Key Takeaways
- Enhanced Care Management (ECM) utilization among Californians experiencing homelessness nearly doubled from 20% to 38% between 2023 and 2024, signaling the program’s growing reach.
- Providers cite inadequate payment rates and administrative complexity (stemming from varying managed care plan requirements) as the primary barriers to expanding services to meet demand.
- People with complex needs emphasize that trust in their care teams is essential and strongly prefer integrated, “one-stop shop” models that address health care alongside basic needs like housing and food security.
As California prepares for CalAIM waiver renewal, this short presentation deck elevates the voices of those most affected—Medi-Cal enrollees with complex needs and the providers who serve them—and summarizes the program’s impact to date.
ECM and Community Supports are core components of CalAIM that help Californians with complex needs navigate the health care system. Learn about the bright spots and remaining challenges in the use of these programs.
