California Health Care Foundation

CalAIM (California Advancing and Innovating Medi-Cal) will add new programs and make important reforms to many existing programs, bringing in significant federal matching dollars in addition to the millions allocated from the general fund. This explainer provides an overview of all the changes proposed.

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 high-level overview of the plan's details.

Sobering centers offer a cost-effective alternative for providing care to people with acute intoxication whose public alcohol or drug use puts themselves or others at risk. New interest in the decades-old approach has been sparked by recent CalAIM (California Advancing and Innovating Medi-Cal). Learn more about these programs through these two publications: a high-level issue brief and a detailed report.

With more than 150,000 people experiencing homelessness on any given day, purposeful collaboration between the housing and health care sectors are critical. This report focuses on ways in which the two systems are sharing data to better coordinate and support clients' needs.

Medical respite provides acute and postacute care for people experiencing homelessness who have recently been discharged from the inpatient setting. This report surveys the California medical respite landscape and examines the variation in programs by program components, funding sources and mechanisms, and challenges.

The California Advancing and Innovating Medi-Cal (CalAIM) program seeks to enhance information exchanged among managed care plans, providers, and county agencies. Learn more in this report, CalAIM and Health Data Sharing: A Road Map for Effective Implementation of Enhanced Care Management and In Lieu of Services.

This issue brief highlights challenges and opportunities to improve care for Medi-Cal Seniors and Persons with Disabilities under the state's CalAIM initiative.

The Department of Health Care Services's CalAIM process would change the way it pays Medi-Cal managed care plans to incentivize long-term improvements in quality of care and health outcomes for patients. It specifically calls out the need and potential benefit of a shared savings program, which would be an important, and overdue, advancement.

More than a million Californians receive health care coverage from both Medicare and Medi-Cal. These dual-eligible enrollees are older adults with low incomes and people with disabilities. The goal of the paper is to help stakeholders understand the complexities of service delivery for dual-eligible enrollees and to assess the impact of proposed changes on how enrollees can access care under both Medicare and Medi-Cal.