamlessly with other social services. The goal of CalAIM is to improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. This fact sheet includes a…

July 26, 2021
CalAIM, Medi-Cal

CalAIM Explained: Overview of New Programs and Key Changes

October 26, 2021
CalAIM, Medi-Cal
Jacey Cooper

Innovation at the Intersection of Health Care and Homelessness

June 08, 2022
Homelessness

Health Insurance Can Now Help Some Californians Find Housing

May 23, 2022
CalAIM, Health Insurance Coverage, Homelessness, Medi-Cal
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OAKLAND
1438 Webster Street #400
Oakland, CA 94612
Tel: 510.238.1040 Fax: 510.201.2991
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SACRAMENTO
1415 L Street #820
Sacramento, CA 95814
Tel: 916.329.4540 Fax: 916.329.4544
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